title: Pediatric nurse practitioners: primary care providers and case managers for chronically ill children at home.
abstract: A new role has been developed for pediatric nurse practitioners that is home based and provides primary care and case management for chronically ill children. In a pilot program at Children's Hospital and Health Center in San Diego, pediatric nurse practitioners address the complex needs of chronically ill children who require comprehensive care, education, psychosocial support, and coordination of services. This article describes the population, program, and expanded role for PNPs, emphasizing case management, management of chronic illness, minor illnesses, and management of well child care. Clinical impressions of the benefits of the role to the child and family are presented.
authors.forename: N H
authors.initials: NH
authors.lastname: Martinez
authors.forename: M L
authors.initials: ML
authors.lastname: Schreiber
authors.forename: E W
authors.initials: EW
authors.lastname: Hartman
mesh_terms: D002140:California; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease / Q000451:nursing*; D003266:Continuity of Patient Care / Q000592:standards; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007223:Infant; D007587:Job Description; D008297:Male; D009722:Nurse Practitioners; D015403:Nursing Evaluation Research; D010347:Patient Care Planning / Q000592:standards; D010371:Pediatric Nursing / Q000379:methods*; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration*