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An in-home nurse-administered geriatric assessment for hypoalbuminemic older persons: development and preliminary experience.

An in-home nurse-administered geriatric assessment for hypoalbuminemic older persons: development and preliminary experience. Research Abstract Details 

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  • An in-home nurse-administered geriatric assessment for hypoalbuminemic older persons: development and preliminary experience. Abstract Text:

    BACKGROUND: Although malnutrition in older persons is a common, potentially treatable condition, few data indicate that treatments for this disorder can be effective. OBJECTIVE: To develop and preliminarily evaluate a two-component intervention that includes a nurse-administered, in-home assessment to identify potentially remediable causes of hypoalbuminemia and protocols to treat these problems. DESIGN: A pre-test post-test case-series. SETTING: An academic geriatrics practice. PARTICIPANTS: Seventeen persons aged 65 and older with serum albumin levels < or = 3.8 g/dL; eight of the participants received pre-and post-test outcome measures. INTERVENTION: Nurse-administered standardized assessment and intervention protocols. MEASUREMENTS: Serum albumin, Medical Outcome Study (MOS) SF-36, serum IL-1a and b, TNF alpha, IL-6, and lymphocyte markers of immune function. RESULTS: The assessment took 87 minutes, on average, and generated a mean 4.2 recommendations. Among the eight subjects with pre- and post-test measures, serum albumin increased by 0.2 g/dL (P = .035). Compared with baseline, two T cell markers of immune function demonstrated changes consistent with better function. CONCLUSIONS: These preliminary data support the potential benefit of a nurse-administered assessment coupled with protocols to address remediable contributors to hypoalbuminemia.

    An in-home nurse-administered geriatric assessment for hypoalbuminemic older persons: development and preliminary experience. Publishing Authors By Initials

    For similar cells: blood cells: leukocytes: leukocytes, mononuclear: lymphocytes: lymphocyte subsets: t-lymphocyte subsets research abstracts see: cells: blood cells: leukocytes: leukocytes, mononuclear: lymphocytes: lymphocyte subsets: t-lymphocyte subsets research

    PUBMED ID PMID:

    MEDLINE DATE:

    An in-home nurse-administered geriatric assessment for hypoalbuminemic older persons: development and preliminary experience. Journal Published:

    PUBLICATION TYPE: Research Support, U.S. Gov't,

    Journal: Journal of the American Geriatrics Society

    VOLUME: 47

    Page Numbers: 1244-8

    Journal Abbreviation: J Am Geriatr Soc

    ISSN: 0002-8614

    DAY: 10

    MONTH: Oct

    YEAR: 1999

    An in-home nurse-administered geriatric assessment for hypoalbuminemic older persons: development and preliminary experience. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7503062

    An in-home nurse-administered geriatric assessment for hypoalbuminemic older persons: development and preliminary experience. Keywords Mesh Terms:

    KEYWORDS: T-Lymphocyte Subsets

    MESH TERMS: immunology

    Chemical & Substance for Abstract: An in-home nurse-administered geriatric assessment for hypoalbuminemic older persons: development and preliminary experience. Information

    Substance Name: Serum Albumin

    Registry Number: 0

    Grant and Affiliation Information for An in-home nurse-administered geriatric assessment for hypoalbuminemic older persons: development and preliminary experience.

    AFFILIATION: Multicampus Program in Geriatric Medicine and Gerontology, UCLA School of Medicine, Los Angeles, California 90095-1687, USA.

    Country: UNITED STATES

    UNITED STATES Research PublicationUNITED STATES Research Publication

    AGENCY: United States NIA

    GRANT: AG10415-01

    ACRONYM: AG

    MEDLINETA: J Am Geriatr Soc

    REFSOURCE:

    DATABASENAME:

    ACCESSION NUMBER:

    Number Hits: 0

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