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Artigos de revistas sobre o assunto "Nursing home patients – social conditions"
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Gill, Michael. "Managing patients in care homes". InnovAiT: Education and inspiration for general practice 13, n.º 2 (13 de janeiro de 2020): 102–8. http://dx.doi.org/10.1177/1755738019890118.
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Older people in care homes deserve the best health and social care we can offer. Their care needs are usually high and they are vulnerable either physically, cognitively or both. They are likely to have several long-term conditions and be in the last year or so of life. Although some may have families and friends supporting them with regular visits and advocacy, others may be more alone and socially isolated. Care homes are traditionally classed as either residential homes or nursing homes, with some being dual registered. The main difference is the presence of 24-hour on-site qualified nursing support in nursing homes. This means that, in general, the residents of nursing homes are more dependent and complex. This article will first describe how to approach the planning and delivery of primary care services to nursing homes, and then consider some of the most common problems and conditions. Much of this also applies to residential home residents.
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Martínez-Redondo, Javier, Carles Comas, Cristina García-Serrano, Montserrat Crespo-Pons, Pilar Biendicho Palau, Teresa Vila Parrot, Francisco Reventoz Martínez et al. "Population Older than 69 Had Similar Fatality Rates Independently if They Were Admitted in Nursing Homes or Lived in the Community: A Retrospective Observational Study during COVID-19 First Wave". Geriatrics 8, n.º 3 (28 de abril de 2023): 48. http://dx.doi.org/10.3390/geriatrics8030048.
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The aim of this study is to assess the influence of living in nursing homes on COVID-19-related mortality, and to calculate the real specific mortality rate caused by COVID-19 among people older than 20 years of age in the Balaguer Primary Care Centre Health Area during the first wave of the pandemic. We conducted an observational study based on a database generated between March and May 2020, analysing COVID-19-related mortality as a dependent variable, and including different independent variables, such as living in a nursing home or in the community (outside nursing homes), age, sex, symptoms, pre-existing conditions, and hospital admission. To evaluate the associations between the independent variables and mortality, we calculated the absolute and relative frequencies, and performed a chi-square test. To avoid the impact of the age variable on mortality and to assess the influence of the “living in a nursing home” variable, we established comparisons between infected population groups over 69 years of age (in nursing homes and outside nursing homes). Living in a nursing home was associated with a higher incidence of COVID-19 infection, but not with higher mortality in patients over 69 years of age (p = 0.614). The real specific mortality rate caused by COVID-19 was 2.270/00. In the study of the entire sample, all the comorbidities studied were associated with higher mortality; however, the comorbidities were not associated with higher mortality in the infected nursing home patients group, nor in the infected community patients over 69 years of age group (except for neoplasm history in this last group). Finally, hospital admission was not associated with lower mortality in nursing home patients, nor in community patients over 69 years of age.
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Martin, Katy, Laura Johnston e Natalie Archer. "Oral conditions in the community patient: part 2—systemic complications of poor oral health". British Journal of Community Nursing 25, n.º 11 (2 de novembro de 2020): 532–36. http://dx.doi.org/10.12968/bjcn.2020.25.11.532.
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Oral health has a symbiotic relationship with general health, with oral disease recognised to have an adverse effect on the overall systemic health of a patient. Deterioration in oral health has been shown to have an impact on the severity of chronic systemic diseases, nutrition, hydration and psychological and social wellbeing. Part 1 of this mini-series explored the common oral conditions that community patients may present with, and the role of the nursing team in aiding the prevention, diagnosis and management of these conditions. Following on from that, this article discusses the links between oral and general health, and preservation of a patient's quality of life. This article also aims to support nurses' knowledge on how to assess the oral health needs of patients, support oral care provision, how to access acute and elective dental services and signpost to additional supportive resources.
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Chayati, Nur, Christantie Effendy e Ismail Setyopranoto. "Validity and reliability testing of home care stroke quality indicators". International Journal of Public Health Science (IJPHS) 10, n.º 4 (1 de dezembro de 2021): 873. http://dx.doi.org/10.11591/ijphs.v10i4.20846.
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<p>It is disconcerting that until today there are no agencies or research to recommend the appropriate indicators of home nursing care of stroke patients according to Indonesian conditions. Hence, this research aimed to verify the validity and reliability of quality indicators of home nursing care for stroke patient that resulted from Delphy process. Confirmatory factor analysis was carried out for validity and reliability testing with data collected from 350 respondents. Based on the value of loading factors, 62 indicators were declared valid and five indicators were invalid. This study successfully proved the validity of 62 indicators of quality home care for stroke patients. Further research is needed to pilot project this indicator in a larger area.</p>
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Löfgren, Ann-Christine, Gösta Bucht, Sture Eriksson e Bengt Winblad. "A Comparative Study of the Social Conditions of Spouses of Long Term Patients Cared For Either in Nursing Homes or Home Care". Scandinavian Journal of Caring Sciences 6, n.º 1 (março de 1992): 45–52. http://dx.doi.org/10.1111/j.1471-6712.1992.tb00122.x.
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Arensberg, Mary Beth, Cory Brunton, Susan Drawert e Brenda Richardson. "Prevalence Rates and Characteristics of Malnutrition, Frailty, and Other Nutrition and Muscle Mass-Related Conditions Document Potential Quality of Care Gap for Medicare Patients in US Skilled Nursing Facilities". Geriatrics 7, n.º 2 (31 de março de 2022): 42. http://dx.doi.org/10.3390/geriatrics7020042.
