Care of the Long-Stay Elderly Patient

Care of the Long-Stay Elderly Patient PDF Author: Michael J. Denham
Publisher: Springer
ISBN: 1489933808
Category : Medical
Languages : en
Pages : 328

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Book Description
Since the first edition of this book was published there have been considerable changes in continuing care. NHS nursing homes have been created, enthusiasts have developed new initiatives, and attempts have been made to improve attitudes. The recent White Paper on Community Care is likely to accelerate the transfer of large numbers of elderly patients from long-stay hospital beds to private-sector accommodation: a move often accompanied by much anxiety about standards of care. Although Health Authorities visit private nursing homes and apply the National Association of Health Authorities' standards to them, anxieties continue. Unfortunately for the patients who remain in hospital, many Health Authorities seem reluctant to apply these same standards to their own long-stay departments, since many would fail abysmally. The 1987 annual report of the Health Advisory Service (see Chapter 3) presents a damning indictment of the care given to old people: A recent review of twelve consecutive HAS Reports on services for older people in hospitals shows that long-stay wards consistently offered environments which were unable to offer privacy, homely surroundings, personal space and possessions or adequate furniture. In the twelve districts there was not one comprehensive personalised clothing service. Half of the reports commented on the lack of effec tive management of continence. Catering was often provided according to the needs of the institution rather than those of the resident patients.

Care of the Long-Stay Elderly Patient

Care of the Long-Stay Elderly Patient PDF Author: Michael J. Denham
Publisher: Springer
ISBN: 1489933808
Category : Medical
Languages : en
Pages : 328

Get Book Here

Book Description
Since the first edition of this book was published there have been considerable changes in continuing care. NHS nursing homes have been created, enthusiasts have developed new initiatives, and attempts have been made to improve attitudes. The recent White Paper on Community Care is likely to accelerate the transfer of large numbers of elderly patients from long-stay hospital beds to private-sector accommodation: a move often accompanied by much anxiety about standards of care. Although Health Authorities visit private nursing homes and apply the National Association of Health Authorities' standards to them, anxieties continue. Unfortunately for the patients who remain in hospital, many Health Authorities seem reluctant to apply these same standards to their own long-stay departments, since many would fail abysmally. The 1987 annual report of the Health Advisory Service (see Chapter 3) presents a damning indictment of the care given to old people: A recent review of twelve consecutive HAS Reports on services for older people in hospitals shows that long-stay wards consistently offered environments which were unable to offer privacy, homely surroundings, personal space and possessions or adequate furniture. In the twelve districts there was not one comprehensive personalised clothing service. Half of the reports commented on the lack of effec tive management of continence. Catering was often provided according to the needs of the institution rather than those of the resident patients.

Patient Safety and Quality

Patient Safety and Quality PDF Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592

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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Retooling for an Aging America

Retooling for an Aging America PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309131952
Category : Medical
Languages : en
Pages : 316

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Book Description
As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.

Geriatric Long-stay Hospital Patients

Geriatric Long-stay Hospital Patients PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Book Description


Hospitalists' Guide to the Care of Older Patients

Hospitalists' Guide to the Care of Older Patients PDF Author: Brent C. Williams
Publisher: John Wiley & Sons
ISBN: 1118674901
Category : Medical
Languages : en
Pages : 292

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Book Description
The first book designed specifically for hospitalists and other hospital-based staff who need concise, evidence-based guidance on the vital topic of caring for older hospitalized patients Hospitalists' Guide to the Care of Older Patients is an up-to-date, practical reference in geriatric medicine for hospitalists, as well as other physicians and nurses working in the hospital setting. The book uses numerous tables, figures, and images to highlight the areas of geriatric medicine that are most relevant to hospitalists. Written by nationally recognized experts, chapters broadly follow the course of hospitalization, from admission through daily care and active management of the transition to post-hospital settings, providing practical, evidence-based guidance at each point. Contents include: A systematic approach to the care of older patients, emphasizing clinical skills and daily activities that can be implemented in today's hospital environment Techniques for effective communication with patients and their caregivers Tools and "pearls" for quickly and accurately assessing the whole patient, including risk for in-hospital complications, function, decision-making capacity, and home support Best practices for prevention and management of the complications of hospitalization, including delirium, falls, pressure ulcers, and hip fractures Specific recommendations in areas with wide practice variation, such as psychopharmacology and nutrition in older hospitalized patients Practical guidance on complex issues, such as establishing goals of care, managing patients who lack decision-making capacity, and managing the discharge transition Methods to improve the daily work and communication of the whole hospital team, including physicians, nurses, and other healthcare providers As the population ages, hospitalists are caring for an increasing number of older patients. This book helps hospitalists expand their knowledge, incorporate key clinical skills into daily practice, build more efficient patient care teams, and teach more effectively in today's fast-paced, complex hospital environment.

The Role of Hospitals in Geriatric Care

The Role of Hospitals in Geriatric Care PDF Author: Carl Eisdorfer
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 168

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Book Description


Nursing Care of the Hospitalized Older Patient

Nursing Care of the Hospitalized Older Patient PDF Author: Terry Mahan Buttaro
Publisher: John Wiley & Sons
ISBN: 1118292855
Category : Medical
Languages : en
Pages : 576

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Book Description
Nursing Care for the Hospitalized Older Patient is a comprehensive, quick-reference resource for registered and advanced practice nurses working with older patients in a hospital setting. Organized in user-friendly format, the book provides vital information on all aspects of hospital care and the full range of health issues encountered by elderly patients. The book is organized into four major sections. The first section provides an overview of the aging patient, including demographics, normal aging changes, and the general impact of hospitalization. The second section covers proper health assessment, providing guidance on history taking and evaluating laboratory values. The third section is the largest part of the book and is made up of short, similarly-structured chapters dedicated to individual clinical issues ranging from burns to depression. These chapters are organized by body system to maximize ease of use. The book concludes with a section on special considerations that cross common clinical areas, such as palliative care, pain management, fall prevention, and discharge planning.

Trends in Long-term Care: Washington, D.C., June 15, 1971

Trends in Long-term Care: Washington, D.C., June 15, 1971 PDF Author: United States. Congress. Senate. Special Committee on Aging. Subcommittee on Long-Term Care
Publisher:
ISBN:
Category : Long-term care of the sick
Languages : en
Pages : 56

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Book Description


Improving the Quality of Long-Term Care

Improving the Quality of Long-Term Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132746
Category : Medical
Languages : en
Pages : 344

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Book Description
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Emerging Systems in Long-Term Care

Emerging Systems in Long-Term Care PDF Author: Paul R. Katz, MD
Publisher: Springer Publishing Company
ISBN: 0826168361
Category : Medical
Languages : en
Pages : 201

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Book Description
The fourth volume in the prestigious Advances in Long-Term Care Series continues to address the challenges of long-term care with innovation and practical insight. Highlighting the dynamic nature of long-term care, the authors share their practical insight and explore issues linked to the cost and process of delivering care to an increasing number of clients. Topics include transitions between acute and long-term care, geriatric day hospitals, subacute care, and more. Contributors from a range of gerontologic disciplines use new research as bases to develop care solutions under the mandates of managed care.