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Nursing homes

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https://www.readbyqxmd.com/read/29656565/rural-urban-differences-in-costs-of-end-of-life-care-for-the-last-6-months-of-life-among-patients-with-breast-lung-or-colorectal-cancer
#1
Elizabeth Crouch, Jan M Eberth, Janice C Probst, Kevin Bennett, Swann A Adams
PURPOSE: The purpose of this study was to examine rural-urban differences in utilization and expenditures in the last 6 months of life for patients with breast, lung, or colorectal cancer. METHODS: The study used a 5% sample of the 2013 Medicare Research Identifiable Files to study utilization and expenditures for beneficiaries with breast, lung, or colorectal cancer during the last 6 months before death (n = 6,214). End of life expenditures were calculated as the sum of total Medicare expenditures for inpatient, outpatient, physician, home health, hospice, and skilled nursing facility costs during the last 6 months of life...
April 15, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29656469/mortality-and-nursing-home-placement-of-dementia-patients-in-rural-and-urban-areas-a-cohort-study-from-the-swedish-dementia-registry
#2
Mandy Roheger, Eva Zupanic, Ingemar Kåreholt, Dorota Religa, Elke Kalbe, Maria Eriksdotter, Sara Garcia-Ptacek
BACKGROUND: Life in rural and urban areas differs in regard to social support and health care. Our aim was to examine the association between nursing home placement and survival of patients with dementia living in urban vs. rural areas. METHODS: We performed a longitudinal cohort study of patients with dementia at time of diagnosis (n = 58 154) and at first follow-up (n = 21 522) including patients registered from 2007 through 2014 in the Swedish Dementia Registry (SveDem)...
April 14, 2018: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/29656399/differences-between-skilled-nursing-facilities-in-risk-of-subsequent-long-term-care-placement
#3
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/29655553/transitional-care-post-tavi-a-pilot-initiative-focused-on-bridging-gaps-and-improving-outcomes
#4
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/29652898/tooth-loss-and-pneumonia-mortality-a-cohort-study-of-japanese-dentists
#5
Shino Suma, Mariko Naito, Kenji Wakai, Toru Naito, Masaaki Kojima, Osami Umemura, Makoto Yokota, Nobuhiro Hanada, Takashi Kawamura
Although associations between oral health and pneumonia have been reported in previous studies, particularly in the institutionalized elderly, few prospective studies have investigated the association between oral condition and pneumonia among community-dwelling people and whether the findings among inpatients or patients in nursing homes are applicable to the general population is still unclear. The oral bacteria propagated in the periodontal regions may drop into the lung and increase the risk of pneumonia...
2018: PloS One
https://www.readbyqxmd.com/read/29652733/circumstances-and-signs-of-approaching-death-in-patients-with-amyotrophic-lateral-sclerosis-undergoing-noninvasive-ventilation-in-home-care-settings
#6
Mitsuko Ushikubo
The purpose of this study was to elucidate the circumstances and symptoms of patients with amyotrophic lateral sclerosis (ALS) using noninvasive positive pressure ventilation (NPPV) in whom death was approaching, to understand how to provide palliative care to dying patients with ALS receiving NPPV management. The participants were 6 home visiting nurses who were head or subhead nurses of a home visiting nursing agency. Data were collected data conducting individual semistructured interviews and then group interviews...
April 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29651900/encounters-with-health-care-providers-and-advance-directive-completion-by-older-adults
#7
Catheryn Koss
BACKGROUND: The Patient Self-Determination Act (PSDA) requires hospitals, home health agencies, nursing homes, and hospice providers to offer new patients information about advance directives. There is little evidence regarding whether encounters with these health-care providers prompt advance directive completion by patients. OBJECTIVE: To examine whether encounters with various types of health-care providers were associated with higher odds of completing advance directives by older patients...