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Changes to the payment structure of the United States (U.S.) healthcare system are leading to an increased acuity level of patients receiving short-term skilled nursing facility care. Most skilled nursing facility patients are older, and many have medical conditions that cannot be changed. However, conditions related to nutrition/muscle mass may be impacted if there is early identification/intervention. To help determine the diagnosis and potential impact of nutrition/muscle mass-related conditions in skilled nursing facilities, this study evaluated 2016–2020 US Medicare claims data. Methods aimed to identify a set of skilled nursing facility claims with one or more specific diagnoses (COVID-19, malnutrition, sarcopenia, frailty, obesity, diabetes, and/or pressure injury) and then to determine length of stay, discharge status, total charges, and total payments for each claim. Mean values per beneficiary were computed and between–group comparisons were performed. Results documented that each year, the total number of Medicare skilled nursing facility claims declined, whereas the percentage of claims for each study diagnosis increased significantly. For most conditions, potentially related to nutrition/muscle mass, Medicare beneficiaries had a shorter length of skilled nursing facility stays compared to those without the condition(s). Furthermore, a lower percentage of these Medicare beneficiaries were discharged home (except for those with claims for sarcopenia and obesity). Total claim charges for those with nutrition/muscle mass-related conditions exceeded those without (except for those with sarcopenia). We conclude that although the acuity level of patients in skilled nursing facilities continues to increase, skilled nursing facility Medicare claims for nutrition/muscle mass-related conditions are reported at lower levels than their likely prevalence. This represents a potential care gap and requires action to help improve patient health outcomes and skilled nursing facility quality metrics.
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Hickman, Susan, Edward Miech, Timothy Stump, Laramie Mack, Wanzhu Tu e Kathleen Unroe. "CONDITIONS ASSOCIATED WITH SUCCESSFUL IMPLEMENTATION OF AN ADVANCE CARE PLANNING INTERVENTION IN NURSING HOMES". Innovation in Aging 7, Supplement_1 (1 de dezembro de 2023): 1009–10. http://dx.doi.org/10.1093/geroni/igad104.3244.
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Abstract Implementing evidence-based interventions in nursing homes is challenging in part because clinical trials requiring a controlled experimental environment are difficult to sustain. In contrast, pragmatic clinical trials develop and evaluate evidence-based interventions in the “real world” with the goal of streamlining implementation after study completion. However, there is minimal information available identifying conditions associated with successful implementation of pragmatic interventions in the nursing home setting. The “Aligning Patient Preferences - a Role Offering Alzheimer’s patients, Caregivers, and Healthcare Providers Education and Support” (APPROACHES) project is a pragmatic trial designed to test and evaluate a staff-led advance care planning (ACP) intervention for residents with ADRD in 131 nursing homes (64 intervention, 67 control) between September 1, 2021 and August 31, 2022. ACP Specialists received training on ACP facilitation and implementation of the ACP program in the facility. Twenty of 65 (31%) sites successfully implemented the APPROACHES intervention and had > 75% of residents with documented ACP conversations. Using configurational analysis, we found two solutions directly linked with successful pragmatic implementation: (1) no executive director turnover during the observation period combined with site participation in monthly intervention support calls with ACP staff at other facilities; and (2) higher rates of hospitalization (3.96 – 7.2 per 1000 resident days) combined with a low number of certified beds. Findings suggest that leadership stability and engagement with peers were essential drivers of successful implementation. Having greater improvement opportunities as well as a more manageable caseload for the ACP Specialist may also help explain successful implementation.
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Rojo, Á., e E. Fernandez. "Towards an improvement of medical and psychological care in a nursing home". European Psychiatry 26, S2 (março de 2011): 850. http://dx.doi.org/10.1016/s0924-9338(11)72555-x.
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IntroductionValle Inclán Nursing Home is a multifunctional centre of Gerontology, that offers social and health services to elderly people, either with physical independence or with physical and psychic disabilities. Mental illness is studied from a multidisciplinary point of view, and these different therapeutic programs are implemented: psychological support for adjustment disorders, cognitive-behavioural therapy for mood disorders and overall medical examination of dementia. The total sample of patients that are studied is 445, chronologically distributed according the next data: N: 234 (2006), N: 264 (2007), N: 258 (2008) y N: 243 (2009).ObjectivesTo know the prevalence of the main psychiatric pathologies and to compare to data found in scientific literature.To find data that can be used in order to improve the quality of medical care and psychosocial attention.MethodThe prevalence of different psychiatric conditions treated by this mental health department, and the variation of these data for the last four years are showed. These data are compared with those in scientific literature.ResultsMental illness prevalence distribution is similar to the prevalence that is found in scientific literature. Dementia is the most prevalent pathology, and mood disorders are in the second place.ConclusionsThe decrease in the prevalence of mood disorders is probably on account of the implementation of specific psychotherapeutic programs. An increase in the prevalence of dementia can be explained by the improvement of screening of this illness and/or the increasing social request for admission to these nursing homes.
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Shoaib, Muhammad. "Social and Cultural Norms; Still a Resistance to Nursing Care Homes for Older Patients in KPK, Pakistan". National Journal of Health Sciences 8, n.º 4 (28 de dezembro de 2023): 142–43. http://dx.doi.org/10.21089/njhs.84.0142.
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Abstract: The percentage of the elderly population is increasing worldwide. The same trend is also observed in Pakistan. The elderly face many health problems in their advanced age. Elderly those who have chronic conditions like stroke need special and long-term care. So, for the provision of long-term care nursing care homes are crucial in a community. But, unfortunately in the province of Khyber Pakhtunkhwa, there is strong resistance to nursing care homes due to cultural and social norms.
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Carrasco-Ribelles, Lucía A., Margarita Cabrera-Bean, Marc Danés-Castells, Edurne Zabaleta-del-Olmo, Albert Roso-Llorach e Concepción Violán. "Contribution of Frailty to Multimorbidity Patterns and Trajectories: Longitudinal Dynamic Cohort Study of Aging People". JMIR Public Health and Surveillance 9 (27 de junho de 2023): e45848. http://dx.doi.org/10.2196/45848.
