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Transitions of care

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https://www.readbyqxmd.com/read/29656399/differences-between-skilled-nursing-facilities-in-risk-of-subsequent-long-term-care-placement
#1
James S Goodwin, Shuang Li, Addie Middleton, Kenneth Ottenbacher, Yong-Fang Kuo
OBJECTIVES: To determine how the risk of subsequent long-term care (LTC) placement varies between skilled nursing facilities (SNFs) and the SNF characteristics associated with this risk. DESIGN: Population-based national cohort study with participants nested in SNFs and hospitals in a cross-classified multilevel model. SETTING: SNFs (N=6,680). PARTICIPANTS: Fee-for-service Medicare beneficiaries (N=552,414) discharged from a hospital to a SNF in 2013...
April 14, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29656206/enhancing-first-time-parents-self-efficacy-a-systematic-review-and-meta-analysis-of-universal-parent-education-interventions-efficacy
#2
REVIEW
Nur Arina Liyana Amin, Wilson W S Tam, Shefaly Shorey
BACKGROUND: Poor adjustment during early parenthood often leads to low feelings of parental self-efficacy, which influences parents' behaviours towards their infants. The long-term consequences on infant development warrant the need for more attention on the efficacy of universal parent education interventions to empower parents and enhance their self-efficacy. OBJECTIVES: To synthesise available evidence and explore the efficacy of universal parent education interventions on the parental self-efficacy of first-time parents...
March 28, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29655553/transitional-care-post-tavi-a-pilot-initiative-focused-on-bridging-gaps-and-improving-outcomes
#3
Sandra Wong, Lorraine Montoya, Bonnie Quinlan
Interventions focused on ensuring safe transitions for patients from hospital to home can assist in providing continuity of care, preventing readmissions, and reducing duplication of services. Patients undergoing a Transcatheter Aortic Valve Implantation (TAVI) procedure are often frail, elderly, and have multiple co-morbidities. A pilot initiative evaluating transitional care strategies through telephone follow up was implemented in a tertiary centre with the aim to identify gaps and intervene, preventing re-admission and improving patient outcomes...
April 11, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/29652872/medical-management-of-transgender-children-and-adolescents
#4
María Fernanda Castilla-Peón
Transgender or gender nonconforming (GN) persons identify themselves with a gender which is different from that correspondent to their birth sex. The demand for health services by families with transgender children or adolescents tends to increase. The prevalence of GN in children is unknown; however, it has been estimated to be > 1% in adolescents. Transgender persons are at increased risk of depression, suicide, illicit drug abuse, human immunodeficiency virus infection, and non-accidental injury. The most accepted model for the care of transgender persons assumes that these adverse outcomes are the consequence of social margination rather than the GI condition itself...
2018: Boletín Médico del Hospital Infantil de México
https://www.readbyqxmd.com/read/29652654/patients-with-juvenile-idiopathic-arthritis-become-adults-the-role-of-transitional-care
#5
REVIEW
Fabrizio Conti, Irene Pontikaki, Mariella D'Andrea, Angelo Ravelli, Fabrizio De Benedetti
Most juvenile idiopathic arthritis (JIA) patients need to attend adult rheumatology centres to continue the clinical management of their disease and to receive adequate long-term treatment. Transition from the paediatric to the adult health care team is a critical moment in the clinical history of these patients, but unfortunately, about 50% of the transfer processes to adult rheumatology are not successful, putting these patients at high risk of unfavourable outcomes. There are several obstacles to the success of transitional care for JIA patients, such as the absence of specific criteria for the assessment of disease activity, the lack of specific treatment recommendations for JIA adult patients, the poor adolescent-specific training for adult rheumatologists, and the shortage of resources...
