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An enhanced role in comprehensive geriatric assessment for community-nurse case managers
Author(s)Paul Stolee, Mary Lynne Patterson, Donna Crinklaw Wiancko
Journal titleCanadian Journal on Aging, vol 22, no 2, Summer 2003
Pagespp 177-184
KeywordsHealth services ; Needs [elderly] ; Evaluation ; District nurses ; Case work ; Management [care] ; Canada.
AnnotationThe implementation and evaluation of a project to develop an enhanced role in the comprehensive geriatric assessment (CGA) for nurses serving as community-based case managers in south-west Ontario is described. Two community nurse case managers conducted assessments of frail older clients, and served as a resource for their case manager teams. Impacts on their colleagues' assessment skills were investigated in a non-randomised, controlled trial. Intervention group case managers had higher confidence in assessing and managing older people's health and social concerns, greater use of standard assessment tools, and higher case study assessment scores, than did control group case managers. Case managers reported that interaction with the enhanced-role case managers had enhanced their skills and benefited clients, as did family physicians. Community case managers with enhanced training in geriatric assessment care can have a valuable clinical and educational role. Issues include resource implications and integrating the enhanced role into home care operations. (RH).
Accession NumberCPA-030829208 A
ClassmarkL: IK: 4C: QTG: IGA: QA: 7S

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