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https://www.readbyqxmd.com/read/28629488/supporting-in-an-existential-crisis-a-mixed-methods-evaluation-of-a-training-model-in-palliative-care
#1
Lisa Sand, Mariann Olsson, Peter Strang
BACKGROUND: Palliative care staff often report that they lack the skills and confidence to provide support during an existential crisis. Consequently, there is a definite need for a training program in this area. OBJECTIVE: Our aim was to investigate whether a training model could give palliative care staff increased knowledge, awareness, and preparedness-all useful tools for providing support. METHODS: A mixed-methods research design was used...
June 20, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28622348/factors-influencing-practitioner-adoption-of-carer-led-assessment-in-palliative-homecare-a-qualitative-study-of-the-use-of-the-carer-support-needs-assessment-tool-csnat
#2
Lynn Austin, Gail Ewing, Gunn Grande
INTRODUCTION: Informal caregivers play a pivotal role in supporting patients approaching the end of life. The Carer Support Needs Assessment Tool (CSNAT) is designed to facilitate person-centred assessment and support through a process that is practitioner-facilitated, but carer-led. This study explored practitioners' experiences of implementing the CSNAT in palliative homecare. METHODS: We conducted qualitative interviews/focus groups with 20 practitioners in one UK hospice homecare service (18 nurses, two healthcare assistants) before and after the implementation of the CSNAT...
2017: PloS One
https://www.readbyqxmd.com/read/28616887/computer-based-training-cbt-intervention-reduces-workplace-violence-and-harassment-for-homecare-workers
#3
Nancy Glass, Ginger C Hanson, W Kent Anger, Naima Laharnar, Jacquelyn C Campbell, Marc Weinstein, Nancy Perrin
BACKGROUND: The study examines the effectiveness of a workplace violence and harassment prevention and response program with female homecare workers in a consumer driven model of care. METHODS: Homecare workers were randomized to either; computer based training (CBT only) or computer-based training with homecare worker peer facilitation (CBT + peer). Participants completed measures on confidence, incidents of violence, and harassment, health and work outcomes at baseline, 3, 6 months post-baseline...
July 2017: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/28603445/a-modest-art-securing-privacy-in-technologically-mediated-homecare
#4
Ike Kamphof
This article addresses the art of living in a technological culture as the active engagement with technomoral change. It argues that this engagement does not just take the form of overt deliberation. It shows in more modest ways as reflection-in-action, an experimental process in which new technology is fitted into existing practices. In this process challenged values are re-articulated in pragmatic solutions to the problem of working with new technology. This art of working with technology is also modest in the sense that it is not oriented to shaping one's own subjectivity in relation to technology...
2017: Foundations of Science
https://www.readbyqxmd.com/read/28599810/comparative-cost-benefit-analysis-of-tele-homecare-for-community-dwelling-elderly-in-japan-non-government-versus-government-supported-funding-models
#5
Miki Akiyama, Chon Abraham
OBJECTIVE: Tele-homecare is gaining prominence as a viable care alternative, as evidenced by the increase in financial support from international governments to fund initiatives in their respective countries. The primary reason for the funding is to support efforts to reduce lags and increase capacity in access to care as well as to promote preventive measures that can avert costly emergent issues from arising. These efforts are especially important to super-aged and aging societies such as in Japan, many European countries, and the United States (US)...
August 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28587755/empathy-loneliness-burnout-and-life-satisfaction-in-chilean-nurses-of-palliative-care-and-homecare-services
#6
Magdalena Marilaf Caro, Montserrat San-Martín, Roberto Delgado-Bolton, Luis Vivanco
INTRODUCTION: Empathy has been described as an essential competence of healthcare professionals who are working in palliative care and homecare services. In these services, usually accompanied by a high risk of physical and emotional burnout, empathy can play an important role in the improvement of occupational wellbeing. The aim of this study was to confirm the role of empathy in the prevention of loneliness and burn out, and in the promotion of life satisfaction. METHODS: In 2016, an observational study was carried out in Chile with professional nurses who were working in palliative care and homecare services...
June 3, 2017: Enfermería Clínica
https://www.readbyqxmd.com/read/28544163/the-impact-of-clinical-practice-on-the-outcome-of-central-venous-access-devices-in-children-with-haemophilia
#7
K Khair, S Ranta, A Thomas, K Lindvall
INTRODUCTION: Central venous access devices facilitate home treatment in boys with haemophilia. These are usually fully implanted lines, referred to as ports. Caregivers are taught to manage the port using sterile techniques and maintaining patency by flushing with saline or heparin solution. National and international guidelines for the home care of ports are lacking. AIM: To evaluate if infection or occlusion rates differ between home care regimens used for ports in children with haemophilia...
