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https://www.readbyqxmd.com/read/28028266/-case-study-a-successful-cooperation-of-clinic-pharmacist-and-pharmacies-in-home-palliative-care-with-pca-pump
#1
Michiyo Kawana, Haruko Yuge, Hirokazu Sakurai, Minoru Hatsuta, Yuko Osuga, Masayoshi Hirohara, Kazuki Kushida
To make a good end at home and provide good palliative care for patients with cancer are urgent issues in Setagaya ward, as shown by certain statistics. Medical opioids are greatly needed for palliative care; as patient controlled analgesia(PCA) develops, it can lead to decisions by patients and their families to receive end-of-life care at home because the patient can choose to receive the same advanced palliative care received at the hospital. With in-home palliative care, given the rapid change in the medical condition of the patient and the sentiment of the family, the role of pharmacists is to quickly and reliably supply the pharmaceuticals and medical equipment that doctors need...
December 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28008704/effect-of-nursing-care-given-at-home-on-the-quality-of-life-of-patients-with-stomach-cancer-and-their-family-caregivers-nursing-care
#2
S Bilgin, S Gozum
In Turkey, the high incidences of stomach and oesophageal cancers in East and high incidence of stomach cancer in Northeast regions are remarkable. This study was conducted to identify homecare needs of patients with stomach cancer and their caregivers and the effect of family supportive nursing care on the quality of life of patients and families. The patient and his/her caregiver were assessed with respect to their daily life activities and NANDA was used for the identified nursing diagnoses, NIC for the appropriate interventions and NOC for assessment of the results...
December 22, 2016: European Journal of Cancer Care
https://www.readbyqxmd.com/read/27959828/sleep-apnea-detection-based-on-thoracic-and-abdominal-movement-signals-of-wearable-piezo-electric-bands
#3
Yin-Yan Lin, Hau-Tieng Wu, Chi-An Hsu, Po-Chiun Huang, Yuan-Hao Huang, Yu-Lun Lo
Physiologically, the thoracic (THO) and abdominal (ABD) movement signals, captured using wearable piezo-electric bands, provide information about various types of apnea, including central sleep apnea (CSA) and obstructive sleep apnea (OSA). However, the use of piezo-electric wearables in detecting sleep apnea events has been seldom explored in the literature. This study explored the possibility of identifying sleep apnea events, including OSA and CSA, by solely analyzing one or both the THO and ABD signals...
December 7, 2016: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/27913873/impact-of-intensity-and-timing-of-integrated-home-palliative-cancer-care-on-end-of-life-hospitalization-in-northern-italy
#4
M Pellizzari, D Hui, E Pinato, M Lisiero, S Serpentini, L Gubian, F Figoli, M Cancian, C De Chirico, E Ferroni, F Avossa, M Saugo
PURPOSE: The Veneto Region implemented a novel integrated home-based palliative cancer care (HPCC) program embedded in primary care. We examined the impact of timing and intensity of this program on the quality of end-of-life (EOL) care. METHODS: We selected adult cancer patients died in the Veneto Region between March and December 2013, excluding those died from haematological malignancies as well as the very elderly (85+ years). We retrieved the claim-based data on hospitalization and homecare visits, and defined two observation windows: 90 to 16 days before death to examine intensity of HPCC exposure, and the last 15 days of life to examine EOL outcomes, including hospital death, any hospital stay for medical reasons and hospital stay ≥7 days for medical reasons...
December 2, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27912157/factors-related-to-satisfaction-with-long-term-care-services-among-low-income-korean-elderly-adults-a-national-cross-sectional-survey
#5
Chanyeong Kwak, Eunhee Lee, Hyunjung Kim
BACKGROUND: With the growing demand for long-term care (LTC) services, it is increasingly important to explore experience with care. This study examined care satisfaction in a nursing home and at home among low-income elders in South Korea. METHODS: This cross-sectional study was conducted with 246 elderly recipients of welfare benefits using a proportional stratified sampling method. Two self-reported versions of a questionnaire developed for users of nursing home care and homecare were used...
