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Showing "Beauty Care Home Study Course Offered Stratford Career" PubMed Articles 1–25 of 70,000+

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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.

Interactions Between Parents of Technology-Dependent Children and Providers: An Integrative Review.

This article is a review of the literature on the experiences of parents and their interactions with healthcare providers while caring for their technology-dependent child(ren) in their homes. Results are presented in the following themes: information needs, respect and partnership with healthcare providers, care coordination, and experiences with home healthcare nurses. Parents needed information and guidance and felt supported when providers recognized parents' expertise with the child's care, and offered...

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.

Gender and career paths of female primary care physicians in Andalusia, Spain, at the beginning of 21st century.

The purpose of this article was to study, from a feminist perspective, the diversity and homogeneity in the career paths of female primary care physicians from Andalusia, Spain in the early 21st century, by analyzing the meanings they give to their careers and the influence of personal, family and professional factors. We conducted a qualitative study with six discussion groups. Thirty-two female primary care physicians working in urban health centers of the public health system of Andalusia participated in...

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.

Experiences of intermediate care among older people: a phenomenological study.

In the UK, intermediate care (IC) is conceived as a range of service models aimed at 'care closer to home' and involves the expansion and development of community health and social services. Intermediate care in Denmark is more clearly defined, where approximately 45% of all the counties in Denmark have established a community-based IC unit in which public health-care services are offered to older people who have completed their hospital treatment. The impact of this organisational initiative is yet to be e...

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...

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...

Pressure Ulcers In Palliative
home Care Patients: Prevalence And Characteristics.

Persons in palliative care develop pressure ulcers (PU) as death approaches, but the extent of the problem is still unknown. The objectives were to identify the prevalence of pressure ulcers in people with cancer in palliative home care, compare the socio-demographic and clinical profile of patients with and without pressure ulcers, and analyze the characteristics of the ulcers. This descriptive, cross-sectional study included 64 people with advanced cancer in palliative home care. Twelve of them (18.8%) ha...

The Early-Career Psychiatrist: Getting Started in a Career in Integrated Care.

The Future of Home Health Project: Developing the Framework for Health Care at Home.

In addition to providing high-quality care to vulnerable patient populations, home healthcare offers the least costly option for patients and the healthcare system, particularly in postacute care. As the baby boom generation ages, policymakers are expressing concerns about rising costs, variation in home healthcare service use, and program integrity. The Alliance for Home Health Quality and Innovation seeks to develop a research-based strategic framework for the future of home healthcare for older Americans...

Australian academic primary health-care careers: a scoping survey.

This study was undertaken to provide a snapshot of the academic primary health-care workforce in Australia and to provide some insight into research capacity in academic primary health care following changes to funding for this sector. A convenience sample of individuals self-identifying as working within academic primary health care (n=405) completed an anonymous online survey. Respondents were identified from several academic primary health-care mailing lists. The survey explored workforce demographics, c...

Urban and rural differences in risk of admission to a care home: A census-based follow-up study.

Research on admissions to care homes for older people has paid more attention to individual and social characteristics than to geographical factors. This paper considers rural-urban differences in household composition and admission rates. Cohort: 51,619 people aged 65 years or older at the time of the 2001 Census and not living in a care home, drawn from a data linkage study based on c.28% of the Northern Ireland population. Living alone was less common in rural areas; 25% of older people in rural areas li...

Hospital Utilization After a Telemonitoring Program: A Pilot Study.

The long term effects of remote monitoring on hospital utilization and health care costs are understudied in home health care. The researchers performed a retrospective study, in a hospital based home health care agency, to consider the effects of remote monitoring in 326 patients with heart failure 90 days after discharge from services. While statistical significance was not noted, clinical significance suggests that there was a decreased hospital utilization rate and decreased average cost per hospitaliza...

Predictors of hospital stay and home care services use: A population-based, retrospective cohort study in stage IV gastric cancer.

Home care services use has been proposed as a means of reducing costs in palliative care by decreasing hospital stay without impacting quality of clinical care; however, little is known about utilization of these services in the time following a terminal cancer diagnosis.

Simulated home care increases confidence and improves care transitions.

