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https://www.readbyqxmd.com/read/29666129/preventing-emergency-department-ed-visits-and-hospitalisations-of-older-adults-with-cognitive-impairment-compared-with-the-general-senior-population-what-do-we-know-about-avoidable-incidents-results-from-a-scoping-review
#1
Mireille Gagnon-Roy, Benyahia Hami, Mélissa Généreux, Nathalie Veillette, Marie-Josée Sirois, Mary Egan, Véronique Provencher
OBJECTIVES: Older cognitively impaired adults present a higher risk of hospitalisation and mortality following a visit to the emergency department (ED). Better understanding of avoidable incidents is needed to prevent them and the associated ED presentations in community-dwelling adults. This study aimed to synthetise the actual knowledge concerning these incidents leading this population to ED presentation, as well as possible preventive measures to reduce them. DESIGN: A scoping review was performed according to the Arksey and O'Malley framework...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29665775/contact-among-healthcare-workers-in-the-hospital-setting-developing-the-evidence-base-for-innovative-approaches-to-infection-control
#2
Krista M English, Joanne M Langley, Allison McGeer, Nathaniel Hupert, Raymond Tellier, Bonnie Henry, Scott A Halperin, Lynn Johnston, Babak Pourbohloul
BACKGROUND: Nosocomial, or healthcare-associated infections (HAI), exact a high medical and financial toll on patients, healthcare workers, caretakers, and the health system. Interpersonal contact patterns play a large role in infectious disease spread, but little is known about the relationship between health care workers' (HCW) movements and contact patterns within a heath care facility and HAI. Quantitatively capturing these patterns will aid in understanding the dynamics of HAI and may lead to more targeted and effective control strategies in the hospital setting...
April 17, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29665241/the-effects-of-medication-adherence-and-health-literacy-on-health-related-quality-of-life-in-older-people-with-hypertension
#3
Nam Hee Park, Mi Sook Song, So Young Shin, Ji-Hye Jeong, Hyo Young Lee
AIM AND OBJECTIVE: This study investigated the effects of medication adherence and health literacy on health-related quality of life in vulnerable older people with hypertension. BACKGROUND: Health literacy is particularly critical for providing accurate information regarding correct medication intake to improve medication adherence. Additionally, health-related quality of life is directly related to impairment from chronic disease. DESIGN: A descriptive, cross-sectional study design was used...
April 17, 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29662915/patient-perspectives-of-midlevel-providers-in-orthopaedic-sports-medicine
#4
Blaine T Manning, Daniel D Bohl, Charles P Hannon, Michael L Redondo, David R Christian, Brian Forsythe, Shane J Nho, Bernard R Bach
Background: Midlevel providers (eg, nurse practitioners and physician assistants) have been integrated into orthopaedic systems of care in response to the increasing demand for musculoskeletal care. Few studies have examined patient perspectives toward midlevel providers in orthopaedic sports medicine. Purpose: To identify perspectives of orthopaedic sports medicine patients regarding midlevel providers, including optimal scope of practice, reimbursement equity with physicians, and importance of the physician's midlevel provider to patients when initially selecting a physician...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29662748/national-trends-for-primary-and-revision-lumbar-disc-arthroplasty-throughout-the-united-states
#5
Comron Saifi, Alejandro Cazzulino, Caroline Park, Joseph Laratta, Philip K Louie, Jamal N Shillingford, Ronald Lehman, Howard An, Frank Phillips
Study Design: Retrospective database study. Objectives: Analysis of economic and demographic data concerning lumbar disc arthroplasty (LDA) throughout the United States to improve value-based care and health care utilization. Methods: The National Inpatient Sample database was queried for patients who underwent primary or revision LDA between 2005 and 2013. Demographic and economic data included total surgeries, costs, length of stay, and frequency of routine discharge...
April 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29659546/physical-activity-on-prescription-with-counsellor-support-a-4-year-registry-based-study-in-routine-health-care-in-sweden
#6
Pia Andersen, Sara Holmberg, Lena Lendahls, Per Nilsen, Margareta Kristenson
Background : Public health gains from physical activity on prescription (PAP) depend on uptake in routine care. We performed an evaluation of the implementation, in a Swedish county council, of counsellors who give personalized support to PAP recipients aimed at facilitating PAP delivery. The aim was to compare characteristics between PAP recipients and the health care population as well as between PAP recipients who used and did not use counsellor support. We also investigated professional belonging and health care setting of health care professionals who prescribed PAP...
April 16, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29652733/circumstances-and-signs-of-approaching-death-in-patients-with-amyotrophic-lateral-sclerosis-undergoing-noninvasive-ventilation-in-home-care-settings
#7
Mitsuko Ushikubo
The purpose of this study was to elucidate the circumstances and symptoms of patients with amyotrophic lateral sclerosis (ALS) using noninvasive positive pressure ventilation (NPPV) in whom death was approaching, to understand how to provide palliative care to dying patients with ALS receiving NPPV management. The participants were 6 home visiting nurses who were head or subhead nurses of a home visiting nursing agency. Data were collected data conducting individual semistructured interviews and then group interviews...
