ISSN:1084-3647    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Due to advances made in medicine and healthcare, older adults are living longer but enduring problems with physical functioning and health over longer periods of time. In addition, the percentage of older adults with cognitive impairments is increasing. Caregiving duties, which decades ago lasted for months, now last for years. This long-term strain of caring for an older adult who is physically and/or cognitively impaired may lead many caregivers to feel frustrated, angry, overwhelmed, and isolated. As a result of this stress many caregivers resort to nursing home placement. The Caregiver Options Program and Evaluation research project was undertaken to provide service options to participating caregivers to alleviate some of the debilitating stress associated with caregiving and postpone institutionalization. Results of logistic regression indicate the predictors of nursing home placement were whether the caregiver felt she/he had provided good care, and whether the elder had a problem with household tasks and/or woke the caregiver or other family members up during the night. Findings suggest that elderly care receivers who are predominately low-to-middle income have a physical and/or cognitive impairment, along with their caregivers, need to be especially targeted for help by case managers early in the caregiving process before placement becomes the only alternative.

ISSN:1084-3647    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Care of patients who have sustained a mild traumatic brain injury (MTBI) requires collaboration between the case manager, other disciplines, the patients, and their significant other. The case manager’s knowledge of the evaluation tools that may be used to assess patient status in various phases of care is essential in planning and dealing with possible variances of care, which could affect outcomes of care. An overview of the etiology of MTBI, diagnosis, recovery, evaluation at various stages, outcome measurement, and examples of valid and reliable tools are presented.

ISSN:1084-3647    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Management philosophy and culture of any organization must match the nursing professions’ core value of caring. Organizational conflict symptomology includes communication barriers and widely differing values. Employment of accountability based systems and bringing nurses into governance prevents conflict and improves job satisfaction. This article identifies the barriers to case management program development and discusses strategies for its successful implementation. Today’s most successful organizations will implement an institution-wide commitment to a culture within which excellence flourishes. Creative staffing models and professional practice partnerships such as nursing case management will be supported and encouraged by executive leadership; they work as a team and will be jointly accountable for positive outcomes The United States Army Nurse Corps has the framework necessary to develop a premiere nursing organization. Case management departments may adopt these techniques to improve working relationships and leadership capacity within their organizations.

ISSN:1084-3647    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

In recent years citations on case management have proliferated; however, only a few address this model relative to rural settings. There is wide variability in the definition of rural, but one constant remains; it can be demanding and costly to provide services in more remote regions. Accessibility issues are associated with low population density, transportation, and communication infrastructures coupled with great distances between healthcare services and providers. Such factors pose challenges for urban-based providers of health-related services to meet the needs of rural residents in their catchment areas. This article highlights demographic, geographic, economic, and socio-cultural considerations that could assist case managers to better meet the needs of their rural-based clients. The information herein is a synthesis of the literature, anecdotal reports by case managers who work with rural client-systems (a client and whomever he/she includes in their immediate support system), and the author’s personal and professional experience in rural communities.

ISSN:1084-3647    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:2003

数据来源: OVID