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Nurse care coordination in community-based long-term care
Karen Dorman Marek1, Lori Popejoy, Greg Petroski
1University of Wisconsin-Milwaukee, PO Box 413, WI 52301, USA. kmarek@uwm.edu
Summary
Nurse care coordination improved pain, dyspnea, and activities of daily living (ADL) for home care clients. This approach shows promise for chronically ill older adults needing home and community-based services.
Area of Science:
- Gerontology
- Nursing Science
- Health Services Research
Background:
- Home and community-based waiver programs provide essential services to older adults.
- Effective care coordination is crucial for managing complex health needs in this population.
- The Missouri Care Options (MCO) program offers state-funded services to eligible individuals.
Purpose of the Study:
- To evaluate the clinical outcomes of a nurse care coordination (NCC) program.
- To assess the impact of NCC on individuals receiving services through the Missouri Care Options (MCO) waiver program.
Main Methods:
- A quasi-experimental design compared 55 clients receiving NCC with 30 clients not receiving NCC.
- Standardized datasets (MDS and OASIS) were collected at baseline, 6, and 12 months.
- Clinical outcomes included pain, dyspnea, activities of daily living (ADL), cognition, depression, incontinence, and pressure ulcers.
Main Results:
- At 12 months, the NCC group showed statistically significant improvements in pain, dyspnea, and ADLs.
- No significant differences were observed between groups at the 6-month follow-up.
- The Cochran-Mantel-Haenszel (CMH) method was used for statistical analysis.
Conclusions:
- Nurse care coordination demonstrates potential as an effective intervention for improving clinical outcomes in chronically ill older adults.
- Further evaluation of NCC for acute and chronic home care is warranted.
- NCC may enhance the quality of care for individuals in home and community-based waiver programs.
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