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https://www.readbyqxmd.com/read/29459065/assesssing-an-unmet-healthcare-demand-a-survey-of-immunisation-among-homecare-patients-and-their-caregivers
#1
Süleyman Görpelioğlu, Canan Emiroğlu, Özlem Suvak, Cenk Aypak, Derya Akbıyık
Susceptibility of the homecare patient to vaccine preventable infections and their complications is high. Hospitalization of this patient group increases costs to the healthcare system. Therefore vaccination services are of great importance for protecting these patients from complications and hospitalization. We aimed to determine vaccination status of the patients receiving home care services from a tertiary hospital in Turkey and to reveal their vaccination needs. This cross sectional study was carried out in the Division of Home Care Services of Dışkapı Yıldırım Beyazıt Training and Research Hospital in Ankara Turkey...
February 16, 2018: Vaccine
https://www.readbyqxmd.com/read/29439942/using-robots-at-home-to-support-patients-with-chronic-obstructive-pulmonary-disease-pilot-randomized-controlled-trial
#2
Elizabeth Broadbent, Jeff Garrett, Nicola Jepsen, Vickie Li Ogilvie, Ho Seok Ahn, Hayley Robinson, Kathryn Peri, Ngaire Kerse, Paul Rouse, Avinesh Pillai, Bruce MacDonald
BACKGROUND: Socially assistive robots are being developed for patients to help manage chronic health conditions such as chronic obstructive pulmonary disease (COPD). Adherence to medication and availability of rehabilitation are suboptimal in this patient group, which increases the risk of hospitalization. OBJECTIVE: This pilot study aimed to investigate the effectiveness of a robot delivering telehealth care to increase adherence to medication and home rehabilitation, improve quality of life, and reduce hospital readmission compared with a standard care control group...
February 13, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29359381/inappropriate-medication-use-and-polypharmacy-in-end-stage-cancer-patients-isn-t-it-the-family-doctor-s-role-to-de-prescribe-much-earlier
#3
Doron Garfinkel, Nataly Ilin, Alexander Waller, Ashley Torkan-Zilberstein, Netanel Zilberstein, Itai Gueta
BACKGROUND: Elderly patients are exposed to increased number of medications, often with no proof of a positive benefit/risk ratio. Unfortunately, this trend does not spare those with limited life expectancy, including end-stage cancer patients who require only palliative treatment. For many medications in this subpopulation, the risk of adverse drug events outweighs the possible benefits and yet, many are still poly-medicated during their last year of life. AIM: To describe the extent of polypharmacy among end-stage cancer patients, at the time of admission to homecare hospice...
January 23, 2018: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/29337413/participation-of-relatives-in-the-care-of-cancer-patients-in-hospital-a-scoping-review
#4
REVIEW
E Partanen, T Lemetti, E Haavisto
The purpose of the review was to describe what kind of research has been conducted concerning relatives' participation in the care of cancer patients in hospital and how relatives have participated in the care. Data (n = 9) were identified through a manual search and by searching the electronic databases (n = 8) Cinahl, PubMed and Cochrane Library and analysed with deductive content analysis. According to the review, participation in the concrete care appeared as taking care of comprehensive care and the quality of care, helping with daily activities and helping the healthcare professionals...
January 16, 2018: European Journal of Cancer Care
https://www.readbyqxmd.com/read/29325486/intensive-client-centred-occupational-therapy-in-the-home-improves-older-adults-occupational-performance-results-from-a-danish-randomized-controlled-trial
#5
Tove Lise Nielsen, Niels Trolle Andersen, Kirsten Schultz Petersen, Helene Polatajko, Claus Vinther Nielsen
BACKGROUND: There is growing interest in enabling older adults' occupational performance. We tested whether 11 weeks of intensive client-centred occupational therapy (ICC-OT) was superior to usual practice in improving the occupational performance of home-dwelling older adults. METHODS: An assessor-masked randomized controlled trial among adults 60 + with chronic health issues, who received or applied for homecare services. Recruitment took place September 2012 to April 2014...
January 12, 2018: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/29324958/enhancing-the-process-of-teaching-and-learning-homecare
#6
Ana Paula Hermann, Maria Ribeiro Lacerda, Jaqueline Dias do Nascimento, Ingrid Meireles Gomes, Débora Cristina Paes Zatoni
OBJECTIVE: to identify possibilities for improvement in the process of teaching and learning homecare in nursing, pharmacy, medicine, nutrition, dentistry and occupational therapy courses. METHOD: qualitative research using the Grounded Theory approach. Sixty-three semi-structured interviews were conducted with students, teachers and graduates of the six mentioned courses at a public university in the south of Brazil. Data analysis was performed through open, axial and selective coding...
