Geriatric nurse practitioners in long-term care: demonstration of effectiveness in managed care

Article Abstract:

The use of a geriatric nurse practitioner (GNP) can help reduce the costs of caring for elderly Medicare patients in long-term care facilities. Researchers compared the costs of providing a GNP in addition to a physician with the cost of a physician alone in a study of 1,077 elderly HMO patients in 45 facilities. Acute care and emergency department costs were substantially lower in the GNP group, which saved $72 per patient per month overall compared to a loss of $197 in the other group.

Evaluation, Nurse practitioners, Managed care plans (Medical care), Nursing homes

---

Essential components of geriatric care provided through health maintenance organizations

Article Abstract:

HMOs need to provide special services to their elderly Medicare members. They need to identify members at high risk for serious health problems, provide a case management program, educate their primary care physicians in geriatrics, provide geriatrics experts, provide self-care training for patients and coordinate social services. They should provide wellness programs to support the aging process and make their data available to providers.

Health maintenance organizations, Aged patients, Elderly patients

---

A two-year follow-up of geriatric consults in the emergency department

Article Abstract:

Older people who visit an emergency department may need a multidisciplinary geriatric consult as well as close follow-up after discharge. Researchers followed the progress of 326 older patients who were examined by a geriatric consult team (GCT) in the emergency department of a hospital. Sixty-four percent were admitted to the hospital and over a two-year period after discharge, 33.7% had died and 52% had been institutionalized.

Aged, Elderly, Hospitalization, Hospitals, Hospital emergency services, Geriatrics

Similar abstracts:

• Abstracts: Postprandial hypotension in long-term care elderly patients on enteral feeding. Community-acquired bacterial meningitis in older people
• Abstracts: Transitions in the caregiving career: effects on sense of mastery. Caregiving outcomes for older mothers of adults with mental retardation: a test of the two-factor model of psychological well-being
• Abstracts: Sexual relations in later life: a national study of married persons. Automatic and effortful memory processes in depressed persons
• Abstracts: Long-term caloric restriction improves baroreflex sensitivity in aging Fischer 344 rats. Effects of dietary protein restriction on nitrogen balance and cardiovascular functions in aged rats
• Abstracts: Diagnosis of geriatric patients with severe dizziness. Interactive video specialty consultations in long-term care

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.