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The Role of Nursing in Disease Management
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The Role of Nursing in Disease Management

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The Role of Nursing in Disease Management. Weber P. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

The Role of Nursing in Disease Management. Weber P. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

Published in: Health & Medicine
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  • 1. Disease Management Nursing
  • 2. What’s disease management Effectiveness Preventive and curative interventions Efficiency Increase the quality of care Reduce the global cost Promoting patient or family self management
  • 3. Health care environement • GPs care for and encourage patient to join disease management program. • Nurses, physical therapist, nutritionist, physical trainer, social worker and other care takers • Patient and family have the key role
  • 4. Success of disease management • Reducing costs by • Prevention of complications • Reducing hospitalization or re-hospitalization • Reducing MD specialist encounters • Participation in HMOs or managed care • Increasing the effectiveness, efficiency • Following best practice • Education and training
  • 5. Hospitals are also concerned • Not only when the patient is discharge • During hospital stays: • Critical pathways • Evidence based • Nurses are best positioned to manage the stay and prepare the discharge. • Coordinate care after discharge from multi- discipline team
  • 6. Nurses’ roles • Caring and prevention • Coordination across the health care provider team • Do patient and family education • Conduct research • Contribute to evidence based
  • 7. Nurses’ roles • In Gonseth et al. study, nurses play a key role in the follow up for patient with heart failure or cardiovascular causes • In the 27 studies screened 18 reported that nurses played a central role in the disease management • 30% reduction of re-hospitalization over 3160 patients
  • 8. Training • For patient education, nurses need competencies in: • Evidence based • Clinical research • Prevention • Psychosocial aspects • PHR structure and goals • EHR structure and goals
  • 9. Role of IT • Personal health record allows the patient to: • Self monitor • Communicate • Record • Empower decision
  • 10. Thank you Questions
  • 11. References • Gaspoz JM. Rutschmann O Faut-il avoir peur du disease management 1 Volet hopistalier Revue médicale Suisse. Revue-medhyg.ch revue.medhyg.ch/article.php3?sid=30798 accessed 30.01.2010 • Goldstein P. Impact on disease management programs on hospital and community nursing Practice. CNE series. Nursing Economics (Nov-Dec) 2006 vol. 24 no 6 pp 308- 313 • Gonseth J. Guallar-Castillon P, Banegas J.R, Rodrıguez-Artalejo F, The effectiveness of disease management programmes in reducing hospital re-admission in older patients with heart failure: a systematic review and meta-analysis of published reports. Elsevier Ltd European Heart Journal (2004) 25, 1570–1595 • Fletley Brennan P. Promotion Health through better Personal Health Information Management. HIMSS Atlanta March 2010 • Rutschmann O. Gaspoz JM. Faut-il avoir peur du disease management 2 Volet ambulatoire Revue médicale Suisse. Revue-medhyg.ch revue.medhyg.ch/article.php3?sid=30799 accessed 30.01.2010 • Vinne van der E. The ultimate goal of disease management: improved quality of life by patient centric care. International Journal of Integrated Care – Vol. 9, 10 August 2009 – ISSN 1568-4156 – http://www.ijic.org/ accessed 30.01.2010

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