Low-Income Seniors’ Geriatric Care Planning
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Low-Income Seniors’ Geriatric Care Planning
Geriatric Care Management for Low-Income Seniors: A Randomized Controlled Trial
Counsell et al. (2007) conducted a randomized clinical control study of 951 adults 65 years or older with annual incomes less than 200% of the federal poverty level whose primary care physicians were randomly assigned to the intervention group (474 patients) or usual care (477 patients) in community-based health centers.
The intervention consisted of 2 years of home-based care management by a nurse practitioner and SW, who collaborated with the primary care physician and a geriatrics interdisciplinary team and were guided by 12 care protocols for common geriatric conditions.
Results of the study showed that integrated and home-based geriatric care management resulted in improved quality of care and reduced acute care utilization among a high-risk group, in comparison with community-based care.
Improvements in health-related quality-of-life issues were mixed, and physical function outcomes did not differ between the groups.
Case management programs in all settings require further study. Terms used in case management programs should be defined for comparison in various clinical sites. Programs with similar organizational structures and services can then be compared among settings.
Critical to the success of case management programs are the inclusion of costs and cost savings and the evaluation of quality outcomes.
The researcher or case manager must report the program’s description as well as the case manager’s role and professional background. Well-defined patient and program outcomes are essential to the evaluation of case management programs.
With the implementation of well-designed research with measurable outcomes, management in health care settings across the continuum of care can identify the most cost-effective programs for specific populations served.
Case Study Application of the Nursing Process
RUBRIC
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