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"Discharge planning"

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https://www.readbyqxmd.com/read/29664168/ward-rounds-can-an-aide-memoire-help-new-doctors
#1
Jessica Pearce, Melody Redman, Sareena Gajebasia, Ruth Dirksen
BACKGROUND: Ward rounds are fundamental to the care of medical inpatients, and newly graduated doctors may be expected to conduct them alone. There are no studies exploring the frequency with which this occurs, however, or how prepared they feel for this task. METHODS: Newly graduated (Foundation Year-1, FY1) doctors in Northern Lincolnshire and Goole (NLaG) National Health Service Foundation Trust were surveyed at the end of their FY1 year. An online survey asked: how often they conducted medical ward rounds alone; how prepared they felt to do so; and how often they considered 13 important aspects of care...
April 17, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29663280/development-and-validation-of-a-simplified-brass-index-to-screen-hospital-patients-needing-personalized-discharge-planning
#2
Adriana Zarovska, Andrea Evangelista, Tiziana Boccia, Giovannino Ciccone, Daniela Coggiola, Antonio Scarmozzino, Daniela Corsi
BACKGROUND: Discharge planning is an important component of hospital care. The Blaylock Risk Assessment Screening Score (BRASS) index is an instrument used to identify patients requiring complex discharge planning. OBJECTIVES: (1) Evaluate the ability of the original BRASS index to predict the risk of complex discharge and hospital mortality. (2) Develop and validate a simplified BRASS index by eliminating redundant variables and re-estimating the predictor weights...
April 16, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29649554/persistence-of-meticillin-resistant-staphylococcus-aureus-carriage-in-readmitted-patients
#3
Calvin J Chiew, Hanley J Ho, Mar Kyaw Win, Adriana Tan, Jia Wei Lim, Brenda Ang, Angela Chow
A retrospective cohort study was conducted to investigate the duration and risk factors for persistence of methicillin-resistant Staphylococcus aureus (MRSA) colonisation among known carriers who were readmitted to hospital. MRSA carriage persisted in a high proportion of known carriers even up to 2 years from their last date of discharge, and readmission screening should be performed for at least this duration. A targeted screening approach should focus on older patients with history of long inpatient stays, who are at higher risk of persistent carriage...
April 9, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29622722/inpatient-quality-improvement-interventions-for-asthma-a-meta-analysis
#4
REVIEW
Kavita Parikh, Susan Keller, Shawn Ralston
CONTEXT: Despite the availability of evidence-based guidelines for the management of pediatric asthma, health care utilization remains high. OBJECTIVE: Systematically review the inpatient literature on asthma quality improvement (QI) and synthesize impact on subsequent health care utilization. DATA SOURCES: Medline and Cumulative Index to Nursing and Allied Health Literature (January 1, 1991-November 16, 2016) and bibliographies of retrieved articles...
April 5, 2018: Pediatrics
https://www.readbyqxmd.com/read/29621261/a-multicenter-randomized-controlled-trial-of-individualized-occupational-therapy-for-patients-with-schizophrenia-in-japan
#5
Takeshi Shimada, Manami Ohori, Yusuke Inagaki, Yuko Shimooka, Naoya Sugimura, Ikuyo Ishihara, Tomotaka Yoshida, Masayoshi Kobayashi
The individualized occupational therapy (IOT) program is a psychosocial program that we developed to facilitate proactive participation in treatment and improve cognitive functioning and other outcomes for inpatients with acute schizophrenia. The program consists of motivational interviewing, self-monitoring, individualized visits, handicraft activities, individualized psychoeducation, and discharge planning. This multicenter, open-labeled, blinded-endpoint, randomized controlled trial evaluated the impact of adding IOT to a group OT (GOT) program as usual for outcomes in recently hospitalized patients with schizophrenia in Japanese psychiatric hospitals setting compared with GOT alone...
