Abstract:The care of people with long-term conditions is a priority for the NHS. While there are many strategies in place in primary care to support the management of patients with long-term conditions, there is a paucity of services for people who are housebound. Coronary heart disease (CHD) is the most common cause of death in the UK and costs more than £9 billion every year (British Heart Foundation, 2012). This article describes a pilot project set up by a nurse, working under an honourary contract within a general… Show more
Coronary heart disease remains one of the biggest killers in the UK; however, an increasing ageing population means that more people are living with it. This article examines the causes, diagnosis and treatment focusing on the older person
Coronary heart disease remains one of the biggest killers in the UK; however, an increasing ageing population means that more people are living with it. This article examines the causes, diagnosis and treatment focusing on the older person
Introduction of the advanced nurse practitioner (ANP) role has enabled nurses to develop their clinical knowledge and skills, providing greater service provision and improved access to healthcare services. It can also help with the challenges of providing care to an ageing population in primary care. This article reports on the evaluation of an ANP-led clinic in two residential care homes that provides annual reviews for chronic disease management (CDM). A mixed method approach was used to evaluate the service using clinical data obtained from the electronic patient record system and software and patient satisfaction questionnaires. The number of patients receiving CDM reviews in the homes increased as a result of the clinic. Completed satisfaction questionnaires further demonstrated patients' satisfaction and willingness to engage with the service. The service highlights the ANP's effectiveness in managing residential care home patients with chronic diseases and improving their access to healthcare services.
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