May 24, 2017: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/28498024/a-prospective-risk-assessment-of-informal-carers-medication-administration-errors-within-the-domiciliary-setting
#8
Anam Parand, Giuliana Faiella, Bryony Dean Franklin, Maximilian Johnston, Fabrizio Clemente, Neville A Stanton, Nick Sevdalis
Increasingly, medication is being administered at home by family and friends of the care-recipient. This study aims to identify and analyse risks associated with potential drug administration errors made by informal carers at home. We mapped medication administration at home with a multidisciplinary team that included carers, health care professionals and patients. Evidence-based risk-analysis methodologies were applied: Healthcare Failure Modes and Effect Analysis (HFMEA), Systematic Human Error Reduction and Prediction Analysis (SHERPA) and Systems-Theoretic Accident Model and Processes (STAMP)...
June 9, 2017: Ergonomics
https://www.readbyqxmd.com/read/28452242/the-homecare-aide-workforce-initiative-implementation-and-outcomes
#9
Penny H Feldman, Miriam Ryvicker, Lauren M Evans, Yolanda Barrón
Improved training and support are thought to improve retention among direct care workers. However, few studies have examined actual retention. This study examined satisfaction and retention among home health aides enrolled in the "Homecare Aide Workforce Initiative" (HAWI) at three New York agencies. Data included surveys of HAWI trainees and new hires and payroll data for HAWI graduates and others. Three months after hire, 91% of HAWI hires reported they were "very satisfied" or "satisfied" with the job; 57% reported they were "not at all likely" to leave their job in the coming year...
April 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28447860/remote-sensing-of-physiological-signs-using-a-machine-vision-system
#10
Ali Al-Naji, Kim Gibson, Javaan Chahl
The aim of this work is to remotely measure heart rate (HR) and respiratory rate (RR) using a video camera from long range (> 50 m). The proposed system is based on imperceptible signals produced from blood circulation, including skin colour variations and head motion. As these signals are not visible to the naked eye and to preserve the signal strength in the video, we used an improved video magnification technique to enhance these invisible signals and detect the physiological activity within the subject...
July 2017: Journal of Medical Engineering & Technology
https://www.readbyqxmd.com/read/28368550/home-or-foster-home-care-versus-institutional-long-term-care-for-functionally-dependent-older-people
#11
REVIEW
Camilla Young, Amanda M Hall, Daniela C Gonçalves-Bradley, Terry J Quinn, Lotty Hooft, Barbara C van Munster, David J Stott
BACKGROUND: Changing population demographics have led to an increasing number of functionally dependent older people who require care and medical treatment. In many countries, government policy aims to shift resources into the community from institutional care settings with the expectation that this will reduce costs and improve the quality of care compared. OBJECTIVES: To assess the effects of long-term home or foster home care versus institutional care for functionally dependent older people...
April 3, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28358269/gaps-in-understanding-the-experiences-of-homecare-workers-providing-care-for-people-with-dementia-up-to-the-end-of-life-a-systematic-review
#12
Valerie D'Astous, Ruth Abrams, Tushna Vandrevala, Kritika Samsi, Jill Manthorpe
This systematic review of the literature explores the perspectives and experiences of homecare workers providing care for people with dementia living at home up to the end of life. A search of major English language databases in 2016 identified 378 studies on the topic, of which 12 met the inclusion criteria. No empirical research was identified that specifically addressed the research question. However, synthesis of the findings from the broader literature revealed three overarching themes: value of job role, emotional labour and poor information and communication...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28329861/varying-appraisals-of-elder-mistreatment-among-victims-findings-from-a-population-based-study
#13
David Burnes, Mark S Lachs, Denise Burnette, Karl Pillemer
Objectives: Prior elder mistreatment (EM) research has not examined subjective assessments of problem seriousness from the perspective of victims. This study sought to describe the variation in appraisals of perceived EM seriousness among victims of emotional abuse, physical abuse, and neglect and to examine factors that influence varying appraisals using neutralization theory. Methods: Data came from a subsample of EM victims (n = 191) drawn from a representative, population-based study (n = 4,156) of community-dwelling, cognitively intact older adults in New York State...