2018: PloS One
https://www.readbyqxmd.com/read/29607602/bedside-nurses-roles-in-discharge-collaboration-in-general-internal-medicine-disconnected-disempowered-and-devalued
#6
Joanne Goldman, Kathleen MacMillan, Simon Kitto, Robert Wu, Ivan Silver, Scott Reeves
Collaboration among nurses and other healthcare professionals is needed for effective hospital discharge planning. However, interprofessional interactions and practices related to discharge vary within and across hospitals. These interactions are influenced by the ways in which healthcare professionals' roles are being shaped by hospital discharge priorities. This study explored the experience of bedside nurses' interprofessional collaboration in relation to discharge in a general medicine unit. An ethnographic approach was employed to obtain an in-depth insight into the perceptions and practices of nurses and other healthcare professionals regarding collaborative practices around discharge...
April 1, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29603823/effects-of-nurse-led-lower-extremity-strength-training-on-knee-function-recovery-in-patients-who-underwent-total-knee-replacement
#7
Yu-Hua Lin, Su-Ying Lee, Wei-Ren Su, Chia-Chan Kao, Ta-Wei Tai, Tai-Been Chen
AIM: The purpose of this study was to examine the effects of lower extremity muscle strength training (LEMST) on knee function recovery and QoL in patients who underwent total knee replacement (TKR). BACKGROUND: Patients with knee osteoarthritis (OA) after surgery experience decreased knee function that impacts their quality of life (QoL). However, patients typically lack a long-term, home-based, and continuous leg exercise training method, and rarely have studies explored the effects of exercise training on knee function recovery and QoL...
March 31, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29602261/post-acute-care-use-after-major-head-and-neck-oncologic-surgery-with-microvascular-reconstruction
#8
Harman S Parhar, Brent A Chang, J Scott Durham, Donald W Anderson, Richard E Hayden, Eitan Prisman
OBJECTIVES: Post-acute care (PAC) centers, such as skilled nursing facilities, unskilled nursing facilities, lower acuity hospitals, and rehabilitation centers, serve to optimize recovery after acute care hospitalization. We aimed to identify factors associated with PAC utilization among patients undergoing head and neck cancer surgery with microvascular reconstruction because it may be helpful for patient decision making, discharge planning, and resource allocation. METHODS: Retrospective linked analysis of the 2011 to 2015 National Surgical Quality Improvement Program...
March 30, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29601425/predicting-risk-factors-for-30-day-readmissions-following-discharge-from-post-acute-care
#9
Nina M Flanagan, Victoria M Rizzo, Gary D James, Adele Spegman, Najla A Barnawi
PURPOSE OF STUDY: The specific aims of this descriptive study were to (1) examine the relationships between individual-level determinants of health using standard care admission assessments of residents admitted to a skilled nursing facility (SNF) and those residents readmitted to the hospital within 30 days from discharge from the same SNF; (2) identify and describe the risk factors of the residents readmitted to the hospital within 30 days; and (3) use the findings to inform and refine current practice to target the mutable risk factors correlated with 30-day hospital readmission...
May 2018: Professional Case Management
https://www.readbyqxmd.com/read/29579510/effectiveness-of-needs-oriented-hospital-discharge-planning-for-caregivers-of-patients-with-schizophrenia
#10
Li-En Lin, Su-Chen Lo, Chieh-Yu Liu, Shing-Chia Chen, Wen-Cheng Wu, Wen-I Liu
Hospital discharge planning for clients with schizophrenia reduces client rehospitalization rates and improves their medication adherence. The effectiveness of caregiver participation in hospital discharge planning has seldom been explored. The purpose of this study was to examine the effectiveness of caregiver participation in hospital discharge planning for clients with schizophrenia in reducing caregiver burden and improving health status. A quasi-experimental research design was adopted. The research location was in a psychiatric hospital in Northern Taiwan...
