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https://www.readbyqxmd.com/read/27865247/implementing-a-central-venous-catheter-self-management-education-program-for-patients-with-cancer
#1
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
#2
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
#3
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
#4
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-homecare-experience-from-bereaved-caregivers-though-qualitative-survey-data-towards-informing-quality-improvement
#5
Daryl Bainbridge, Deanna Bryant, Hsien Seow
INTRODUCTION: Measuring palliative care experience using patient-reported outcomes is becoming important for assessing and improving quality, though most validated outcome tools solely use scaled questions. 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 homecare services in one of six healthcare 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
#6
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
#7
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
#8
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
#9
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
#10
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...
September 22, 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
#11
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
#12
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
#13
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...
August 17, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27531732/occupational-therapy-in-homecare-re-ablement-services-others-results-of-a-feasibility-randomised-controlled-trial
#14
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
#15
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
https://www.readbyqxmd.com/read/27488562/comparison-of-10-single-and-stepped-methods-to-identify-frail-older-persons-in-primary-care-diagnostic-and-prognostic-accuracy
#16
Fleur L Sutorius, Emiel O Hoogendijk, Bernard A H Prins, Hein P J van Hout
BACKGROUND: Many instruments have been developed to identify frail older adults in primary care. A direct comparison of the accuracy and prevalence of identification methods is rare and most studies ignore the stepped selection typically employed in routine care practice. Also it is unclear whether the various methods select persons with different characteristics. We aimed to estimate the accuracy of 10 single and stepped methods to identify frailty in older adults and to predict adverse health outcomes...
2016: BMC Family Practice
https://www.readbyqxmd.com/read/27392646/a-cloud-based-mobile-system-to-improve-respiratory-therapy-services-at-home
#17
Nicolas A Risso, Andrés Neyem, Jose I Benedetto, Marie J Carrillo, Angélica Farías, Macarena J Gajardo, Oscar Loyola
Chronic respiratory diseases are one of the most prevalent health problems in the world. Treatment for these kind of afflictions often take place at home, where the continuous care of a medical specialist is frequently beyond the economical means of the patient, therefore having to rely on informal caregivers (family, friends, etc.). Unfortunately, these treatments require a deep involvement on their part, which results in a heavy burden on the caregivers' routine and usually end up deteriorating their quality of life...
July 5, 2016: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/27348398/understanding-stakeholder-important-outcomes-and-perceptions-of-equity-acceptability-and-feasibility-of-a-care-model-for-haemophilia-management-in-the-us-a-qualitative-study
#18
S J Lane, N S Sholapur, C H T Yeung, A Iorio, N M Heddle, M Sholzberg, M Pai
INTRODUCTION: Care for persons with haemophilia (PWH) is most commonly delivered through the integrated care model used by Hemophilia Treatment Centers (HTCs). Although this model is widely accepted as the gold standard for the management of haemophilia; there is little evidence comparing different care models. AIM: We performed a qualitative study to gain insight into issues related to outcomes, acceptability, equity and feasibility of different care models operating in the US...
July 2016: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/27332156/homecare-nurses-decision-making-during-admission-care-planning
#19
Paulina Sockolow, Ellen J Bass, Carl L Eberle, Kathryn H Bowles
The re-hospitalization rate of homecare patients within 60 days of hospital discharge is 30%. Enhanced care planning based on better information may reduce this rate. However, very little is known about the homecare admission and care planning processes. The research team collected data during observations of three nursing visits to admit homecare patients in Camden NJ, and conducted thematic content analysis on these data. Human factors methods helped to identify nurse decision-making related to selection of the plan of care problems, non-nursing resources, and the nursing visit pattern...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27330357/trends-in-health-care-utilization-and-costs-attributable-to-hepatocellular-carcinoma-2002-2009-a-population-based-cohort-study
#20
H H Thein, Y Qiao, S K Young, W Zarin, E M Yoshida, C de Oliveira, C C Earle
BACKGROUND: The incidence of hepatocellular carcinoma (hcc) and the complexity of its diagnosis and treatment are increasing. We estimated trends in net health care utilization, costs of care attributable to hcc in Ontario, and rate ratios of resource use at various stages of care. METHODS: This population-based retrospective cohort study identified hcc patients and non-cancer control subjects, and health care resource utilization between 2002 and 2009. Generalized estimating equations were then used to estimate net health care utilization (hcc patients vs...
June 2016: Current Oncology
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