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Статті в журналах з теми "Hospitals Home care programs Victoria"

1

Papanikolaou, Frank, and Linda Lee. "Developing a program for pediatric urological care in the community." Canadian Urological Association Journal 11, no. 1-2S (February 16, 2017): 93. http://dx.doi.org/10.5489/cuaj.4335.

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The growth of large metropolitan areas across Canada has fostered the need to provide tertiary care to patients outside of the traditional university-affiliated hospitals. Subspecialty urology care at centres of excellence in the community includes urological oncology, men’s health, community urology, and pediatric urology. The two of us have developed such centres of excellence in pediatric urology in the communitysettings of Mississauga, ON, and Victoria, BC. This article highlights personal experiences in developing these programs and the lessons learned. It is hoped that this can help guide similar undertakings by others to develop centres of excellence in subspecialty urology care so as to bring care closer to patients’ homes.
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Sutcliffe, Simon B., Puneet Bains, Fraser Black, Sandra S. Broughton, Stuart Brown, Simon Colgan, Megan E. Doherty, et al. "The Two Worlds of Palliative Care: Bridging the Gap with Nepal." Nepal Journal of Science and Technology 20, no. 2 (December 31, 2021): 125–30. http://dx.doi.org/10.3126/njst.v20i2.45802.

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Despite past geo-political turbulence, Nepal has made significant progress in societal and economic initiatives, particularly in relation to social determinants of health. These improvements, however, belie the suffering of those with life-limiting disease due to pain, stigma, social and financial distress, consequent upon low patient, caregiver and health professional awareness of the need for, and availability of, appropriate care and support. Two Worlds Cancer Collaboration (INCTR-Canada) has been working with partners in Nepal to build capacity for palliative care by: (a) organizational and administrative support – establishing the Nepal Association of Palliative Care (NAPCare), and the creation of the Nepal Strategy for Palliative Care, approved by government in 2017; (b) “twinning” between 2 hospital palliative care units in Nepal and the Nanaimo Hospice and Victoria Hospice, BC, Canada; (c) sustainable growth of palliative care according to WHO foundational measures, implementing facility-based clinical programs, and home-based care aligned with the cultural, social, and economic environment of Nepal; (d) training of health professionals in adult and paediatricpalliative carethrough interactive on-line “distance learning” (Extension of Community Healthcare Outcomes, ECHO);(e) leveraging palliative care training and expertise across the government health system, and (f) local and international support to build a newfacility for Hospice Nepal to provide more support for more patients in a rural ambience on the outskirts of Kathmandu. Palliative care needs to become standard-of-care, providing peace, comfort and dignity for adults and children. Working collaboratively with partners in Nepal, the collective vision is a capable professional Nepali community leading palliative care services for all in need, wherever in need.
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Mayer, Dorothy “Dale” M., and Charlene A. Winters. "Palliative Care in Critical Rural Settings." Critical Care Nurse 36, no. 1 (February 1, 2016): 72–78. http://dx.doi.org/10.4037/ccn2016732.

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The United States has 1332 critical access hospitals. These hospitals have fewer than 25 beds each and a mean daily census of 4.2 patients. Critical access hospitals are located in rural areas and provide acute inpatient services, ambulatory care, labor and delivery services, and general surgery. Some, but not all, critical access hospitals offer home care services; a few have palliative care programs. Because of the millions of patients living with serious and life-threatening conditions, the need for palliative care is increasing. As expert generalists, rural nurses are well positioned to provide care close to home for patients of all ages and the patients’ families. A case report illustrates the role that nurses and critical access hospitals play in meeting the need for high-quality palliative care in rural settings. Working together, rural nurses and their urban nursing colleagues can provide palliative care across all health care settings.
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Schachter, Michael E., Marc J. Saunders, Ayub Akbari, Julia M. Caryk, Ann Bugeja, Edward G. Clark, Karthik K. Tennankore, and Dan J. Martinusen. "Technique Survival and Determinants of Technique Failure in In-Center Nocturnal Hemodialysis: A Retrospective Observational Study." Canadian Journal of Kidney Health and Disease 7 (January 2020): 205435812097530. http://dx.doi.org/10.1177/2054358120975305.