April 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29576093/academy-of-nutrition-and-dietetics-revised-2017-standards-of-practice-and-standards-of-professional-performance-for-registered-dietitian-nutritionists-competent-proficient-and-expert-in-oncology-nutrition
#11
Paula Charuhas Macris, Karen Schilling, Raymond Palko
Oncology nutrition encompasses nutrition care for individuals along the cancer care continuum. Nutrition is a vital component of prevention, treatment, and healthy survivorship. The practice of an oncology registered dietitian nutritionist (RDN) reflects the setting and population served with diverse cancer diagnoses, including expanded roles and responsibilities reflecting the RDN's interests and organization's activities. Provision of nutrition services in oncology requires that RDNs have advanced knowledge in the focus area of oncology nutrition...
April 2018: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29575272/going-beyond-zip-code-can-a-person-s-address-help-us-improve-their-acute-care
#12
Erik J Blutinger, Zachary F Meisel, Eugenia C South
Do you know if the man you treated last night with unexplained chest pain lives on a block with a lot of boarded up houses or vacant lots? Does the woman with many repeat visits for asthma exacerbations live in an area with high rates of violent crime? Do these factors in any way relate to their ED visit - the complaint, the workup, the management, your discharge plan? If you knew more about your patient's immediate neighborhood surroundings, would that enhance your ability to deliver high quality acute care? During a busy shift, emergency care providers rarely have time to reflect on how individual and neighborhood socioeconomic factors impact their patient's health...
March 25, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29573561/new-care-home-admission-following-hospitalisation-how-do-older-people-families-and-professionals-make-decisions-about-discharge-destination-a-case-study-narrative-analysis
#13
Sarah J Rhynas, Azucena Garcia Garrido, Jennifer K Burton, Gemma Logan, Juliet MacArthur
AIMS AND OBJECTIVES: To gain an in-depth understanding of the decision-making processes involved in the discharge of older people admitted to hospital from home and discharged to a care home, as described in the case records. BACKGROUND: The decision for an older person to move into a care home is significant and life-changing. The discharge planning literature for older people highlights the integral role of nurses in supporting and facilitating effective discharge...
March 24, 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29569470/a-cost-minimization-analysis-of-occupational-therapy-discharge-planning-for-older-adults-the-home-randomized-controlled-trial
#14
Kylie Wales, Glenn Salkeld, Lindy Clemson, Natasha A Lannin, Laura Gitlin, Laurence Rubenstein, Kirsten Howard, Martin Howell, Ian D Cameron
OBJECTIVE: To compare the cost effectiveness of two occupational therapy-led discharge planning interventions from the HOME trial. DESIGN: An economic evaluation was conducted within the superiority randomized HOME trial to assess the difference in costs and health-related outcomes associated with the enhanced program and the in-hospital consultation. Total costs of health and community service utilization were used to calculate incremental cost-effectiveness ratios, activities of daily living and quality-adjusted life years...
March 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29533159/risk-of-social-isolation-among-older-patients-what-factors-affect-the-availability-of-family-friends-and-neighbors-upon-hospitalization
#15
Jung-Hwa Ha, Gavin W Hougham, David O Meltzer
OBJECTIVES: To examine the prevalence of social isolation among older patients admitted to a hospital, and the effects of sociodemographic and health-related factors on the availability of their family, friends, and neighbor networks. METHODS: Analyses are based on interviews with a sample of 2,449 older patients admitted to an urban academic medical center in the United States. A nine-item version of Lubben's Social Network Scale was developed and used to assess the availability of different social networks...
March 2, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29530496/preoperative-frailty-is-a-risk-factor-for-non-home-discharge-in-patients-undergoing-surgery-for-endometrial-cancer
#16
Pelumi Adedayo, Kimberly Resnick, Sareena Singh
OBJECTIVE: Our objective was to examine the association of the modified frailty index (mFI) and non-home discharge in patients undergoing surgery for endometrial cancer (EMCA). METHODS: Patients who underwent surgery for EMCA from 2011 to 2012 were identified from the American College of Surgeons - Nastional Surigical Quality Improvement Project (ACS-NSQIP) database. Current Procedural Terminology (CPT) codes were used to identify surgical characteristics. We excluded patients who were already living in a non-home facility...
