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Skilled-nursing facilities

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https://www.readbyqxmd.com/read/29148566/factors-that-influence-the-provision-of-intrapartum-and-postnatal-care-by-skilled-birth-attendants-in-low-and-middle-income-countries-a-qualitative-evidence-synthesis
#1
REVIEW
Susan Munabi-Babigumira, Claire Glenton, Simon Lewin, Atle Fretheim, Harriet Nabudere
BACKGROUND: In many low- and middle-income countries women are encouraged to give birth in clinics and hospitals so that they can receive care from skilled birth attendants. A skilled birth attendant (SBA) is a health worker such as a midwife, doctor, or nurse who is trained to manage normal pregnancy and childbirth. (S)he is also trained to identify, manage, and refer any health problems that arise for mother and baby. The skills, attitudes and behaviour of SBAs, and the extent to which they work in an enabling working environment, impact on the quality of care provided...
November 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29144906/re-medications-associated-with-geriatric-syndromes-and-their-prevalence-in-older-hospitalized-adults-discharged-to-skilled-nursing-facilities
#2
Tomas L Griebling
No abstract text is available yet for this article.
December 2017: Journal of Urology
https://www.readbyqxmd.com/read/29141640/discordance-in-self-report-and-observation-data-on-mistreatment-of-women-by-providers-during-childbirth-in-uttar-pradesh-india
#3
Arnab Dey, Holly Baker Shakya, Dharmendra Chandurkar, Sanjiv Kumar, Arup Kumar Das, John Anthony, Mrunal Shetye, Suneeta Krishnan, Jay G Silverman, Anita Raj
BACKGROUND: The study aims to assess the discordance between self-reported and observed measures of mistreatment of women during childbirth in public health facilities in Uttar Pradesh, India, as well as correlates of these measures and their discordance. METHODS: Cross sectional data were collected through direct observation of deliveries and follow-up interviews with women (n = 875) delivering in 81 public health facilities in Uttar Pradesh. Participants were surveyed on demographics, mistreatment during childbirth, and maternal and newborn complications...
November 15, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29128234/skilled-nursing-facility-partnerships-may-decrease-90-day-costs-in-a-total-joint-arthroplasty-episode-under-the-bundled-payments-for-care-improvement-initiative
#4
Omar A Behery, Shalen Kouk, Kevin K Chen, Kathleen A Mullaly, Joseph A Bosco, James D Slover, Richard Iorio, Ran Schwarzkopf
BACKGROUND: The Bundled Payments for Care Improvement initiative was developed to reduce costs associated with total joint arthroplasty through a single payment for all patient care from index admission through a 90-day post-discharge period, including care at skilled nursing facilities (SNFs). The aim of this study is to investigate whether forming partnerships between hospitals and SNFs could lower the post-discharge costs. We hypothesize that institutionally aligned SNFs have lower post-discharge costs than non-aligned SNFs...
October 16, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29126058/empowering-clinical-supervisors-to-flourish-though-critical-companionship
#5
Maria Mackay, Moira Stephens, Siobhan Wragg, Saskia Ebejer, Sharon Bourgeois
Education for professional nursing practice has undergone a significant shift over the last few decades impacting nursing practice and the relationship between nurses. Enhancing professional practice and acting as a conduit for empowering nurses to be active participants in their learning and development is Practice Development. This action research project with philosophical premises of critical companionship and human flourishing aimed to develop the knowledge and skills of registered nurses in their ability to provide clinical supervision of nursing students in practice...
October 22, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/29118080/perceptions-of-program-directors-and-educators-regarding-the-adequacy-of-oral-health-education-in-nursing-assistant-curricula
#6
Barbara A Stowers, Lori Giblin, Lisa Laspina, Kristeen Perry
Purpose: National data indicate that the oral health status of the aging population in long term care facilities (LTCF) is poor in the majority of cases. Nursing assistants are considered to be the primary caregivers of oral health care to elders residing in LTCF's. The aim of this research was to explore the perspectives among nursing educators and program directors on the adequacy of oral health education in nursing assistant curricula.Methods: This exploratory, cross-sectional study utilized a web-based questionnaire adapted, with permission, from a prior study conducted in 2009...
August 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29117077/vascular-graft-infection-incidence-and-potential-risk-factors
#7
Catherine R Ratliff, David Strider, Tanya Flohr, Danielle Moses, Virginia Rovnyak, Julie Armatas, Jennifer Johnson, Alison Okerlund, Mary Baldwin, Marian Lawson, Suzanne Fuhrmeister, Margaret C Tracci, Gilbert R Upchurch, Kenneth J Cherry
PURPOSE: The purpose of this study was to identify factors that increase the risk of vascular graft infections (VGI) in patients following abdominal or lower extremity revascularization surgery. DESIGN: Retrospective, descriptive study. METHODS: We reviewed the electronic health records of 223 patients who had undergone abdominal or lower extremity revascularization procedures from July 2012 to November 2014, looking for factors associated with VGI...
