Highlights
- •Nurse practitioners must be able to assess and manage chronic diseases.
- •A chronic disease history of present illness must be comprehensive.
- •OLD CLASS is a mnemonic created to assist nurse practitioner students elicit a thorough chronic disease history of present illness.
Abstract
Chronic diseases cause 70% of deaths worldwide, including 15 million premature deaths
per year. The chronic care model was established to improve chronic disease management;
however, it lacks a systematic approach to assist clinicians in fully assessing chronic
care needs. OLD CLASS is a method developed by nurse practitioner faculty to guide
nurse practitioner students to collect a thorough history, including the lived experience
of chronic illness, so they can provide high-quality chronic disease management.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal for Nurse PractitionersAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The Essentials: Core Competencies for Professional Nursing Education.(April 26)https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdfDate: 2021Date accessed: August 30, 2022
- National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention. About Chronic Diseases.(Published May 20, 2020)https://www.cdc.gov/chronicdisease/about/index.htm#:∼:text=Related%20PagesDate accessed: September 3, 2022
- Vital and Health Statistics, Series 10.(Number 259 (December 2013))
- About Global NCDs.(Published May 26, 2020)https://www.cdc.gov/globalhealth/healthprotection/ncd/global-ncd-overview.htmlDate accessed: September 9, 2022
- The top 10 causes of death.(Published December 9, 2020)https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-deathDate accessed: September 9, 2022
- Chronic disease management: what will it take to improve care for chronic illness?.Eff Clin Pract. 1998; 1: 2-4
- NONPF’s NP Role Core Competencies.
- Characteristics of Office-based Physician Visits, 2018, NCHS Data Brief No. 408, May 2021. Centers for Disease Control and Prevention.https://www.cdc.gov/nchs/products/databriefs/db408.htm#section_3Date accessed: September 16, 2022
- Defining and implementing value-based health care.Acad Med. 2020; 95: 682-685https://doi.org/10.1097/acm.0000000000003122
- Evaluation and Management Services.https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/eval-mgmt-serv-guide-ICN006764.pdfDate: 2022Date accessed: September 10, 2022
- Mnemonics in education: current research and applications.Transl Issues Psychol Sci. 2015; 1: 130-139https://doi.org/10.1037/tps0000023
- UC San Diego’s Practical Guide to Clinical Medicine. UC San Diego School of Medicine.(Published 2018)https://meded.ucsd.edu/clinicalmed/history.htmlDate accessed: September 22, 2022
- An empirical study of chronic diseases in the United States: a visual analytics approach to public health.Int J Environ Res Public Health. 2018; 15: 431-455https://doi.org/10.3390/ijerph15030431
- Implementing patient-centred integrated care for multiple chronic conditions.Can Fam Physician. 2021; 67: 235-238https://doi.org/10.46747/cfp.6704235
- Prevalence of multiple chronic conditions by U.S. state and territory, 2017.PloS One. 2020; 15e0232346https://doi.org/10.1371/journal.pone.0232346
- Cohort trends in the burden of multiple chronic conditions among aging U.S. adults.J Gerontol B Psychol Sci Soc Sci. 2022; 77: 1867-1879https://doi.org/10.1093/geronb/gbac070
Biography
Alice S. Bristow, DNP, FNP-BC, CNE, BC-ADM, who can be contacted at [email protected], is an instructor. Dr. Bristow also maintains a faculty practice at Cahaba Medical Care, Woodstock, Alabama. Katie C. Buys, DNP, MPH, FNP-BC, PMHNP-BC, is an assistant professor, and Lauren C. Mays, DNP, FNP-BC, is an assistant professor at the University of Alabama at Birmingham School of Nursing.
Article info
Publication history
Published online: March 08, 2023
Footnotes
In compliance with standard ethical guidelines, the author reports no relationships with business or industry that would pose a conflict of interest.
Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.