检索结果-内蒙古大学图书馆

Practice guideline for evaluation of fever and infection in long-term care facilities

CLINICAL INFECTIOUS DISEASES 2000年第3期31卷 640-653页

作者： Bentley, DW Bradley, S High, K Schoenbaum, S Taler, G Yoshikawa, TT King Drew Med Ctr Dept Internal Med Los Angeles CA 90059 USA St Louis Univ Sch Med Div Geriatr Med St Louis Vet Affairs Med Ctr St Louis MO 63104 USA Univ Michigan Sch Med Ctr Geriatr Res Educ & Clin Ann Arbor Vet Affairs Med Ctr Ann Arbor MI 48109 USA Harvard Med Sch Boston MA USA Wake Forest Univ Sch Med Dept Internal Med Div Infect Dis Winston Salem NC 27109 USA Washington Hosp Ctr Washington DC 20010 USA Charles R Drew Univ Med & Sci Dept Internal Med Los Angeles CA 90059 USA Commonwealth Fund New York NY USA

Presents practice guidelines for the evaluation of fever and infection in long-term care facilities (LTCF). Rationale for guidelines; Epidemiology and characteristics of infection in LTCF; Clinical manifestations of infection in LTCF residents; Initial steps to be initiated in recognizing a disease outbreak; Factors to consider in transferring LTCF residents to an acute-care facility.

关键词：发热/诊断老人疗养院/标准感染/诊断长期医疗/标准老年人人类

来源：评论

学校读者我要写书评

暂无评论

AUDITING THE PROCESS OF CARE IN A NEW GERIATRIC UNIT

引用

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 1979年第3期27卷 107-111页

作者： CHEKRYN, J ROOS, LL UNIV MANITOBA FAC ADM STUDIES WINNIPEG R3T 2N2 MANITOBA CANADA

To assess whether the objectives of a new Extended Care Unit were reflected in the care of the patients and in the outcome of that care, an audit of the patients'' records was performed. The audit sample involved 101 geriatric patients who were admitted to the Unit for rehabilitation therapy, and then discharged. The study included assessment of the records for compliance with individual audit criteria, examination of the records in terms of a composite audit score, and analysis of the relationship between these scores and 3 outcome indices. Although the audit did not show a significant correlation between recorded care processes and treatment outcomes, it did reveal the extent to which the Unit''s goals were reflected in the care process.

关键词：日常生活活动老年医学医院专科病房/标准长期医疗/标准马尼托巴病案面向问题的结果与过程评价(卫生保健) 病人医疗小组病人出院康复老年人人类

来源：评论

学校读者我要写书评

暂无评论

Objectives, standards, and evaluation in long-term care

引用

Home Health Care Services Quarterly 1981年第1期2卷 5-26页

作者： Caro, Francis G. Institute for Social Welfare Research Community Service Society of New York New York NY 10010 105 East 22nd Street United States

Objectives commonly considered in evaluation of long-term care programs are critically reviewed. An alternate formulation, in which assurance of adequate solutions to problems of daily living is the basic purpose of long-term care, is proposed. Conceptual and methodological issues in systematic description of quality of circumstances of the functionally disabled are discussed. An approach to developing standards for quality of community-based long-term care is outlined. Consideration is given to the role of organized and publicly financed long-term care in reducing care burdens experienced by family members. © 1981 by The Haworth Press, Inc. All rights reserved.

关键词：评价研究长期医疗/标准组织目标美国

来源：评论

学校读者我要写书评

暂无评论

Prescreening at-risk elders for entry into a community-based long-term care program

引用

Home Health Care Services Quarterly 1987年第1期8卷 75-86页

作者： Applebaum, Robert A. Wilson, Nancy L. Sociology and Scripps Gerontology Center Research Fellow at Miami University United States Instructor in Medicine at Baylor College of Medicine Texas United States

Despite the expansion of community-based service alternatives, demand for case coordinated community care continues to rise. Many programs, under pressure to target their services to the most disabled, have developed comprehensive entry criteria to determine eligibility. Their criteria generally require an in-person assessment to make the determination, but because of the volume of potential applicants, in-person assessment of each applicant has proven to be impractical. Although most programs have developed some type of screening method and a wide range of approaches are used, little research exists to validate the screening efforts. This study reports on a screening method used in the national channeling demonstration and compares the results of a telephone screen to the results of an in-person assessment. © 1987 Taylor & Francis Group, LLC.

关键词：社区卫生服务/标准合格鉴定评价研究长期医疗/标准病人医疗护理计划/方法美国老年人人类

来源：评论

学校读者我要写书评

暂无评论

Judaism, professional intervention, and ethics in long-term care.

引用

Journal of pastoral care 2000年第1期54卷 33-43页

作者： Linzer, N. Samuel, J. Sable, J. Wurzweiler School of Social Work Yeshiva University New York 10033 NY United States

Discusses spiritual, professional, and ethical approaches to work with an elderly Jewish patient in a nursing home. Addresses the knotty issues of determining decision-making capacity, the refusal of nutrition and hydration, Judaic values pertaining to ending one's life, the role of the spiritual caregiver, the role of the social worker, and the ethical principles of autonomy, beneficence, paternalism, and do no harm.

关键词：伦理学医学补液疗法犹太教长期医疗/标准精神能力纽约市医护疗养所/标准营养支持牧师心理治疗/标准病人辩护社会工作患者拒绝治疗老年人老年人 80以上女(雌)性人类

来源：评论

学校读者我要写书评

暂无评论

High quality private long-term care insurance: Can we get there from here?