March 9, 2018: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29529671/changing-patient-expectations-decreases-length-of-stay-in-an-enhanced-recovery-program-for-tha
#17
Dylan Tanzer, Karen Smith, Michael Tanzer
BACKGROUND: The implementation of care pathways in hip arthroplasty programs has been shown to result in a decreased length of stay (LOS), but often multiple elements of a care pathway are implemented at the same time. As a result, it is difficult to understand the impact each of the individual modifications has made to the patient's prepathway care. In particular, it is unknown what the role of patient expectations pertaining to anticipated LOS alone is on the LOS after primary THA. QUESTIONS/PURPOSES: (1) Does changing the patient's expectations regarding his or her anticipated LOS, without intentionally changing the rest of the care pathway, result in a change in the patient's LOS after primary THA? (2) Is the resultant LOS associated with the patient's age, gender, or day of the week the surgery was performed? METHODS: We retrospectively compared the LOS in 100 consecutive patients undergoing THA immediately after the implementation of a 4-day care pathway (4-day Group) with 100 consecutive patients, 3 months later, who were also in the same pathway but were told by their surgeon preoperatively and in the hospital to expect a LOS of 2 days (2-day Group)...
February 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29529669/risk-of-complications-after-tha-increases-among-patients-who-are-coinfected-with-hiv-and-hepatitis-c
#18
Siddharth A Mahure, Joseph A Bosco, James D Slover, Jonathan Vigdorchik, Richard Iorio, Ran Schwarzkopf
BACKGROUND: Individuals coinfected with both hepatitis C virus (HCV) and HIV represent a unique and growing population of patients undergoing orthopaedic surgical procedures. Data regarding complications for HCV monoinfection or HIV monoinfection are robust, but there are no data available, to our knowledge, on patients who have both HCV and HIV infections. QUESTIONS/PURPOSES: We sought to determine whether patients with coinfection differed in terms of baseline demographics and comorbidity burden as compared with patients without coinfection and whether these potential differences were translated into varying levels of postoperative complications, mortality, and hospital readmission risk...
February 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29522293/ureteroscopy-and-stone-treatment-in-the-elderly-%C3%A2-70-years-prospective-outcomes-over-5-years-with-a-review-of-literature
#19
Sarah Prattley, James Voss, Stephanie Cheung, Robert Geraghty, Patrick Jones, Bhaskar K Somani
OBJECTIVE: To assess outcomes of ureteroscopy for treatment of stone disease in the elderly. Ureteroscopy (URS) is an increasingly popular treatment modality for urolithiasis and its applications are ever expanding with the development of newer technologies. Its feasibility and outcomes within the elderly population to our knowledge remain under-reported. MATERIALS AND METHODS: We examined the patient demographics and surgical outcomes from our prospective database for patients ≥70 years who underwent URS for urolithiasis, in a 5-year period between March 2012 and December 2016...
March 9, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29506682/obtaining-a-follow-up-appointment-before-discharge-protects-against-readmission-for-patients-with-acute-coronary-syndrome-and-heart-failure-a-quality-improvement-project
#20
Vidagay Baky, Dane Moran, Tessa Warwick, Alice George, Tammy Williams, Eric McWilliams, Joseph E Marine
BACKGROUND: Cardiac patients have a high risk of readmission following hospital discharge. The aim of our project was to examine the factors associated with increased readmission rate, with a view to eventually decrease the rate of readmission for patients admitted to the hospital due to acute coronary syndrome (ACS) or heart failure. METHODS: Patients admitted to the cardiac step-down unit at a single private hospital from 2015 to 2016 were included in our study...
April 15, 2018: International Journal of Cardiology
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