A Summary of the December 2009 Forum on the Future of Nursing Care in the Community (2010) / Chapter Skim
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5 Chronic and Long-Term Services and Supports
5 Chronic and Long-Term Services and Supports
Pages 35-40
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From page 35... ...
As a result, chronic care tends to be relatively unmanaged, and there is a lack of emphasis on prevention and health promotion. In addition, Beverly said, practice constraints continue to be a problem throughout the health care system (Hooker et al., 2005; IOM, 2008)
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From page 36... ...
but we integrate it,' but then when you look for where it is integrated, it's not." All registered nurses working in assisted living facilities, in nursing homes, or in home health care need to have adequate preparation in geriatric nursing. Closer relationships are also needed with geriatric nursing centers, which are supported through a federally funded program to provide education for health care professionals, noted Beverly.
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From page 37... ...
EVERCARE MODELS OF NURSING Chronic diseases account for 75 percent of the nation's health care spending, and about two-thirds of the rise in health care spending is due to the increase in the prevalence of treatable chronic diseases, said Lynda Hedstrom, senior director of clinical services for Ovations. Yet vulnerable elders -- people 65 and older who are at moderate or high risk for functional decline or death in the next 2 years -- receive only about half of the recommended care (Wenger et al., 2003)
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2 Hedstrom noted that nurses directly impact the quality and cost of health care. These observations raise several intriguing questions, observed Hedstrom.
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From page 39... ...
Hedstrom added that it is important to demonstrate the value of nurses and nursing interventions in long-term care settings. Such information could help make it possible to reimburse nurses, especially advanced practice nurses, for the contributions they make to better health care.
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From page 40... ...
40 FORUM ON THE FUTURE OF NURSING: CARE IN THE COMMUNITY members and preparing assessments and plans for future care. "I don't know why every school of nursing does not have a house calls program, because it has a revenue stream and we, as nurses, have to become more understanding about developing businesses," said Beverly.
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