January 1, 2018: Journal of Palliative Care
https://www.readbyqxmd.com/read/29651816/theoretical-and-hands-on-guidance-from-dental-hygienists-promotes-good-oral-health-in-elderly-people-living-in-nursing-homes-a-pilot-study
#8
B Seleskog, L Lindqvist, I Wårdh, A Engström, I von Bültzingslöwen
OBJECTIVES: Oral health in nursing homes for elderly is often unsatisfactory, and oral health education to nursing staff has not shown sufficient results why there is need for novel approaches. The aim of the study was to trial a new oral healthcare educational programme and to evaluate the effects on residents' oral health. In addition, attitudes among the nursing staff in the intervention nursing home were explored. METHODS: In a controlled clinical trial, two comparable nursing homes were randomly assigned for intervention or control...
April 12, 2018: International Journal of Dental Hygiene
https://www.readbyqxmd.com/read/29650888/-actual-situation-and-subjects-in-calculations-of-cancer-patients-instruction-management-fee-2-at-hospital-a-focusing-on-home-cared-patient-s-discomfort-and-thoughts
#9
Naoko Shinkai
Since 2010, Cancer-Patient Instruction and Management fees has been included in remuneration for medical services.At Hospital A, calculation of the Cancer-Patient Instruction and Management fees 1 and 2 was started in 2016. Since then, 2 years have passed.Interview contents of the Cancer-Patient Instruction and Management fee 2, which nurses have calculated, were reviewed and home care patient's discomfort during and thoughts about anti-cancer drug treatments were clarified. The contents of interviews were coded and analyzed...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650884/-role-of-pharmacists-in-the-care-of-pediatric-patients-needing-home-visiting-intervention-for-pharmaceutical-management-and-their-life-depending-on-medical-care
#10
Michiyo Kawana, Minoru Hatsuta, Yoichi Ishikawa, Masayoshi Hirohara, Kazuki Kushida
Medical advances have made it possible to save lives of children with severe refractory diseases. As a result, the number of children who need continuous medical care at home has increased. However, currently, few medical personnel of both medical institutions and pharmacies are aware of home visiting intervention for pharmaceutical management. Home visiting intervention should be utilized more for severely impaired children who are highly dependent on medical care to effectively reduce the nursing care burden of the family and to secure pharmaceutical supply path...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650879/-a-study-on-designs-and-achievements-of-trainings-for-enhancing-the-self-help-ability-of-home-cared-persons-in-preparing-for-disasters-review-of-disaster-drills-with-cared-persons-and-their-families
#11
Kayo Shirai, Mieko Ito, Kiyomi Hata
After the Great East Japan Earthquake, we re-recognized the importance of self-help efforts of home-cared persons and their families and the necessity of advanced measures. In 2013, we designed a disaster drill to enhance the self-help ability of home-cared persons and their families in a stepwise fashion. In 2016, for the purpose of reviewing the achievements of the designed drill and its contents, the disaster drill was conducted on 21 users of our home-visit nursing station, followed by a questionnaire survey regarding the training contents, date/time, documents used, change in awareness, disaster-preventive actions, etc...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650878/-balance-in-disaster-preparedness-between-public-self-and-mutual-help-for-home-cared-individuals
#12
Kiyomi Hata, Masao Hata
At present, when it is predicted that large-scale disasters may occur, repletion and reinforcement of disaster preparedness are required. For disaster preparedness, a balance between public, self-, and mutual help is important. However, designated hospitals and their support systems were placed importance in medical care during disasters, and preparedness in regard to home care has not been discussed sufficiently. The purpose of this study is to clarify preparations that home-visit nursing stations may implement, states of support for self-help of cared persons and their families and mutual help such as of communities, in home-visit nursing stations in the areas where large-scale damages by Tokyo Inland Earthquake and Nankai Trough Earthquake are assumed...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650877/-activity-report-and-future-prospects-of-the-medical-and-nursing-care-cooperation-desk-in-koshigaya-city
#13
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
#14
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/29650862/-caregivers-working-in-a-nursing-home-facility-utilizing-a-simulation-program-as-an-effective-preventative-measure-for-pressure-ulcers
#15
Chie Furukawa
The purpose of this study was to clarify if a simulation program utilized by caregivers working in a nursing home is an effective preventative measure for pressure ulcers. The study sample consists of 35caregivers working in a nursing home in Osaka, Japan. The results show that knowledge and practice of preventive measures were significantly higher after using the simulation program for preventive care of pressure ulcers. Nurses and care workers need to cooperate with each other to improve quality of care.
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650130/effects-of-single-session-group-mantra-meditation-on-salivary-immunoglobulin-a-and-affective-state-a-psychoneuroimmunology-viewpoint
#16
Fatemeh Torkamani, Alireza Aghayousefi, Ahmad Alipour, Mohammad Nami
OBJECTIVES: Based on existing psychoneuroimmunological insights, the present study aimed at investigating possible effects of a single-session group mantra-meditation on salivary immunoglobulin A (s-IgA) and affective states. MATERIALS AND METHODS: A controlled pretest-posttest study enrolled 30 healthy women (mean age 44 ± 3 years) through a multi-stage random sampling method from yoga clubs in Shiraz (Feb-Dec, 2016). Subjects were randomly assigned to experimental (n = 15) and control (n = 15) groups...
March 2018: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/29649611/predictors-of-adverse-discharge-disposition-in-adult-spinal-deformity-and-associated-costs
#17
Peter G Passias, Gregory W Poorman, Cole A Bortz, Rabia Qureshi, Bassel G Diebo, Justin C Paul, Samantha R Horn, Frank A Segreto, Alexandra Pyne, Cyrus M Jalai, Virginie Lafage, Shay Bess, Frank J Schwab, Hamid Hassanzadeh
BACKGROUND CONTEXT: With advances in the understanding of adult spinal deformity (ASD), more complex osteotomy and fusion techniques are being implemented with increasing frequency. Patients undergoing ASD corrections infrequently require extended acute care, longer inpatient stays, and are discharged to supervised care. Given the necessity of value-based health care, identification of clinical indicators for adverse discharge disposition in ASD surgeries is paramount. PURPOSE: On nationwide and surgeon-created databases, identify predictors of adverse discharge disposition after ASD surgeries and view corresponding differences in charges...
April 9, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29649001/trends-in-characteristics-of-women-choosing-contraindicated-home-births
#18
Kelly B Zafman, Joanne L Stone, Stephanie H Factor
OBJECTIVE: To characterize the American College of Obstetricians and Gynecologists (ACOG) contraindicated home births and the women who are receiving these births in hopes of identifying venues for intervention. METHODS: The National Center for Health Statistics (NCHS) birth certificate records from 1990 to 2015 were used. "Planned home births" were defined as those births in which birthplace was coded as "residence" and birth attendant was coded as "certified nurse midwife (CNM)" or "other midwife"...
April 12, 2018: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/29644927/disease-specific-clinical-pathways-are-they-feasible-in-primary-care-a-mixed-methods-study
#19
Anders Grimsmo, Audhild Løhre, Tove Røsstad, Ingunn Gjerde, Ina Heiberg, Aslak Steinsbekk
OBJECTIVE: To explore the feasibility of disease-specific clinical pathways when used in primary care. DESIGN: A mixed-method sequential exploratory design was used. First, merging and exploring quality interview data across two cases of collaboration between the specialist care and primary care on the introduction of clinical pathways for four selected chronic diseases. Secondly, using quantitative data covering a population of 214,700 to validate and test hypothesis derived from the qualitative findings...
April 12, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29642929/how-well-does-the-minimum-data-set-measure-healthcare-use-a-validation-study
#20
Malcolm B Doupe, Jeff Poss, Peter G Norton, Allan Garland, Natalia Dik, Shauna Zinnick, Lisa M Lix
BACKGROUND: To improve care, planners require accurate information about nursing home (NH) residents and their healthcare use. We evaluated how accurately measures of resident user status and healthcare use were captured in the Minimum Data Set (MDS) versus administrative data. METHODS: This retrospective observational cohort study was conducted on all NH residents (N = 8832) from Winnipeg, Manitoba, Canada, between April 1, 2011 and March 31, 2013. Six study measures exist...
April 11, 2018: BMC Health Services Research
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