November 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29112226/new-institutionalization-in-long-term-care-after-hospital-discharge-to-skilled-nursing-facility
#8
Addie Middleton, Shuang Li, Yong-Fang Kuo, Kenneth J Ottenbacher, James S Goodwin
BACKGROUND/OBJECTIVES: Approximately half of individuals newly admitted to long-term care (LTC) nursing homes (NHs) experienced a prior hospitalization followed by discharge to a skilled nursing facility (SNF). The objective was to examine characteristics associated with new institutionalizations of older adults on this care trajectory. DESIGN: Retrospective cohort study. SETTING: SNFs and LTC NHs. PATIENTS: Medicare fee-for-service beneficiaries admitted to 7,442 SNFs in 2013 (N = 597,986)...
November 7, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29111304/who-are-they-patients-with-heart-failure-in-american-skilled-nursing-facilities
#9
Lin Li, Bill M Jesdale, Anne Hume, Giovanni Gambassi, Robert J Goldberg, Kate L Lapane
BACKGROUND: Heart failure (HF) is common among skilled nursing facility (SNF) residents, yet patients with HF in the SNF setting have not been well described. METHODS: Using Minimum Data Set 3.0 cross-linked to Medicare data (2011-2012), we studied 150,959 HF patients admitted to 13,858 SNFs throughout the USA. ICD-9 codes were used to differentiate patients with HF with preserved ejection fraction (HFpEF), reduced ejection fraction (HFrEF), or unspecified HF. RESULTS: The median age of the study population was 82 years, 68% were women, 34% had HFpEF, and 27% had HFrEF...
October 27, 2017: Journal of Cardiology
https://www.readbyqxmd.com/read/29108886/trajectories-over-the-first-year-of-long-term-care-nursing-home-residence
#10
Shuang Li, Addie Middleton, Kenneth J Ottenbacher, James S Goodwin
OBJECTIVES: To describe the trajectories in the first year after individuals are admitted to long-term care nursing homes. DESIGN: Retrospective cohort study. SETTING: US long-term care facilities. PARTICIPANTS: Medicare fee-for-service beneficiaries newly admitted to long-term care nursing homes from July 1, 2012, to December 31, 2013 (N=535,202). MEASUREMENTS: Demographic characteristics were from Medicare data...
November 3, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29107257/translating-evidence-into-practice-how-advanced-practice-rns-can-guide-nurses-in-challenging-established-practice-to-arrive-at-best%C3%A2-practice
#11
Jennifer L Fencl, Candace Matthews
Nursing is an information-intensive profession, requiring nurses to have high information literacy and the skills to find, understand, evaluate, and use information from a multitude of sources. The advanced practice RN (APRN) is a valuable resource to support and guide nurses in this effort. The APRN's skills encompass understanding and implementing evidence-based practice, evaluating the organizational structure (eg, units, facilities, multisystem organizations) across the continuum of care, and facilitating collaboration between perioperative nurses and other interprofessional team members to sustain practice changes in the clinical setting...
November 2017: AORN Journal
https://www.readbyqxmd.com/read/29107164/subarachnoid-hemorrhage-and-readmissions-national-rates-causes-risk-factors-and-outcomes-in-16-001-hospitalized-patients
#12
Kavelin Rumalla, Kyle A Smith, Paul M Arnold, Manoj K Mittal
INTRODUCTION: The acute complications of aneurysmal subarachnoid hemorrhage (aSAH) often lead to readmissions, which are linked to hospital reimbursement. The national rates, causes, risk factors, and outcomes associated with 30-day and 90-day readmission following aSAH have not previously been reported. METHODS: The Nationwide Readmissions Database was queried from January through September 2013 for all patients (age ≥ 18) with a diagnosis of aSAH. Data points included demographics, comorbidities, complications, and discharge outcomes...
October 26, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29103674/functional-outcomes-after-inpatient-rehabilitation-for-trauma-improved-but-unable-to-return-home
#13
Catherine W Lancaster, Charles DiMaggio, Gary Marshall, Stephen Wall, Patricia Ayoung-Chee
BACKGROUND: Twenty-five percent of trauma patients are discharged to postacute care, indicating a loss of physical function and need for rehabilitation. The purpose of this study was to quantify the functional improvements in trauma patients discharged from inpatient rehabilitation facility (IRF) and identify predictors of improvement. MATERIALS AND METHODS: A retrospective cohort study of trauma patients aged ≥ 18 years were admitted to an IRF after discharge from a level-1 trauma center...
November 2, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29097273/-they-need-to-have-an-understanding-of-why-they-re-coming-here-and-what-the-outcomes-might-be-clinician-perspectives-on-goals-of-care-for-patients-discharged-from-hospitals-to-skilled-nursing-facilities
#14
Shelli L Feder, Meredith Campbell Britton, Sarwat I Chaudhry
CONTEXT: The number of patients discharged from acute care hospitals to skilled nursing facilities (SNFs) is rising. These patients have increasingly complex needs and many experience poor outcomes while under SNF care, including hospital readmissions. Patients' goals of care (GoC) are viewed as a factor contributing to unplanned hospital readmissions from SNFs. However, clinicians' perspectives of GoC for hospitalized patients discharged to SNFs are not well-described. OBJECTIVES: To explore how clinicians view GoC for hospitalized patients discharged to SNFs...
