The continued success of registered nurse care coordination in a state evaluation of aging in place in senior housing

Older adults prefer to age in place, remaining in their home as their health care needs intensify. In a state evaluation of aging in place (AIP), the University of Missouri Sinclair School of Nursing and Americare System Inc, Sikeston, MO, developed an elder housing facility to be an ideal housing e...

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Bibliographic Details
Published in:Nursing outlook 2014-07, Vol.62 (4), p.237-246
Main Authors: Rantz, Marilyn, Popejoy, Lori L., Galambos, Colleen, Phillips, Lorraine J., Lane, Kari R., Marek, Karen Dorman, Hicks, Lanis, Musterman, Katy, Back, Jessica, Miller, Steven J., Ge, Bin
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aging
Aging in place
Assisted living
Elderly
Female
Geriatric Nursing - organization & administration
Homes for the Aged - organization & administration
Housing
Humans
Independent Living
Long-Term Care - organization & administration
Male
Missouri
Nurse care coordination
Nurse's Role
Nurses
Nurses - organization & administration
Nursing
Nursing home
Nursing Homes - organization & administration
Program Evaluation
Velocity
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Summary:Older adults prefer to age in place, remaining in their home as their health care needs intensify. In a state evaluation of aging in place (AIP), the University of Missouri Sinclair School of Nursing and Americare System Inc, Sikeston, MO, developed an elder housing facility to be an ideal housing environment for older adults to test the AIP care delivery model. An evaluation of the first 4 years (2005–2008) of the AIP program at TigerPlace (n = 66) revealed that the program was effective in restoring health and maintaining independence while being cost-effective. Similar results evaluating the subsequent 4 years (2009–2012) of the program (N = 128) revealed positive health outcomes (fall risk, gait velocity, Functional Ambulation Profile, handgrips, Short-Form 12 Physical Health, Short-Form 12 Mental Health, and Geriatric Depression Scale); slightly negative activities of daily living, independent activities of daily living, and Mini-Mental State Examination; and positive cost-effectiveness results. Combined care and housing costs for any resident who was receiving additional care services and qualified for nursing home care (n = 44) was about $20,000 less per year per person than nursing home care. Importantly, residents continued to live in private apartments and were encouraged to be as independent as possible through the end of life.
ISSN:0029-6554
1528-3968
DOI:10.1016/j.outlook.2014.02.005