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https://www.readbyqxmd.com/read/29036858/musculoskeletal-signs-in-female-homecare-personnel-a-longitudinal-epidemiological-study
#1
Gunnar Lundberg, Björn Gerdle
BACKGROUND: In Sweden, homecare services take care of elderly and disabled people, work that often requires heavy lifting and forward bending, resulting in high prevalences of pain and work accidents. OBJECTIVE: Using an eight-year follow-up, this study determines the prognostic importance of certain musculoskeletal signs reported in earlier studies [1, 2] with respect to aspects of pain and perceived disability. METHODS: Baseline data has been reported in earlier studies of 607 women [1-3]...
October 8, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29031934/-we-don-t-have-the-infrastructure-to-support-them-at-home-how-health-system-inadequacies-impact-on-long-term-care-admissions-of-people-with-dementia
#2
Nora-Ann Donnelly, Niamh Humphries, Anne Hickey, Frank Doyle
OBJECTIVES: The influence of healthcare system factors on long-term care admissions has received relatively little attention. We address this by examining how inadequacies in the healthcare system impact on long-term care admissions of people with dementia. This is done in the context of the Irish healthcare system. METHODS: Thirty-eight qualitative in-depth interviews with healthcare professionals and family carers were conducted. Interviews focused on participants' perceptions of the main factors which influence admission to long-term care...
October 6, 2017: Health Policy
https://www.readbyqxmd.com/read/29031515/association-of-antidementia-drugs-and-mortality-in-community-dwelling-frail-older-patients-with-dementia-the-role-of-mortality-risk-assessment
#3
Alberto Pilotto, Maria Cristina Polidori, Nicola Veronese, Francesco Panza, Rosa Arboretti Giancristofaro, Andrea Pilotto, Julia Daragjati, Eleonora Carrozzo, Camilla Prete, Pietro Gallina, Alessandro Padovani, Stefania Maggi
OBJECTIVE: To evaluate whether treatment with antidementia drugs is associated with reduced mortality in older patients with different mortality risk at baseline. DESIGN: Retrospective. SETTING: Community-dwelling. PARTICIPANTS: A total of 6818 older people who underwent a Standardized Multidimensional Assessment Schedule for Adults and Aged Persons (SVaMA) evaluation to determine accessibility to homecare services or nursing home admission from 2005 to 2013 in the Padova Health District, Italy were included...
October 11, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28990017/associations-between-patients-understanding-of-periodontal-disease-treatment-compliance-and-disease-status
#4
Benjamin Hughes, Giseon Heo, Liran Levin
OBJECTIVE: The aim of the present study was to investigate the associations between patients' understanding of periodontal disease, their individual compliance to homecare, self-reported periodontal disease, and how they have been educated regarding their oral health. METHOD AND MATERIALS: A cross-sectional study was performed by distributing questionnaires to patients at the University of Alberta Dental Clinic. A survey consisting of 45 questions was constructed in order to quantify patients' understanding of periodontal disease (section 1), where they received their information, how often they have been instructed by dental practitioners, their homecare habits (section 2), and their self-reported periodontal status (section 3)...
October 6, 2017: Quintessence International
https://www.readbyqxmd.com/read/28975028/participatory-design-methods-for-the-development-of-a-clinical-telehealth-service-for-neonatal-homecare
#5
Kristina Garne Holm, Anne Brødsgaard, Gitte Zachariassen, Anthony C Smith, Jane Clemensen
OBJECTIVES: Neonatal homecare delivered during home visits by neonatal nurses is a common method for supporting families of preterm infants following discharge. Telehealth has been introduced for the provision of neonatal homecare, resulting in positive feedback from parents of preterm infants. While the benefits are beginning to be realised, widespread uptake of telehealth has been limited due to a range of logistical challenges. Understanding user requirements is important when planning and developing a clinical telehealth service...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28974463/homecare-robots-to-improve-health-and-well-being-in-mild-cognitive-impairment-and-early-stage-dementia-results-from%C3%A2-a%C3%A2-scoping-study
#6
Margot Darragh, Ho Seok Ahn, Bruce MacDonald, Amy Liang, Kathryn Peri, Ngaire Kerse, Elizabeth Broadbent
OBJECTIVES: This scoping study is the first step of a multiphase, international project aimed at designing a homecare robot that can provide functional support, track physical and psychological well-being, and deliver therapeutic intervention specifically for individuals with mild cognitive impairment. DESIGN: Observational requirements gathering study. PARTICIPANTS AND SETTINGS: Semistructured interviews were conducted with 3 participant groups: (1) individuals with memory challenges, mild cognitive impairment (MCI), or mild dementia (patients; n = 9); (2) carers of those with MCI or dementia (carers; n = 8); and (3) those with expertise in MCI or dementia research, clinical care, or management (experts; n = 16)...