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Background Multimorbidity and frailty are characteristics of aging that need individualized evaluation, and there is a 2-way causal relationship between them. Thus, considering frailty in analyses of multimorbidity is important for tailoring social and health care to the specific needs of older people. Objective This study aimed to assess how the inclusion of frailty contributes to identifying and characterizing multimorbidity patterns in people aged 65 years or older. Methods Longitudinal data were drawn from electronic health records through the SIDIAP (Sistema d’Informació pel Desenvolupament de la Investigació a l’Atenció Primària) primary care database for the population aged 65 years or older from 2010 to 2019 in Catalonia, Spain. Frailty and multimorbidity were measured annually using validated tools (eFRAGICAP, a cumulative deficit model; and Swedish National Study of Aging and Care in Kungsholmen [SNAC-K], respectively). Two sets of 11 multimorbidity patterns were obtained using fuzzy c-means. Both considered the chronic conditions of the participants. In addition, one set included age, and the other included frailty. Cox models were used to test their associations with death, nursing home admission, and home care need. Trajectories were defined as the evolution of the patterns over the follow-up period. Results The study included 1,456,052 unique participants (mean follow-up of 7.0 years). Most patterns were similar in both sets in terms of the most prevalent conditions. However, the patterns that considered frailty were better for identifying the population whose main conditions imposed limitations on daily life, with a higher prevalence of frail individuals in patterns like chronic ulcers &peripheral vascular. This set also included a dementia-specific pattern and showed a better fit with the risk of nursing home admission and home care need. On the other hand, the risk of death had a better fit with the set of patterns that did not include frailty. The change in patterns when considering frailty also led to a change in trajectories. On average, participants were in 1.8 patterns during their follow-up, while 45.1% (656,778/1,456,052) remained in the same pattern. Conclusions Our results suggest that frailty should be considered in addition to chronic diseases when studying multimorbidity patterns in older adults. Multimorbidity patterns and trajectories can help to identify patients with specific needs. The patterns that considered frailty were better for identifying the risk of certain age-related outcomes, such as nursing home admission or home care need, while those considering age were better for identifying the risk of death. Clinical and social intervention guidelines and resource planning can be tailored based on the prevalence of these patterns and trajectories.
Teses / dissertações sobre o assunto "Nursing home patients – social conditions"
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Just, Mary Margaret. "Factors that affect the quantity and quality of interactive social support for nursing home residents /". Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.
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Gudorf, Gerald E. "The effects of life review therapy with elderly nursing home patients". Click here for text online. The Institute of Clinical Social Work Dissertations website, 1991. http://www.icsw.edu/_dissertations/gudorf_1991.pdf.
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Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 1991.A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.
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Bonifas, Robin P. "Multi-level factors related to deficiencies in psychological care in Washington State skilled nursing facilities /". Thesis, Connect to this title online; UW restricted, 2007. http://hdl.handle.net/1773/8139.
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Horton, Jeryl Yvette. "Improving Self-Management in Patients With Chronic Conditions". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2489.
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Care Coordination Home Telehealth (CCHT) maintains a positive impact on the delivery of patient care in the primary care clinic at the Department of Veterans Administration Medical Center (VAMC). This quality improvement initiative targets patients with chronic conditions such as diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease. These patient are frequently seen in the emergency room, and are often admitted to the hospital, where they saturate the outpatient clinics' waiting room with multiple walk-ins. CCHT has, to some extent, reduced walk-ins, emergency room visits, and hospitalization while minimizing the strain on access to care at the VAMC. Sustaining self-management skills of veterans with chronic conditions at the VAMC continues to impose challenges. In this project, retrospective data from 95 randomly selected charts reviewed during a 2-year period were used to compare hospitalizations, emergency room visits, and primary care visits. The findings of the study indicate veterans enrolled in Home Telehealth show positive social change. The social change is evidenced by change in behavior patterns, such as maintaining a healthy diet, performing daily physical activity, and compliance with medication administration. Enrolled veterans had better outcomes regarding hospitalization, emergency room visits, and primary care visits. The data highlighted the need for incorporating disease-specific protocols guiding care coordinators at first point of contact with the veteran patient. Following these protocols may enhance communication style that matches the patient's stage of behavioral change with interventions.
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Mejia, Gabriel. "Psychological quality of life in the nursing home environment". CSUSB ScholarWorks, 2006. https://scholarworks.lib.csusb.edu/etd-project/3178.
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This study confirms that depression is highly prevalent in nursing homes. In addition, this study reveals incongruency between depression rates and recognition rates of depression in the nursing home environment.
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Maeser, Donna Lee. "In-home health care and hospitalization status". CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1202.
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The purpose of the study was to describe the relationship between in-home health care services for elderly patients who were recently discharged from inpatient care and re-hospitalization rates. The design was descriptive and the hypothesis was that the provision of in-home health care services would mitigate a decline in the health status, of an elderly patient, following discharge from inpatient care and prevent re-hospitalization.
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Roybal, Elizabeth Ann. "Restraint use: Impact of an employee educational program in a skilled nursing facility". CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1162.
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Hickey, Ellen M. "Effects of training student volunteers to use multi-modality communication in conversations with nursing home residents with aphasia /". Thesis, Connect to this title online; UW restricted, 2000. http://hdl.handle.net/1773/8238.
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Espinoza, Arturo. "Social work practice with a veterans home population: A description of a protocol for the treatment of dementia patients in a skilled nursing facility". CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/146.
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Elkins, Tamera L. "The efficacy of visual telephony as a means of social support in socially isolated nuring home residents". Scholarly Commons, 1988. https://scholarlycommons.pacific.edu/uop_etds/2157.
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Nursing home residents often experience loneliness and social isolation. Research indicates that visitation via the telephone can decrease feelings of social isolation and loneliness. The purpose of this study was to introduce visual images to the telephone conversations of this population. It was hypothesized that the residents receiving this intervention would evidence decreased levels of loneliness and a greater sense of social support. This hypothesis was not supported by the data; however, emotional and social loneliness scores did show positive trends that may have been due to the intervention.
