Navigation Links
A nursing program shows promise for reducing deaths from chronic illnesses
Date:7/17/2012

A community-based nursing program delivered in collaboration with existing health care services is more effective in reducing the number of older people dying from chronic illnesses, such as cardiovascular disease and diabetes, than usual care according to a study by US researchers published in this week's PLoS Medicine.

The authors led by Kenneth Coburn from Health Quality Partners in Pennsylvania in the US, randomized 1736 eligible patients (aged 65 years and over with heart failure, coronary heart disease, asthma, diabetes, hypertension, and/or hyperlipidemia who received traditional Medicarea fee for service insurance scheme in which beneficiaries can choose to receive their care from any Medicare provider) to receive usual care or the nursing intervention in addition to usual services. The intervention included an individualized plan comprising education, symptom monitoring, medication counseling for adherence to treatment, help identifying, arranging, and monitoring community health and social service referrals in addition to group interventions such as weight loss maintenance and exercise classes.

The researchers found that 86 (9.9%) participants in the intervention group and 111 (12.9%) participants in the control group died during the study period, representing a 25% lower relative risk of death among the intervention group, a difference which became slightly larger when the authors considered other factors, such as sex, age, medical condition, and the number of medications taken.

The authors say: "The program of community-based care management tested in the current study appears to be a valuable addition to the primary care of appropriately selected chronically ill older adults." They add: "Efforts to more broadly test the adaptability, scalability, and generalizability of this model seem warranted."

In an accompanying Perspective, Arlene Bierman from the Faculty of Nursing at the University of Toronto, in Canada describes the health needs of the aging population as an impending storm. She argues that all adults at risk of chronic diseases should be considered in such programs: "Because complex interventions are most successful in high risk populations, there is the possibility that resources will be targeted primarily to these highest cost users of health services, perpetuating underinvestment in chronic disease prevention and management across risk strata. We need to learn how to efficiently tailor services and interventions across the continuum of risk."

She continues: "Ultimately, the goal should be to reduce the population burden of chronic illness. This can only be accomplished by targeting the root causes of disease in the social determinants of health and an enhanced focus on prevention. Health system sustainability is dependent on improving the health of aging populations."


'/>"/>
Contact: Sumrina Yousufzai
syousufzai@plos.org
415-568-3164
Public Library of Science
Source:Eurekalert

Related medicine news :

1. Study recommends ways to evaluate end-of-life care in nursing homes
2. Women With Older Partners More Often Admitted to Nursing Homes
3. NYUCNs Dr. Laura Wagner: Study finds accreditation improves safety culture at nursing homes
4. Individuals with dementia more likely to die at home than in nursing homes
5. Study Offers Ways to Decrease Use of Restraints at Nursing Homes
6. Study links teamwork, communication with quality of nursing home care
7. Study: 21 percent of newly admitted nursing home residents sustain a fall during their stay
8. One-Fifth of Nursing Home Residents Fall in First Month
9. GSA welcomes National Hartford Centers of Gerontological Nursing Excellence
10. Nursing researcher uses Nintendo Wii to fight cancer-related fatigue
11. Screening programs detect cases of undiagnosed rheumatic heart disease in low-resource countries
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/12/2017)... ... 12, 2017 , ... CitiDent and San Francisco dentists, Dr. ... Oventus O2Vent technology. As many as 18 million Americans are estimated to suffer ... Oral appliances can offer significant relief to about 75 percent of people with ...
(Date:10/12/2017)... , ... October 12, 2017 , ... IsoComforter, Inc. ( ... announced today the introduction of an innovative new design of the shoulder pad. ... you get maximum comfort while controlling your pain while using cold therapy. By utilizing ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... delivery system that we intend to develop to enable prevention of a major ... to severe hearing loss, especially in pediatric patients. For cisplatin, hearing loss is ...
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts at Children’s ... the 49th Congress of the International Society of Paediatric Oncology (SIOP) Oct. ... Center for Cancer and Blood Disorders at Children’s National, and Stephen P. Hunger, ...
(Date:10/12/2017)... ... ... Health Literacy Innovations (HLI), creator of the Health Literacy ... Patient Education Network (CPEN), an independent professional organization that shares best practices in ... , As CPEN’s strategic partner, HLI will help support CPEN members by sharing ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... Sept. 27, 2017  DarioHealth Corp. (NASDAQ: DRIO), a leading global digital ... its MyDario product is expected to appear on The Dr. Oz Show ... Oz Show airs in your area: http://www.doctoroz.com/page/where-watch-dr-oz-show ... The nine-time Emmy award-winning, The Dr. Oz Show kicked off ... The segment features ...
(Date:9/25/2017)... 25, 2017  EpiVax, Inc., a leader in ... immune-engineering today announced the launch of EpiVax Oncology ... personalized therapeutic cancer vaccines. EpiVax has provided $500,000 ... to enabling technologies to the new precision immunotherapy ... EpiVax Oncology as Chief Executive Officer. Gad brings ...
(Date:9/22/2017)... Sept. 22, 2017  As the latest Obamacare repeal ... Bill Cassidy (R-LA) and Lindsey Graham ... the medical device industry is in an odd place. ... the 2.3% excise tax on medical device sales passed ... want covered patients, increased visits and hospital customers with ...
Breaking Medicine Technology: