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Long-term care facility

Christina Lumbantoruan, Michelle Kermode, Aloisius Giyai, Agnes Ang, Margaret Kelaher
BACKGROUND: Despite a more proactive approach to reducing new HIV infections in infants through lifelong treatment (Option B+ policy) for infected pregnant women, prevention of mother-to-child transmission of HIV (PMTCT) has not been fully effective in Papua, Indonesia. Mother-to-child transmission (MTCT) is the second greatest risk factor for HIV infection in the community, and an elimination target of <1% MTCT has not yet been achieved. The purpose of this study was to improve understanding of the implementation of Option B+ for PMTCT in Papua through investigation of facilitators and barriers to women's uptake and adherence to antiretroviral therapy (ART) in the program...
2018: PloS One
Denise Cooper, Marilyn McFarland, Francesca Petrilli, Cherrell Shells
BACKGROUND: Nursing home providers face challenges in urinary tract infection assessment and treatment, often prescribing unnecessary antibiotics for asymptomatic bacteriuria, a practice that can result in adverse drug reactions, drug resistance, and an increase in antibiotic-associated diarrhea. PURPOSE: The purpose of this project was to replicate the Cooper Urinary Tract Infection Program in another facility and measure its effectiveness. METHODS: Using a pre-post design, this project was implemented at a 120-bed, long-term care and rehabilitation facility located in the Midwest United States...
June 14, 2018: Journal of Nursing Care Quality
Lona Mody
PURPOSE OF REVIEW: The present review describes our research experiences and efforts in advancing the field of infection prevention and control in nursing facilities including postacute and long-term care settings. RECENT FINDINGS: There are over two million infections in postacute and long-term care settings each year in the United States and $4 billion in associated costs. To define a target group most amenable to infection prevention and control interventions, we sought to quantify the relation between indwelling device use and microbial colonization in nursing facility patients...
June 13, 2018: Current Opinion in Infectious Diseases
Vicki Forbes, Clare Harvey, Alannah Meyer
BACKGROUND: This paper draws on a 2015 study in New Zealand that examined perceptions of registered nurses (RNs) and general practitioners (GPs) regarding the role of Nurse Practitioners (NPs) in long-term aged care facilities (LTACF). AIM: To explore the attitudes of RNs and GPs regarding the role of NPs in LTACFs. DESIGN: A descriptive, mixed methods design with a survey and invitation to interview was used. RNs and GPs who provided hospital-level care were invited to participate...
June 14, 2018: Contemporary Nurse
Antoine Piau, Fati Nourhashemi, Adélaïde De Mauléon, Achille Tchalla, Claude Vautier, Bruno Vellas, Maryline Duboue, Nadège Costa, Pierre Rumeau, Benoit Lepage, Maria Soto Martin
INTRODUCTION: Neuropsychiatric symptoms (NPSs) in elderly patients with dementia are frequent in long-term care facilities (LTCFs) and are associated with adverse events. Telemedicine is an emerging way to provide consultation and care to dependent LTCF residents who may not have easy access to specialty services. Several studies have evaluated telemedicine for dementia care but to date, no study has evaluated its impact in the management of NPS in patients with dementia living in LTCF...
June 12, 2018: BMJ Open
C Trezza, M Mazzotta, D Lorenzetti, L De Vito, V Renzini
INTRODUCTION: In the Azienda Ospedaliera Universitaria Policlinico Umberto I in Rome, the Hospital Social Services (HSS) is located within the Directorate of Health, reporting directly to the Chief Medical Officer, providing counselling and supporting clinical services. The HSS is part of a network with its own technical, professional and assessment independence. It often serves as liaison between the hospital and the territory, facilitating the development of services and contributing to public health recovery and maintenance, therefore improving the citizens' standard of living thanks to aid projects and specific interventions...
July 2018: Annali di Igiene: Medicina Preventiva e di Comunità
Lydia Kaduka, Erastus Muniu, Chrispine Oduor, Jane Mbui, Robai Gakunga, Judith Kwasa, Sylvanus Wabwire, Nathan Okerosi, Anne Korir, Scot Remick
BACKGROUND: Despite the increasing global burden of stroke, there are limited data on stroke from Kenya to guide in decision-making. Stroke occurrence in sub-Saharan Africa has been associated with poor health outcomes. This study sought to establish the stroke incidence density and mortality in Kenya's leading public tertiary hospitals for purposes of informing clinical practice and policy. METHODS: This is a prospective study conducted at Kenya's leading referral hospitals, namely, Kenyatta National Hospital (KNH) and Moi Teaching and Referral Hospital (MTRH)...