Livros sobre o assunto "Nursing home patients – social conditions"
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O'Connor, Joyce. Nursing homes in the Republic of Ireland: A study of the private and voluntary sector. Dublin: Stationery Office, 1986.
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O'Connor, Joyce. "It's our home": The quality of life in private and voluntary nursing homes. Dublin: Stationery Office, 1986.
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Retsinas, Joan. It's ok, Mom: The nursing home from a sociological perspective. New York City: Tiresias Press, 1986.
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Neil, Henderson J., e Vesperi Maria D, eds. The Culture of long term care: Nursing home ethnography. Westport, Conn: Bergin & Garvey, 1995.
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Mootoo, Shani. Cereus blooms at night. New Delhi;London: Penguin, 1998.
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Mootoo, Shani. Cereus blomstrer om natten. Oslo: J.M. Stenersens, 1999.
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Mootoo, Shani. Cereus blooms at night. Thorndike, Me: Thorndike Press, 1999.
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Mootoo, Shani. Cereus blooms at night. Toronto: M&S, 1998.
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Mootoo, Shani. Cereus blooms at night. Vancouver: Press Gang Publishers, 1996.
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Mootoo, Shani. Fleur de nuit. Paris: R. Laffont, 2001.
Encontre o texto completo da fonteCapítulos de livros sobre o assunto "Nursing home patients – social conditions"
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de Lima, Maria Eduarda Batista, Patrocinio Ariza-Vega, Aline Tavares Domingos Forte e Stefano Eleuteri. "Family Partnerships, Patient and Carer Education and Support". In Perspectives in Nursing Management and Care for Older Adults, 239–52. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-33484-9_15.
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AbstractThe involvement of the family, friends, and other people who are important to the patient has always been at the centre of any person-centred care process. Following a fragility fracture, many patients want their family and significant others to be involved in their care, both during hospitalisation and after discharge, and it is often expected that families will provide or lead ongoing care after discharge.It is well documented that postoperative functional decline is influenced by a great complexity of factors and that care aimed at preserving patients’ maximum autonomy, improving their perception of their health status, maintaining their social support network, and ensuring healthy living conditions is essential. The introduction of orthogeriatric units has made it possible to reduce the average length of stay and mortality, improve diagnostic accuracy, and reduce the cost of caring for these patients.The World Health Organization (WHO) recognises that the patient’s home is the natural environment in which they can develop their maximum functional and health potential. There is also considerable evidence that educational interventions can effectively contribute to functional recovery and improved patient compliance. Education has also been identified as a key element in the effectiveness of fracture coordination units. Health education aimed at preparing patients and their carers for a safe transition home can help during the first days after discharge from hospital and contribute to a reduction in rehospitalisation and an improvement in functional recovery and quality of life.This chapter will explore the importance of patient and family partnership in healthcare following fragility fracture and the importance of educational support from health professionals to ensure better functional recovery, quality of life and reduction of care-related burden.
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Mathias, Lisa Irene. "Home Health Care Needs and Nursing Considerations". In Urological Care for Patients with Progressive Neurological Conditions, 169–77. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-23277-1_19.
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Perracini, Monica Rodrigues, Camila Astolphi Lima, Julie Santy-Tomlinson e Cathie Sherrington. "Preventing Falls". In Perspectives in Nursing Management and Care for Older Adults, 53–73. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-33484-9_4.
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AbstractA fall is the mechanism of injury for most fragility fractures. Falls are preventable and should not be viewed as an inevitable consequence of the ageing process. Falls and fragility fractures frequently result in both short- and long-term disability and can be life-changing with considerable deterioration in health-related quality of life, increased dependency and social isolation.The causes of falls are individual and multifactorial. Risk factors interact dynamically and can be broadly classified into three main categories: demographic, intrinsic and extrinsic. Frailty, sarcopenia, falls and fragility fractures are linked and should be identified and receive proper intervention.Evidence-based processes and tools for interdisciplinary screening, assessment and management of risk of falling are available and can guide healthcare professionals. Involving patients and their families is essential in developing and implementing a person-centred fall prevention care plan. Nurses are central to fall prevention strategies in both hospital and community settings, working collaboratively with the entire interdisciplinary team, but most often with physiotherapists.The aim of this chapter is to explore the role of the practitioner working in acute hospital units, ambulatory care/outpatient clinics and community/home care settings and with people transitioning from hospital to home in preventing further falls in older people who have sustained a fragility fracture.
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Brent, Louise, Lina Spirgienė, Niamh O’Regan e Brid Diggin. "The Nursing Role in Orthogeriatric Comprehensive Geriatric Assessment (CGA)". In Perspectives in Nursing Management and Care for Older Adults, 95–110. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-33484-9_6.
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AbstractOlder people with fragility fractures are a diverse group, and their care needs are complex. Although some have comparatively few health problems, many have several interconnected illnesses alongside psychological and social problems, requiring a range of interventions. The primary focus of care is to meet these needs throughout the care pathway and ensure that they receive the same high standard of specialist care within orthopaedic services as they would within a setting specialising in the care of older people. The central philosophy is holistic care with a person-centred approach that brings the various aspects of specialist care together.‘Geriatric syndrome’ is a term often used to refer to common health problems in older adults that do not fit into distinct organ-specific disease categories and that have multifactorial causes. This includes frailty, cognitive impairment, delirium, incontinence, malnutrition, falls, gait disorders, pressure ulcers, sleep disorders, sensory deficits, fatigue and dizziness. These are common in older adults and can have a major impact on quality of life (QoL) and disability.Identifying problems specific to ageing so that interventions can be tailored to meet the needs of patients with fragility fractures needs a detailed and comprehensive assessment that can help clinicians manage these conditions and prevent or delay their complications. This needs to be a collaboration of the whole interdisciplinary team so that the skills of each team member can contribute to building a picture of the patient’s needs. Nursing assessment is a significant part of this whole.A term often used in relation to the assessment of older people with medical needs is comprehensive geriatric assessment (CGA). The aim of this chapter is to explore the nature of comprehensive geriatric assessment (CGA) for the patient with a fragility fracture and discuss how this can be applied to nursing assessment and care.
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Wasić, Catharina, Frank Bahrmann, Stefan Vogt, Hans-Joachim Böhme e Elmar Graessel. "Assessing Professional Caregivers’ Intention to Use and Relatives’ Support of Use for a Mobile Service Robot in Group Therapy for Institutionalized People with Dementia – A Standardized Assessment Using an Adapted Version of UTAUT". In Lecture Notes in Computer Science, 247–56. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-08645-8_29.
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AbstractIntroduction: Care settings for people with dementia involve not only the individuals who are being cared for but also professional caregivers and relatives. Therefore, the use of a social robot also depends on professional caregivers’ and relatives’ acceptance of the robot.Methods: We surveyed 29 relatives and 18 professional caregivers of institutionalized people with dementia in a nursing home in Germany. To assess acceptance, we used an adapted version of the Unified Theory of Acceptance and Use of Technology and the Almere model.Results: Intention to use the robot by professional caregivers correlates positively with attitude, facilitating conditions and perceived usefulness as well as negatively with anxiety. Support of use by relatives correlates positively with attitude, perceived usefulness, facilitating conditions and social influence. Intention to use and support of use significantly differ between professional caregivers and relatives.Conclusion: For professional caregivers and relatives that are not the primary users of the robot and only indirectly affected by the employment of a robot, perceived usefulness and attitude have a significant influence on the acceptance. Professional caregivers are more skeptical about social robots and have lower acceptance values compared to relatives.
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Rønsen, Astrid, e Randi Tosterud. "Training Interprofessional Teamwork in Palliative Care: A Pilot Study of Online Simulation Activity for Registered Nurses and Nursing Associates". In How Can we Use Simulation to Improve Competencies in Nursing?, 53–64. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-10399-5_5.
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AbstractPalliative care promotes quality of life for seriously ill and dying patients and their loved ones. An ageing population with more complex chronic and life-limiting conditions will increase the demand for competence in the field. Interprofessional cooperation will be a critical factor in achieving this. Such cooperation within the field of nursing is critical because of registered nurses’ (RNs) role and function in patient- and family-centred care. A project focusing on learning interdisciplinary teamwork using simulation as a learning approach was established. Two groups of students participated in the project: one group consisted of 17 nursing associates who were participating in a 2-year part-time study programme in cancer care and palliative care at a vocational college. The second group was made up of 28 RNs, a social worker and learning disability nurses, all postgraduate students taking part in a part-time interdisciplinary programme in palliative care at master’s degree level.Simulation activity is usually conducted with participants physically present, but because of the COVID-19 pandemic situation, this was not possible. A pilot project was conducted where simulation activity was tried out as online learning. RNs and nursing associates (NA) participated, and their cooperation was focused on palliative/end-of-life care. They were all trained clinicians in two different study programmes.In this chapter, we present how simulation activity with participants physically present was transformed into an online learning situation. A brief presentation of students’ and teachers’ reflections on the pedagogical advantages and disadvantages of such a transition is also included.
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Nordin, Nazri. "STARZ-DRP: An Advance Nursing Approach for Palliative Home Care Services". In Nursing [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.103809.
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Nurses perform a significant role as professional practitioners in the healthcare system, particularly providing the Palliative Home Care Services (PHCS). PHCS is a continuum of medical and social services which support the needs of patients living with chronic medical conditions or severe disabilities. Most of the time, they shall engage with patients and their family members in the absence of physicians or pharmacists. They shall assist them to go through their daily routines with physical help and support. Foremost, they shall help their patients to consume medications as being prescribed. For that reason, they need an advanced approach to assist them to provide a quality and excellent PHCS. Therefore, this article shall highlight a tool is known as STARZ-DRP as a potential modus operandi to maneuver them to make an accurate and quick triaging-decision as well as identify the actual or potential drug-related problems. It is to be hoped that the tool shall enhance the image of nurses as healthcare providers.
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Hisaka, Yukari, Allan Paulo Blaquera, Kensaku Takase e Tetsuya Tanioka. "Key Points of Nursing Care for Patients with Acute Stroke". In Stroke - Management Pearls [Working Title]. IntechOpen, 2023. http://dx.doi.org/10.5772/intechopen.111795.
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In patients with stroke, it has been proven that management by a specialized medical team for stroke treatment for several days immediately after stroke onset significantly reduces mortality, improves return-to-home rates, and positively impacts activities of daily living and quality of life after discharge. This chapter describes the key points of nursing care for patients with acute stroke, which include “Recognition of patients’ physical changes,” “Prevention of the worsening of acute stroke and related Symptoms,” “Reduction of patients’ physical distress,” “Appropriate management of patients’ physical conditions,” “Reacquisition of activities of daily living,” “Collaboration with rehabilitation therapists,” “Reduction of mental and social distress in patients and their families,” and “Reduction of the risk of recurrence and requirement of discharge support.” These points will have a positive impact on patients with stroke by improving the nurses’ competence to practice nursing and enhancing the quality of team care.
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Gao, Xueli, Ling Tong, Shuojin Fu, Yanling Wang e Qian Xiao. "Development of an Online Training System on Pulmonary Aspiration for Clinical Nurses". In Studies in Health Technology and Informatics. IOS Press, 2024. http://dx.doi.org/10.3233/shti240253.
