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The American Journal of Hospice &... Nov 2023To demonstrate the trends and variety of research on palliative care during the COVID-19 pandemic. A systematic search of the Web of Science database. Since the outbroke... (Review)
Review
To demonstrate the trends and variety of research on palliative care during the COVID-19 pandemic. A systematic search of the Web of Science database. Since the outbroke of the COVID-19 pandemic, the adjustment of palliative care systems is warranted to maintain a high quality of care. The COVID-19 -related palliative care studies account for approximately 4% of all publications on palliative care. However, there is a dearth of research investigating the nature of these studies. A total of 293 studies were included. Of the included studies, those related to system improvement were the most common (181/293, 61.8%), followed by those related to patient care (79/293, 27.0%), bereavement support for patients or family members (19/293, 6.5%), and the mental health of frontline practitioners (14/293, 4.8%). From these studies, 82, 137, and 74 studies were published in 2020, 2021, and 2022 (until August 1), respectively. The research trends of palliative care demonstrate the flexibility and rapid response of the global palliative care system to the COVID-19 pandemic and show how the palliative care system is evolving. While most studies are interested in system improvement, patient care, and bereavement support, the mental health of frontline practitioners has received less attention. Our findings provide palliative care practitioners with current valuable information and highlight possible future trends.
Topics: Humans; COVID-19; Hospice and Palliative Care Nursing; Palliative Care; Pandemics; Terminal Care
PubMed: 36503251
DOI: 10.1177/10499091221145202 -
Revista Brasileira de Enfermagem Nov 2019to identify evidence of scientific production on hospital transition care provided to the elderly. (Review)
Review
OBJECTIVE
to identify evidence of scientific production on hospital transition care provided to the elderly.
METHOD
an integrative review, with publications search in the MEDLINE, PubMed, LILACS, BDENF, Index Psychology and SciELO databases, with keywords and Mesh terms: elderly, hospitalization, patient discharge, health of the elderly, and transitional care, between 2013 and 2017 in English, Portuguese and Spanish. The 14 selected articles analysis was carried out through exploratory and critical reading of titles, abstracts and results of the researches.
RESULTS
transitional care can prevent re-hospitalizations as they enable rehabilitation, promotion and cure of illnesses in the elderly.
FINAL CONSIDERATIONS
transitional care implies the improvement of the quality of life of the elderly person, requiring skilled health professionals who involve the family through accessible communication.
Topics: Continuity of Patient Care; Geriatrics; Hospitalization; Humans; Quality of Life; Transitional Care
PubMed: 31826223
DOI: 10.1590/0034-7167-2018-0286 -
Chest Nov 2020
Topics: Aftercare; Critical Care; Critical Illness; Delirium; Health Services Needs and Demand; Humans; Intensive Care Units; Mental Health; Patient Care Team; Quality Improvement; Survivors
PubMed: 32599070
DOI: 10.1016/j.chest.2020.06.028 -
American Family Physician May 2021More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU...
More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for post-ICU complications. Risk factors for complications after ICU discharge include previous ICU admissions, preexisting mental illness, greater number of comorbidities, and prolonged mechanical ventilation or higher opioid exposure while in the ICU. Early nutritional support and mobilization in the ICU decrease the risk of complications. After ICU discharge, patients should be screened for depression, anxiety, insomnia, and cognitive impairment using standardized screening tools. Physicians should also inquire about weakness, fatigue, neuropathy, and functional impairment and perform a targeted physical examination and laboratory evaluation as indicated; treatment depends on the underlying cause. Exercise regimens are beneficial for reducing several post-ICU complications. Patients who were treated for COVID-19 in the ICU may require additional instruction on reducing the risk of virus transmission. Telemedicine and telerehabilitation allow patients with COVID-19 to receive effective care without increasing exposure risk in communities, hospitals, and medical offices.
