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https://www.readbyqxmd.com/read/27884131/improvement-of-pressure-ulcer-prevention-care-in-private-for-profit-residential-care-homes-an-action-research-study
#1
Enid Wy Kwong, Maria Sy Hung, Kevin Woo
BACKGROUND: A need exits to develop a protocol for preventing pressure ulcers (PUs) in private for-profit nursing homes in Hong Kong, where the incidence of PUs is relatively high and which have high proportion of non-professional care staff. The implementation of such protocol would involve changes in the practice of care, likely evoking feelings of fear and uncertainty that may become a barrier to staff adherence. We thus adopted the Systems Model of Action Research in this study to manage the process of change for improving PU prevention care and to develop a pressure ulcer prevention protocol for private for-profit nursing homes...
November 25, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27794735/identifying-residents-at-risk-of-care-complications-in-care-homes
#2
Ate Dijkstra
Care complications are common conditions which affect residents in care homes and often arise from risks associated with their illness. They can be serious and affect the health and quality of life of residents. It is important that nurses are able to assess an individual's risk of developing complications of care, and determine appropriate prevention and treatment measures. This article discusses three common care complications for residents in care homes: pressure ulcers, malnutrition and falls. Assessment tools commonly used to identify these conditions are discussed, as well as the use of clinical reasoning to assist nurses in implementing appropriate care...
September 7, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27730698/prevention-of-falls-malnutrition-and-pressure-ulcers-among-older-persons-nursing-staff-s-experiences-of-a-structured-preventive-care-process
#3
Christina Lannering, Marie Ernsth Bravell, Linda Johansson
A structured and systematic care process for preventive work, aimed to reduce falls, pressure ulcers and malnutrition among older people, has been developed in Sweden. The process involves risk assessment, team-based interventions and evaluation of results. Since development, this structured work process has become web-based and has been implemented in a national quality registry called 'Senior Alert' and used countrywide. The aim of this study was to describe nursing staff's experience of preventive work by using the structured preventive care process as outlined by Senior Alert...
October 12, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27708826/nursing-documentation-of-pressure-ulcers-in-nursing-homes-comparison-of-record-content-and-patient-examinations
#4
Ruth-Linda Hansen, Mariann Fossum
AIM: The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressure ulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes. DESIGN: This study used a cross-sectional descriptive design. METHOD: A retrospective audit of 155 patients' records and patient examinations using the European Pressure Ulcer Advisory Panel form and the Braden scale, conducted in January and February 2013...
July 2016: Nursing Open
https://www.readbyqxmd.com/read/27687079/perceptions-of-gown-and-glove-use-to-prevent-methicillin-resistant-staphylococcus-aureus-transmission-in-nursing-homes
#5
Jennifer S Albrecht, Lindsay Croft, Daniel J Morgan, Mary-Claire Roghmann
OBJECTIVES: To explore current use and perceptions of glove and gown use in nursing homes. DESIGN: Qualitative study using focus groups and semi-structured interviews. SETTING: Three community-based nursing homes in Maryland. PARTICIPANTS: Direct care staff, administrators, and residents. METHODS: We conducted three focus groups among nursing home staff, one focus group among nursing home administrators, and five interviews with residents...
September 24, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27668479/exploring-the-effect-of-educating-certified-nursing-assistants-on-pressure-ulcer-knowledge-and-incidence-in-a-nursing-home-setting
#6
Cathy L Wogamon
The certified nursing assistant (CNA) is the caregiver who frequently identifies the first signs and symptoms of pressure ulcers (PUs) in the long-term care setting. A quality improvement effort was implemented to explore the effect of a 1-hour CNA education program about early identification, treatment, and prevention of PUs on PU knowledge, PU incidence, and PU prevention interventions, including skin checks. All 33 CNAs employed in a care facility for residents 55+ years old were invited to participate. CNA demographic and PU education variables were obtained...
September 2016: Ostomy/wound Management
https://www.readbyqxmd.com/read/27668477/a-meta-analysis-to-evaluate-the-predictive-validity-of-the-braden-scale-for-pressure-ulcer-risk-assessment-in-long-term-care
#7
Hong-Lin Chen, Wang-Qin Shen, Peng Liu
Although it is among the most commonly used pressure ulcer risk assessment tools, the Braden Scale may lack strong predictive validity when used in the long-term care setting. A meta-analysis was conducted of English-language articles published in the PubMed database and Web of Science from the indices' inception through July 2015 to assess the predictive validity of the Braden Scale for pressure ulcers in long-term care residents. Search terms included pressure ulcer, pressure sore, bedsore, decubitus, long-term care, nursing home, skilled nursing facility, hospice, and Braden...