March 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27865247/implementing-a-central-venous-catheter-self-management-education-program-for-patients-with-cancer
#6
Jeong Yun Park
PURPOSE: To evaluate the effects of the central venous catheter self-management education program (CVC S-MEP) in improving knowledge, attitude, and behavior regarding CVC and in decreasing CVC-related complications in patients with cancer during homecare service. METHODS: A quasi-experimental, sequential cohort design study of patients with cancer and who have CVCs was performed to compare the effect of CVC S-MEP with usual care. RESULTS: The study group consisted of 45 participants (26 male and 19 female), and the mean age was 46...
December 2016: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/27859889/anxiety-depression-and-quality-of-life-in-family-caregivers-of-palliative-cancer-patients-during-home-care-and-after-the-patient-s-death
#7
H Götze, E Brähler, L Gansera, A Schnabel, A Gottschalk-Fleischer, N Köhler
We examined psychological parameters in family caregivers of palliative cancer patients before and after the death of the patients. Caregivers' data about depression and anxiety (Hospital Anxiety and Depression Scale), quality-of-life (Short Form-8 Health Survey), and social support (Oslo Social Support Scale) were collected at the beginning of home care (t1) and 2 months after the patient had died (t2). Regression models were employed to examine factors related to depression and anxiety in the bereaved caregivers...
November 17, 2016: European Journal of Cancer Care
https://www.readbyqxmd.com/read/27794071/treating-dehydration-at-home-avoids-healthcare-costs-associated-with-emergency-department-visits-and-hospital-readmissions-for-adult-patients-receiving-home-parenteral-support
#8
Denise Konrad, Scott Roberts, Mandy L Corrigan, Cindy Hamilton, Ezra Steiger, Donald F Kirby
BACKGROUND: Administration of home parenteral support (HPS) has proven to be cost-effective over hospital care. Avoiding hospital readmissions became more of a focus for healthcare institutions in 2012 with the implementation of the Affordable Care Act. In 2010, our service developed a protocol to treat dehydration at home for HPS patients by ordering additional intravenous fluids to be kept on hand and to focus patient education on the symptoms of dehydration. METHODS: A retrospective analysis was completed through a clinical management database to identify HPS patients with dehydration...
October 28, 2016: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/27784289/patterns-of-health-service-use-in-community-living-older-adults-with-dementia-and-comorbid-conditions-a-population-based-retrospective-cohort-study-in-ontario-canada
#9
Lauren E Griffith, Andrea Gruneir, Kathryn Fisher, Dilzayn Panjwani, Sima Gandhi, Li Sheng, Amiram Gafni, Christopher Patterson, Maureen Markle-Reid, Jenny Ploeg
BACKGROUND: Patients with dementia have increased healthcare utilization and often have comorbid chronic conditions. It is not clear if the increase in utilization is driven by dementia, the comorbidities or both. The objective of this study was to describe the number and types of comorbid conditions in a population-based cohort of older adults with dementia and how the level of comorbidity impacts dementia-related and non-dementia-related health service utilization. METHODS: This study is a retrospective cohort study using multiple linked administrative databases to examine health service utilization and costs of 100,630 community-living older adults living with pre-existing dementia in Ontario, Canada...
October 26, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27720792/capturing-the-palliative-home-care-experience-from-bereaved-caregivers-through-qualitative-survey-data-toward-informing-quality-improvement
#10
Daryl Bainbridge, Deanna Bryant, Hsien Seow
CONTEXT: Measuring palliative care experience using patient-reported outcomes is becoming important for assessing and improving quality, although most validated outcome tools solely use scaled questions. OBJECTIVES: We analyzed open-text survey responses from bereaved caregivers to identify strengths and weaknesses in the quality of end-of-life care services and to assess the usefulness of qualitative survey data for quality improvement. METHODS: This was a retrospective observational study involving bereaved caregivers of decedents who had received palliative home care services in one of six health care regions in Ontario, Canada...