June 12, 2018: Cerebrovascular Diseases Extra
Davinder Singh, Depeng Jiang, Paul Van Caeseele, Carla Loeppky
OBJECTIVE: This study examined the effect of the timing of administration of oseltamivir chemoprophylaxis for the control of influenza A H3N2 outbreaks among residents in long-term care facilities (LTCFs) in Manitoba, Canada, during the 2014-2015 influenza season. METHODS: A retrospective cohort study was conducted of all LTCF influenza A H3N2 outbreaks (n=94) using a hierarchical logistic regression analysis. The main independent variable was how many days passed between the start of the outbreak and commencement of oseltamivir chemoprophylaxis...
June 12, 2018: Infection Control and Hospital Epidemiology
Michael Lepore, Angela M Greene, Kristie Porter, Linda Lux, Emily Vreeland, Catherine Hawes
Residential care facilities operating without a state license are known to house vulnerable adults. Such unlicensed care homes (UCHs) commonly operate illegally, making them difficult to investigate. We conducted an exploratory, multimethod qualitative study of UCHs, including 18 subject matter expert interviews and site visits to three states, including a total of 30 stakeholder interviews, to understand UCH operations, services provided, and residents served. Findings indicate that various vulnerable groups reside in UCHs; some UCHs offer unsafe living environments; and some residents are reportedly abused, neglected, and financially exploited...
June 11, 2018: Journal of Aging & Social Policy
Lisa G Pont, Magda Z Raban, Mikaela L Jorgensen, Andrew Georgiou, Johanna I Westbrook
Objective: The aim of this study was to use routinely collected electronic medicines administration (eMAR) data in residential aged care (RAC) to investigate the quality use of medicines. Design: A cross-sectional analysis of eMAR data. Setting: 71 RAC facilities in New South Wales and the Australian Capital Territory, Australia. Participants: Permanent residents living in a participating facility on 1 October 2015. Intervention: None...
June 8, 2018: International Journal for Quality in Health Care
Nicole J Brandt, Chad Worz, Sharon F Clackum
Skilled nursing facilities and nursing homes are a care setting that offers increasing opportunities for pharmacists to be leaders when addressing the new updated Centers for Medicare and Medicaid Services requirements coupled with the enhanced quality measures reporting. Additionally, the complexity of the medication-related needs and comorbidities of the patients served in long-term care facilities promotes pharmacists practicing to the top of their license. Medication stewardship needs to be an interdisciplinary team activity led by the pharmacist...
June 11, 2018: Pharmacotherapy
Jan Krausmann, Shawn Sanctis, Jörg Engstler, Martina Luysberg, Michael Bruns, Jörg J Schneider
The influence of the composition within multilayered heterostructure oxide semiconductors has a critical impact on the performance of thin-film transistor (TFT) devices. The heterostructures, comprising alternating polycrystalline indium oxide and zinc oxide layers, are fabricated by a facile atomic layer deposition (ALD) process, enabling the tuning of its electrical properties by precisely controlling the thickness of the individual layers. This subsequently results in enhanced TFT performance for the optimized stacked architecture after mild thermal annealing at temperatures as low as 200 °C...
June 11, 2018: ACS Applied Materials & Interfaces
James Henry Obol, Peter Akera, Pamela Atim Ochola, Wilfred Arubaku, Hussein Oria, Kenneth Luryama Moi, Denis Anywar Arony, Kaducu Felix
BACKGROUND: Four university medical training institutions in Uganda have trained students at off-site health facilities under community-based education and Research Service (COBERS) programme for over 5 years. One of the major components of COBERS placement is for the students to provide health education in the communities about malaria as a major public health disease in Uganda. This study seeks to assess if targeted community-based medical education programme is associated with better prevention and treatment seeking behaviours in the management of malaria, a leading cause of morbidity and mortality of children under five in Uganda...
