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Penn Nursing > Science in Action
Science in Action: Specialization Areas
Gerontology
Posted October 2011

Elderly Long Term Care Residents Suffer Cognitively During Disasters

​In a summer with unprecedented weather events, from tornados, floods, fires and hurricanes, researchers at the University of Pennsylvania School of Nursing found that physiological changes associated with aging and the presence of chronic illness make older adults more susceptible to illness or injury, even death, during a disaster. Investigators followed 17 long-term care residents, with a mean age of 86, who were evacuated for five days due to a severe summer storm and were relocated to different facilities with different care providers and physical surroundings. The displaced participants experienced delirium, cognitive changes, hospitalizations, and death, according to research published in the Journal of Gerontological Nursing. “Older adults often have visual and heari...
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Gerontology
Posted April 2011

Reducing Revolving Door Hospital Readmissions


Currently, one in five elderly patients discharged from a hospital is readmitted within a month. Seeking to address the human and substantial financial burden of revolving door hospital readmissions, the Affordable Care Act proposes a number of initiatives to improve care and health outcomes and reduce costs for the growing population of chronically ill people in the U.S. While transitional care is a central theme in these provisions, there is little information available to guide those responsible for implementing  these important opportunities. To bridge the gap, researchers at the University of Pennsylvania School of Nursing reviewed existing programs in order to determine what works, for whom and for how long.  They discovered “a robust body of evidence” that transitional care can improve health outcomes and reduce hospital readmissions.  Their ...

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Gerontology
Posted December 2010

Naylor's transitional care model reduces hospital readmissions

Dr. Mary Naylor's Transitional Care Model is profiled in the June 9, 2010 issue of the Agency for Healthcare Research and Quality (AHRQ). The Transitional Care Model is an intensive, nurse-led care management program provided to high-risk seniors during and after hospitalization. A transitional care nurse with geriatric experience assesses inpatient and family needs, conducts discharge planning, implements the discharge plan through home visits and telephone communication, facilitates and encourages patient self-care, and serves as a liaison with community-based clinicians and services. Dr. Naylor, PhD, FAAN, RN is the Marian S. Ware Professor in Gerontology; Director of New Courtland Center for Transitions and Health. Her intensive research is designed to improve outcomes and reduce costs of care for vulner...
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Gerontology
Posted August 2010

Dr. Bradway's research on continence care featured on MedScape


Dr. Christine Bradway's extensive research on continence care for obese nursing home residents is featured as the first choice on the most recent Medscape Today, from WebMD.  Finding of her latest study, published first in Urologic Nursing, aimed to describe demographic characteristics and co-morbid conditions of obese nursing home residents, current nursing care practices related to continence care in obese nursing home residents, licensed and unlicensed nursing caregivers' reports of continence care issues they experience with obese nursing home residents, and continence care issues reported by obese nursing home residents.  Dr. Bradway PhD, CRNP is the Assistant Professor of Gerontological Nursing, Clinical Educator and Program Director of the Gerontology Nurse Practitioner Program.  For m...

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Gerontology
Posted November 2008

Penn professor featured on A1 of The New York Times

Adjunct assistant professor Deanna Gray-Miceli, PhD, APRN, FAANP, was featured in a New York Times front-page article on aging as an expert in geriatric falls. The article discussed Dr. Gray-Miceli's research, which focuses on identifying the causes of falls, which might include treatable factors like changes in gait, low blood pressure, declining vision or heart arrhthmias, as well as conditions in the home. Dr. Gray-Miceli is a former John A Hartford Foundation Post-Doctoral Fellow with our Hartford Center of Geriatric Nursing Excellence. ...
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Gerontology
Posted October 2008

Dr. Sochalski is co-investigator on NIH award


Julie A. Sochalski, PhD, RN, FAAN, Associate Professor of Nursing, is co-investigator on an NIH/NHLBI R01 award, "Market competition and the quality of home health services," with Dr. Dan Polsky, PI, of the Division of General Internal Medicine from Penn School of Medicine. In 2004 the federal government launched the Home Health Quality Initiative (HHQI) for reporting of quality information and incorporating “pay for performance.” The goal of this project is determine whether HHQI improves the quality of home health care, and whether HHQI is more likely to improve quality in more competitive markets....

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