Search results for " Nursing home"

PROGNOSTIC VALUE OF LUNG ULTRASOUND IN OLDER NURSING HOME RESIDENTS AFFECTED BY COVID-19

2020

Objectives: Lung ultrasonographic (LUS) imaging may play an important role in the management of patients with COVID-19–associated lung injury, particularly in some special populations. However, data regarding the prognostic role of the LUS in nursing home residents, one of the populations most affected by COVID-19, are not still available. Design: Retrospective. Settings and Participants: Nursing home residents affected by COVID-19 were followed up with an LUS from April 8 to May 14, 2020, in Chioggia, Venice. Methods: COVID-19 was diagnosed through a nasopharyngeal swab. LUS results were scored using a 12-zone method. For each of the 12 zones (2 posterior, 2 anterior, 2 lateral, for both l…

Analysis of Inappropriate Admissions of Residents of Medicalized Nursing Homes to Emergency Departments: A Prospective Multicenter Study in Burgundy

2016

Abstract Objectives To determine the rate of inappropriate admissions to emergency departments (EDs) and to identify determinants of these admissions. Design Prospective multicenter study. Setting Burgundy (France), EDs and medical nursing homes (MNHs). Participants 1000 Burgundy MNH residents admitted to EDs, from April 17 to June 20, 2013. Measurements For each subject, a questionnaire was completed. Data included age, gender, type of health professional who referred the resident to the ED (THP), whether or not a medical dispatcher organized the transfer to the ED, transport mode, reason for admission to the ED, level of independence according to the Groupes Iso-Ressource score (GIRS), an…

L’ASSISTENZA SANITARIA ALLA POPOLAZIONE ANZIANA IN ITALIA: IL PROGETTO U.L.I.S.S.E. (UN LINK INFORMATICO SUI SERVIZI SANITARI ESISTENTI PER L’ANZIANO)

2011

A SOCIAL EXPERIMENT TO OVERTURN PREJUDICES ON ALZHEIMER’S DISEASE IN NURSING HOMES USING ARTISTIC PHOTOGRAPHY

2016

It is widely known that Alzheimer’s disease is burdened with strong prejudices with negative connotations. This may contribute to increase patient’s isolation and marginalization, and to render Nursing Homes places of confinement and seclusion. Residents with dementia have trouble in relating with the outside world and in expressing themselves about their own disease, due to their cognitive decline, but also because of marginalization. We used artistic photography as an accessible and effective tool to bring down barriers and encourage residents’ communication. Artistic photography is the most immediate and accessible form of art for all people. The aim of our social experiment was to help …

Health care for older people in Italy: The U.L.I.S.S.E. Project (Un link informatico sui servizi sanitari esistenti per l'anziano - a computerized ne…

2010

OBJECTIVES: The U.L.I.S.S.E. study is aimed at describing older patients who are cared for in hospitals, home care or nursing homes in Italy. DESIGN: The U.L.I.S.S.E. study is an observational multicenter prospective 1-year study. SETTING: Overall, 23 acute geriatric or internal medicine hospital units, 11 home care services and 31 nursing homes participated in the study. MEASUREMENTS: The patient's evaluation was performed using comprehensive geriatric assessment instruments, i.e. the interRAI Minimum Data Set, while data on service characteristics were recorded using ad-hoc designed questionnaires. RESULTS: The older subjects who are in need of acute and long term care in Italy have simil…

RISK FACTORS FOR MORTALITY IN A SAMPLE OF NURSING HOME RESIDENTS

2016

Malnutrition is highly prevalent in geriatric populations, particularly in persons living in Nursing Homes (NH). Inadequate nutrition is one of the main risk factors for the onset of frailty and may contribute to the subsequent development of disability and mortality among NH residents. An optimal nutritional status and, wherever necessary, supplementation with macronutrients and micronutrients, may reduce the risk of mortality. Dementia is also prevalent among NH residents. The aim of the present study was to evaluate the relationship between mortality, and several risk factors and clinical characteristics of NH residents, including disability, nutritional status, and cognitive decline in …

Prevention of Functional Decline by Reframing the Role of Nursing Homes?

2017

Institutionalization is generally a consequence of functional decline driven by physical limitations, cognitive impairments, and/or loss of social supports. At this stage, intervention to reverse functional losses is often too late. To be more effective, geriatric medicine must evolve to intervene at an earlier stage of the disability process. Could nursing homes (NHs) transform from settings in which many residents dwell to settings in which the NH residents and those living in neighboring communities benefit from staff expertise to enhance quality of life and maintain or slow functional decline? A task force of clinical researchers met in Toulouse on December 2, 2015, to address some of t…

Dokumentasjon av sykepleie : hvordan dokumenterer helsepersonell i sykehjem forebygging og behandling av trykksår, og er det samsvar mellom kartleggi…

2014

Masteroppgave i helsefag ME 518 Universitetet i Agder 2014 Background: In Norwegian nursing homes there is a lack of systematic risk assessments, anddocumented interventions of prevention of malnutrition and pressure ulcer (PU). Earlierstudies have shown that prevalence of PU in the nursing documentation was low, compare toa skin examination.Aim: the purpose of this study was to describe the nursing documentation of prevalence, riskfactors and prevention of PU and compare the nursing documentation with a patientexamination conducted in nursing home practice.Design and methods: The study had a descriptive design and was conducted in five nursinghomes in southern Norway. A retrospective revie…

Implementación de un modelo de atención integral a residencias

2019

Introduction: La incidencia y la prevalencia de patologias cronicas son un reto para los sistemas de salud cuya progresion se preve que aumentara de forma simultanea al envejecimiento poblacional. Short description of practice change implemented: Se presenta un  Modelo de Atencion Integral a Residencias en el que, ademas de los  niveles asistenciales convencionales (residencias, atencion primaria y hospitalaria) se incorpora el soporte de la Unidad Domiciliaria de Atencion Integral a Residencias (UDAIR), como elemento clave para la continuidad de cuidados y la atencion integrada. Aim and theory of change: Los objetivos principales son mejorar la atencion de las personas que residen en insti…