June 8, 2018: BMC Medical Education
Simone Kuntz, Theo Dassen, Nils A Lahmann
AIMS: The aim of this study is to identify items of the Care Dependency Scale (CDS) with overriding importance for the specific nursing care problems of pressure ulcers, falls, and malnutrition. METHOD: Secondary data analysis of 5 multicentre consecutive annual cross-sectional surveys from 2008 to 2012. For the study, data were analysed from 19 787 individuals in 262 long-term care facilities throughout Germany. Based on a standardized study protocol and international definitions, data regarding care dependency and care problems were gathered by direct examination...
June 8, 2018: Journal of Evaluation in Clinical Practice
Emily Beth Devine, Annette M Totten, Paul Gorman, Karen B Eden, Steven Kassakian, Susan Woods, Monica Daeges, Miranda Pappas, Marian McDonagh, William R Hersh
Background: In June 2014, the Office of the National Coordinator for Health Information Technology published a 10-year roadmap for the United States to achieve interoperability of electronic health records (EHR) by 2024. A key component of this strategy is the promotion of nationwide health information exchange (HIE). The 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act provided significant investments to achieve HIE. Objective: We conducted a systematic literature review to describe the use of HIE through 2015...
December 7, 2017: EGEMS
Fabio Arena, Federica Vannetti, Vincenzo Di Pilato, Laura Fabbri, Olga Lorenza Colavecchio, Tommaso Giani, Chiara Marraccini, Roberto Pupillo, Claudio Macchi, Francesco Converti, Gian Maria Rossolini
BACKGROUND: Long-term acute care rehabilitation facilities (LTACRFs) are affected by Carbapenem-resistant Enterobacteriaceae (CRE) in endemic areas. However, the contribution of different subpopulations of patients has not been investigated in these settings. AIM: To study the CRE epidemiology in an LTACRF, and the effect of an infection control intervention. METHODSMATERIALS-METHODS: A surveillance program was implemented in a large Italian LTACRF...
June 4, 2018: Journal of Hospital Infection
François Audenet, Nikhil Waingankar, Bart S Ferket, Scot A Niglio, Kathryn E Marqueen, John P Sfakianos, Matthew D Galsky
PURPOSE: To investigate the characteristics and outcomes of patients with muscle-invasive bladder cancer (MIBC) treated with transurethral resection (TUR) plus chemotherapy alone in a large observational cohort reflecting the continuum of practice settings in the United States. MATERIALS AND METHODS: Within the National Cancer Database (2004-2015), we identified 1,538 patients treated with TUR plus multi-agent chemotherapy as definitive treatment for cT2-T4aN0M0 urothelial carcinoma of the bladder...
June 4, 2018: Journal of Urology
Shuji Nakashima, Hirotomo Yamanashi, Satomi Komiya, Katsumi Tanaka, Takahiro Maeda
OBJECTIVES: The prevalence of pressure injuries is an essential indicator of prevention and quality of care. Population-based prevalence data on pressure injuries are scarce in Japan. This study aimed to estimate the prevalence of pressure injuries per 1000 adults and per 1000 older people in Japan. DESIGN: Cross-sectional survey. SETTING: This study was conducted in Goto, a city located on a remote rural archipelago in Japan. In 2017, the population was 37,855; older people aged ≥65 years accounted for 37...
2018: PloS One
Tomás Romero, Kristina L Greenwood, Dale Glaser
BACKGROUND: Acute myocardial infarction (AMI) sex disparities in management and outcomes have long been attributed to multiple factors, although questions regarding their relevance have not been fully addressed. OBJECTIVE: The aim of this study was to identify current factors associated with sex-related AMI management and outcomes disparities in hospitals with comparable quality care standards. METHODS: This is a cross-sectional study of 299 women and 540 men with AMI discharged in 2013 from 3 southern California hospitals with tertiary cardiac care...
June 6, 2018: Journal of Cardiovascular Nursing
Ronald W Smith, Jennifer K Altman, Suzanne Meeks, Kate Lm Hinrichs
OBJECTIVES: To assess mental health providers' experience with LGBT older adults in long-term care (LTC) settings and perceived barriers to quality care. METHODS: Providers (N = 57) completed an online survey on demographics and practice characteristics. They were also asked about: number of LGBT residents they've worked with, relevance of LGBT issues to their practice, preparedness, willingness to learn, hours of formal/informal training, and barriers to providing care to LGBT patients...
June 7, 2018: Clinical Gerontologist
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