A Pilot of a Gerontological Advanced Practice Nurse Preventive Intervention

Autor/inn/en	Hahn, Joan Earle; Aronow, Harriet Udin
Titel	A Pilot of a Gerontological Advanced Practice Nurse Preventive Intervention
Quelle	In: Journal of Applied Research in Intellectual Disabilities, 18 (2005) 2, S.131-142 (12 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1360-2322
DOI	10.1111/j.1468-3148.2005.00242.x
Schlagwörter	Nursing Education; Intervention; Nurses; Health Conditions; Developmental Disabilities; Home Visits; Geriatrics; Program Effectiveness; Mental Retardation; Aging (Individuals); Wellness; Evaluation; Gerontology + Suchen Sie Ihr Suchwort? Pflegepädagogik; Entwicklungsstörung; Hausbesuch; Alterswissenschaft; Geriatrie; Geistige Behinderung; Aging; Altern; Well being; Well-being; Wohlbefinden; Evaluierung; Gerontologie
Abstract	Background: Persons with an intellectual and developmental disability frequently face barriers in accessing preventive services in community-based health care systems. As they age into middle years, they are at increased risk for functional decline. This paper presents a description of an advanced practice nurse (APN) intervention used in a pilot study that explored the feasibility of using an in-home preventive model based on a comprehensive geriatric assessment with persons ageing with an intellectual and developmental disability. Method: The APN intervention was fully provided to a sub-sample (n = 70) of 201 participants with an intellectual and developmental disability enrolled in a programme called "Stay Well and Healthy!" The APN intervention included an initial home visit for a comprehensive geriatric assessment with follow-up home visits to review health status and assess adherence with recommendations and provide education and support to promote health and prevent functional decline. Results: Advanced practice nurses identified a number of active health-related problems for persons ageing with an intellectual and developmental disability (mean 5.2; range 1-14) that had potential effects on function and survival. The majority of recommendations (mean 14.4; range 6-35) were for clinical preventive services (42.2%) and self-care for health-related issues (36.8%). Conclusions: This study showed that there were problems consistent with persons ageing with an intellectual and developmental disability and older adults without disability. The in-home preventive APN intervention to promote healthy ageing and reduce health disparities in this population is feasible, needed, and warrants further study. (As Provided).
Anmerkungen	Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10