April 13, 2018: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/29650877/-activity-report-and-future-prospects-of-the-medical-and-nursing-care-cooperation-desk-in-koshigaya-city
#6
Megumi Nogami, Yoji Sato, Akihiko Okano, Kyoji Ohkoshi
The "medical and nursing care cooperation desk" was established within the Koshigaya Medical Association in April 2016 in and began operating in Koshigaya City. There were 243 consultation cases during the 17 months from April 1, 2016 to August 31, 2017. Consultation with medical institutions and visiting nursing stations accounted for 42%of cases and nursing-related personnel accounted for 40%. Regarding consultation contents, transition to home medical care accounted for 50%of cases. We publish a monthly information magazine, "Cooperation Between Medical Care and Nursing Care,"with information on the contents of consultation, and multidisciplinary information sharing is being planned...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650874/-findings-from-actual-situation-of-cooperation-between-discharge-nurses-and-home-visiting-nurses-from-shifting-to-home-care-through-terminal-phase-in-terminal-cancer-patients
#7
Satomi Konno, Hamae Nagai
We conducted questionnaire surveys focusing on the"actual situation of cooperation between discharge nurses and homevisiting nurses etc. from transition to home-care through the terminal phase in terminal cancer patients."As a result,discharge nurses were employed at acute-stage hospitals to practice discharge adjustment. Medical staff in home care and home care workers continuously supported the patients and their families in managing difficulties such as changes in pathological conditions and care-related anxiety after the patient was discharged...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650872/-examination-of-patients-that-died-within-48-hours-after-urgent-hospitalization
#8
Kazuhiro Kawada, Ryota Yanaizumi, Osamu Takahashi
We offer inpatient support for end-stage cancer patients, not only in palliative care units, but also in general medical and long-term care units. We also provide outpatient palliative care and offer emergent backup for the regional home care clinics. From January 2014 to December 2016, 1,832 patients were hospitalized, and among them, 983 patients visited our hospital on an emergency basis. Among the urgent hospitalized patients, 378 patients returned home after adequate palliative care. But 605 patients had to stay admitted in the hospital until their time of death...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650807/perceptions-of-health-care-transition-care-coordination-in-patients-with-chronic-illness
#9
Monika Lemke, Rachel Kappel, Robert McCarter, Lawrence D'Angelo, Lisa K Tuchman
OBJECTIVES: Expert consensus jointly authored in 2011 by the American Academy of Pediatrics, American Academy of Family Physicians, and American College of Physicians supports the use of health care transition (HCT) care coordination (CC). Although gaps in care are addressed in these practice-based implementation recommendations, such recommendations have never undergone rigorous assessment. We assessed the effectiveness of implementation on quality of chronic illness care and CC during HCT for adolescents and young adults...
April 12, 2018: Pediatrics
https://www.readbyqxmd.com/read/29650743/improving-transition-to-adulthood-for-adolescents-with-intellectual-and-developmental-disabilities-proactive-developmental-and-systems-perspective
#10
REVIEW
Shara Ally, Kerry Boyd, Dara Abells, Khush Amaria, Yani Hamdani, Alvin Loh, Ullanda Niel, Samantha Sacks, Sarah Shea, William F Sullivan, Brian Hennen
OBJECTIVE: To demonstrate how family physicians can contribute to a piece of the journey of improving quality-of-life outcomes for people with intellectual and developmental disabilities (IDD) when they undergo the transition from adolescence to adulthood. SOURCES OF INFORMATION: The "Primary care of adults with intellectual and developmental disabilities. 2018 Canadian consensus guidelines" literature review and interdisciplinary input. MAIN MESSAGE: Family physicians should be proactive in anticipating and supporting the transition of people with IDD from adolescence to adulthood...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29650726/reduction-of-healthcare-costs-through-a-transitions-of-care-program
#11
Weiyi Ni, Danielle Colayco, Jonathan Hashimoto, Kevin Komoto, Chandrakala Gowda, Bruce Wearda, Jeffrey McCombs
PURPOSE: Results of an evaluation of the impact of a pharmacy-based transitional care program on healthcare costs in a population of high-risk patients are reported. METHODS: A nonrandomized, observational cohort study was conducted to compare cost outcomes in a group of patients discharged from a single hospital who were referred to an ambulatory care pharmacy-based transitions-of-care (TOC) program and a control group of patients discharged from neighboring hospitals who received usual care; all patients were members of the same managed Medicaid plan...
April 12, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29650073/the-clinical-examination-and-socially-at-risk-populations-the-examination-matters-for-health-disparities
#12
REVIEW
Karly A Murphy, Alejandra Ellison-Barnes, Erica N Johnson, Lisa A Cooper
Data from the United States show that persons from low socioeconomic backgrounds, those who are socially isolated, belong to racial or ethnic minority groups, or identify as lesbian, gay, bisexual, or transgender experience health disparities at a higher rate. Clinicians must transition from a biomedical to a biopsychosocial framework within the clinical examination to better address social determinants of health that contribute to health disparities. We review the characteristics of successful patient-clinician interactions...
May 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/29649672/leading-up-to-saying-yes-a-qualitative-study-on-the-experience-of-patients-with-refractory-epilepsy-regarding-presurgical-investigation-for-resective-surgery
#13
Patti Shih, Armin Nikpour, Andrew Bleasel, Geoffrey Herkes, Rebecca Mitchell, Rebecca Seah, Virginia Mumford, Jeffrey Braithwaite, Sanjyot Vagholkar, Frances Rapport
OBJECTIVES: Adult patients with refractory epilepsy who are potential candidates for resective surgery undergo a period of presurgical investigation in tertiary epilepsy centers (TECs), where they engage extensively with healthcare professionals and receive a range of treatment-related information. This qualitative study aimed to examine the experiences of adult patients with refractory epilepsy leading up to and during presurgical investigation and how their perceptions of resective surgery are shaped...