September 2016: Ostomy/wound Management
https://www.readbyqxmd.com/read/27640341/use-of-indwelling-urinary-catheters-in-nursing-homes-implications-for-quality-improvement-efforts
#8
Jerry H Gurwitz, Catherine DuBeau, Kathleen Mazor, Meera Sreedhara, Celeste Lemay, Ann Spenard, Michelle Pandolfi, Florence Johnson, Terry Field
OBJECTIVES: To describe the epidemiology of indwelling urinary catheter use in nursing homes (NHs). DESIGN: Observational cohort study. SETTING: A purposeful sampling strategy was used to identify a diverse sample of 28 Connecticut NHs, defined in terms of ownership, quality ratings, and bed size. PARTICIPANTS: Long-stay (>100 days) residents of study NHs with an indwelling urinary catheter present at any time over a 1-year period...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27594310/the-use-of-alternating-mattresses-in-the-management-and-prevention-of-pressure-ulcers-in-a-community-setting
#9
Sylvie Hampton
The district nurse and community nurse has a duty of care to provide the most appropriate care for any individual who is at risk of pressure injury. This is often difficult as time constraints mean that education can be absent or reliant on other nurses who may not be up to date with the latest thinking on prevention. Also, district and community nurses cannot be in a patient's home 24 hours a day in order to provide the turning regime that is required for prevention of pressure ulcers. Therefore, they are reliant on education for the carers and provision of the most appropriate equipment for the individual patient...
September 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27592179/differences-in-nursing-home-quality-between-medicare-advantage-and-traditional-medicare-patients
#10
Emiley Chang, Teague Ruder, Claude Setodji, Debra Saliba, Mark Hanson, David S Zingmond, Neil S Wenger, David A Ganz
BACKGROUND: Medicare Advantage (MA) enrollment is steadily growing, but little is known about the quality of nursing home (NH) care provided to MA enrollees compared to enrollees in traditional fee-for-service (FFS) Medicare. OBJECTIVES: To compare MA and FFS enrollees' quality of NH care. DESIGN: Cross-sectional. SETTING: US nursing homes. PARTICIPANTS: 2.17 million Medicare enrollees receiving care at an NH during 2011...
October 1, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27591445/-the-prevalence-of-chronic-diseases-and-geriatric-problems-a-comparison-of-nursing-home-residents-in-the-skilled-and-nonskilled-long-term-care-facilities-in-poland
#11
REVIEW
Violetta Kijowska, Michał Wilga, Katarzyna Szczerbińska
UNLABELLED: In Poland long-term care services are provided by skilled care and treatment facilities (ZOL) and nursing and care facilities (ZPO) both functioning within the health sector as well as by non-skilled nursing homes (DPS) situated in social care sector. Determinants of medical and nursing care provided by both sectors vary considerably in terms of organization (availability) and economic issues (costs of care). AIM: The aim of the study is to compare characteristics of residents in two types of long term care facilities (LTCFs) in Poland with a special focus on geriatric issues...
August 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27590650/-the-prevalence-of-chronic-diseases-and-geriatric-problems-a-comparison-of-nursing-home-residents-in-the-skilled-and-nonskilled-long-term-care-facilities-in-poland
#12
REVIEW
Violetta Kijowska, Michał Wilga, Katarzyna Szczerbińska
UNLABELLED: In Poland long-term care services are provided by skilled care and treatment facilities (ZOL) and nursing and care facilities (ZPO) both functioning within the health sector as well as by non-skilled nursing homes (DPS) situated in social care sector. Determinants of medical and nursing care provided by both sectors vary considerably in terms of organization (availability) and economic issues (costs of care). AIM: The aim of the study is to compare characteristics of residents in two types of long term care facilities (LTCFs) in Poland with a special focus on geriatric issues...
July 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27590032/stability-of-geriatric-syndromes-in-hospitalized-medicare-beneficiaries-discharged-to-skilled-nursing-facilities
#13
Sandra F Simmons, Susan Bell, Avantika A Saraf, Chris S Coelho, Emily A Long, J M L Jacobsen, John F Schnelle, Eduard E Vasilevskis
OBJECTIVES: To assess multiple geriatric syndromes in a sample of older hospitalized adults discharged to skilled nursing facilities (SNFs) and subsequently to home to determine the prevalence and stability of each geriatric syndrome at the point of these care transitions. DESIGN: Descriptive, prospective study. SETTING: One large university-affiliated hospital and four area SNFs. PARTICIPANTS: Fifty-eight hospitalized Medicare beneficiaries discharged to SNFs (N = 58)...
October 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27391289/static-air-support-surfaces-to-prevent-pressure-injuries-a-multicenter-cohort-study-in-belgian-nursing-homes
#14
Brecht Serraes, Dimitri Beeckman
PURPOSE: The aim of this study was to investigate the incidence and risk factors for developing pressure injuries (PIs) in patients placed on a static air support surfaces: mattress overlay, heel wedge, and seat cushion. DESIGN: Multicenter cohort study. SUBJECTS AND SETTING: The sample comprised 176 residents; their mean age was 87 (SD = 6.76) years; their mean Braden Scale score was 14 (SD = 2.54). The study was performed on a convenience sample of 6 nursing homes in Belgium...
