{"title":"Integration of nutrition screening into case management practice.","authors":"R R Bankhead","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurse case managers who are responsible for identifying the needs of those requiring case management intervention are ideal professionals to recognize patients who are at risk of developing malnutrition or who are already malnourished. The primary objective of case management is to provide proactive, comprehensive assessment of individuals before a preventable health crisis occurs. The objectives of nutrition screening complement those of case management because the underlying benefit to the organization and the patient is the decrease in morbidity and mortality rates, length of stay, and cost. This article provides information on nutrition screening and its impact on patient outcomes, techniques for integrating nutrition screening into case management practice, tools for conducting nutrition screening, and information that may be helpful in communicating nutrition-related needs to providers and other healthcare professionals.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 3","pages":"122-34"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21340274","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":"Team case management of chronically mentally ill veterans: a group therapy approach.","authors":"S. Malone, F. Workneh, J. Butchart, C. Clark","doi":"10.1097/00129234-199905000-00008","DOIUrl":"https://doi.org/10.1097/00129234-199905000-00008","url":null,"abstract":"This article describes a team case management model using a group therapy approach developed and implemented for chronically mentally ill veterans. The model was developed to address inadequacies in the system and to provide mentally ill veterans with more frequent interventions and an organized support system to maintain them in the community. Two hundred seventy-five patients enrolled in the case management system attend weekly groups led by two or three interdisciplinary staff. In addition to serving as primary therapists and case managers, the interdisciplinary staff broker services, linking patients with needed services within the Veterans Affairs system and the community. The results indicate that the case management model has improved the lives of those enrolled by improving quality of life, medication and treatment compliance, social relationships, and general well-being. Use of emergency room services has decreased, as well as psychiatric symptomatology. For some diagnostic categories, the number of hospital readmissions and days hospitalized also decreased.","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"104 1","pages":"158-66"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76124009","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":"Developing case management in a nursing home environment.","authors":"A. Healy, E. Elliott","doi":"10.1097/00129234-199905000-00003","DOIUrl":"https://doi.org/10.1097/00129234-199905000-00003","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"34 1","pages":"112-21"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87150420","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":"Pain among the elderly: an action plan.","authors":"T J Hicks","doi":"10.1097/00129234-199905000-00006","DOIUrl":"https://doi.org/10.1097/00129234-199905000-00006","url":null,"abstract":"<p><p>Pain is the most frequently communicated nursing-sensitive patient outcome among the elderly. An effective action plan to decrease pain among the elderly should encompass both medically based interventions and psychosocial techniques. Nurses who are familiar with the latest information about pain and who are cognizant of and comfortable with their own views about pain are likely to bring about a positive patient outcome. Further research will add to the current knowledge base while laying the groundwork for new interventions.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 3","pages":"145-8; quiz 149-51"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21340275","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":"Patterns of health resource utilization, costs, and intensity of need for primary care clients receiving public health nursing case management.","authors":"K L Kaiser, L L Miller, B J Hays, F Nelson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Case management has been promoted as a managed care strategy that improves quality of care and contains costs. Health resource utilization patterns and associated costs were examined for a generalized primary care population receiving a public health nursing model of case management intervention during a 30-week period. Subjects were referred by providers practicing in an academic health science center and included two client subsamples: chronically ill adults and younger families requiring health maintenance. Health resource utilization patterns and associated costs were examined in relation to intensity of need for care levels as determined by the Community Health Intensity Rating Scale. Results of this pilot study suggest that during public health nursing case management intervention, health resource utilization patterns changed from the preintervention period. Total health resource utilization costs were correlated with care needs related to health management behavior of the chronically ill.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 2","pages":"53-62; quiz 63-6"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285484","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":"Outcomes for high-risk neonates in a managed care clinical system.","authors":"M L Jones, K A Smyth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to compare a conventional system and a managed care clinical system for the care of high-risk neonates. The variables selected for the comparison of these two systems included neurobehavioral organization as evidenced by feeding behaviors, length of stay, severity of illness, readmissions, and cost of care. The sample consisted of 260 neonates (111 in the conventional system, 149 in the managed care system). In addition, two neonatal diagnosis-related groups were selected: 386 (extreme immaturity) and 387 (prematurity with major problems). Findings showed that the managed care clinical system enhanced neurobehavioral organization specifically in the feeding behaviors by reducing the number of days needed to master oral feedings. Although there was an increase in complications, costs were controlled.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 2","pages":"71-6"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285486","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":"The financial report: how it can aid case managers.","authors":"M Belgeri","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 2","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285487","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":"The road to oz.","authors":"D B Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 2","pages":"51-2"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285485","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":"Patient pathways as a tool for empowering patients.","authors":"C Parker","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 2","pages":"77-9"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285488","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":"Case management information systems: how to put the pieces together now and beyond year 2000.","authors":"P Matthews","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Healthcare organizations must establish the goals and objectives of their case management processes before functional and system requirements can be defined. A gap analysis will identify existing systems that can be used to support case management as well as areas in need of systems support. The gap analysis will also identify short-term tactical projects and long-term strategic initiatives supporting the automation of case management. The projects resulting from the gap analysis must be incorporated into the organization's business and information systems plan and budget to ensure appropriate funding and prioritization.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"4 2","pages":"80-4"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21285489","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}