A sample of fifty-one former patients from the Intermediate Service of the Veterans Administration Hospital, West Haven, Connecticut were surveyed for the kinds of adjustment problems encountered in the home, in the community, and in job or retirement status. These long-term chronic disability patients had suffered catastrophic accidents or illnesses. The median age was 58 years; range was from 26 to 78 years. 40 discharged patients reported physical, financial, marital, vocational, and family or community adjustment problems. Transition problems from the hospital to the community were mentioned by 27 of the men. It was found that only seven patients had been given counseling help and of these the oldest was 54. A large segment of the younger group and none of the older patients were contacted. Suggestions were made for meeting some currently unmet counseling needs during and after hospitalization.
ARNNL believes that nurse practitioners (NPs) make a positive impact on the quality and efficiency of health care services. NPs work with individuals, communities and diverse populations across the continuum of care based on the principles of primary health care. Nurse practitioners, as autonomous health professionals with advanced education, provide health services grounded in professional, ethical and legal standards. Nurse practitioners integrate their in-depth knowledge of advanced nursing practice and theory, health management, health promotion, disease/injury prevention, and other relevant biomedical and psychosocial theories to provide comprehensive health care. NPs work in collaboration with their clients and other health care providers in the provision of high-quality client-centered care (CNA, 2010). The skills and knowledge of NPs are particularly suited to promoting health and wellness, managing acute and chronic health conditions, improving access to services, and reducing wait times.
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