July 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/27297575/effectiveness-of-a-pressure-redistributing-cushion-for-low-to-medium-risk-patients-in-care-homes
#15
Bernadette Mossman, Sylvie Hampton
A small, non-controlled evaluation set out to assess the effectiveness of the Airospring AS200 cushion in preventing the development of pressure ulcers in patients in nursing/care home and hospice settings. Ten patients, assessed as being at low-to-medium risk of pressure ulceration, were recruited into the evaluation; the mean age was 82.7 years. Of these, nine were living in nursing/care homes and one in a hospice. The follow-up period was 4 weeks for nursing/care home patients and 2 weeks for the hospice patient...
June 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27268736/automatic-limb-identification-and-sleeping-parameters-assessment-for-pressure-ulcer-prevention
#16
Maziyar Baran Pouyan, Javad Birjandtalab, Mehrdad Nourani, M D Matthew Pompeo
Pressure ulcers (PUs) are common among vulnerable patients such as elderly, bedridden and diabetic. PUs are very painful for patients and costly for hospitals and nursing homes. Assessment of sleeping parameters on at-risk limbs is critical for ulcer prevention. An effective assessment depends on automatic identification and tracking of at-risk limbs. An accurate limb identification can be used to analyze the pressure distribution and assess risk for each limb. In this paper, we propose a graph-based clustering approach to extract the body limbs from the pressure data collected by a commercial pressure map system...
August 1, 2016: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/27235760/defining-safety-in-the-nursing-home-setting-implications-for-future-research
#17
Sandra F Simmons, John F Schnelle, Nila A Sathe, Jason M Slagle, David G Stevenson, Maria E Carlo, Melissa L McPheeters
Currently, the Agency for Healthcare Research and Quality (AHRQ) Common Format for nursing homes (NHs) accommodates voluntary reporting for 4 adverse events: falls with injury, pressure ulcers, medication errors, and infections. In 2015, AHRQ funded a technical brief to describe the state of the science related to safety in the NH setting to inform a research agenda. Thirty-six recent systematic reviews evaluated NH safety-related interventions to address these 4 adverse events and reported mostly mixed evidence about effective approaches to ameliorate them...
June 1, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27196685/interactions-of-factors-and-profiles-of-incontinent-nursing-home-residents-and-hospital-patients-a-classification-tree-analysis
#18
Manuela Mandl, Ruud J G Halfens, Christa Lohrmann
PURPOSE: To investigate the interactions among well-known influencing factors for urinary incontinence (UI), fecal incontinence (FI), and double urinary and fecal incontinence (DI) in the nursing home and hospital setting and to identify profiles of UI, FI, and DI residents and patients. SUBJECTS AND SETTING: Data from more than 4200 residents and patients from 16 nursing homes and 36 hospitals were collected. DESIGN: This was a cross-sectional study...
July 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/27177296/pressure-ulcers-among-newly-admitted-nursing-home-residents-measuring-the-impact-of-transferring-from-hospital
#19
Malcolm B Doupe, Suzanne Day, Margaret J McGregor, Philip St John, Dan Chateau, Joe Puchniak, Natalia Dik, Joykrishna Sarkar
OBJECTIVES: Pressure ulcers (PUs) are reported more often among newly admitted nursing home (NH) residents who transfer from hospital versus community. We examine for whom this increased risk is greatest, further defining hospitalized patients most in need of better PU preventive care. RESEARCH DESIGN: Retrospective observational cohort study. SUBJECTS: All NH residents (N=5617) newly admitted between April 1, 2008 and March 31, 2012 in Winnipeg, MB, Canada...
June 2016: Medical Care
https://www.readbyqxmd.com/read/27125172/effect-of-e-learning-program-on-risk-assessment-and-pressure-ulcer-classification-a-randomized-study
#20
Ida Marie Bredesen, Karen Bjøro, Lena Gunningberg, Dag Hofoss
BACKGROUND: Pressure ulcers (PUs) are a problem in health care. Staff competency is paramount to PU prevention. Education is essential to increase skills in pressure ulcer classification and risk assessment. Currently, no pressure ulcer learning programs are available in Norwegian. OBJECTIVES: Develop and test an e-learning program for assessment of pressure ulcer risk and pressure ulcer classification. METHODS: HASH(0x45d89b0) DESIGN, PARTICIPANTS AND SETTING: Forty-four nurses working in acute care hospital wards or nursing homes participated and were assigned randomly into two groups: an e-learning program group (intervention) and a traditional classroom lecture group (control)...
May 2016: Nurse Education Today
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