Senior care clinic house calls
View File(s)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Ordona, Ron Billano by View
Title | Page Views |
---|
Popular Works for Ordona, Ron Billano by Download
Title | Downloads |
---|
View Citations
Citations
Session presented on Friday, July 24, 2015:
Purpose: The purpose of this study was to assess trends in the number of cases per identified diagnosis of house calls made by the nurse practitioner in a house calls private practice from its inception in the year 2014.
Methods: A simple analysis of cases seen from the period of inception of a nurse practitioner house call practice for a total of nine months in 2014. Data obtained using the electronic health record (EHR) used by the practice. The practice grew from 20 patients at the start of the practice in February 2014 to 226 patients by end of November 2014 (a 90% increase over a period of 9 months). In addition, included in the data collection are diagnoses of dementia, hypertension, diabetes, hyperlipidemia, and kidney disease and the service occurred in the counties of Sacramento and Placer in Northern California.
Results: Dementia constitutes the highest share in the distribution of diagnoses at 62% of cases. Co-morbidities according to highest distribution following dementia includes Hypertension 29%, Diabetes 22%, Hyperlipidemia 15% and Kidney Disease 7%.
Conclusion: Previous studies found that physicians doing house calls has decreased in number over the years. However, thee is a resurgence of house calls services by a combination of physicians (this includes concierge type practice) and those emerging practices by nurse practitioners. House calls has been a part of the American medical culture, back to the birth of modern medicine. The distribution of cases in this study suggests that further studies are warranted and that Dementia with presenting co-morbidities presents a great challenge as far as the medical management of such co-morbid conditions and also as far as the challenges the care of these seniors present to the caregivers. House calls by a medical provider opens up opportunities to address some of the challenges that dementia and co-morbidities present, including, but not limited to, medication management, symptom management, and others. The study limitation is that it looks at the first year of a nurse practitioner private practice in the area where the nurse practitioner has set up practice. We cannot make generalized statements about physician's or nurse practitioner's practice patterns. We captured only house calls made by the Nurse practitioner in this practice.
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | House Calls; Nurse Practitioners; Homebound Seniors |
Name | 26th international Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | San Juan, Puerto Rico |
Date | 2015 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
NP-led transitional care medical house call visits reduce ER/hospital unplanned readmissions of homebound seniors
Ordona, Ron Billano (2016-07-13)Session presented on Friday, July 22, 2016: Subject Population: Elderly Medicare beneficiaries who are homebound enrolled in a Nurse Practitioner (NP)-led Transitional Care Medical House Call Program receiving a medical ... -
NP-led medical house call in transition of care reduces polypharmacy
Ordona, Ron Billano (2018-05-31)NP-led transitional care medical house call helps reduce polypharmacy in homebound senior population during transition from higher level of care to home. The NP visit also addresses point-of-care challenges such as delay ... -
Dementia as leading co-morbidity in homebound seniors
Ordona, Ron Billano (2016-07-13)Session presented on Friday, July 22, 2016 and Thursday, July 21, 2016: Background: A curious twenty-first century phenomenon is happening in the US. Physicians and Nurse Practitioners are reviving the house call practice. ... -
Home health nurses perception of collaboration with NP in transitions of care management
Cray, Anquinette; Ordona, Ron BillanoPreventing hospital readmission during transitions of care from higher level of care to home requires interprofessional collaboration. The perception of home health nurses is measured to explore home health nurses ... -
Value-based care: Readmission reduction, polypharmacy reduction, and cost containment
Ordona, Ron BillanoValue-Based Care is the future of healthcare in the US. Nurse Practitioners in Home Based Primary Care (HBPC) help address prevention of unplanned 30-day readmission, reduction in polypharmacy and overall cost-containment ...