Contact Hours : 1.5
Nurse Practitioners' Role in Improving Service for Elderly Trauma Patients is organized by Wolters Kluwer.
Published: Jul 01, 2019
Expires: Jun 04, 2021
• ANCC 1.5 CH
• DC - BON 1.5 CH
• FL - BON 1.5 CH
• GA - BON 1.5 CH
Purpose of Activity:
To present a study conducted to compare the outcomes of elderly trauma patients whose care was coordinated by trauma nurse practitioners (TNPs) with the outcomes of elderly trauma patients who received non-trauma nurse practitioners' (NTNPs') services.
Preexisting conditions and decreased physiological reserve in the elderly frequently complicate the provision of health care in this population. A Level 1 trauma center expanded its nurse practitioner (NP) model to facilitate admission of low-acuity patients, including the elderly, to trauma services. This model enabled NPs to initiate admissions and coordinate day-to-day care for low-acuity patients under the supervision of a trauma attending. The complexity of elderly trauma care and the need to evaluate the efficacy of management provided by NPs led to the development of the current study. Accordingly, this study endeavored to compare outcomes in elderly patients whose care was coordinated by trauma NP (TNP) versus nontrauma NP (NTNP) services. Patients under the care of TNPs had a 1.22-day shorter duration of hospitalization compared with that of the NTNP cohort (4.38 +/- 3.54 vs. 5.60 +/- 3.98, p = .048). Decreased length of stay in the TNP cohort resulted in an average decrease in hospital charges of $13,000 per admission ($38,053 +/- $29,640.76 vs. $51,317.79 +/- $34,756.83, p = .016). A significantly higher percentage of patients admitted to the TNP service were discharged home (67.1% vs. 36.0%, p = .002), and a significantly lower percentage of patients were discharged to skilled nursing facilities (25.7% vs. 51.9%, p = .040). These clinical and economic outcomes have proven beneficial in substantiating the care provided by TNPs at the study institution. Future research will focus on examining the association of positive outcomes with specific care elements routinely performed by the TNPs in the current practice model.
After completing this continuing education activity you will be able to:
• Recall the background information helpful for understanding the study comparing outcomes of elderly trauma patients who received TNPs' services versus those who received NTNPs' services.
• Summarize the results of and discussion about the study.
Topics: Older Adults , Trauma
Critical Care Medicine, Trauma, Nurse Practitioner, Gerontology Nursing
|Registration Type||Due Date||Price|
|Course Fee||04 Jun,2021||USD 17.95|
CME 1.25 +4
Browse by Specialty (Online CME/CE Only) View All
- Clinical Pharmacology
- Emergency Medicine
- Endocrinology, Metabolism and Diabetes
- Healthcare Management
- Immunology and Microbiology
- Infectious Disease
- Medical Education
- Obstetrics and Gynecology
- Pain Management
- Pharmacy and Medicine
- Primary Care
- Pulmonary Medicine