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Background: Long-duration (7-8 hours) hemodialysis provides benefits compared with conventional thrice-weekly, 4-hour sessions. Nurse-administered, in-center nocturnal hemodialysis (INHD) may expand the population to whom an intensive dialysis schedule can be offered. Objective: The primary objective of this study was to determine predictors of INHD technique failure, disruptions, and technique survival. Design: This study used retrospective chart and database review methodology. Setting: This study was conducted at a single Canadian INHD program operating in Victoria, British Columbia, within a tertiary care hospital. Our program serves a catchment population of approximately 450 000 people. Patients/Sample/Participants: Forty-three consecutive incident INHD patients took part in the INHD program of whom 42 provided informed consent to participate in this study. Methods: We conducted a retrospective observational study including incident INHD patients from 2015 to 2017. The primary outcome was technique failure ≤6 months (TF ≤6). Secondary outcomes included technique survival and reasons for/predictors of INHD discontinuation or temporary disruption. Predictors of each outcome included demographics, comorbidities, and Clinical Frailty Scale (CFS) scoring. Results: Among 42 patients, mean (SD) age, dialysis vintage, CFS score, and follow-up were 63 (16) years, 46 (55) months, 4 (1), and 11 (9) months, respectively. 52% were aged ≥65 years. TF ≤6 occurred in 12 (29%) patients. One-year technique survival censored for transplants and home dialysis transitions was 60%. Discontinuation related to insomnia (32%), medical status change (27%), and vascular access (23%). In unadjusted Cox survival analysis, 1-point increases in CFS score associated with a higher risk of technique failure (hazard ratio: 2.04, 95% confidence interval [CI]: 1.26-3.31). In an adjusted analysis, higher frailty severity also associated with temporary INHD disruptions (incidence rate ratio: 2.64, 95% CI: 1.55-4.50, comparing CFS of ≥4 to 1-3). Limitations: The retrospective, observational design of this study resulted in limited ability to control for confounding factors. In addition, the relatively small number of events observed owing to a small sample size diminished statistical power to inform study conclusions. Use of a single physician to determine the clinical frailty score is another limitation. Finally, the use of a single center for this study limits generalizability to other programs and clinic settings. Conclusions: INHD is a sustainable modality, even among older patients. Higher frailty associates with INHD technique failure and greater missed treatments. Inclusion of a CFS threshold of ≤4 into INHD inclusion criteria may help to identify individuals most likely to realize the long-term benefits of INHD. Trial Registration: Due to the retrospective and observational design of this study, trial registration was not necessary.
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Samaroo, Bethan. "Assessing Palliative Care Educational Needs of Physicians and Nurses: Results of a Survey." Journal of Palliative Care 12, no. 2 (June 1996): 20–22. http://dx.doi.org/10.1177/082585979601200205.

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The Greater Victoria Hospital Society (GVHS) Palliative Care Committee surveyed medical and nursing staff from four hospitals and The Victoria Hospice Society in February, 1993. The purpose of the survey was to identify physicians’ and nurses’ perceived educational needs related to death and dying. Programs that focus on the dying process; patient pain, symptom, and comfort control; and patient and family support were identified as necessary to meet the educational needs of physicians and nurses in providing quality palliative care. Physicians and nurses identified communication skills as being paramount. Communications concerning ethical issues were highlighted as the most difficult to cope with.
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Tilbury, Clare, and June Thoburn. "Children in out-of-home care in Australia: International comparisons." Children Australia 33, no. 3 (2008): 5–12. http://dx.doi.org/10.1017/s1035077200000262.

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As governments increasingly search globally for strategies to improve child welfare outcomes, it is vital to consider how policies and programs developed in other countries are likely to suit local conditions. Routinely collected child welfare administrative data can provide contextual information for cross-national comparisons. This article examines out-of-home care in Australia compared to other developed countries, and explores possible explanations for differences in patterns and trends. In doing so, it also examines the similarities and differences between NSW, Victoria and Queensland. It is argued that a sound understanding of how out-of-home care is used, the profile of children in care and the influences on data can assist policy makers to match proposed solutions to clearly understood current problems. The imperative is to plan and implement policies and programs that locate out-of-home care within a range of child welfare services that meet the diverse needs of children and families within local contexts.
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Oliveira, Ana Railka de Souza, Thelma Leite de Araujo, Alice Gabrielle de Sousa Costa, Huana Carolina Candido Morais, Viviane Martins da Silva, and Marcos Venicios de Oliveira Lopes. "Evaluation of patients with stroke monitored by home care programs." Revista da Escola de Enfermagem da USP 47, no. 5 (October 2013): 1143–49. http://dx.doi.org/10.1590/s0080-623420130000500019.