October 5, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27699745/-community-integrated-support-centers-the-experience-of-hachioji-tokyo-japan
#11
Pei-Lun Hsieh, Shih-Han Wang, Ching-Min Chen, Junko Wake, Chien-Chia Yeh
The proportion of elderly in Taiwan reached 11.99% of the population in 2014. Further, Taiwan is expected to become a super-aged society, as defined by the United Nations, in 2025. Elderly and long-term care needs have increased dramatically and long-term care (LTC) has become an increasingly important focus of policymaking. Japan, already a super-aged society, enacted LTC insurance in 2000 and has since implemented comprehensive LTC services nationwide. This article describes the evolution of the LTC insurance plan in Japan and the function of the Community Inclusive Care System...
October 2016: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/27697009/intensity-of-integrated-primary-and-specialist-home-based-palliative-care-for-chronic-diseases-in-northeast-italy-and-its-impact-on-end-of-life-hospital-access
#12
Eliana Ferroni, Francesco Avossa, Franco Figoli, Maurizio Cancian, Cosimo De Chirico, Elisabetta Pinato, Michele Pellizzari, Ugo Fedeli, Mario Saugo, Domenico Mantoan
BACKGROUND: Hospital admissions at the end of life (EOL) represent an established indicator of poor quality of care. OBJECTIVE: To examine the impact of intensity of integrated primary and specialist home-based palliative care for chronic diseases (HPCCD) plans of care on EOL hospital access. METHODS: Retrospective population-based study using linked mortality, hospitalization, and home care data. Intensity of HPCCD was measured 90-31 days before death; outcomes were hospital death and prolonged hospital stay for medical reasons in the last month of life...
December 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27670793/relation-of-statin-use-and-mortality-in-community-dwelling-frail-older-patients-with-coronary-artery-disease
#13
Alberto Pilotto, Pietro Gallina, Francesco Panza, Massimiliano Copetti, Alberto Cella, Alfonso Cruz-Jentoft, Julia Daragjati, Luigi Ferrucci, Stefania Maggi, Francesco Mattace-Raso, Marc Paccalin, Maria Cristina Polidori, Eva Topinkova, Gianluca Trifirò, Anna-Karin Welmer, Timo Strandberg, Niccolò Marchionni
Clinical decision-making for statin treatment in older patients with coronary artery disease (CAD) is under debate, particularly in community-dwelling frail patients at high risk of death. In this retrospective observational study on 2,597 community-dwelling patients aged ≥65 years with a previous hospitalization for CAD, we estimated mortality risk assessed with the Multidimensional Prognostic Index (MPI), based on the Standardized Multidimensional Assessment Schedule for Adults and Aged Persons (SVaMA), used to determine accessibility to homecare services/nursing home admission in 2005 to 2013 in the Padua Health District, Veneto, Italy...
August 30, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27667479/client-history-and-violence-on-direct-care-workers-in-the-home-care-setting
#14
Ha Do Byon, Carla Storr, Lori Edwards, Jane Lipscomb
BACKGROUND: Health care workers providing home care are frequently unaware of their client's history of violence or mental illness/substance abuse disorder, recognized risk factors for workplace violence. This study estimated the associations between these factors and experiencing client violence among direct care workers in the home settings (DCWHs). METHODS: Acts and threats of violence were estimated using data from an anonymous survey among DCWHs (n = 876) working at two large home care agencies...
December 2016: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/27659022/quality-of-life-and-need-for-care-in-patients-with-an-ostomy-a-survey-of-2647-patients-of-the-berlin-ostomy-study-boss
#15
Chris Braumann, Verena Müller, Moritz Knies, Birgit Aufmesser, Wolfgang Schwenk, Gerold Koplin
BACKGROUND: Although ostomies are sometimes necessary, it is unclear which type of ostomy is advantageous for quality of life (QoL). In an observational study of 2647 patients, QoL after colostomy (CS) and small bowel stoma (SBS) formation was evaluated. METHODS: The European Organisation for Research and Treatment of Cancer (EORTC)-QLQ-C30 and CR-38 questionnaires were used. Patient characteristics, retrospective information about the ostomy and previous treatments, and current stoma-related complications were recorded...
