Guided care: a new frontier for adults with chronic conditions.
Prof Case Manag
; 13(3): 151-8; quiz 159-60, 2008.
Article
en En
| MEDLINE
| ID: mdl-18562909
ABSTRACT
PURPOSE:
This article describes "Guided Care," a promising new model of case management that includes disease management, self-management, transitional care, and caregiver support for multimorbid patients and their families. PRIMARY PRACTICE SETTINGS Guided Care nurses, based at primary care practices, extend services to the home and all the other settings where their patients receive care. FINDINGS ANDCONCLUSIONS:
Guided Care nurses take responsibility for 50-60 multimorbid patients. For each patient, the nurse performs a home assessment and creates an evidence-based plan of care. In partnership with the primary physician, the Guided Care nurse then monitors and coaches the patient monthly, coordinates the patient's transitions between providers and sites of care, educates and supports family caregivers, and facilitates access to community resources. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE As a next stage in the evolution of case management, Guided Care may be supported by Medicare and, therefore, adopted widely throughout the American healthcare.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Planificación de Atención al Paciente
/
Atención Primaria de Salud
/
Enfermedad Crónica
/
Modelos de Enfermería
/
Manejo de Caso
/
Rol de la Enfermera
Tipo de estudio:
Evaluation_studies
/
Prognostic_studies
Aspecto:
Implementation_research
Límite:
Aged
/
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Prof Case Manag
Año:
2008
Tipo del documento:
Article
País de afiliación:
Estados Unidos