March 6, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28268478/comparison-of-pulse-rate-variability-and-heart-rate-variability-for-high-frequency-content-estimation
#14
R Logier, J De Jonckheere, A Dassonneville, M Jeanne
Heart Rate Variability (HRV) analysis can be of precious help in most of clinical situations because it is able to quantify the Autonomic Nervous System (ANS) activity. The HRV high frequency (HF) content, related to the parasympathetic tone, reflects the ANS response to an external stimulus responsible of pain, stress or various emotions. We have previously developed the Analgesia Nociception Index (ANI), based on HRV high frequency content estimation, which quantifies continuously the vagal tone in order to guide analgesic drug administration during general anesthesia...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28255234/effectiveness-of-person-centered-care-on-people-with-dementia-a-systematic-review-and-meta-analysis
#15
REVIEW
Sun Kyung Kim, Myonghwa Park
BACKGROUND: Person-centered care is a holistic and integrative approach designed to maintain well-being and quality of life for people with dementia, and it includes the elements of care, the individual, the carers, and the family. AIM: A systematic literature review and meta-analysis were undertaken to investigate the effectiveness of person-centered care for people with dementia. METHODS: Literature searches were undertaken using six databases including Medline, EMBASE, CINAHL, PsycINFO, Cochrane Database, and KoreaMed using the following keywords: cognition disorder, dementia, person-centered care, patient-centered care, client-centered care, relationship-centered care, and dementia care...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28252522/homecare-and-healthcare-utilization-errors-post-neonatal-intensive-care-unit-discharge
#16
Rupalee Patel, Matthew Nudelman, Adebola Olarewaju, Sunshine Weiss Pooley, Priya Jegatheesan, Dongli Song, Balaji Govindaswami
BACKGROUND: High-risk infants transitioning from the neonatal intensive care unit (NICU) to home represent a vulnerable population, given their complex care requirements. Little is known about errors during this period. PURPOSE: Identify and describe homecare and healthcare utilization errors in high-risk infants following NICU discharge. METHODS: This was a prospective observational cohort study of homecare (feeding, medication, and equipment) and healthcare utilization (appointment) errors in infants discharged from a regional NICU between 2011 and 2015...
March 1, 2017: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/28244651/relationship-between-swallowing-functions-and-health-related-quality-of-life-among-community-dwelling-dependent-older-individuals
#17
Naoko Morisaki
AIM: This study analyzed the association between swallowing function levels and health-related quality of life (QOL) among community-dwelling dependent older persons in Japan. METHODS: A cross-sectional survey of a purposive sample of community-dwelling dependent older individuals in Japan was conducted. Two swallowing functions (tongue pressure and lip-closure force), the risk of dysphagia, and health-related QOL (SF-8) were surveyed. RESULTS: There were 86 (38...
February 28, 2017: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/28226651/comparison-of-pulse-rate-variability-and-heart-rate-variability-for-high-frequency-content-estimation
#18
R Logier, J De Jonckheere, A Dassonneville, M Jeanne, R Logier, J De Jonckheere, A Dassonneville, M Jeanne, A Dassonneville, J De Jonckheere, R Logier, M Jeanne
Heart Rate Variability (HRV) analysis can be of precious help in most of clinical situations because it is able to quantify the Autonomic Nervous System (ANS) activity. The HRV high frequency (HF) content, related to the parasympathetic tone, reflects the ANS response to an external stimulus responsible of pain, stress or various emotions. We have previously developed the Analgesia Nociception Index (ANI), based on HRV high frequency content estimation, which quantifies continuously the vagal tone in order to guide analgesic drug administration during general anesthesia...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28210321/telemedicine-in-chronic-obstructive-pulmonary-disease
#19
Nicolino Ambrosino, Guido Vagheggini, Stefano Mazzoleni, Michele Vitacca
Telemedicine is a medical application of advanced technology to disease management. This modality may provide benefits also to patients with chronic obstructive pulmonary disease (COPD). Different devices and systems are used. The legal problems associated with telemedicine are still controversial. Economic advantages for healthcare systems, though potentially high, are still poorly investigated. A European Respiratory Society Task Force has defined indications, follow-up, equipment, facilities, legal and economic issues of tele-monitoring of COPD patients including those undergoing home mechanical ventilation...
December 2016: Breathe
https://www.readbyqxmd.com/read/28188079/current-practices-in-home-management-of-nasogastric-tube-placement-in-pediatric-patients-a-survey-of-parents-and-homecare-providers
#20
LaDonna Northington, Beth Lyman, Peggi Guenter, Sharon Y Irving, Lori Duesing
Enteral feeding tubes are used in pediatric patients to deliver nutrition, fluids or medications. The literature related to short-term feeding tube (nasogastric [NG], hereafter known as NGT, or orogastric [OGT],) use in pediatric homecare patients is sparse. This descriptive study sought to gather baseline information about these children and how their feeding tubes are managed at home. Specifically, we sought to better understand how the tubes are placed and the method(s) used for tube placement verification...
March 2017: Journal of Pediatric Nursing
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