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Pulmonary aspiration is a particularly problematic condition in patients in hospitals and nursing home. To promote patient safety and prevent serious complications, the nurse’s role in preventing and caring for patient at high risk of pulmonary aspiration is crucial. Our team has developed an online training system on pulmonary aspiration for nurses to improve their ability to identify early risk factors, scientifically assess the risk of aspiration, and effectively intervene and manage when pulmonary aspiration occurs. This system was developed via WeChat app, the most popular social media application in China. It has four main functions, such as online training, online assessment, announcement interaction, and learning record. This online training systems offer the benefits of flexible learning time with anytime access, rich resources that are easy to update, and greater cost-effectiveness. This paper presents and discusses the development process of this system.
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Milone-Nuzzo, Paula, e Ruth McCorkle. "Home Care". In Textbook of Palliative Nursing, 771–86. Oxford University PressNew York, NY, 2005. http://dx.doi.org/10.1093/oso/9780195175493.003.0042.
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Abstract Originally, palliative care in home care nursing was associated with patients who were clearly near the end of life. The contemporary philosophy of palliative care had its beginnings in England in 1967, when Dame Cicely Saunders founded St. Christopher’s Hospice. Home and respite care continue to be a major component of that program. Palliative care, by definition, focuses on the multidimensional aspects of patients and families, including physical, psychological, social, spiritual, and interpersonal components of care. These components of care need to be instituted throughout all phases of the illness trajectory and not only at the point when patients qualify for hospice services. Palliative care also needs to be given across a variety of settings and not be limited to inpatient units.
Trabalhos de conferências sobre o assunto "Nursing home patients – social conditions"
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Thomessen, Trygve. "How to manage the safety of service robots operating in coexistence with demented patients". In 15th International Conference on Applied Human Factors and Ergonomics (AHFE 2024). AHFE International, 2024. http://dx.doi.org/10.54941/ahfe1004706.
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The developing elderly wave is expected to give a considerable demand for robotic solutions in the elderly care, especially in the nursing homes, to compensate for the lack of human resources required to maintain the quality of the elderly care services. Thus, social service robots are expected to fill an important role in the future, by providing services like logistics, remote medical consultations, entertainment, physical training etc. However, new challenges appear when introducing service robots in an environment where residents with impaired cognitive skills, coexist with service robots. This, especially, since the patients cannot take care of themselves, and are formally NOT responsible for any unfortunate safety conflicts. Thus, compared to operating in e.g. a normal restaurant, a service robot in a in a nursing home requires additional attention to the risks mitigation to ensure a safe operation. This includes analysis of both additional physical risks in addition to new, interperceptual risks. This paper addresses the complexity of fulfilling the required safety of service robots operating in nursing homes, and an extended risk mitigation methods is suggested in order to minimize the unavoidable, residual risk.
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Zegarac Leskovar, Vesna, e Vanja Skalicky Klemenčič. "Inclusive design: comparing models of living environments for older people". In 14th International Conference on Applied Human Factors and Ergonomics (AHFE 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1003339.
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Many older adults who are no longer able to live independently due to a combination of impairments need to live in living environments that are adapted to their health conditions. Generally, these are various types of housing, such as nursing or retirement homes, skilled nursing facilities, assisted living facilities, residential care homes, palliative or rehabilitation centres, etc., which can be referred to as long-term care living environments. Although the recent trend in Europe has been to allow older adults to remain living at home as long as possible, the demand for institutionalised forms of long-term care living environments is quite high, and many older adults spend a significant portion of their lives in these settings. In general, the quality of the living environment has a significant impact on the physical and mental health of residents. Therefore, it is important to explore living environments for older adults that not only allow basic existential needs to be met, but also provide humane living conditions. Concepts of long-term care living environments vary from country to country and depend largely on the characteristics of each social and health care system. Among the various concepts of living environments for older adults, nursing homes house a relatively large proportion of the world's population aged 65 and older. The development of nursing home typologies has evolved from traditional to alternative forms which could be illustrated by five-generations model of nursing homes in Europe, whereby alternative types, fourth- and fifth-generation models provide residents with a higher quality of life due to specific architectural features and functional adaptations. The aim of this paper is to introduce some concepts of long-term care living environments in the U.S. and Europe and to analyse models of third-, fourth- and fifth-generation nursing homes, especially the architectural design features that can strongly influence the quality of life of older adults.
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Jürgenhake, Dr Ing Birgit, e Peter Boerenfijn. "An interdisciplinary research method for new models for elderly living environments in an aging society." In The Evolving Scholar | ARCH22. The Evolving Scholar | ARCH22, 2024. http://dx.doi.org/10.59490/62c3feb8f6f2085d7ed2260f.
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This study focuses on research about the spatial and social living environment of elderly with care demand. It developed from the urge for new ways of thinking about the design of care for elderly in neighborhoods and houses. In a collaboration between an architectural school of education and a social housing association housing the elderly, an interdisciplinary research method to come to new models for elderly living was developed. The study describes the method and main findings. In the Netherlands the demographic transition to an aging society runs parallel with transitions in the policy and practice of elderly care. Due to a steep rise in the cost of care and a shortage of staff, care moves away from institutional buildings and organizations towards a more informal support network with professionals in the background. The research questions addressed in this study concern the everyday life of elderly needing care. Within a one-week stay in a nursing- or elderly care home, participating in the daily life, we aim to get answers through anthropological and par-ticipatory research to understand, document and visualize the needs and living conditions of elderly today. Finally, these data are translated into architectural design. We claim that the person whom we design for should be the first to meet and talk to. In that way we learn about their wishes, needs and capabilities. This argument was our starting point of collaboration. Our methodology leads to unexpected results. The study will show main findings and topics of discussion.
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Hayashi, Shigeto, Hiromichi Nakadate, Yuelin Zhang, Kojiro Mekata, Haruo Yamashita, Shinichi Nakayama, Eiji Kohmura, Yasuhiro Matsui, Hong Ji e Shigeru Aomura. "Reproduction Analysis of Injury Condition Using Finite Element Modeling of the Head in Cases With Traumatic Higher Brain Dysfunction Caused by Traffic Accidents". In ASME 2018 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/imece2018-86945.