October 30, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29089456/no-racial-difference-in-rehabilitation-therapy-across-all-post-acute-care-settings-in-the-year-following-a-stroke
#15
Lesli E Skolarus, Chunyang Feng, James F Burke
BACKGROUND AND PURPOSE: Black stroke survivors experience greater poststroke disability than whites. Differences in post-acute rehabilitation may contribute to this disparity. Therefore, we estimated racial differences in rehabilitation therapy utilization, intensity, and the number of post-acute care settings in the first year after a stroke. METHODS: We used national Medicare data to study 186 168 elderly black and white patients hospitalized with a primary diagnosis of stroke in 2011...
October 31, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29081391/independent-association-between-pre-operative-cognitive-status-and-discharge-location-after-surgery-a-strategy-to-reduce-resource-use-after-surgery-for-deformity
#16
Owoicho Adogwa, Aladine A Elsamadicy, Amanda Sergesketter, Victoria D Vuong, Jessica Moreno, Joseph Cheng, Isaac O Karikari, Carlos A Bagley
BACKGROUND: The aim of this study is to determine if preoperative scores on a screening measure for cognitive status(the Saint Louis Mental Status), were associated with discharge to a location other than home in elderly patients undergoing surgery for deformity. METHODS: Elderly subjects (≥65 years) undergoing a planned elective spinal surgery for correction of adult degenerative scoliosis were enrolled in this study. Pre-operative baseline cognition was assessed using the validated Saint Louis Mental Status (SLUMS) test...
October 25, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29072783/living-alone-and-discharge-to-skilled-nursing-facility-care-after-hospitalization-in-older-adults
#17
Daniel E Lage, Michael C Jernigan, Yuchiao Chang, David C Grabowski, John Hsu, Joshua P Metlay, Sachin J Shah
BACKGROUND/OBJECTIVES: Community-based older adults are increasingly living alone. When they become ill, they might need greater support from the healthcare system than would those who live with others. There also has been a growing concern about the high use of postacute care such as skilled nursing facility (SNF) care and the level of variation in this use between hospitals and regions. Our objective was to examine whether living alone contributed to the risk of being discharged to a SNF...
October 26, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29069115/the-enhanced-care-program-impact-of-a-care-transition-program-on-30-day-hospital-readmissions-for-patients-discharged-from-an-acute-care-facility-to-skilled-nursing-facilities
#18
Bradley T Rosen, Ronald J Halbert, Kelley Hart, Marcio A Diniz, Sharon Isonaka, Jeanne T Black
BACKGROUND: Increased acuity of skilled nursing facility (SNF) patients challenges the current system of care for these patients. OBJECTIVE: Evaluate the impact on 30-day readmissions of a program designed to enhance the care of patients discharged from an acute care facility to SNFs. DESIGN: An observational, retrospective cohort analysis of 30-day hospital readmissions for patients discharged to 8 SNFs between January 1, 2014, and June 30, 2015...
October 4, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29066112/costs-and-risk-factors-for-hospital-readmission-after-periprosthetic-knee-fractures-in-the-united-states
#19
Russell A Reeves, William W Schairer, David S Jevsevar
BACKGROUND: Periprosthetic fractures (PPFX) around total knee arthroplasty (TKA) are devastating complications with significant morbidity. With growing healthcare costs, hospital readmissions have become a marker for quality healthcare delivery. However, little is known about the risk factors or costs associated with readmission after treatment of PPFX. We sought to identify the patient demographics, prevalence of treatment types (open reduction internal fixation [ORIF] vs revision TKA), 30 and 90-day readmission rates, costs of initial treatment and readmission, and risk factors for readmission...
September 23, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29057343/the-prevalence-of-undiagnosed-pre-surgical-cognitive-impairment-and-its-post-surgical-clinical-impact-in-elderly-patients-undergoing-surgery-for-adult-spinal-deformity
#20
Owoicho Adogwa, Aladine A Elsamadicy, Emily Lydon, Victoria D Vuong, Joseph Cheng, Isaac O Karikari, Carlos A Bagley
BACKGROUND: Pre-existing cognitive impairment (CI) is emerging as a predictor of poor post-operative outcomes in elderly patients. Little is known about impaired preoperative cognition and outcomes after elective spine surgery in this patient population. The purpose of this study was to assess the prevalence of neuro CI in elderly patients undergoing deformity surgery and its impact on postoperative outcomes. METHODS: Elderly subjects undergoing elective spinal surgery for correction of adult degenerative scoliosis were enrolled in this study...
September 2017: Journal of Spine Surgery (Hong Kong)
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