RESUMO
Case management is the health care delivery model for the 1990s, answering the demands for provision of high quality care in a cost-effective manner. The CNS will play a pivotal role in the planning, development, implementation, and evaluation of a case management model. This article discusses practical aspects to consider when developing a case management model that meets the needs of a specific institution.
Assuntos
Modelos de Enfermagem , Enfermeiros Clínicos , Planejamento de Assistência ao Paciente , Humanos , Programas de Assistência GerenciadaRESUMO
The family enters the critical care unit under a significant amount of stress with many diverse and complex needs. During this crisis period, dysfunctional behavior may lead to ineffective coping. This article will present a comprehensive family assessment tool based on Myra Levine's Principles of Conservation. The assessment tool not only will enhance the comprehensiveness of patient and family care, but will provide a method for reassuring families that they are part of their relatives' care and recovery. This tool will also enable the critical care nurse to individually assess and meet the holistic needs of families.