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Cristina C Hendrix

Publications and source records attributed to Cristina C Hendrix.

3 recordsLinked to original sources
PubMed2005

Chronic care management for the elderly: an opportunity for gerontological nurse practitioners.

PURPOSE: To discuss the role that gerontological nurse practitioners (GNPs) may play in providing chronic care management for the elderly. DATA SOURCES: Review of recent literature on chronic care management, personal experience of the authors in caring for older adults under the chronic care management model, and a case study. CONCLUSIONS: GNPs are the most appropriate practitioners to provide and coordinate chronic care management to the population that needs it most--the elderly. IMPLICATIONS FOR PRACTICE: Demographic shifts in the United States have increased the number of people with chronic illnesses; however, the nation's healthcare delivery system has not significantly evolved to meet the changing needs of its population. As a result, many people, especially older adults, suffer needlessly, and healthcare costs continue to rise. Chronic care management may alleviate older adults' chronic health problems, reduce expenditures for their health care, and promote their satisfaction and quality of life.

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PubMedDate not supplied

The use of the Minimum Data Set to identify depression in the elderly.

OBJECTIVE: To determine whether depression in the elderly in institutionalized settings could be identified using the mood indicators in the Minimum Data Set (MDS) 2.0 (Section E1, Items A-P). DESIGN: Descriptive study. SETTING: Three nursing homes in the southeastern part of the country. PARTICIPANTS: Residents aged 65 and above. MEASUREMENTS: The items in "Indicators of Depression, Anxiety and Sad Mood" on the MDS 2.0 were used to identify observable features of depression in the elderly. The Cornell Scale for Depression in Dementia (CSDD) was used to validate the MDS indicators. Consensus analysis, which controls raters' bias, raters' ability, and item difficulty, was used to analyze data. RESULTS: No depressive patterns were detected using the MDS indicators. On the CSDD, distinct depressive features were identified: anxiety, sadness, lack of reaction to pleasant events, irritability, agitation, multiple physical complaints, loss of interest, appetite loss, and lack of energy. CONCLUSION: The incongruent findings on the MDS indicators the CSDD may be reflective of the assessment process used with the MDS rather than its ability to identify features of elderly depression. The practice of allowing nondirect caregivers to complete the MDS may have serious implications for the accuracy of the data collected.

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