January 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29283868/a-review-of-the-essential-components-of-quality-palliative-care-in-the-home
#7
Hsien Seow, Daryl Bainbridge
OBJECTIVE: The home is an important and often preferable setting of palliative care. While much research has demonstrated the benefits of specialized palliative homecare on patient and system outcomes, there has been little delineation of the underlying components of these efficacious programs. We synthesized the essential elements of palliative homecare from a combined review of successful programs, perspectives of patients and caregivers, and views of healthcare providers in palliative care...
January 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29222895/sarcopenia-and-cachexia-evaluation-in-different-healthcare-settings-a-questionnaire-survey-of-health-professionals
#8
Saori Nakahara, Hidetaka Wakabayashi, Keisuke Maeda, Shinta Nishioka, Yoji Kokura
BACKGROUND AND OBJECTIVES: The rates of sarcopenia and cachexia evaluations by different occupational groups at different settings are unclear. The objectives are to evaluate and compare the relative use of sarcopenia and cachexia evaluations among dietitians and associated healthcare professionals in a diverse range of settings. METHODS AND STUDY DESIGN: Participants were 4,621 members from the Japanese Association of Rehabilitation Nutrition. Settings included acute general wards, convalescent rehabilitation wards, long-term care wards, homecare service, and other settings...
2018: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29210136/identifying-acceptable-components-for-home-based-health-promotion-services-for-older-people-with-mild-frailty-a-qualitative-study
#9
Rachael Frost, Kalpa Kharicha, Ana Jovicic, Ann E M Liljas, Steve Iliffe, Jill Manthorpe, Benjamin Gardner, Christina Avgerinou, Claire Goodman, Vari M Drennan, Kate Walters
Mild frailty is common in later life, increasing the risk of hospitalisation, loss of independence and premature death. Targeted health promotion services may reduce adverse outcomes and increase quality of life; however, effective, well-developed theory-based interventions are lacking. We aimed to explore perceptions of health promotion behaviours undertaken by older people with mild frailty, barriers and facilitators to engagement, and identify potential components for new home-based health promotion services...
December 5, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29187083/overcoming-counter-knowledge-through-telemedicine-communication-technologies
#10
Jorge Cegarra-Sanchez, Juan-Gabriel Cegarra-Navarro, Anthony Wensley, Jose Diaz Manzano
Purpose Knowledge acquired from sources of unverified information such as gossip, partial truths or lies, in this paper it is termed as "counter-knowledge." The purpose of this paper is to explore this topic through an exploration of the links between a Hospital-in-the-Home Units (HHUs) learning process (LP), counter-knowledge, and the utilization of communication technologies. The following two questions are addressed: Does the reduction of counter-knowledge result in the utilization of communication technologies? Does the development of counter-knowledge hinder the LP? Design/methodology/approach This paper examines the relevance of communication technologies to the exploration and exploitation of knowledge for 252 patients of a (HHU) within a Spanish regional hospital...
October 9, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29159073/home-infusion-with-elosulfase-alpha-vimizim-r-in-a-uk-paediatric-setting
#11
Niamh Finnigan, Jane Roberts, Jean Mercer, Simon A Jones
Enzyme replacement therapy is the only available treatment for Mucopolysaccharidosis type IVA (MPS IVA, Morquio syndrome). The treatment is lengthy and invasive involving weekly intravenous infusions of 4-5 h. This can cause significant disruption to normal family life so the provision of a safe and effective homecare service is essential. In order to deliver a safe service, robust standards must be in place; this includes appropriately trained members of homecare staff, detailed management for infusion related reactions (IRR) and appropriate venous access...
