2.50
Hdl Handle:
http://hdl.handle.net/10755/616351
Category:
Full-text
Type:
Poster
Title:
Dementia as Leading Co-Morbidity in Homebound Seniors
Author(s):
Ordona, Ron
Lead Author STTI Affiliation:
Mu Gamma
Author Details:
Ron Ordona, RN, FNP, RonOrdonaNP@outlook.com
Abstract:
Session presented on Friday, July 22, 2016 and Thursday, July 21, 2016: Background: A curious twenty-first century phenomenon is happening in the US. Physicians and Nurse Practitioners are reviving the house call practice. Medical House Call Programs offers homebound elderly residents medical treatment in their own homes. The United States is currently faced with the challenge of how and where to care for it's aging population. Nurse practitioner (NP) home-based care is a potential solution to meet this challenge. Current research indicates that care provision by advanced practice nurses reduces cost, decreases length of stay and readmission to hospitals, and improves patient quality of life. Advanced practice nurses are able to fill the provider gap for aged patients. Aim/Goal: This retrospective look at the practice showed Dementia as the most common co-morbid condition that predisposes elderly patients to be homebound. The purpose of this study was to assess trends in the number of cases per identified diagnosis of house calls made by the nurse practitioner in a house calls private practice from its inception in the year 2014. 'Implementation: A simple analysis of cases seen from the period of inception of a nurse practitioner house call practice for a total of nine months in 2014. Data obtained using the electronic health record (EHR) used by the practice. 'Results: Dementia constitutes the highest share in the distribution of diagnoses at 62%, Hypertension 29%, Diabetes 22%, Hyperlipidemia 15% and Kidney Disease 7%. 'Clinical Relevance/Conclusion: There is a resurgence of medical house call services by a combination of physicians and emerging practices by nurse practitioners. House calls by a Nurse Practitioner opens up opportunities to address some of the challenges that dementia and co-morbidities present. Further exploration at how this practice model can lessen ER visits or' hospital readmissions is recommended. The project will start tracking readmission rates starting September 2015 to December 31, 2015 and will highlight results of the three-month pilot.
Keywords:
dementia; homebound; seniors
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16PST19; INRC16PST19
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePosteren
dc.titleDementia as Leading Co-Morbidity in Homebound Seniorsen
dc.contributor.authorOrdona, Ronen
dc.contributor.departmentMu Gammaen
dc.author.detailsRon Ordona, RN, FNP, RonOrdonaNP@outlook.comen
dc.identifier.urihttp://hdl.handle.net/10755/616351-
dc.description.abstractSession presented on Friday, July 22, 2016 and Thursday, July 21, 2016: Background: A curious twenty-first century phenomenon is happening in the US. Physicians and Nurse Practitioners are reviving the house call practice. Medical House Call Programs offers homebound elderly residents medical treatment in their own homes. The United States is currently faced with the challenge of how and where to care for it's aging population. Nurse practitioner (NP) home-based care is a potential solution to meet this challenge. Current research indicates that care provision by advanced practice nurses reduces cost, decreases length of stay and readmission to hospitals, and improves patient quality of life. Advanced practice nurses are able to fill the provider gap for aged patients. Aim/Goal: This retrospective look at the practice showed Dementia as the most common co-morbid condition that predisposes elderly patients to be homebound. The purpose of this study was to assess trends in the number of cases per identified diagnosis of house calls made by the nurse practitioner in a house calls private practice from its inception in the year 2014. 'Implementation: A simple analysis of cases seen from the period of inception of a nurse practitioner house call practice for a total of nine months in 2014. Data obtained using the electronic health record (EHR) used by the practice. 'Results: Dementia constitutes the highest share in the distribution of diagnoses at 62%, Hypertension 29%, Diabetes 22%, Hyperlipidemia 15% and Kidney Disease 7%. 'Clinical Relevance/Conclusion: There is a resurgence of medical house call services by a combination of physicians and emerging practices by nurse practitioners. House calls by a Nurse Practitioner opens up opportunities to address some of the challenges that dementia and co-morbidities present. Further exploration at how this practice model can lessen ER visits or' hospital readmissions is recommended. The project will start tracking readmission rates starting September 2015 to December 31, 2015 and will highlight results of the three-month pilot.en
dc.subjectdementiaen
dc.subjecthomebounden
dc.subjectseniorsen
dc.date.available2016-07-13T11:10:34Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:10:34Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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