Meeting the Care Needs of Patients with Multiple Chronic Conditions

2018 ◽  
pp. 195-228
Author(s):  
Melanie P. Duckworth ◽  
Tony Iezzi ◽  
Gwendolyn C. Carlson
Keyword(s):  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Care Needs

scholarly journals Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a protocol for a scoping review

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018247 ◽  
Author(s):  
Elana Commisso ◽  
Katherine S McGilton ◽  
Ana Patricia Ayala ◽  
Melissa, K Andrew ◽  
Howard Bergman ◽  
...  
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Scoping Review ◽  
Chronic Conditions ◽  
Social Care ◽  
Grey Literature ◽  
Well Being ◽  
Multiple Chronic Conditions ◽  
Care Needs ◽  
Health And Social Care

IntroductionPeople are living longer; however, they are not necessarily experiencing good health and well-being as they age. Many older adults live with multiple chronic conditions (MCC), and complex health issues, which adversely affect their day-to-day functioning and overall quality of life. As a result, they frequently rely on the support of friend and/or family caregivers. Caregivers of older adults with MCC often face challenges to their own well-being and also require support. Currently, not enough is known about the health and social care needs of older adults with MCC and the needs of their caregivers or how best to identify and meet these needs. This study will examine and synthesise the literature on the needs of older adults with MCC and those of their caregivers, and identify gaps in evidence and directions for further research.Methods and analysisWe will conduct a scoping review of the peer-reviewed and grey literature using the updated Arksey and O’Malley framework. The literature will be identified using a multidatabase and grey literature search strategy developed by a health sciences librarian. Papers, reports and other materials addressing the health and social care needs of older adults and their friend/family caregivers will be included. Search results will be screened, independently, by two reviewers, and data will be abstracted from included literature and charted in duplicate.Ethics and disseminationThis scoping review does not require ethics approval. We anticipate that study findings will inform novel strategies for identifying and ascertaining the health and social care needs of older adults living with MCC and those of their caregivers. Working with knowledge-user members of our team, we will prepare materials and presentations to disseminate findings to relevant stakeholder and end-user groups at local, national and international levels. We will also publish our findings in a peer-reviewed journal.

National Clinical Graduate Nursing Faculty: Management of Multiple Chronic Conditions

2018 ◽  
Vol 11 (1) ◽  
pp. 79-87
Author(s):  
Kim Kuebler ◽  
Charles Champ ◽  
Dellarie Shilling
Keyword(s):  
Nursing Education ◽  
Nursing Faculty ◽  
Chronic Conditions ◽  
Pass Rate ◽  
Multiple Chronic Conditions ◽  
Care Needs ◽  
Perceived Knowledge ◽  
Actual Knowledge ◽  
Complex Care Needs ◽  
Graduate Nursing

The purpose of this project is to compare clinical graduate nursing faculty self-perceived knowledge with actual knowledge on the management of symptomatic multiple chronic conditions (MCCs) through a psychometrically reliable and valid 46-item objective examination. Methodology included three separate e-mail communications to more than 800 U.S.-based graduate nursing school or program chairs, deans, or directors encouraging faculty participation. One hundred and six respondents initiated the survey and over half of the participants withdrew from completing in its entirety, making it difficult to correlate self-perceived knowledge with actual knowledge. The results, however, show an overall mean score of below average pass rate. This study has been performed in undergraduate, graduate, and clinical graduate nursing faculty—suggesting a serious concern in clinical nursing education and clinical practice to meet the complex care needs of the largest, fastest-growing, and costliest U.S. patient population—those with MCCs.

scholarly journals Identifying and understanding the health and social care needs of Indigenous older adults with multiple chronic conditions and their caregivers: a scoping review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sharlene Webkamigad ◽  
Robyn Rowe ◽  
Shanna Peltier ◽  
Amanda Froehlich Chow ◽  
Katherine S. McGilton ◽  
...  
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Chronic Conditions ◽  
Social Care ◽  
Multiple Chronic Conditions ◽  
Care Needs ◽  
Health And Social Care

scholarly journals Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a scoping review

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Katherine S. McGilton ◽  
Shirin Vellani ◽  
Lily Yeung ◽  
Jawad Chishtie ◽  
Elana Commisso ◽  
...  
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Chronic Conditions ◽  
Social Care ◽  
Multiple Chronic Conditions ◽  
Care Needs ◽  
Health And Social Care

Spatial Associations of Multiple Chronic Conditions Among Older Adults

2016 ◽  
Vol 37 (11) ◽  
pp. 1411-1435 ◽  
Author(s):  
Ellen K. Cromley ◽  
Maureen Wilson-Genderson ◽  
Allison R. Heid ◽  
Rachel A. Pruchno
Keyword(s):  
Older Adults ◽  
Heart Disease ◽  
Pulmonary Disease ◽  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Local Concentration ◽  
Care Needs ◽  
Spatial Associations ◽  
Geographical Patterns ◽  
Effective Interventions

Multimorbidity, the presence of two or more chronic conditions in an individual, presents a major challenge for meeting the health care needs of older adults. This study advances understanding of multiple chronic conditions by using local colocation quotients to reveal spatial associations for five chronic conditions (arthritis, diabetes, heart disease, hypertension, and pulmonary disease) in a statewide panel of older adults in New Jersey. Among adults with three or more conditions, large concentrations of Arthritis-Heart Disease-Pulmonary Disease, Arthritis-Hypertension-Pulmonary Disease, and Diabetes-Heart Disease-Hypertension were observed, each triad located in different regions of the state. Individuals with other triads of conditions, in contrast, were distributed among all older adults in the sample as expected with no areas of local concentration. The study provides gerontologists with a new and effective method for uncovering geographical patterns in combinations of chronic conditions among the populations they serve, thereby enabling more effective interventions.

scholarly journals Complex Care Needs in Multiple Chronic Conditions: Population Prevalence and Characterization in Primary Care. A Study Protocol

2018 ◽  
Vol 18 (2) ◽  
Author(s):  
Francisco Hernansanz Iglesias ◽  
Clara Alavedra Celada ◽  
Carmen Berbel Navarro ◽  
Lidia Palau Morales ◽  
Nuria Albi Visus ◽  
...  
Keyword(s):  
Primary Care ◽  
Study Protocol ◽  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Complex Care ◽  
Care Needs ◽  
Population Prevalence ◽  
Complex Care Needs

Opportunities to optimize ehealth technology for patients with multiple chronic conditions

2013 ◽  
Author(s):  
Donna M. Zulman ◽  
Emily Jenchura ◽  
Danielle Cohen ◽  
Eleanor Lewis ◽  
Steven M. Asch
Keyword(s):  
Chronic Conditions ◽  
Multiple Chronic Conditions
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