A Pilot of a Gerontological Advanced Practice Nurse Preventive Intervention

Autor: Joan Earle Hahn, Harriet Udin Aronow
Rok vydání: 2005
Předmět:
Zdroj: Journal of Applied Research in Intellectual Disabilities. 18:131-142
ISSN: 1468-3148
1360-2322
DOI: 10.1111/j.1468-3148.2005.00242.x
Popis: Background Persons with an intellectual and developmental disability frequently face barriers in accessing preventive services in community-based health care systems. As they age into middle years, they are at increased risk for functional decline. This paper presents a description of an advanced practice nurse (APN) intervention used in a pilot study that explored the feasibility of using an in-home preventive model based on a comprehensive geriatric assessment with persons ageing with an intellectual and developmental disability. Method The APN intervention was fully provided to a sub-sample (n = 70) of 201 participants with an intellectual and developmental disability enrolled in a programme called ‘Stay Well and Healthy!’ The APN intervention included an initial home visit for a comprehensive geriatric assessment with follow-up home visits to review health status and assess adherence with recommendations and provide education and support to promote health and prevent functional decline. Results Advanced practice nurses identified a number of active health-related problems for persons ageing with an intellectual and developmental disability (mean 5.2; range 1–14) that had potential effects on function and survival. The majority of recommendations (mean 14.4; range 6–35) were for clinical preventive services (42.2%) and self-care for health-related issues (36.8%). Conclusions This study showed that there were problems consistent with persons ageing with an intellectual and developmental disability and older adults without disability. The in-home preventive APN intervention to promote healthy ageing and reduce health disparities in this population is feasible, needed, and warrants further study.
Databáze: OpenAIRE
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