Health Promotion for Older Adults: A Framework for Personalized Health Advice During Medicare Wellness Visits

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Identifier 2013_Land
Title Health Promotion for Older Adults: A Framework for Personalized Health Advice During Medicare Wellness Visits
Creator Land, Lauren
Subject Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Health Promotion; Preventive Health Services; Practice Guidelines as Topic; Health Services for the Aged; Medicare; Office Visits; Individualized Medicine
Description As the population ages, growing evidence supports health promotion strategies to optimize functional status and reduce morbidity and mortality in older adults. Medicare Wellness Visits provide a unique opportunity to deliver preventive care services to this population on an annual basis. Key required elements of Medicare Wellness Visits include providing personalized health advice accompanied by appropriate referrals and a list of risk factors and conditions for which primary, secondary, and tertiary prevention interventions are recommended. Currently no standardized materials exist to achieve these aims. Inspired by the American Academy of Pediatrics model of anticipatory guidance in pediatric wellness visits, the purpose of this project is to develop an evidence-based framework for providers addressing personalized health advice for older adults. Specifically, four major topics required by Medicare Wellness Visits are addressed: cognitive impairment, depression, functional ability, and falls. In addition, general health promotion topics that may benefit all patients regardless of risk assessment are outlined. Incorporating personalized health advice into each Medicare Wellness Visit, along with U.S. Preventive Services Task Force recommended screenings, can serve as a basis for shared goal-setting and referral to multidisciplinary and community-based resources to promote healthy aging. The framework was evaluated based on user reviews elicited by a questionnaire distributed via professional listserv and local providers. Local implementation took place via integration of the framework into an electronic medical record at Oregon Health and Science University. Dissemination included preparation of an abstract for submission to a professional conference for a poster presentation as well as a manuscript for submission to a peer-reviewed journal.
Relation is Part of Graduate Nursing Project, Doctor of Nursing Practice
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2013
Type Text
Rights Management © 2013 College of Nursing, University of Utah
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Collection Nursing Practice Project
Language eng
ARK ark:/87278/s6t181vz
Metadata Cataloger AMT
Setname ehsl_gradnu
Date Created 2014-01-29
Date Modified 2018-01-30
ID 179543
Reference URL https://collections.lib.utah.edu/ark:/87278/s6t181vz
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