Many new and experienced nurses have limited understanding of home health care, resulting in compromised handoffs and an unstable workforce. This article presents an overview of simulated home health environments to enhance awareness and patient outcomes. By establishing realistic simulated home events, nursing faculty and educators can enhance nurse confidence and improve transitions of care. J Contin Educ Nurs. 2014;45(7):294-296.

Home Health Agency Work Environments and Hospitalizations.

An important goal of home health care is to assist patients to remain in community living arrangements. Yet home care often fails to prevent hospitalizations and to facilitate discharges to community living, thus putting patients at risk of additional health challenges and increasing care costs.

The Role of the Clinical Nurse Specialist in Home Healthcare.

Incorporating clinical nurse specialists (CNS) into home healthcare models is crucial for agencies that want to be on the leading edge of healthcare. As an advanced practice nurse, the CNS adds value by working with patients, home healthcare clinicians, and systems to improve patient outcomes. The CNS is a change agent who directly impacts the client during transitions in and out of home care, throughout the course of chronic disease management, and by assuring quality care is delivered by field clinicians.

Home care programme for patients with advanced chronic kidney disease. A two-year experience.

Introduction: Healthcare for patients with advanced chronic kidney disease (ACKD) on conservative treatment very often poses healthcare problems that are difficult to solve. Many patients are elderly and have mobility problems, and it is very difficult for them to travel to hospital. At the end of 2011, we began a programme based on the care and monitoring of these patients by Primary Care teams. Material and method: ACKD patients who opted for conservative treatment were offered the chance t...

Early discharge after high dose chemotherapy is safe and feasible: a prospective evaluation of 6 years of home care.

Abstract A single-center, prospective, nonrandomized clinical study was performed to examine the safety and feasibility of early discharge in patients undergoing consolidation chemotherapy for acute leukemia, or autologous stem cell transplantation for lymphoma or multiple myeloma. Patients were discharged into ambulatory care the day after the last chemotherapy administration and were subsequently seen at the ambulatory care unit 3 times a week. 101 of 224 patients were ineligible for the program, mostly b...

Care in the Home for the Management of Chronic Heart Failure: Systematic Review and Cost-Effectiveness Analysis.

The objective of this study was to determine the effect of care in the home (CHM) compared with usual care (UC) in patients with chronic heart failure (CHF) on clinical outcomes and healthcare use including a cost-effectiveness analysis.

Restricted Access: Older Lesbian and Bisexual Women's Experiences With Home Care Services.

This article reports on the findings of a study that explored older lesbian and bisexual women's access to publicly funded home care in Ontario. Recent health reforms have increasingly shifted the bulk of care of individuals from health care institutions to private homes and communities. Although these reforms have had consequences for all individuals, they may be particularly problematic for this population of older adults who face added health risks and barriers. Sixteen women participated in a qualitativ...

Nurse-led home visitation programme to improve health-related quality of life and reduce disability among potentially frail community-dwelling older people in general practice: a theory-based process evaluation.

BackgroundPopulation ageing fosters new models of care delivery for older people that are increasingly integrated into existing care systems. In the Netherlands, a primary-care based preventive home visitation programme has been developed for potentially frail community-dwelling older people (aged ¿75 years), consisting of a comprehensive geriatric assessment during a home visit by a practice nurse followed by targeted interdisciplinary care and follow-up over time. A theory-based process evaluation was d...

An Evaluation of Career Paths Among 30 Years of General Internal Medicine/Primary Care Internal Medicine Residency Graduates.

Background: Interest in primary care careers has been dwindling among medical trainees over the past decade, with poor quality of life among the perceived disadvantages. We sought to evaluate factors influencing career satisfaction among graduates of Brown's General Internal Medicine (GIM)/Primary Care residency program and assess its contribution to the primary care work force. Methods: Using an anonymous online survey, we queried GIM alumni from 1981-2012 to obtain information about demographics, job char...

Adapting The Joint Commission's Seven Foundations of Safe and Effective Transitions of Care to Home.

The purpose of this article is to describe The Joint Commission's 7 foundations of safe and effective transitions of care to home: (a) leadership support; (b) multidisciplinary collaboration; (c) early identification of patients/clients at risk; (d) transitional planning; (e) medication management; (f) patient and family action/engagement; and (g) transfer of information. These foundations were identified by The Joint Commission after a review of published research; focus groups with healthcare professional...


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