An Enhanced Role in Comprehensive Geriatric Assessment for Community-Nurse Case Managers
| Autor: | Joanne Hatt, Richard G. Crilly, Anne Marie Vinke, Donna Crinklaw Wiancko, Paul Stolee, Zora A. Arcese, Jacquelin Esbaugh, Sally Waddell, Karen Wells, Mary Lynne Patterson |
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| Rok vydání: | 2003 |
| Předmět: | |
| Zdroj: | Canadian Journal on Aging / La Revue canadienne du vieillissement. 22:177-184 |
| ISSN: | 1710-1107 0714-9808 |
| DOI: | 10.1017/s0714980800004499 |
| Popis: | We evaluated an enhanced role in comprehensive geriatric assessment for community-nurse case managers. Following practicum education in geriatric assessment, two community-nurse case managers conducted assessments of frail older clients and served as a resource for their case-manager teams. Impacts on their colleagues' assessment skills were investigated in a non-randomized, controlled trial. Intervention-group case managers had higher confidence in assessing and managing the health and social concerns of older persons, greater use of standard assessment tools, and higher case-study assessment scores, than did control-group case managers. Case managers reported that interaction with the enhanced-role case managers had enhanced their skills and benefited clients; family physicians reported that improved patient outcomes had resulted from the assessment information received. Community case managers with enhanced training in geriatric assessment can have a valuable clinical and educational role. Issues include resource implications and integrating the enhanced role into home care operations. |
| Databáze: | OpenAIRE |
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