April 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29651059/aesthetic-possibilities-in-removable-prosthodontics-part-3-photometric-tooth-selection-tooth-setting-try-in-fitting-reviewing-and-trouble-shooting
#8
J N Besford, A F Sutton
This final article in a series of three on producing complete dentures which the patient considers attractive, describes selecting the denture teeth, setting the front teeth at the chairside, the try-in visits, processing, fitting and reviewing the dentures. The role of the patient as captain of the ship, the dental nurse as the patient's support and liaison officer, and the clinician as the first technical officer is outlined. The use of immediate replay video technology in allowing a patient to see what the trial denture really looks like is described...
April 13, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29650884/-role-of-pharmacists-in-the-care-of-pediatric-patients-needing-home-visiting-intervention-for-pharmaceutical-management-and-their-life-depending-on-medical-care
#9
Michiyo Kawana, Minoru Hatsuta, Yoichi Ishikawa, Masayoshi Hirohara, Kazuki Kushida
Medical advances have made it possible to save lives of children with severe refractory diseases. As a result, the number of children who need continuous medical care at home has increased. However, currently, few medical personnel of both medical institutions and pharmacies are aware of home visiting intervention for pharmaceutical management. Home visiting intervention should be utilized more for severely impaired children who are highly dependent on medical care to effectively reduce the nursing care burden of the family and to secure pharmaceutical supply path...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650879/-a-study-on-designs-and-achievements-of-trainings-for-enhancing-the-self-help-ability-of-home-cared-persons-in-preparing-for-disasters-review-of-disaster-drills-with-cared-persons-and-their-families
#10
Kayo Shirai, Mieko Ito, Kiyomi Hata
After the Great East Japan Earthquake, we re-recognized the importance of self-help efforts of home-cared persons and their families and the necessity of advanced measures. In 2013, we designed a disaster drill to enhance the self-help ability of home-cared persons and their families in a stepwise fashion. In 2016, for the purpose of reviewing the achievements of the designed drill and its contents, the disaster drill was conducted on 21 users of our home-visit nursing station, followed by a questionnaire survey regarding the training contents, date/time, documents used, change in awareness, disaster-preventive actions, etc...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650878/-balance-in-disaster-preparedness-between-public-self-and-mutual-help-for-home-cared-individuals
#11
Kiyomi Hata, Masao Hata
At present, when it is predicted that large-scale disasters may occur, repletion and reinforcement of disaster preparedness are required. For disaster preparedness, a balance between public, self-, and mutual help is important. However, designated hospitals and their support systems were placed importance in medical care during disasters, and preparedness in regard to home care has not been discussed sufficiently. The purpose of this study is to clarify preparations that home-visit nursing stations may implement, states of support for self-help of cared persons and their families and mutual help such as of communities, in home-visit nursing stations in the areas where large-scale damages by Tokyo Inland Earthquake and Nankai Trough Earthquake are assumed...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650877/-activity-report-and-future-prospects-of-the-medical-and-nursing-care-cooperation-desk-in-koshigaya-city
#12
Megumi Nogami, Yoji Sato, Akihiko Okano, Kyoji Ohkoshi
The "medical and nursing care cooperation desk" was established within the Koshigaya Medical Association in April 2016 in and began operating in Koshigaya City. There were 243 consultation cases during the 17 months from April 1, 2016 to August 31, 2017. Consultation with medical institutions and visiting nursing stations accounted for 42%of cases and nursing-related personnel accounted for 40%. Regarding consultation contents, transition to home medical care accounted for 50%of cases. We publish a monthly information magazine, "Cooperation Between Medical Care and Nursing Care,"with information on the contents of consultation, and multidisciplinary information sharing is being planned...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650874/-findings-from-actual-situation-of-cooperation-between-discharge-nurses-and-home-visiting-nurses-from-shifting-to-home-care-through-terminal-phase-in-terminal-cancer-patients
#13
Satomi Konno, Hamae Nagai
We conducted questionnaire surveys focusing on the"actual situation of cooperation between discharge nurses and homevisiting nurses etc. from transition to home-care through the terminal phase in terminal cancer patients."As a result,discharge nurses were employed at acute-stage hospitals to practice discharge adjustment. Medical staff in home care and home care workers continuously supported the patients and their families in managing difficulties such as changes in pathological conditions and care-related anxiety after the patient was discharged...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650866/-identifying-the-regional-features-in-the-visiting-nursing-station-trade-area-using-gis
#14
Ryo Horiike, Tomoya Itatani, Hisao Nakai, Fumie Shirai
In order to clarify the characteristics of the area where the visiting nursing station is located, we conducted a study to identify the regional characteristics of the visiting nursing station in Ishikawa Prefecture, using geographical information system(GIS). We mapped the elderly population, aging rate, and location data for the visiting nursing station using QGIS, and created trade areas(Voronoi diagrams). The aging rate for each trade area is 22.4%(min 8.8% to max 44.6%), about 5 times. The difference in area is about 850 times as large as the central value of 9...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29642929/how-well-does-the-minimum-data-set-measure-healthcare-use-a-validation-study
#15
Malcolm B Doupe, Jeff Poss, Peter G Norton, Allan Garland, Natalia Dik, Shauna Zinnick, Lisa M Lix
BACKGROUND: To improve care, planners require accurate information about nursing home (NH) residents and their healthcare use. We evaluated how accurately measures of resident user status and healthcare use were captured in the Minimum Data Set (MDS) versus administrative data. METHODS: This retrospective observational cohort study was conducted on all NH residents (N = 8832) from Winnipeg, Manitoba, Canada, between April 1, 2011 and March 31, 2013. Six study measures exist...