April 9, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29649405/economic-impact-of-early-inpatient-palliative-care-intervention-in-a-community-hospital-setting
#14
James Fitzpatrick, Matthew Mavissakalian, Tisha Luciani, Yijing Xu, Amber Mazurek
BACKGROUND: Inpatient palliative care programs have demonstrated financial benefit for the hospital and improved quality of care for patients with advanced disease. Previous studies on this subject have focused on comparisons between palliative and traditional care. The financial and clinical effects of early versus late palliative care intervention are less well documented. OBJECTIVE: The aims of this study are to review the financial and quality outcomes that early palliative care intervention has on appropriate inpatients in the community hospital setting...
March 20, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29649078/point-of-diagnosis-and-patient-retention-in-hiv-care-in-western-kenya
#15
Becky L Genberg, Hana Lee, Joseph W Hogan, Fatma Some, Juddy Wachira, Xiaotian K Wu, Paula Braitstein
BACKGROUND: Home-based counseling and testing (HBCT) achieves earlier HIV diagnosis than other testing modalities; however, retention in care for these healthier patients is unknown. The objective of this study was to determine the association between point of HIV testing and retention in care and mortality. SETTING: AMPATH (Academic Model Providing Access to Healthcare) has provided HIV care in western Kenya since 2001. METHODS: AMPATH initiated HBCT in 2007...
April 10, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29648944/parents-concerns-regarding-the-growth-characteristics-of-their-adolescents-a-qualitative-inquiry-in-iran
#16
Mohammad Ali Cheraghi, Parvaneh Rezasoltani, AbouAli Vedadhir, Ziba Taghizadeh, Seyyed Hossein Samadanifard
In recent times, parents have become increasingly concerned, both subjectively and objectively, about their adolescents' body height/weight growth. Parent-adolescent interactions about this issue and the potential socio-psychological consequences of such interactions should be considered as an important influencing factor on the future of adolescents' sexual and reproductive health. To achieve a greater understanding of such concerns, it is necessary to further elucidate parents' experiences on this topic, so as to expand the existing literature...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29648911/body-image-perceptions-of-women-veterans-with-military-sexual-trauma
#17
Wyona M Freysteinson, Susan Mellott, Tania Celia, Jinlan Du, Marilyn Goff, Tana Plescher, Zoheb Allam
The researchers were invited to a transitional home for homeless women veterans to help veterans with body image issues. Convenience sampling was used to recruit 12 veterans who perceived they had a physical difference due to military service. Data were obtained in focus groups where the veterans were invited to share stories. Ricoeur's hermeneutic phenomenology guided the study. The research team learned early in the data collection stage that 11 of the 12 participants suffered military sexual trauma (MST)...
April 12, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29648574/association-of-frailty-with-recovery-from-disability-among-community-dwelling-older-adults-results-from-two-large-u-s-cohorts
#18
Chenkai Wu, Dae H Kim, Qian-Li Xue, David S H Lee, Ravi Varadhan, Michelle C Odden
Background: Disability in activities of daily living (ADLs) is a dynamic process and transitions among different disability states are common. However, little is known about factors affecting recovery from disability. We examined the association between frailty and recovery from disability among non-disabled community-dwelling elders. Methods: We studied 1023 adults from the Cardiovascular Health Study (CHS) and 685 adults from the Health and Retirement Study (HRS), who were ≥65 years and had incident disability, defined as having difficulty in ≥1 ADL (dressing, eating, toileting, bathing, transferring, walking across a room)...
April 10, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29643744/cost-effectiveness-of-the-recommended-medical-intervention-for-the-treatment-of-dysmenorrhea-and-endometriosis-in-japan
#19
Ichiro Arakawa, Mikio Momoeda, Yutaka Osuga, Ikuko Ota, Kaori Koga
Background and objective: This study aims to assess the cost-effectiveness of early physician consultation and guideline-based intervention to prevent endometriosis and/or disease progression using oral contraceptive (OC) and progestin compared to follow-up of self-care for dysmenorrhea in Japan. Methods: A yearly-transmitted Markov model of five major health states with four sub-medical states was constructed. Transition probabilities among health and medical states were derived from Japanese epidemiological patient surveys and converted to appropriate parameters for inputting into the model...
2018: Cost Effectiveness and Resource Allocation: C/E
https://www.readbyqxmd.com/read/29643346/ultrastable-metallic-glasses-formed-on-cold-substrates
#20
P Luo, C R Cao, F Zhu, Y M Lv, Y H Liu, P Wen, H Y Bai, G Vaughan, M di Michiel, B Ruta, W H Wang
Vitrification from physical vapor deposition is known to be an efficient way for tuning the kinetic and thermodynamic stability of glasses and significantly improve their properties. There is a general consensus that preparing stable glasses requires the use of high substrate temperatures close to the glass transition one, Tg . Here, we challenge this empirical rule by showing the formation of Zr-based ultrastable metallic glasses (MGs) at room temperature, i.e., with a substrate temperature of only 0.43Tg ...
April 11, 2018: Nature Communications
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