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Following head trauma caused by traffic accidents, many patients are unable to completely recover their social functions due to higher brain dysfunction although they are able to return home. To predict the onset and severity of post-traumatic higher brain dysfunction, the visualization of responsible injury is considered urgent. In this study, we focused on five patients with higher brain dysfunction following head trauma caused by traffic accidents to establish a method for quantitatively evaluating higher brain dysfunction. The injury conditions were reproduced on the basis of multibody dynamic and collision analyses using finite element (FE) modeling of the human head to determine mechanical responses inside the cranium of these patients. The strain on the frontal lobe generated by an injury condition was suggested to contribute to the onset of attention disturbance during the chronic phase of medical treatment. Reproduction analysis of the injury conditions using FE modeling of the head could predict the onset and severity of traumatic higher brain dysfunction.
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De Cristofaro, Sarah, Luca Rizzi, Dario Cardone, Lisa Berti e Ubaldo Spina. "Smart Relax Armchair - a solution for active and safe ageing at home". In 15th International Conference on Applied Human Factors and Ergonomics (AHFE 2024). AHFE International, 2024. http://dx.doi.org/10.54941/ahfe1004896.
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The fact that people are living longer is a social and economic challenge for developed countries in the 21st century. An ageing society leads to an increase in the number of people living with multiple chronic conditions, facing the loss of independence and autonomy in daily activities and suffering social isolation caused by the pandemic or by the necessity of long-term care at home. The increasing incidence of sedentarism as well as prolonged immobility caused by long-stay settings (care home) is also a growing health concern. Indeed, spending too much time sitting daily could increase the incidence of postural changes and pressure ulcer formation, further reducing the physical, social, and emotional well-being of older adults.These problems are countable as significant contributors among many threats to elderly health and well-being leading to morbidity, disability, and premature death. In this view, Ambient Assisted Living solutions to monitor house routines of elderly patients and offer simple and healthy exercises daily are essential.This paper reports the results of the research activity conducted by the authors in collaboration with a well-known Italian sofa and armchair producer and health experts to develop an innovative solution for promoting active and safe ageing at home using a Smart Relax Armchair. The goal of the study was to introduce new smart functions to a Relax Armchair to help maintain a correct posture as well as to reduce the formation of bedsores by inducing frequent repositioning.To reach the goal, firstly the authors conducted a benchmarking analysis to identify the smart functions dedicated to health and wellbeing purposes already available on the market in the home furniture sector. A user-centred design methodology has been implemented to identify the Smart Relax Armchair functionalities, by involving industry experts, researchers in active ageing, biomedical engineers, and potential users since the early design stage. A dedicated design thinking tool has been used for users’ needs identification and translation into metrics (i.e. technical features). The Quality Function Deployment (QFD) method and tool have been used to rank such metrics and drive the design of the final product to meet users’ needs at best.3D virtual manikins, technical standards, ergonomic manuals, and the know-how of biomedical engineers and experts in Functional Recovery and Rehabilitation have been used to identify postural misbehaviour in daily life and potential intervention areas on a commercial Relax Armchair. Several active and passive solutions have been identified and tested to help maintain the correct posture and reduce the formation of bedsores. A sensorised mat has been used to assess changes in pressure distribution with respect to different layers of cushioning materials and to help select the specific pressure relief mattresses for bedsore prevention to be integrated into the final design.At the same time, an innovative protocol (anti-decubitus function) has been developed and implemented via ARDUINO to automatically induce a repositioning of the Smart Relax Armchair and thus changing the pressure distribution on the body, if the APP detects prolonged sitting.The protocol of the anti-decubitus function has been validated on a preliminary prototype thanks to a sensorised mat which demonstrated the effectiveness on pressure distribution variation, thus allowing the patenting of the idea.In order to promote active ageing at home, a set of simple rehabilitation exercises to be performed with the help of the Smart Relax Armchair has been designed and implemented in the APP specifically developed to control the product via a Smartphone or a vocal assistant.A final prototype including all the selected and developed solutions has been produced and a clinical trial will be conducted in the next months for the final validation of the product.The solutions developed and implemented on the Smart Relax Armchair have the potential to be applied to any model of Armchair or Sofa by the producer, thus changing the conventional paradigm of expensive products for active ageing only available for residential care facilities which cannot be afforded by those willing to age in place.
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Freitas, Alexandre Villela de, Arnaldo Pereira Cortez Junior, Marília Silva de Souza Takimoto, Vanessa Radavelli de Araujo e Carolina Rosa de Araujo. "EFFECT OF THE COVID-19 PANDEMIC IN A MASTOLOGY SERVICE AT A TERTIARY HOSPITAL". In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1089.
