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:8/31/2020)... ... , ... Cardiothoracic surgeons at Allegheny General Hospital (AGH), part ... (CMU) to develop a new heart monitoring device designed to serve as an ... AGH/CMU team was recently awarded a “Trailblazer” grant from the National Institutes of ...
(Date:8/31/2020)... ... 2020 , ... Just found out your dear friend has cancer? , It’s hard to hear ... member shares their diagnosis. Once the shock wears off, the questions and fears can be ... the best ways to help? Words are failing me. I’m scared. I want to DO ...
(Date:8/31/2020)... ... August 31, 2020 , ... Want to get moving, break up your ... Foundation (CPARF) is thrilled to launch its fourth annual STEPtember campaign in the United ... STEPtember meets everyone wherever they are at this moment — encouraging people to move ...
(Date:8/31/2020)... ... 31, 2020 , ... Colorado State University Global (CSU Global) ... online education – is proud to announce its new master’s degree in ... kind in the nation, the 60-credit hour program is designed to provide students ...
(Date:8/31/2020)... ... ... topsy-turvy economic outlook continues to put financial strain on many of us, so it just ... our monthly expenses and put more into savings, if possible. , “That’s a great way ... net in place in case something were to happen to you,” says Lee Duncan, CMO ...
Breaking Medicine News(10 mins):
(Date:9/2/2020)... (PRWEB) , ... September 02, 2020 , ... U.S. ... Jonathan Lee . Dr. Lee will work at Bethesda Dermatopathology Lab. ... his B.A. from the University of California, Berkley. He went on to receive his ...
(Date:9/1/2020)... ... September 01, 2020 , ... Neil Oberfeld of ... Secretary to the Board of Trustees and committee chair of the Governance Committee ... a Denver-based nonprofit organization that fights for the education, health, and financial stability ...
(Date:9/1/2020)... ... 01, 2020 , ... September is National Ovarian Cancer Awareness Month. Ovarian ... other cancer of the female reproductive system. The American Cancer Society estimates that ... women will die from this disease. Throughout the month of September, Women’s Excellence ...
Breaking Medicine Technology: