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Showing "Beauty Care Home Study Course Offered Stratford Career" PubMed Articles 1–25 of 67,000+

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Gegrepen door de ouderengeneeskunde, maar niet tijdens de studie geneeskunde! Keuze voor de opleiding tot specialist ouderengeneeskunde.

DRAWN TOWARDS A CAREER IN ELDERLY CARE MEDICINE, BUT NOT TILL AFTER MEDICAL SCHOOL. ELDERLY CARE MEDICINE AS A CAREER CHOICE : In order to develop strategies for raising the interest of medical students in a career in elderly care medicine (a specialty in The Netherlands) we should start by gaining more insight into the process influencing career choices among medical students and graduates. In this qualitative study we conducted three focus group discussions with trainees in elderly care medicine and two f...

Is home-based palliative care cost-effective? An economic evaluation of the Palliative Care Extended Packages at Home (PEACH) pilot.

The aim of this study was to evaluate the cost-effectiveness of a home-based palliative care model relative to usual care in expediting discharge or enabling patients to remain at home.

Long-term care for the elderly in Kyoto, Japan.

This is a descriptive study based on interviews and personal experiences of the author in Kyoto, Japan. The study examines long-term care in the Japanese context and government efforts to support home and institutional care.Because of cultural values and the prevailing health care system, Japan today maintains a tradition of providing long-term care at home. Medical and social supports for home care presently fall far short of need in Kyoto. Those who cannot afford home care or have no one at home to provid...

Informal Home Care for Elderly in Belgium: A Study on the Features and Challenges of Informal Care at Local Level.

In Belgium, and in other OECD countries, there is a growing awareness about the importance of informal home care for the elderly's well-being. Informal care is considered as an intrinsically valuable social phenomenon. Public authorities in Belgium have been advocating an active policy of support for informal carers. In 2007, an extensive survey was carried out in the Belgian municipality of Kruibeke in order to establish a better picture of the various needs of the elderly in their home situation, but also...

The practicalities of cross boundary working in respect of acp for care home with nursing residents.

Within a care home with nursing reviewing the use of ACP to prevent inappropriate hospital admissions at end of life and the use of ACP to prevent delayed discharge from a General Hospital back to the care home. Review of admission data from a care home to general hospital and on the number of admissions resulting in hospital deaths compared to care home deaths during the last 2 years.

Case study: health resource Solutions energizing home care.

Case study: pardee home care investigating outcomes scores to improve practices.

Case study: Centura Health at home enhancing the home telehealth program with call center activities.

The size, share, and predictors of publicly financed healthcare costs in the home setting over the palliative care trajectory: a prospective study.

The increasing attention on home-based service provision for end-of-life care has resulted in greater financial demands being placed on family caregivers. The purpose of this study was to assess publicly financed costs within a home-based setting from a societal perspective.

Breakdown in informational continuity of care during hospitalization of older home-living patients: a case study.

The successful transfer of an older patient between health care organizations requires open communication between them that details relevant and necessary information about the patient's health status and individual needs. The objective of this study was to identify and describe the process and content of the patient information exchange between nurses in home care and hospital during hospitalization of older home-living patients.

Helping patients to die at home: carers' views on home care with the midhurst macmillan specialist palliative care service.

The Midhurst Macmillan Specialist Palliative Care Service (MMSPCS) is a UK, medical consultant-led, multidisciplinary team providing care in the home, community hospitals and care homes. Care includes specialist interventions. Case data review shows that over two thirds of patients referred to the service die at home.

Discharge planning and home care in the United States.

As the population ages and governments attempt to control the cost of health care delivery and provide quality care to their citizens, the concepts of discharge planning and continuity of care are emerging as processes that have major impacts on the use of available resources. With the increased emphasis of discharge planning strategies within the nursing process, alternative care settings, particularly the home, are being called upon to provide more comprehensive types of care. Home care service and equipm...

Pain in care home residents with dementia: an exploration of frequency, prescribing and relatives' perspectives.

This study aims to determine pain frequency amongst care home residents with dementia, to investigate variables associated with pain, to explore analgesic use among residents and to seek residents' relatives' views on provision of care and management of pain by the care home.

Patient-Centered Care or Cultural Competence: Negotiating Palliative Care at Home for Chinese Canadian Immigrants.