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Introduction: The measures of social isolation and campaigns to combat the COVID-19 pandemic released after March 2020 and the risk of severe respiratory disease in the population older than 65 years determined a decrease in the performance of preventive tests and demand to outpatient clinics, as well as the removal of professionals in risk groups reducing the supply of care. The delay in diagnosis and initiation of treatment is considered a problem in health systems worldwide, directly impacting mortality from the disease. In force since 2012, Lawn. 12732 of the Brazilian Department of Health establishes that the first cancer treatment for SUS (Brazilian Unified Health System) patients must begin within a maximum of 60 days from the signature of the pathological report that confirms malignant neoplasia. Objectives: To evaluate the effects of the pandemic in a mastology service at a tertiary hospital of the Unified Health System (SUS) from the measurement of the interval between diagnosis and initiation of treatment, first proposed oncological, surgical (CT) or systemic (TS) treatment and the justifications pointed out when the beginning of treatment occurred in a period of more than sixty days. Methods: Cross-sectional cohort study of patients diagnosed with breast cancer between March 2019 and January 2021, divided into two groups – prepandemic and pandemic from the evaluation of data in the hospital management system (Stratec) and comparison of information between the two groups. Results: In group 1, prepandemic, from March 2019 to March 2020, 82 patients admitted, mean of 6.3 patients per month, 62 started treatment before 60 days (59TC and 3TS) and 20 after (13TC and 7TS). In group 2, pandemic, from April 2020 to January 2021, 65 patients, mean of 7.2 patients per month, 51 started treatment before 60 days (37TC and 14TS) and 14 after (11TC and 3TS), 32.3 and 27.5%, respectively. Regarding the indication of initial treatment, surgical treatment predominated in both groups, however there was an increase in the indication of systemic treatment in group 2 (17/65 vs 10/82). Among the main justifications for delay in the beginning of treatment, we identified clinical conditions of the patients, the need for a plastic surgery team and unavailability of a vacancy in the operating room in the first group, and clinical conditions of the patients and indecision to accept the therapeutic proposal in the second group. Conclusions: The reception by the nursing team to the patients at the time of diagnosis guiding the performance of preoperative examinations and consultations, availability of the operating room exclusively for emergencies, cardiac or oncological surgeries and replacement of professionals when the absence was necessary were effective measures in the maintenance of care and quality of service.
Relatórios de organizações sobre o assunto "Nursing home patients – social conditions"
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Berkman, Nancy D., Eva Chang, Julie Seibert, Rania Ali, Deborah Porterfield, Linda Jiang, Roberta Wines, Caroline Rains e Meera Viswanathan. Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review. Agency for Healthcare Research and Quality (AHRQ), outubro de 2021. http://dx.doi.org/10.23970/ahrqepccer246.
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Background. In the United States, patients referred to as high-need, high-cost (HNHC) constitute a very small percentage of the patient population but account for a disproportionally high level of healthcare use and cost. Payers, health systems, and providers would like to improve the quality of care and health outcomes for HNHC patients and reduce their costly use of potentially preventable or modifiable healthcare services, including emergency department (ED) and hospital visits. Methods. We assessed evidence of criteria that identify HNHC patients (best fit framework synthesis); developed program theories on the relationship among contexts, mechanisms, and outcomes of interventions intended to change HNHC patient behaviors (realist review); and assessed the effectiveness of interventions (systematic review). We searched databases, gray literature, and other sources for evidence available from January 1, 2000, to March 4, 2021. We included quantitative and qualitative studies of HNHC patients (high healthcare use or cost) age 18 and over who received intervention services in a variety of settings. Results. We included 110 studies (117 articles). Consistent with our best fit framework, characteristics associated with HNHC include patient chronic clinical conditions, behavioral health factors including depression and substance use disorder, and social risk factors including homelessness and poverty. We also identified prior healthcare use and race as important predictors. We found limited evidence of approaches for distinguishing potentially preventable or modifiable high use from all high use. To understand how and why interventions work, we developed three program theories in our realist review that explain (1) targeting HNHC patients, (2) engaging HNHC patients, and (3) engaging care providers in these interventions. Theories identify the need for individualizing and tailoring services for HNHC patients and the importance of building trusting relationships. For our systematic review, we categorized evidence based on primary setting. We found that ED-, primary care–, and home-based care models result in reduced use of healthcare services (moderate to low strength of evidence [SOE]); ED, ambulatory intensive caring unit, and primary care-based models result in reduced costs (low SOE); and system-level transformation and telephonic/mail models do not result in changes in use or costs (low SOE). Conclusions. Patient characteristics can be used to identify patients who are potentially HNHC. Evidence focusing specifically on potentially preventable or modifiable high use was limited. Based on our program theories, we conclude that individualized and tailored patient engagement and resources to support care providers are critical to the success of interventions. Although we found evidence of intervention effectiveness in relation to cost and use, the studies identified in this review reported little information for determining why individual programs work, for whom, and when.
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Survey of health and social care setting food businesses on implementation of the FSA Listeriosis Guidance. Food Standards Agency, maio de 2023. http://dx.doi.org/10.46756/sci.fsa.djg946.
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Food safety is a crucial component of protecting the wellbeing of those in the care of health and social care organisations. Incidents, such as the 2019 listeriosis outbreak associated with pre-packed sandwiches supplied to hospitals in England, from which seven patients died of listeriosis, underline the risk of the disease and the serious consequences that a breach in standards can have. Vulnerable consumers - whose immune systems are weakened in some way - are particularly susceptible to listeriosis and the disease has a high hospitalisation and fatality rate, compared to infections with other bacterial pathogens. The bacterium which causes listeriosis, Listeria monocytogenes, is acutely challenging to control as it has the potential to grow at low temperatures and can survive freezing. As such, L. monocytogenes must be controlled in any health or social care (HSC) organisation that provides chilled ready-to-eat food for vulnerable groups. The Food Standards Agency (FSA) guidance on ‘Reducing the risk of vulnerable groups contracting listeriosis (Opens in a new window)’ concentrates on preventing the spread of listeriosis, from preparation to consumption, in chilled ready-to-eat food. The review set up following the 2019 listeriosis outbreak - the Independent Review of NHS Hospital Food (Opens in a new window), contained recommendations on food safety for NHS trusts to take on board. The FSA also committed to assess its own guidance in response to the 2019 outbreak. Social research was commissioned as part of the FSA’s response. This report covers findings from 39 respondents within NHS Trusts and 445 from Health and Social Care (HSC) (non- NHS Trust) settings, such as nursing homes, home care service providers and hospices, in England, Wales and Northern Ireland. The research objectives for the surveys of health and social care settings and NHS Trusts were to: Measure awareness of the FSA guidance on listeriosis Find out how well the FSA guidance on listeriosis is implemented Understand barriers to implementing the guidance in full Understand good practice in implementing the guidance Understand HSC stakeholders’ perceptions of the effectiveness and suitability of the guidance