Nurses expand outpatient care for chronically ill adults

July 17, 2014
Nurses expand outpatient care for chronically ill adults

(HealthDay)—Team care involving nurse-managed protocols is one model that may improve outpatient care for adults with chronic conditions, according to research published in the July 15 issue of the Annals of Internal Medicine.

Ryan J. Shaw, Ph.D., R.N., of the Durham Veterans Affairs Medical Center in North Carolina, and colleagues conducted a systematic review of the literature and a meta-analysis of data from 18 studies. The authors sought to assess the effects of nurse-managed protocols on the outpatient management of adults with diabetes, , and hyperlipidemia. All of the studies involved a , or equivalent, who titrated medications according to a protocol.

The researchers found that outpatients with diabetes receiving care under nurse-managed protocols experienced a 0.4 percent decrease in hemoglobin A1c level (eight patients; 95 percent confidence interval [CI], 0.1 to 0.7 percent). Those with hypertension (12 patients) experienced decreases in systolic and of 3.68 mm Hg (95 percent CI, 1.05 to 6.31 mm Hg) and 1.56 mm Hg (95 percent CI, 0.36 to 2.76 mm Hg), respectively. Individuals with had changes in lipid levels, including a 9.37-mg/dL decrease in total cholesterol level (nine patients; 95 percent CI, 20.77-mg/dL decrease to 2.02-mg/dL increase) and a 12.07-mg/dL decrease in low-density lipoprotein cholesterol level (six patients; 95 percent CI, 28.27-mg/dL decrease to 4.13-mg/dL increase).

"We need new models of primary care, and enlisting nurses will be central to this effort," write the authors of an accompanying editorial. "Recognizing that nurse-managed protocols work for common outpatient diseases may be one step toward solving America's primary care problem."

Explore further: Interarm BP difference may up cardiac risk in diabetes

More information: Full Text
Editorial (subscription or payment may be required)

Related Stories

Interarm BP difference may up cardiac risk in diabetes

April 3, 2014
(HealthDay)—Interarm differences in systolic blood pressure (BP) in patients with diabetes may be associated with an increased risk of cardiovascular morbidity and mortality, according to research published online on March ...

Racial disparities persist in diabetes care outcomes

December 2, 2013
(HealthDay)—Black patients do not receive the same quality of care, and experience poorer intermediate outcomes in the practice setting of a patient-centered medical home (PCMH), according to research published online Nov. ...

Vegetarian black adventists have lower cardiovascular risk

April 21, 2014
(HealthDay)—A vegetarian diet may reduce cardiovascular risk in black individuals, according to research published online March 17 in Public Health Nutrition.

Cinnamon cuts blood glucose levels in diabetes patients

September 16, 2013
(HealthDay)—Consumption of cinnamon is associated with favorable reductions in plasma glucose and lipid levels, according to research published in the September/October issue of the Annals of Family Medicine.

Risk of unnatural death is higher in diabetes patients

June 5, 2014
(HealthDay)—Unnatural deaths occur more frequently among individuals with diabetes, according to research published online May 21 in Diabetes Care.

Many at high cardiovascular risk still not on statins

May 13, 2014
(HealthDay)—Many individuals at high risk for cardiovascular events, such as those with coronary artery disease, diabetes, or both, are not receiving statins, according to research published in the May/June issue of the ...

Recommended for you

Who uses phone apps to track sleep habits? Mostly the healthy and wealthy in US

January 16, 2018
The profile of most Americans who use popular mobile phone apps that track sleep habits is that they are relatively affluent, claim to eat well, and say they are in good health, even if some of them tend to smoke.

Improvements in mortality rates are slowed by rise in obesity in the United States

January 15, 2018
With countless medical advances and efforts to curb smoking, one might expect that life expectancy in the United States would improve. Yet according to recent studies, there's been a reduction in the rate of improvement in ...

Teens likely to crave junk food after watching TV ads

January 15, 2018
Teenagers who watch more than three hours of commercial TV a day are more likely to eat hundreds of extra junk food snacks, according to a report by Cancer Research UK.

Can muesli help against arthritis?

January 15, 2018
It is well known that healthy eating increases a general sense of wellbeing. Researchers at Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) have now discovered that a fibre-rich diet can have a positive influence ...

Your dishwasher is not as sterile as you think

January 13, 2018
(HealthDay)—Your dishwasher may get those plates spotless, but it is also probably teeming with bacteria and fungus, a new study suggests.

Study reveals what sleep talkers have to say

January 12, 2018
A team of researchers with members from several institutions in France has conducted a study regarding sleep talking and has found that most sleep talking is not only negative in nature, but involves a large amount of swearing. ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.