Coordination of care for the elderly, homebound patient with diabetes and numerous comorbid medical problems has become increasingly challenging for the home care nurse. Complex treatment plans, exploding technology, and a myriad of new pharmacological agents can be overwhelming for even the most experienced nurse. Nurse practitioners, who are advanced practice nurses, have the ability to do in-depth physical exams, order diagnostics tests, make a diagnosis based on their assessment, and order medications and other medical interventions as needed. Overall, the nurse practitioner can provide timely, coordinated, and cost-effective care to the patient and can also be an educational resource for the home care nurse and other care providers in planning case management.
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