December 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27562591/propensity-for-japanese-american-older-adults-use-of-medical-alert-services-in-hawaii
#16
Yuka Yamazaki, Valerie Yontz, Cullen Hayashida
AIM: Hawaii is a fast-aging, multi-ethnic state. At present, ethnic Japanese represent the largest segment of the elderly population (aged ≥65 years). Studies in Western countries have identified an association between ethnicity and the use of homecare services. The present study sought to substantiate this association in relation to the use of a personal emergency response system service by older ethnic Japanese adults in Hawaii. METHODS: Questionnaires were mailed to 585 elderly subscribers of a company providing personal emergency response system services in Hawaii in 2014...
August 26, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27540243/setting-up-of-a-homecare-system-for-high-cost-nebulisers-in-a-paediatric-cystic-fibrosis-centre
#17
Veronica Chorro-Mari, Nanna Christiansen
AIM: Due to national changes to the commissioning process of high cost nebulisers (HCN) for Cystic Fibrosis (CF) patients, CF centres have to repatriate the prescribing of the HCN to the tertiary care centres.1 The following nebulisers will no longer be prescribed by primary care: Cayston® (Aztreonam); Colomycin®, Pomixin®, Clobreathe® (Colistimethate); Pulmozyme® (Dornase alfa); Tobi®, Tobi Podhaler ®, Bramitob® (Tobramycin).This abstract explains how the Royal London Hospital (RLH) Paediatric Pharmacy recruited over 100 paediatric (CF) patients smoothly within a period of 4 months and set up a homecare system to avoid patients and families having to travel large distances to obtain their medication...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27537931/active-and-passive-optical-imaging-modality-for-unobtrusive-cardiorespiratory-monitoring-and-facial-expression-assessment
#18
Vladimir Blazek, Nikolai Blanik, Claudia R Blazek, Michael Paul, Carina Pereira, Marcus Koeny, Boudewijn Venema, Steffen Leonhardt
Because of their obvious advantages, active and passive optoelectronic sensor concepts are being investigated by biomedical research groups worldwide, particularly their camera-based variants. Such methods work noninvasively and contactless, and they provide spatially resolved parameter detection. We present 2 techniques: the active photoplethysmography imaging (PPGI) method for detecting dermal blood perfusion dynamics and the passive infrared thermography imaging (IRTI) method for detecting skin temperature distribution...
January 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27531732/occupational-therapy-in-homecare-re-ablement-services-others-results-of-a-feasibility-randomised-controlled-trial
#19
Phillip J Whitehead, Marion F Walker, Ruth H Parry, Zaid Latif, Ian D McGeorge, Avril E R Drummond
OBJECTIVES: The objective of this study was to test the feasibility of conducting a randomised controlled trial (RCT) of an intervention targeted at activities of daily living (ADL), delivered by an occupational therapist, in homecare reablement. DESIGN: Feasibility parallel group RCT. SETTING: Single-site local authority homecare reablement service. PARTICIPANTS: People referred for homecare reablement with ability to consent...
2016: BMJ Open
https://www.readbyqxmd.com/read/27507635/palliative-homecare-is-associated-with-reduced-high-and-low-acuity-emergency-department-visits-at-the-end-of-life-a-population-based-cohort-study-of-cancer-decedents
#20
Rinku Sutradhar, Lisa Barbera, Hsien-Yeang Seow
BACKGROUND: Prior work shows that palliative homecare services reduce the subsequent need for hospitalizations and emergency services; however, no study has investigated whether this association is present for emergency department visits of high acuity or whether it only applies to low-acuity emergency department visits. AIM: To examine the association between palliative versus standard homecare nursing and the rate of high-acuity and low-acuity emergency department visits among cancer decedents during their last 6 months of life...
August 9, 2016: Palliative Medicine
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