Evaluate the effect of an exercise-based model of hospital and in-home follow-up care for older people at risk of hospital readmission on emergency.

Review Nursing Informatics: Scope and Standards of Practice in this week’s Learning Resources, focusing on the different functional areas it describes.
October 8, 2019
After reading Chapter 9 – 12, submit a written response to the following items using your own words. Your response should be 400-600 words, using APA style formatting.
October 8, 2019

Evaluate the effect of an exercise-based model of hospital and in-home follow-up care for older people at risk of hospital readmission on emergency.

INTERVENTION

Artile 1 Comprehensive discharge follow-up in patients’ homes by GPs and district nurses of elderly patients.”

Authors:
Rytter, Lars; Jakobsen, Helle Neel; Rønholt, Finn; Hammer, Anna Viola; Andreasen, Anne Helms; Nissen, Aase; Kjellberg, Jakob
Abstract:
Objectives. Many hospital admissions are due to inappropriate medical treatment, and discharge of fragile elderly patients involves a high risk of readmission. The

present study aimed to assess whether a follow-up programme undertaken by GPs and district nurses could improve the quality of the medical treatment and reduce the

risk of readmission of elderly newly discharged patients. Design and setting . The patients were randomized to either an intervention group receiving a structured home

visit by the GP and the district nurse one week after discharge followed by two contacts after three and eight weeks, or to a control group receiving the usual care.

Patients . A total of 331 patients aged 78+ years discharged from Glostrup Hospital, Denmark, were included. Main outcome measures . Readmission rate within 26 weeks

after discharge among all randomized patients. Control of medication, evaluated 12 weeks after discharge on 293 (89%) of the patients by an interview at home and by a

questionnaire to the GP. Results . Control-group patients were more likely to be readmitted than intervention-group patients (52% v 40%; p = 0.03). In the intervention

group, the proportions of patients who used prescribed medication of which the GP was unaware (48% vs. 34%; p = 0.02) and who did not take the medication prescribed by

the GP (39% vs. 28%; p = 0.05) were smaller than in the control group. Conclusion . The intervention shows a possible framework securing the follow-up on elderly

patients after discharge by reducing the readmission risk and improving medication control.
Submitted by: Ashley Nelson

Article 2. “Fewer emergency readmissions and better quality of life for older adults at risk of hospital readmission: a randomized controlled trial to determine the

effectiveness of a 24-week exercise and telephone follow-up program.”
Authors:
Courtney M; Edwards H; Chang A; Parker A; Finlayson K; Hamilton K
Source:
Journal of the American Geriatrics Society (J AM GERIATR SOC), 2009; 57 (3): 395-402. (32 ref)
Abstract:
OBJECTIVES: To evaluate the effect of an exercise-based model of hospital and in-home follow-up care for older people at risk of hospital readmission on emergency

health service utilization and quality of life. DESIGN: Randomized controlled trial. SETTING: Tertiary metropolitan hospital in Australia. PARTICIPANTS: One hundred


 

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