The literature about Chinese attitudes toward death and dying contains frequent references to strong taboos against open discussion about death; consequently, there is an assumption that dying at home is not the preferred option. This focused ethnographic study examined the palliative home care experiences of 4 Chinese immigrants with terminal cancer, their family caregivers, and home care nurses and key informant interviews with 11 health care providers. Three main themes emerged: (1) the many facets of ta...

The regulatory structure of home health care in the United States.

Home health care in the United States is highly developed involving, for example, complex therapies and durable medical equipment. Access to home care has been shaped by government reimbursement policies requiring recipients to be homebound and in need of intermittent services under medical direction. Due to strict and extensive documentation for reimbursement the Medicare regulatory structure has stifled innovation in the field of home care. Other factors affecting the provision and growth of home care ser...

Family carers' delivery of medications for the person dying at home: preliminary findings from the 'unpacking the home' study.

Current UK health policy aims to increase the numbers of people dying at home, but it relies on family members being available to take responsibility for caring. The 'Unpacking the home' study elicited the views and experiences of family carers who have cared for a dying family member at home.

Hospice at home: optimising care and enabling home death.

The Cambridgeshire Hospice at Home (H@H) service provides specialist community care for people approaching the end of their lives, enabling them to be cared for and to die at home if that is their wish. An independent evaluation is underway that is both shaping the evolving service and providing commissioners with detailed information needed to ensure continuing NHS funding.

Care Coordination and Unmet Specialty Care Among Children With Special Health Care Needs.

Care coordination and the medical home may ensure access to specialty care. Children with special health care needs (CSHCN) have higher rates of specialty care use and unmet need compared with the general pediatric population. We hypothesized that care coordination, regardless of whether it was provided in a medical home, would decrease unmet specialty care needs among CSHCN and that the effect of care coordination would be greater among low-income families.METHODS: Secondary data analysis of participants i...

Empowering care home staff to deliver quality end of life care: the impact of the six steps to success programme on end of life care in care homes in north west England.

Inappropriate admissions to hospital from care homes at the end-of-life (EoL), identified within the UK Department of Health's End-of-Life Care (EoLC) Strategy resulted in the call for improved education surrounding EoLC for care home staff. In response, the Six Steps to Success , an organisational change programme, was developed for use with care home staff. The aim of the programme is to ensure all residents receive high quality EoLC provided by a care home that encompasses the philosophy of palliative ca...

Terminal home care in the Netherlands: An overview.

Beginning in the late 1980s, after a long period of declining interest in home care for the terminally ill, several projects and experiments were initiated in the Netherlands. This article describes this trend and provides background information on the Dutch health services, a definition of terminal home care, and statistical information about the different types of home care in the Netherlands. Findings from 3 recent studies of these projects and experiments are presented along with the guidelines for prov...

Transferring critically ill patients home to die: development of a guideline for clinical practice.

Transfer home to die from critical care is rare despite health policy supporting patient choice concerning preferred place of care at end of life. A clinical guideline to inform decision making about the rapid transfer of critically ill patients home was developed based on data from a two year mixed methods study.

Evaluation of interprofessional training in home care.

The increasing number of patients in home care and the importance of teamwork make it important to provide successful ways of interprofessional learning for students. The aim of this study was to evaluate a group of undergraduate students' experiences of a one-day interprofessional home care training in a realistic setting. A study group comprised of 88 students and a control group with 182 students answered the questionnaire. In the study group the students practised interprofessional learning for a fictit...

A randomized controlled comparison of flushing protocols in home care patients with peripherally inserted central catheters.

Research has failed to demonstrate an optimal flushing solution or frequency for central catheters. In a 2002 study of 50 000 home care patients, catheter dysfunction with loss of patency was the most common complication and occurred in 29% of the peripherally inserted central catheters (PICCs) tracked. With the advent of the Affordable Care Act and the promise of expanded home care services, this study offers evidence as to a preferred flushing protocol to prevent catheter patency complications for home in...

Comparison of Long-term Care in Nursing Homes Versus Home Health: Costs and Outcomes in Alabama.

Purpose of the Study: To compare acute care outcomes and costs among nursing home residents with community-dwelling home health recipients.

The community care pathways at the end of life (cape) study- early findings.

Current NHS End of Life Care policy favours raising the proportion of deaths that occur at home. Currently this only occurs in 21.8% of the total. Although most people would like to die at home, research has shown that people's preferences are influenced by the progression of their illness, how much support is available and their social circumstances.

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