2.50
Hdl Handle:
http://hdl.handle.net/10755/163155
Category:
Abstract
Type:
Presentation
Title:
Effectiveness of the CARELINK Model of Care on Older Adult Health Outcomes
Author(s):
Nicholson, Nicholas R.; Shellman, Juliette; Hu, Sophia; Clemmens, Danuta
Author Details:
Nicholas R. Nicholson, MPH, APRN-BC, Yale University, New Haven, Connecticut, USA, email: nicholas.nicholson@yale.edu; Juliette Shellman, PhD, APRN-BC; Sophia Hu, New York University; Danuta (Donna) Clemmens, PhD, RN, New York University
Abstract:
Purpose: To examine the influence of the CARELINK model of care on blood pressure management and falls in older adults. Theoretical Framework: Based on Anderson and McFarlane's Community as Partner Theory, Carelink is a community-university partnership that provides free home visit services to older adults no longer eligible for compensated care. Health assessments and interventions are provided by undergraduate and graduate nursing students during their community health practicum from the University of Connecticut, Yale University, and St. Joseph's College. Methods (Design, Sample, Setting, Measures, Analysis): This multi-site research project took place in conjunction with the VNS of New York and in two VNA's in Connecticut. This research study employed a pretest posttest design. The sample (n=148) with a mean age=73.42 years old included community dwelling older adults with chronic illnesses. Each participant had blood pressure and fall risk assessed by trained nursing students and recorded upon admission to the CARELINK program. Falls risks were assessed using the Fall Risk Assessment developed by the Connecticut Collaboration for Fall Prevention. Student interventions included fall prevention education, medication assessment and education, blood pressure monitoring every two weeks, and referrals to physicians for medication changes. Follow up assessments were completed approximately 2 years later. A paired t test was used to analyze both blood pressure and fall risk. Results: CARELINK clients had a statistically significant decrease in systolic and diastolic blood pressure over a two year period. The decrease in systolic Bp was significant at an ? 0.05, t(148) = 3.23, SD16.46 p< 0.001 while the decrease in diastolic Bp was significant at an ? 0.05, t(148) =4.18, SD 11.10 p=0.002. Fall risk did not show a statistically significant difference. Conclusions and Implications: Results indicate that CARELINK may be effective in demonstrating a cost effective means of achieving important health outcomes over a period of time in older adults with unmet health needs.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEffectiveness of the CARELINK Model of Care on Older Adult Health Outcomesen_GB
dc.contributor.authorNicholson, Nicholas R.en_US
dc.contributor.authorShellman, Julietteen_US
dc.contributor.authorHu, Sophiaen_US
dc.contributor.authorClemmens, Danutaen_US
dc.author.detailsNicholas R. Nicholson, MPH, APRN-BC, Yale University, New Haven, Connecticut, USA, email: nicholas.nicholson@yale.edu; Juliette Shellman, PhD, APRN-BC; Sophia Hu, New York University; Danuta (Donna) Clemmens, PhD, RN, New York Universityen_US
dc.identifier.urihttp://hdl.handle.net/10755/163155-
dc.description.abstractPurpose: To examine the influence of the CARELINK model of care on blood pressure management and falls in older adults. Theoretical Framework: Based on Anderson and McFarlane's Community as Partner Theory, Carelink is a community-university partnership that provides free home visit services to older adults no longer eligible for compensated care. Health assessments and interventions are provided by undergraduate and graduate nursing students during their community health practicum from the University of Connecticut, Yale University, and St. Joseph's College. Methods (Design, Sample, Setting, Measures, Analysis): This multi-site research project took place in conjunction with the VNS of New York and in two VNA's in Connecticut. This research study employed a pretest posttest design. The sample (n=148) with a mean age=73.42 years old included community dwelling older adults with chronic illnesses. Each participant had blood pressure and fall risk assessed by trained nursing students and recorded upon admission to the CARELINK program. Falls risks were assessed using the Fall Risk Assessment developed by the Connecticut Collaboration for Fall Prevention. Student interventions included fall prevention education, medication assessment and education, blood pressure monitoring every two weeks, and referrals to physicians for medication changes. Follow up assessments were completed approximately 2 years later. A paired t test was used to analyze both blood pressure and fall risk. Results: CARELINK clients had a statistically significant decrease in systolic and diastolic blood pressure over a two year period. The decrease in systolic Bp was significant at an ? 0.05, t(148) = 3.23, SD16.46 p< 0.001 while the decrease in diastolic Bp was significant at an ? 0.05, t(148) =4.18, SD 11.10 p=0.002. Fall risk did not show a statistically significant difference. Conclusions and Implications: Results indicate that CARELINK may be effective in demonstrating a cost effective means of achieving important health outcomes over a period of time in older adults with unmet health needs.en_GB
dc.date.available2011-10-27T11:02:20Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:20Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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