{"title":"Patient management in the subacute unit.","authors":"I Campbell, C Case","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Social and economic forces have driven the health care industry to devise new venues and models of care for the growing number and medical complexity of elderly patients. One such venue is the subacute unit in skilled nursing facilities, which was designed to provide comprehensive, interdisciplinary, and skilled nursing, medical, and rehabilitative care to the elderly patient with potential for return to his or her previous level of function. The challenges in these units are to prevent iatrogenic consequences and prolonged, expensive stays for the patient. Gerontologic nurse practitioners with their advanced clinical skills and knowledge of geriatric primary care are uniquely suited to meet these challenges. This article describes the process of care in the subacute unit and the role of the nurse practitioner to lead the interdisciplinary team in achieving effective and timely outcomes for this fragile population.</p>","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"231-41"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21292362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alzheimer's disease.","authors":"L M Kennedy-Malone, K Fletcher","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"163-8"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21292354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Depression.","authors":"L H Simpkins","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"182-4"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21291782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drug therapy for osteoporosis management in nursing home residents.","authors":"V K Lee, M W McCarthy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"150-62"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21291289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Collaboration of the nurse practitioner and physician in long-term care.","authors":"J W Ryan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Collaboration between nurse practitioners and physicians in providing clinical care is a positive contribution not only for the clinicians involved, but also for health care consumers. The resident in the long-term care environment can benefit particularly when the nurse practitioner enters the setting as a primary care provider with the physician. The history of the term \"collaboration\" suggests its importance to the evolution of the nurse practitioner role. However, collaboration does not occur automatically among providers; it needs to be learned, consciously approached, and protected. The critical attributes of successful collaboration and impediments to its implementation are discussed.</p>","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"127-34"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21292357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parkinson's disease.","authors":"L M Kennedy-Malone, S L Loftus","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"169-73"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21291221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A young woman with amyotrophic lateral sclerosis in long-term care.","authors":"L Woiblett","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"185-93"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21291780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute symptom assessment: determining the seriousness of the presentation.","authors":"K Fletcher, W Forch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing home residents are typically frail elders of advanced age who have comorbidities and are taking multiple medications. These residents are particularly vulnerable to acute illness and often demonstrate this illness in an atypical fashion. Nursing home staff need to be skilled in the recognition of acute illness and exacerbations of chronic illness in the resident so that expeditious assessment and management of disease or illness is ensured. The clinician with advanced skill in symptom and sign assessment and management strategies is better prepared to make an accurate diagnosis and to teach the nursing staff the critically needed observation and assessment skills.</p>","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"216-28; quiz 228-30"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21292366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dysphagia: the differential diagnosis in long-term care.","authors":"E J Amella","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"135-49"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21291288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Complementary and alternative therapies in long-term care.","authors":"C Eliopoulos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Growing numbers of clients are using complementary and alternative therapies as a supplement or substitute for prescribed medical care of chronic conditions. Selective integration of these therapies into long-term care is appropriate because they can carry lower risk and cost than conventional medical treatments, are effective, and empower clients with the opportunity to be involved actively in the care of their chronic conditions. However, some of these therapies not only are ineffective, but could subject the client to serious risks if inappropriately used. Clinicians need to become knowledgeable of complementary and alternative therapies to ensure that they can be integrated safely into care.</p>","PeriodicalId":79509,"journal":{"name":"Lippincott's primary care practice","volume":"3 2","pages":"194-203"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21292351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}