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COPD Management and Role of the Nurse Coach: Increasing Referrals and Participation in Pulmonary Rehabilitation
Get PDFChronic obstructive pulmonary disease (COPD) remains a significant cause for hospitalization and with complex management issues upon discharge a significant portion are being re-admitted within 30-days of first hospitalization. The beneficial effects of pulmonary rehabilitation (PR) in the management of COPD is well documented but continues to be underutilized as an important management strategy to reduce hospital readmissions. Transitional care programs which include nurse coaches, have immerged to empower patients to manage their disease and facilitate transitions through multiple care environments. Little is known about the efficacy of such programs on referral and participation in PR and subsequent reductions in readmissions. The aim of this study was to compare receipt of referral and participation in PR and 30-day readmission rates in patients with COPD who received a transitional care program (CTI) with those who received a routine hospital discharge plan. The CTI included medication reconciliation and nurse coach visits in-hospital and in the home. Data was collected retrospectively from electronic health records and included 215 subjects (Mean age 71, 45% female), with 54 enrolled in the intervention group. Results indicate subjects who received a CTI demonstrated higher rates of PR participation (22%; 4%; p=0.001) and received a greater number of referrals (57%; 14%, p=.007). There were no significant differences related to 30-day hospital readmissions (24%; 14%, p=.089) however subjects who participated in PR were less likely to experience an early readmission. Coordinated, interdisciplinary hospital initiated transitional care programs, which include a nurse coach, may facilitate PR referral and empower patients to attend PR
Daily Dose: May 22, 2017
No full textVideo, audio recording, photography by patients/families
Pager system downtime May 23
Shortage of O2 regulators
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Shuttle drop off/pick up location to change at St. Cloud Hospital today
Congratulations to St. Cloud Hospital’s exceptional nurses
St. Cloud Hospital in the new
Daily Dose: June 09, 2017
No full textMeasles preparedness and prevention efforts continue
Violence is not part of your job
Employee campaign benefactor recognition
Stroke, heart care nationally recognized
Nominate a nurse for a March of Dimes Nurse of the Year Award
Paynesville Foundation golf tournament, on-line auction, dinner today!
MPCU, Med 2 floor restoration
Riverfront Dining to pilot new hours through July
Daily Dose: July 13, 2017
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Emergency call for blood donors
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Introducing Lifestyle Health
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Preparing for your recovery after giving birt
Daily Dose: July 18, 2017
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Raise the tobacco age to 21 in Greater St. Cloud
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Benedict Village tenants play with clay
Interruption of service for employee ID badge
Daily Dose: July 26, 2017
No full textCentraCare nurses receive scholarships
Steady crowd shopped newly remodeled, expanded Gift Gallery
Our Best Begins With Me: Assume Positive Intent
Royalty visits St. Benedict’s Senior Community – Monticello
Riverfront Dining to close at 4 p.m. today
Employees should clock hours in their departments
Wellness Wednesdays starts in Riverfront Dining today
St. Cloud Hospital Northeast parking ramp to close for cleaning July 28-3
Daily Dose: July 27, 2017
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About low testosterone
St. Cloud Hospital Behavioral Health opens Sartell location
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What is AiRCare and how can they help you?
Dr. Holmen visits Long Prairie
St. Cloud Hospital Northeast parking ramp to close for cleaning July 28-3
Daily Dose: July 28, 2017
No full textOur Best Begins With Me: Change your thoughts
Employee Wellness Points reminder
Managing stress
Mended Hearts
St. Cloud Hospital Northeast parking ramp to close for cleaning July 28-30
Shuttle service to be discontinue
Daily Dose: December 01, 2017
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IV solutions and supply shortages
Volunteer auxiliary to provide $100,000 match for year-end campaign
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Daily Dose: August 02, 2017
No full textCentraCare clinics receive awards for exceptional care
St. Cloud Hospital Behavioral Health – Sartell location
Our Best Begins With Me
Employees succeed with Weight Watchers
This week is World Breastfeeding Week
Wellness Wednesday in Riverfront Dining today
Northwest parking ramp to close for cleaning Aug. 4-6
Jeanne Delzoppo to retire after 30 years of servic