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The purpose of this study was to evaluate the patient with a stroke in home treatment, investigating physical capacity, mental status and anthropometric analysis. This was a cross-sectional study conducted in Fortaleza/CE, from January to April of 2010. Sixty-one individuals monitored by a home care program of three tertiary hospitals were investigated, through interviews and the application of scales. The majority of individuals encountered were female (59%), elderly, bedridden, with a low educational level, a history of other stroke, a high degree of dependence for basic (73.8%) and instrumental (80.3 %) activities of daily living, and a low cognitive level (95.1%). Individuals also presented with tracheostomy, gastric feeding and urinary catheter, difficulty hearing, speaking, chewing, swallowing, and those making daily use of various medications. It was concluded that home care by nurses is an alternative for care of those individuals with a stroke.
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Otto, Ann-Kathrin, Laura L. Bischoff, and Bettina Wollesen. "Work-Related Burdens and Requirements for Health Promotion Programs for Nursing Staff in Different Care Settings: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 16, no. 19 (September 25, 2019): 3586. http://dx.doi.org/10.3390/ijerph16193586.

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Nursing staff in all settings have multiple work-related problems due to patient handling and occupational stressors, which result in high stress levels and low back pain. In this context the importance of health promotion becomes apparent. The aim of this study is to analyse whether nursing staff (in elderly care, hospitals, home care, or trainees) show different levels of work-related burdens and whether they require individualized components in health promotion programs. N = 242 German nurses were included in a quantitative survey (Health survey, Screening Scale (SSCS) of Trier Inventory for Chronic Stress, Slesina). The differences were tested using Chi2-Tests, Kruskal–Wallis Test and one-way ANOVA. Nurses differed in stress loads and were chronically stressed (F(3236) = 5.775, p = 0.001). Nurses in home care showed the highest SSCS-values with time pressure as the most important straining factor. The physical strains also placed a particular burden on nurses in home care, whereas they still reported higher physical well-being in contrast to nurses in elderly care (Chi2 = 24.734, p < 0.001). Nurses in elderly care and home care preferred strength training whereas nurses in hospitals and trainees favoured endurance training. Targeted programs are desirable for the reduction of work-related burdens. While nurses in elderly care and home care need a combination of ergonomic and strength training, all nurses require additional stress management. Planning should take into account barriers like perceived additional time consumption. Therefore, health promotion programs for all settings should be implemented during working time at the work setting and should consider the working schedule.
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Mendes, Philip. "Moving from dependence to independence: A study of the experiences of 18 care leavers in a leaving care and after care support service in Victoria." Children Australia 35, no. 1 (2010): 14–21. http://dx.doi.org/10.1017/s1035077200000924.

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Young people leaving state out-of-home care are arguably one of the most vulnerable and disadvantaged groups in society. Many have been found to experience significant health, social and educational deficits. In recent years, most Australian States and Territories have introduced specialist leaving care and after care programs and supports, but there has been only limited examination of the effectiveness of these programs. This paper examines the experiences of a group of young people involved in the leaving care and after care support program introduced by St Luke's Anglicare and Whitelion in the Victorian town of Bendigo. Attention is drawn to the impact of some of the key program initiatives around accommodation, employment and mentoring. Some conclusions are drawn about ‘what works’ in leaving care programs, including particular implications for rural policy and practice.
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Schuchman, Mattan, Mindy Fain, and Thomas Cornwell. "The Resurgence of Home-Based Primary Care Models in the United States." Geriatrics 3, no. 3 (July 16, 2018): 41. http://dx.doi.org/10.3390/geriatrics3030041.

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This article describes the forces behind the resurgence of home-based primary care (HBPC) in the United States and then details different HBPC models. Factors leading to the resurgence include an aging society, improved technology, an increased emphasis on home and community services, higher fee-for-service payments, and health care reform that rewards value over volume. The cost savings come principally from reduced institutional care in hospitals and skilled nursing facilities. HBPC targets the most complex and costliest patients in society. An interdisciplinary team best serves this high-need population. This remarkable care model provides immense provider satisfaction. HBPC models differ based on their mission, target population, geography, and revenue structure. Different missions include improved care, reduced costs, reduced readmissions, and teaching. Various payment structures include fee-for-service and value-based contracts such as Medicare Shared Savings Programs, Medicare capitation programs, or at-risk contracts. Future directions include home-based services such as hospital at home and the expansion of the home-based workforce. HBPC is an area that will continue to expand. In conclusion, HBPC has been shown to improve the quality of life of home-limited patients and their caregivers while reducing health care costs.
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Дисертації з теми "Hospitals Home care programs Victoria"

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Sinyela, Mashudu Shadrack. "Constraints on the provision of home-based care services to patients in Ward 25 of Thulamela Municipality in Limpopo Province." Diss., 2015. http://hdl.handle.net/11602/766.

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Kiwombojjo, Michael. "The role of capacity building in community home based care for AIDS patients: an exploratory study of Taso : Sseeta-Nazigo Community Aids Initiative." Diss., 2002. http://hdl.handle.net/10500/748.

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The focused of this study is the role of capacity building in Community Home Based Care (CHBC) for HIV/AIDS patients. The study forms part of my Master's in Development Administration programme, undertaken through UNISA. The dissertation was accomplished by studying the TASO community initiative in Sseeta-Nazigo, Mukono District, Uganda. It explores the concept of capacity building and its applicability to CHBC. The primacy data was gathered by conducting Key Infonnant Interviews (KIIs) and Focus Group Discussions (FGD). The secondary data was gathered by reviewing literature to augment the primary data. In addition, data was gathered through observations within the community. The fmdings have identified seven critical components of capacity building: community mobilisation, skills development, Information, Education and Communication (IEC) Voluntary Counselling and Testing (VCT), networking and collaboration, support and supervision, Monitoring and Evaluation (M&E). The study observed that capacity built in the above areas resulted in three outcomes: skills development, improvement in procedures, and institutional development. Informed recommendations were subsequently made related to the seven componentsof capacity building in CHBC
Development Studies
M. A. (Development Studies)
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Книги з теми "Hospitals Home care programs Victoria"

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M, Fox Daniel, Raphael Carol, and Milbank Memorial Fund, eds. Home-based care for a new century. Malden, MA: Blackwell Publishers, 1997.

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International Conference on Home Care (1st 1996 ICC Jerusalem Convention Center). International conference: Home care : developments and innovations : program and abstracts. [Jerusalem]: Yad Sarah, 1996.

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Dan, Lerman, and Linne Eric B, eds. Hospital home care: Strategic management for integrated care delivery. Chicago, Ill: American Hospital Pub, 1993.

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Services, United States Congress House Select Committee on Aging Subcommittee on Human. Home health care: Present and future options : hearing before the Subcommittee on Human Services of the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, first session, September 30, 1985, New York, NY. Washington: U.S. G.P.O, 1986.

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United States. Congress. House. Select Committee on Aging. Subcommittee on Human Services. Home health care: Present and future options : hearing before the Subcommittee on Human Services of the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, first session, September 30, 1985, New York, NY. Washintgon: U.S. G.P.O., 1986.

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United States. Congress. House. Select Committee on Aging. Subcommittee on Human Services. Home health care: Present and future options : hearing before the Subcommittee on Human Services of the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, first session, September 30, 1985, New York, NY. Washintgon: U.S. G.P.O., 1986.

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7

United States. Congress. House. Select Committee on Aging. Home health care: The Arizona perspective : hearing before the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, second session, May 27, 1986, Sierra Vista, AZ. Washington: U.S. G.P.O., 1986.

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8

United States. Congress. House. Select Committee on Aging. Home health care: The Arizona perspective : hearing before the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, second session, May 27, 1986, Sierra Vista, AZ. Washington: U.S. G.P.O., 1986.

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9

United States. Congress. House. Select Committee on Aging. Home health care: The Arizona perspective : hearing before the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, second session, May 27, 1986, Sierra Vista, AZ. Washington: U.S. G.P.O., 1986.

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Bungener, Martine. La production familiale de santé: Le cas de l'hospitalisation à domicile. Vanves: Centre technique national d'études et de recherches sur les handicaps et les inadaptations, 1988.

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Частини книг з теми "Hospitals Home care programs Victoria"

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Thompson, Rodney L., and Priya Sampathkumar. "Health Care–Associated Infections." In Mayo Clinic Infectious Diseases Board Review, 458–63. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199827626.003.0040.

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Health care–associated infection (HAI) is an infection that occurs in hospitals, nursing homes, clinics, or home health care programs. Infection control departments have been constituted to prevent and control infectious complications in health care settings. Prevention and control require combinations of education and training, procedures and policies, surveillance and reporting, and interventions that include isolation and teamwork. Common HAIs (nosocomial infections) include urinary tract infections, surgical site infections, bloodstream infections, and ventilator-associated pneumonia. Diagnosis and treatment of each type of infection are reviewed.
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