Let’s first come back to the concept of “advanced practice”. Introduced by the Health System Modernization Act, advanced practice has a dual objective: improving access to care and the quality of patient pathways.
How ? After 2 years of additional training, advanced practice nurses (APNs) have expanded skills in diagnosis, prescription and coordination of pathways for 8 chronic pathologies, placing them at the interface between nursing practice and practice. medical.
As such, the IPA can renew, adapt or even prescribe treatments or examinations, ensure clinical monitoring, carry out prevention or screening actions in agreement with doctors who entrust it with the monitoring of certain of their patients including the state of health is stabilized and with the consent of the patients concerned and on condition of practicing within a care team (home or health center, hospital or medico-social establishment, etc.).
Faced with medical desertification and the growing care needs of residents, five retirement homes of the Aésio Santé group (200 establishments and 5,100 professionals), located in Ardèche and Drôme* have deployed this type of nurses.
Integrated within the healthcare team and under the supervision of the attending physician and the coordinating physician, they ensure in-depth monitoring of residents, examine them, can adjust treatment, prescribe an additional examination, and implement preventive actions.
Their clinical expertise and knowledge of the resident’s state of health also allow them to manage complex situations and avoid hospitalizations.
This new profession hopes to be a response “to support the changing health needs of elderly people in EHPADs, particularly those linked to chronic illnesses”.
*the Les Vergers residence in Thueyts, the Rochemure residence in Jaujac, the Roussillon residence in Les Vans, the Les Peupliers residence in Le Teil and the Emile Loubet residence in Montélimar.
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