Characteristics of the provision of case management services in the community setting in Andalusia based on the RANGECOM registry

Morales‐Asencio, José Miguel; Cuevas-Fernández-Gallego, Magdalena; Morilla‐Herrera, Juan Carlos; Martín-Santos, Francisco Javier; Arranz, Agustina Silvano; Sicilia, Juan Pedro Batres; Delgado-Romero, Asunción; Palacios-Gómez, Leopoldo; López, Ángela Cejudo; Kaknani‐Uttumchandani, Shakira

doi:10.1016/j.enfcle.2018.12.002

Cited by 5 publications

(3 citation statements)

References 27 publications

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“…The high complexity and vulnerability of this population habitually leads to a greater consumption of health resources and services, and an increased visits to emergency services (Palladino et al, 2016), a greater meetings with primary care (PC) professionals (Barrio Cortes et al, 2019;Bleijenberg et al, 2013), an increase in hospitalizations (Morales-Asencio et al, 2019), a higher mortality (Holt-Lunstad et al, 2015), and an escalation in health care spending (Larkin et al, 2021). The informal caregivers who provide care to complex multimorbid patients can also experience high levels of stress and fatigue (Price et al, 2020).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…The chronic multimorbid patient has more associated health problems (Lavan et al, 2016), which in the elderly translates into complex states of health, responsible for polypharmacy, fragility, loneliness, social isolation, depression, anxiety, cognitive deterioration, and gradual loss of autonomy (Papathanasiou et al, 2021). The high complexity and vulnerability of this population habitually leads to a greater consumption of health resources and services, and an increased visits to emergency services (Palladino et al, 2016), a greater meetings with primary care (PC) professionals (Barrio Cortes et al, 2019; Bleijenberg et al, 2013), an increase in hospitalizations (Morales‐Asencio et al, 2019), a higher mortality (Holt‐Lunstad et al, 2015), and an escalation in health care spending (Larkin et al, 2021). The informal caregivers who provide care to complex multimorbid patients can also experience high levels of stress and fatigue (Price et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study

Ruzafa‐Martínez

García-González

Morales-Asencio

et al. 2022

J of Nursing Scholarship

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Background:The restrictions imposed during the management of the pandemic led to lack of care of other health problems.Purpose: To assess changes in the health status of complex multimorbidity elderly, functional and cognitive capacities, perception of the social surroundings, care provided by the nurses, including nursing diagnosis and interventions, use of health services, adverse events, and use of devices and technical help during the first 6 months of the Covid-19 pandemic.Design: A 1-year longitudinal cohort study was conducted. Methods: Ninety-seven complex multimorbid elderly attended in primary care were evaluated every 3 months in a health area of the Spanish National Health System (SNHS). The research was called "SAMAC3 study".Results: Significant negative changes were observed in the functional and cognitive capacity of the elderly, and in several nursing diagnoses. A decrease was observed in the frequency of visit to the nurses, hospital admittance, length of hospital stays, and falls. Conclusions:The functional and cognitive capacities of the cohort became worse.However, a significant decrease in the frequency of use of health services was observed. The nurses detected significant changes in activity-exercise, cognitiveperception, and roles-relationships, but their interventions were mostly centered on resolving clinical matters that required immediate attention.

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Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study

Ruzafa‐Martínez

García-González

Morales-Asencio

et al. 2022

J of Nursing Scholarship

View full text Add to dashboard Cite

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“…They can do so by providing advocacy, care coordination, or psychological support among other activities 33 . Although not exclusively, the role of case manager is more often performed by specialized nurses, mainly due to their humanistic competencies 34 . The role of specialized nurses first appeared in the United States, initially in cases of mental illnesses, 35 but expanded in geographical terms and in terms of health conditions to primary health care 36 .…”

Section: Introductionmentioning

confidence: 99%

Nurse‐led intervention for the management of bariatric surgery patients: A systematic review

Mendes,

Carvalho,

Oliveira

et al. 2023

Obesity Reviews

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SummaryThe prevalence of obesity has become a global health concern, and severe obesity is associated with various chronic diseases and decreased quality of life. Bariatric surgery has shown success in treating obesity. Nevertheless, some patients experience weight regain and unsatisfactory outcomes. Multidisciplinary interventions have been shown to improve postoperative outcomes. Case managers, often specialized nurses, play a crucial role in patient support and coordination of care. However, the diverse design of case‐managing interventions hinders the assessment of their success. Thus, the aim of this review is to identify the most successful structural characteristics of case‐managing interventions, with or without the support of e‐Health, in the process of perioperative management of bariatric surgery patients. A systematic literature review was conducted following the PRISMA guidelines. PubMed, MEDLINE, EBSCOhost, and CINAHL databases were searched for relevant studies published in the last 10 years. Eligible studies included randomized controlled trials, controlled clinical studies, case studies, or observational studies that evaluated perioperative care in bariatric surgery. The PICO framework was used to frame the search strategy. The initial search yielded 225 articles, of which 10 studies met the inclusion criteria. Nurse‐led case‐managing interventions with a multidisciplinary approach showed positive results in weight loss, physical activity, and quality of life. Patient‐centered care models were found to promote adherence to treatment and patient satisfaction. E‐Health technologies improved quality of life but not weight loss. The duration of behavioral interventions and the long‐term outcomes after surgery remained unclear. Nurse‐led case‐management interventions, with a focus on behavioral change and multidisciplinary approaches, show promise in improving outcomes in bariatric surgery patients. Patient‐centered care models and longer term interventions may contribute to sustained weight loss and better postoperative outcomes. Further research is needed to determine the optimal duration of interventions and the long‐term effects on weight maintenance.

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Components of case management in caring for patients with dementia: a mixed-methods study

et al. 2022

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Background Case management has shown improvements in some health outcomes for dementia patients and their families. However, despite its benefits the components of case management in order to provide effective patient and family care remain unknown at present. Thus, the aim of this study is to identify the specific components of case management in caring for patients with dementia and to determine the necessary intensity of its deployment to enhance outcomes for these patients and their caregivers. Methods Mixed-methods study with a qualitative phase to characterise forms of service provision, according to the case management components involved, followed by a quantitative phase to analyse the correlations between different patterns of service provision, adverse events in patients and caregiver overload. This study will be based on the variables described in the RANGE.COM register. Discussion This research is expected to achieve a reproducible, evaluable set of interventions that can be modelled to optimise case management effectiveness for patients with dementia. Interactions between patients with dementia, their family caregivers and case management healthcare services, the components of these interactions and their association with the conditions of the individuals concerned are issues of great interest in the field of case management, which is constantly evolving.

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Characteristics of the provision of case management services in the community setting in Andalusia based on the RANGECOM registry

Cited by 5 publications

References 27 publications

Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study

Consequences of the Covid‐19 pandemic on complex multimorbid elderly: Follow‐up of a community‐based cohort. SAMAC3 Study

Nurse‐led intervention for the management of bariatric surgery patients: A systematic review

Components of case management in caring for patients with dementia: a mixed-methods study

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