March 2018: Molecular Genetics and Metabolism Reports
https://www.readbyqxmd.com/read/29145313/the-importance-of-family-caregiving-to-achieving-palliative-care-at-home-a-case-report-of-end-of-life-breast-cancer-in-an-area-struck-by-the-2011-fukushima-nuclear-crisis-a-case-report
#12
Akihiko Ozaki, Masaharu Tsubokura, Claire Leppold, Toyoaki Sawano, Manabu Tsukada, Tsuyoshi Nemoto, Kazuhiro Kosugi, Yoshitaka Nishikawa, Shigeaki Kato, Hiromichi Ohira
RATIONALE: The primary setting of palliative care has shifted from inpatient care to patients' residences. Family caregiving is essential for patients with life-limiting illnesses to receive palliative care at home, however little information is available regarding potential interventions to achieve palliative homecare for those without sufficient support from family members in various settings, including disasters. PATIENT CONCERNS: In March 2011, Fukushima, Japan experienced an earthquake, tsunami and nuclear disaster...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29136925/piezoelectric-biosensor-for-the-determination-of-tumor-necrosis-factor-alpha
#13
Miroslav Pohanka
Tumor Necrosis Factor Alpha (TNFα) is an important marker of inflammatory processes in human body. In the current healthcare, determination of TNFα blood or plasma level is done by Enzyme Linked Immuno-Sorbent Assay (ELISA) as a primary choice method. Piezoelectric immunosensors are analytical platform recording affinity interactions on their surface. It is inferred that the immunosensors would be a functional alternative to the ELISA. In this study, antibody against TNFα was immobilized on Quartz Crystal Microbalance (QCM) sensor and the same was made on magnetic particles...
February 1, 2018: Talanta
https://www.readbyqxmd.com/read/29095023/hospital-and-homecare-malnutrition-and-nutritional-therapy-in-brazil-strategies-for-alleviating-it-a-position-paper
#14
Dan Linetzky Waitzberg, José Eduardo De Aguilar-Nascimento, Maria Carolina Gonçalves Dias, Nivaldo Pinho, Robson Moura, Maria Isabel Toulson Davisson Correia
INTRODUCTION: Malnutrition in hospitalized patients is not evaluated frequently. However, it is a critical issue given that it has been related to a high rate of infectious complications and increased mortality rates. There is a high prevalence of patients with nutritional impairment in the home environment, which favors their clinical worsening, the increase of re-hospitalizations and, consequently, the increase in public health expenditures. OBJECTIVE: Nutrition experts have thoroughly discussed and written this positioning paper on hospital and homecare malnutrition to describe the prevalence of malnutrition in Brazil...
July 28, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29094674/quality-of-care-for-frail-older-persons-in-a-homecare-setting-what-is-it-and-how-can-it-be-measured
#15
Jiska Cohen-Mansfield, Adi Hannah Sela, Esther Iecovich, Hava Golander
BACKGROUND: As more older persons opt to age in place, there is a growing trend to hire migrant workers as live-in caregivers to care for them. This raises the need to examine the quality of care they receive within this unique care setting. The objective of this pilot study was to establish the components of quality of care as provided by migrant live-in caregivers. METHODS: We interviewed a convenience sample of older persons cared for by migrant live-in caregivers and their relatives...
November 2, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29072538/senior-services-that-support-housing-first-in-metro-vancouver
#16
Sarah L Canham, Lupin Battersby, Mei Lan Fang, Mineko Wada, Rebecca Barnes, Andrew Sixsmith
Housing First is a model and philosophy for housing homeless people in immediate and permanent housing. In order to implement and deliver Housing First, research is essential to understand the system of support services as they currently exist. Guided by principles of community-based participatory research, this paper presents the findings from a senior-focused deliberative dialogue workshop in Metro Vancouver, Canada. Participants (16 service providers and 1 service recipient) identified services and resources available to support seniors in maintaining housing and barriers and facilitators for accessing services...
October 26, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29048246/home-based-care-barriers-and-facilitators-to-expanded-personal-support-worker-roles-in-ontario-canada
#17
Margaret Saari, Erin Patterson, Tieghan Killackey, Julia Raffaghello, Alissa Rowe, Ann E Tourangeau
To accommodate the increasing demand for home care in Ontario, Canada, some care tasks traditionally performed by regulated health professionals are being transferred to personal support workers (PSW). However, this expansion of PSW roles is not uniform across the province. Between December 2014 and April 2015, barriers and facilitators to expansion of PSW roles in home care were explored in a series of 13 focus groups. Home care staff identified seven categories of factors affecting the expansion of PSW roles in home care including: communication and documentation; organization and structures of care; attitudes and perceptions of the expanding PSW role; adequate staffing; education, training and support; PSW role clarity and variation in practices, policies, and procedures...
October 19, 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29036858/musculoskeletal-signs-in-female-homecare-personnel-a-longitudinal-epidemiological-study
#18
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]...
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
#19
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
#20
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
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