April 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29629682/impact-of-ideal-clinic-implementation-on-patient-waiting-time-in-primary-healthcare-clinics-in-kwazulu-natal-province-south-africa-a-before-and-after-evaluation
#16
B A Egbujie, A Grimwood, E C Mothibi-Wabafor, G Fatti, A M E T Tshabalala, S Allie, G Vilakazi, O Oyebanji
BACKGROUND: Long waiting times are a major source of dissatisfaction for patients attending public healthcare facilities in South Africa (SA). The National Department of Health has identified this as one of six priority areas for improvement. Health system-strengthening (HSS) interventions to improve patient waiting time are being implemented in public health facilities across SA as part of the 'Ideal Clinic' model. The effect of these interventions on patient waiting time needs to be assessed and evidence generated for system improvement...
March 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29627395/impact-of-the-mother-nurse-partnership-programme-on-mother-and-infant-outcomes-in-paediatric-cardiac-intensive-care-unit
#17
Ju-Yeon Uhm, Hee Soon Kim
OBJECTIVES: To identify the effects of a mother-nurse partnership programme based on the core components of information sharing, negotiation and participation in care. Specifically, we examined the programme's effects on parental satisfaction, parental self-efficacy, perceived partnership and anxiety, as well as infants' time to reach full oral feeding and length of postoperative hospital stay, following cardiac surgery on infants at a paediatric intensive care unit with a restrictive visiting policy...
April 4, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29627108/effect-of-grand-aides-nurse-extenders-on-readmissions-and-emergency-department-visits-in-medicare-patients-with-heart-failure
#18
S Craig Thomas, Robert A Greevy, Arthur Garson
Numerous procedures have been tested to reduce hospital readmissions with varying success. The objective of this study was to evaluate all-cause readmissions and emergency department (ED) visits 30 days and 6 months after discharge with Grand-Aides (GAs): nurse extenders making frequent home visits under video direction by a nurse supervisor. Medicare patients with primary diagnosis of heart failure at the University of Virginia discharged January 1, 2013 to January 1, 2015 were included. A GA visited the patient's home within 24 to 48 hours with supervisor on video for medication reconciliation...
March 2, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/29625176/high-doses-of-antisecretory-factor-stop-diarrhea-fast-without-recurrence-for-six-weeks-post-treatment
#19
Shakila Zaman, Khalida Aamir, Lars Å Hanson, Stefan Lange
BACKGROUND: Diarrheal illnesses in young children cause morbidity and preventable deaths in developing countries. We evaluated two high doses of Salovum® [Antisecretory Factor] to treat diarrhea in young children and followed for recurrence 6 weeks post treatment. METHODS: Forty children, 6-24 months old, admitted with acute diarrhea, to the Outpatient Department of Children's Hospital in Lahore, Pakistan were selected. The patients were randomly allocated to either Group A given 2 sachets, or to Group B, given 4 sachets...
April 3, 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29623624/the-economic-burden-of-small-cell-lung-cancer-a-systematic-review-of-the-literature
#20
REVIEW
Ashley Enstone, Maire Greaney, Manca Povsic, Robin Wyn, John R Penrod, Yong Yuan
BACKGROUND: Small cell lung cancer (SCLC), the most aggressive form of lung carcinoma, represents approximately 15% of all lung cancers; however, the economic and healthcare burden of SCLC is not well-defined. OBJECTIVE: The aim of this study was to explore the impact of SCLC on healthcare costs through a systematic literature review (SLR). METHODS: Using the OVID search engine, the SLR was conducted in PubMed, MEDLINE In-Process, EMBASE, EconLIT and the National Health Service Economic Evaluation Database (NHS EED)...
August 18, 2017: PharmacoEconomics Open
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