引用

Journal of Aging and Social Policy 1991年第3期3卷 17-32页

作者： Wiener, Joshua M. Harris, Katherine M. The Brookings Institution Washington DC United States

The private long-term care insurance market has urn dergone rapid change in the last several years. Although the quality of policies has generally improved, problems remain. Consumer protection issues include the lack of adequate inflation protection features, how activities of daily living are measured, potentially 'high lapse rates and lack of nonforfeiture values, how home care benefits are defined, and the appropriate loss ratio standards. The concerns of consumer and elderly advocates about the quality of private long-term care insurance have prompted Congress to consider the need for federal intervention. While there are numerous approaches that the federal government could take, mandatory standards substantially higher than the current model standards of the National Association of Insurance Commissioners may prove the most effective in improving the quality of policies on a nationwide basis. © 1991 by The Haworth Press, Inc. All rights reserved.

关键词：消费者辩护保险范围保险长期医疗/经济学保险长期医疗/标准模型组织管理私营部门美国老年人老年人 80以上人类中年人

来源：评论

学校读者我要写书评

暂无评论

Issues in long term care

引用

Journal of Health Care Chaplaincy 1988年第2期1卷 21-30页

作者： Kratz, Daniel G. Manor HealthCare Schuylkill Haven PA 17972 United States

Chaplaincy in a long term care facility requires attention to specialized concerns related to the extended length of stay. This article argues the need to (1) retain or restore resident’s home church tie;(2) be sensitive to resident/family communication;(3) participate in an interdisciplinary team;(4) understand when to maintian confidentiality and when to speak;(5) know who needs spiritual nourishment. © 1987 Taylor & Francis Group, LLC.

关键词：信息交流机密长期医疗/标准医护疗养所/标准牧师心理治疗病人医疗小组美国老年人人类

来源：评论

学校读者我要写书评

暂无评论

Reducing inappropriate restraint use in Colorado's long-term care facilities.

引用

The Joint Commission journal on quality improvement 1999年第2期25卷 78-94页

作者： Palmer, L. Abrams, F. Carter, D. Schluter, W.W. Colorado Foundation for Medical Care Denver 80217 United States

BACKGROUND: Many physical and psychosocial complications arise from the use of physical restraints. Restraints in nursing homes have been estimated to cause approximately 1 in every 1,000 nursing home deaths. When restraints are removed, quality of life and functional status improve;there does not appear to be an increase in serious falls, and serious injuries may even decline. METHODS: To assess the current status in Colorado nursing homes, in 1997 the Colorado Foundation for Medical Care mailed a questionnaire to 214 nursing homes to identify remaining barriers to restraint reduction. Results were used to plan interventions to further reduce inappropriate use that met most providers' needs. Given providers' need for greater family and public awareness of the risks associated with restraints, the project team developed educational tools for distribution to families and a media campaign for the public. In addition, an assessment tool and educational materials were created to facilitate appropriate use of devices and implementation of least-restrictive interventions. Data were collected before and after the intervention phase on remaining barriers, frequency of assessment, and perceived level of success of restraint reduction. RESULTS: Most of the 175 (82%) of Colorado's 214 long-term care providers who received educational materials found them very useful and recommended expansion to other states. Facilities indicated a higher perceived level of success in reducing restraints, an increase in the frequency of assessments, and a decrease in barriers to restraint reduction. The public awareness campaign, performed in tandem with the state health department, reached more than a half-million people in Colorado, using the slogan, "Restraints Have Risks!"

关键词：科罗拉多卫生服务滥用老人疗养院/立法和法学老人疗养院/标准长期医疗/标准医护疗养所/立法和法学医护疗养所/标准方案评价质量保证卫生保健问卷调查约束身体的/立法和法学教材老年人人类

来源：评论

学校读者我要写书评

暂无评论

Activation and Activation Consultants: Ontario Ministry of Health Consulting Services Branch Personal Health Division

引用

Canadian Journal of Occupational Therapy 1978年第4期45卷 153-154页

作者： Baillie, E. McLinden, J. Munroe, H. Consulting Services Branch Personal Health Division United States

来源：评论

学校读者我要写书评

暂无评论

Implementing an interdisciplinary healthcare quality project.

引用

Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1992年第4期14卷 28-31,44页

作者： Foli, K. Malley, K. 1 Indianapolis IN2 Director of Geriatric Dental Programs and Staff Dentist Department of Veterans Affairs Medical Center Danville IL

Bringing together healthcare professionals from several disciplines for a quality project can provide many benefits. This article describes the collaborative process between nursing and dental services at a Department of Veterans Affairs Medical Center as they assessed and evaluated the practice of oral hygiene among 120 long-term care patients. Enhancement of interdisciplinary collaboration occurred through appropriate disciplinary representation and leadership, clarification of disciplinary vocabularies, firsthand empirical assessment, and timely feedback. With each discipline combining resources, fostering open communication, and evaluating the project, the collaborative process was optimized. Benefits of this interdisciplinary quality project included (a) more comprehensive and holistic evaluation of patients' oral hygiene practices, (b) quality assessment in a timely fashion, (c) establishment of rapport between individuals who otherwise might not have an opportunity to interact, (d) improved communication and understanding between disciplines, and (e) development of better patient care indicators.

关键词：信息交流医院病床数 500张以上医院退伍军人/标准伊利诺伊职业间关系长期医疗/标准管理质量小组口腔卫生规划技术规划制订质量保证卫生保健/组织和管理人类

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：