September 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28971426/utilizing-a-homecare-platform-for-remote-monitoring-of-patients-with-idiopathic-pulmonary-fibrosis
#7
Christos Panagopoulos, Foteini Malli, Andreas Menychtas, Efstathia-Petrina Smyrli, Aikaterini Georgountzou, Zoe Daniil, Konstantinos I Gourgoulianis, Panayiotis Tsanakas, Ilias Maglogiannis
Homecare and home telemonitoring are a focal point of emerging healthcare schemes, with proven benefits for both patients, caregivers and providers, including reduction of healthcare costs and improved patients' quality of life, especially in the case of chronic disease management. Studies have evaluated solutions for remote monitoring of chronic patients based on technologies that allow daily symptom and vital signs monitoring, tailored to the needs of specific diseases. In this work, we present an affordable home telemonitoring system for patients with idiopathic pulmonary fibrosis (IPF), based on an application for mobile devices and Bluetooth-enabled sensors for pulse oximetry and blood pressure measurements...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28965365/swallowing-disorders-and-1-year-functional-decline-in-community-dwelling-older-adults-receiving-home-care
#8
Kenji Takeuchi, Michiko Furuta, Yuka Okabe, Shino Suma, Toru Takeshita, Sumio Akifusa, Munehisa Adachi, Toshinori Kinoshita, Takeshi Kikutani, Yoshihisa Yamashita
The purpose of this study was to clarify the effect of swallowing disorders on functional decline in community-dwelling older adults receiving home care. This was a 1-year follow-up survey of 176 individuals ≥60 years living at home and receiving homecare services, without total dependence in basic daily living activities, in two mid-sized municipalities in Fukuoka, Japan. Functional decline was measured using the Barthel index (BI), and the primary outcome was total dependence in basic daily living activities (BI <20 points)...
October 1, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28942736/telephone-based-minnesota-cognitive-acuity-screen-predicts-time-to-institutionalization-and-homecare
#9
Seth A Margolis, George D Papandonatos, Geoffrey Tremont, Brian R Ott
BACKGROUND: We assessed the ability of a telephone-administered cognitive screening test - Minnesota Cognitive Acuity Screen (MCAS) - to predict time to assisted living/nursing home placement (i.e. institutionalization) and homecare/institutionalization in healthy controls (HC), mild cognitive impairment (MCI), and Alzheimer's disease (AD). METHODS: Participants (N = 146; HC = 37; MCI = 70; AD = 39) had baseline MCAS testing and were re-contacted over eight years for dates of starting homecare, institutionalization, and death...
September 25, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28932946/ready-to-go-home-patients-experiences-of-the-discharge-process-in-an-enhanced-recovery-after-surgery-eras-program-for-colorectal-surgery
#10
D Jones, R Musselman, E Pearsall, M McKenzie, H Huang, Robin S McLeod
BACKGROUND: With the adoption of enhanced recovery after surgery (ERAS) programs, patients are being discharged earlier and require more post-discharge teaching, educational materials, and information. OBJECTIVE: The purpose of this study is to assess satisfaction, discharge needs, and follow-up concerns of patients within an ERAS implementation program (iERAS). METHODS: Between 2012 and 2015, the iERAS program was undertaken at an academic hospital where 554 patients having elective colorectal surgery were enrolled...
September 20, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28888506/the-perspective-of-families-with-a-ventilator-dependent-child-at-home-a-literature-review
#11
REVIEW
Sandra Falkson, Christiane Knecht, Claudia Hellmers, Sabine Metzing
This literature review gives an overview about the existing research concerning the experiences of families with a child with ventilation at home. The number of children with home-ventilation is increasing. Children who receive homecare have the possibility of growing up in their familiar environment and participate in social life. In comparison to children living in institutions, children at home show advantages in their physical, psychological, emotional, social and cognitive development. However, homecare of a child with ventilation places high demands on all family members...
September 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28882127/derivation-of-a-frailty-index-from-the-resident-assessment-instrument-home-care-adapted-for-switzerland-a-study-based-on-retrospective-data-analysis
#12
Catherine Ludwig, Catherine Busnel
BACKGROUND: The screening of frail individuals at risk for functional health decline and adverse health outcomes lies in the evolving agenda of home care providers. Such a screening can be based on a frailty index (FI) derived from data collected with interRAI instruments used in clinical routines to define care plans. The objective of this study was to assess the feasibility of deriving an FI from the Resident Assessment Instrument - Home Care adapted for Switzerland (Swiss RAI-HC). METHODS: Data were collected by the Geneva Institution for Homecare and Assistance in clinical routines...
September 7, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28876376/pre-frailty-increases-the-risk-of-adverse-events-in-older-patients-undergoing-cardiovascular-surgery
#13
Miguel K Rodrigues, Artur Marques, Denise M L Lobo, Iracema I K Umeda, Mayron F Oliveira
BACKGROUND: Frailty is identified as a major predictor of adverse outcomes in older surgical patients. However, the outcomes in pre-frail patients after cardiovascular surgery remain unknown. OBJECTIVE: To investigate the main outcomes (length of stay, mechanical ventilation time, stroke and in-hospital death) in pre-frail patients in comparison with no-frail patients after cardiovascular surgery. METHODS: 221 patients over 65 years old, with established diagnosis of myocardial infarction or valve disease were enrolled...
