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https://www.readbyqxmd.com/read/29222895/sarcopenia-and-cachexia-evaluation-in-different-healthcare-settings-a-questionnaire-survey-of-health-professionals
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
K Takeuchi, M Furuta, Y Okabe, S Suma, T Takeshita, S Akifusa, M Adachi, T Kinoshita, T Kikutani, Y 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)...
December 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28942736/telephone-based-minnesota-cognitive-acuity-screen-predicts-time-to-institutionalization-and-homecare
#19
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
#20
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...
November 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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