September 4, 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28854923/validation-of-a-modified-voices-survey-to-measure-end-of-life-care-quality-the-caregivervoice-survey
#14
Hsien Seow, Daryl Bainbridge, Melissa Brouwers, Gregory Pond, John Cairney
BACKGROUND: Measuring the care experience at end-of-life (EOL) to inform quality improvement is a priority in many countries. We validated the CaregiverVoice survey, a modified version of the VOICES questionnaire, completed by bereaved caregivers to capture perceptions of care received in the last three months of a patient's life. METHODS: We conducted a retrospective survey of bereaved caregivers representing palliative care patients who died in a residential hospice and/or received palliative homecare in Ontario, Canada...
August 30, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28829676/content-validation-of-a-home-parenteral-nutrition-patient-reported-outcome-questionnaire
#15
Tracy-Lee Miller, Geoffrey W Greene, Ingrid Lofgren, Mary L Greaney, Marion F Winkler
BACKGROUND: Patient-reported outcome (PRO) instruments collect information from patients about health conditions and disease management, including quality of life (QOL). Clinicians acknowledge patient concerns about QOL but need guidance to assess the nature and severity of individually experienced problems. The Home Parenteral Nutrition (HPN)-Patient-Reported Outcome Questionnaire (PROQ) was developed for use during medical appointments or homecare visits to address this gap. The purpose of this research was to provide evidence that the HPN-PROQ items and scale possess content validity...
August 1, 2017: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/28810943/language-barrier-as-a-risk-factor-for-injuries-from-patient-violence-among-direct-care-workers-in-home-settings-findings-from-a-u-s-national-sample
#16
Ha Do Byon, Shijun Zhu, George J Unick, Carla L Storr, Jane Lipscomb
This study explored potential risk factors for injuries from patient violence among direct care workers in U.S. homes (DCWHs). A national probability sample of 3,377 DCWHs including home health and personal care aides was analyzed using complex sample analysis and generalized estimating equation. Injury from violence was defined as a workrelated injury sustained by aggression, violence, or abuse that was reported to the agency, required medical attention or resulted in absenteeism from work. An association between suffering an injury from patient violence and having a language barrier with patients was noted (OR = 4...
October 1, 2017: Violence and Victims
https://www.readbyqxmd.com/read/28804864/prescription-and-indication-for-oral-nutritional-supplements-in-a-swiss-university-hospital-a-prospective-survey
#17
Julie Mareschal, Jean Altwegg, Dimitri Berthet, Marinette Chikhi, Pierre Chopard, Séverine Graf, Christian Sierro, Claude Pichard, Laurence Genton
AIMS OF THE STUDY: Patients with an acute or chronically negative nutritional balance are at nutritional risk. Oral nutritional supplements (ONS) are simple and effective medical treatments of nutritional risk. In the ambulatory setting, in Switzerland, ONS are reimbursed by public insurance under conditions defined by Swiss Society for Clinical Nutrition. The reimbursement requires a medical prescription for ONS and their delivery at the patient's home by a homecare service. The indication for the ONS, defined as a Nutritional Risk Screening-2002 (NRS-2002) score ≥3, must also be present...
August 14, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28800999/promoting-palliative-care-internationally-building-leaders-to-promote-education-practice-and-advocacy
#18
Pam Malloy, Betty Ferrell, Rose Virani, Polly Mazanec
In February 2000, nine nursing educators, practitioners, and researchers met in Nashville, TN to develop a palliative care curriculum specifically for nurses. The following month, twenty-two advisors from nursing organizations across the United States convened in Washington, DC to review the recommended curriculum development and dissemination plans for end-of-life care throughout nursing schools, hospitals, hospices, homecare, and geriatric settings. The Robert Wood Johnson Foundation (RWJF) provided funding for curriculum and competency development and for 6 national train-the-trainer courses to be held from 2001 to 2003...
August 8, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28799157/-social-medicine-and-interfaces-in-sectoral-health-care-provision
#19
Hans Gerber, Christian Alex, Michael Penz, Michael Röder, Gert von Mittelstaedt
In addition to the consideration of individual medicine, social medicine focuses on the social references of health and sickness. In this context, it reflects the structures of the entire health care system, its functions and its functional deficits. It deals with the specific interaction between medicine and society and functions such as a link to the classical social sciences (1). Of particular interest in this context are the interfaces to sectoral health care provision. The working group "Nursing Care" of the Department "Practical Social Medicine and Rehabilitation" of the German Society for Social Medicine and Prevention examines the fundamental interfaces in our sectoral health care system from the perspective of social medicine in their current functions and perspectives, particularly in view of the future demographic challenges to be faced...
August 10, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28797866/burnout-after-patient-death-challenges-for-direct-care-workers
#20
Kathrin Boerner, Hayley Gleason, Daniela S Jopp
CONTEXT: Direct care workers in long-term care can develop close relationships with their patients and subsequently experience significant grief after patient death. Consequences of this experience for employment outcomes have received little attention. OBJECTIVES: To investigate staff, institutional, patient, and grief factors as predictors of burnout dimensions among direct care workers who had experienced recent patient death; determine which specific aspects of these factors are of particular importance; and establish grief as an independent predictor of burnout dimensions...
September 2017: Journal of Pain and Symptom Management
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