Topics: Aftercare; Ambulatory Care; COVID-19; Cognitive Dysfunction; Continuity of Patient Care; Critical Care; Health Services Needs and Demand; Humans; Intensive Care Units; Patient Discharge; Physical Functional Performance; Quality Improvement; SARS-CoV-2; United States
PubMed: 33983005
DOI: No ID Found -
AMA Journal of Ethics Nov 2020Benches are a metaphor for a shared place of rest and reflection for patients and their loved ones as well as for physicians and other health care clinicians. artwork...
Benches are a metaphor for a shared place of rest and reflection for patients and their loved ones as well as for physicians and other health care clinicians. artwork thus represents the collective unity of communal decision making and reflections, as clinicians deliver compassionate patient care from bench to bedside.
Topics: Decision Making; Delivery of Health Care; Empathy; Humans; Patient Care; Physicians
PubMed: 33274711
DOI: 10.1001/amajethics.2020.976 -
The British Journal of General Practice... Aug 2021
Topics: Continuity of Patient Care; Humans; Physician-Patient Relations
PubMed: 34326095
DOI: 10.3399/bjgp21X716537 -
BMC Health Services Research Feb 2022Inappropriate use of acute hospital beds is a major topic in health politics. We present here a new approach to measure unnecessary hospitalizations in Medicine and...
BACKGROUND
Inappropriate use of acute hospital beds is a major topic in health politics. We present here a new approach to measure unnecessary hospitalizations in Medicine and Pediatrics.
METHODS
The necessity of a hospital admission was determined using explicit criteria related to the recorded diagnoses. Two indicators (i.e. "unjustified" and "sometimes justified" stays) were applied to more than 800,000 hospital stays and a random sample of 200 of them was analyzed by two clinicians, using routine data available in medical statistics. The validation of the indicators focused on their precision, validity and adjustment, as well as their usefulness (i.e. interest and risk of abuse).
RESULTS
Rates, adjusted for case mix (i.e. age of patient, admission planned or not), showed statistically significant differences among hospitals. Only 6.5% of false positives were observed for "unjustified stays" and 17% for "sometimes justified stays". Respectively 7 and 12% of stays had an unknown status, due to a lack of sufficiently precise data. Considering true positives only, almost one third of medical and pediatric stays were classified as not strictly justified from a medical point of view in Switzerland. Among these stays, about one fifth could have probably been avoided without risk. To enable a larger ambulatory shift, recommendations were made to strengthen the ambulatory care, notably regarding post-emergency follow-up, cardiac and pulmonary functions' monitoring, pain management, falls prevention, and specialized at-home services that should be offered.
CONCLUSION
We recommend using "unjustified stays" and "sometimes justified stays" indicators to monitor inappropriate hospitalizations. The latter could help the planning of reinforced ambulatory care measures to pursue the ambulatory shift. Nonetheless, we clearly advise against the use of these two indicators for hospitals financing purposes.
Topics: Child; Hospitalization; Hospitals; Humans; Length of Stay; Switzerland
PubMed: 35130896
DOI: 10.1186/s12913-022-07569-3 -
Rheumatology International Oct 2021
Topics: COVID-19; Humans; Pandemics; Patient Care; Rheumatic Diseases; Rheumatology; Telemedicine
PubMed: 34165605
DOI: 10.1007/s00296-021-04930-3 -
BMC Health Services Research Jan 2022Although a patient care system may help nurses handle patients' requests or provide timely assistance to those in need, there are a number of barriers faced by nurses in...
BACKGROUND
Although a patient care system may help nurses handle patients' requests or provide timely assistance to those in need, there are a number of barriers faced by nurses in handling alarms.
METHODS
The aim of the study was to describe the implementation and experience of an innovative smart patient care system (SPCS). This study applied a cross-sectional descriptive design. We recruited 82 nurses from a medical center in Taiwan, with 25 nurses from a ward that had introduced an SPCS and 57 nurses from wards that used the traditional patient care system (TPCS). The major advantages of the SPCS compared to the TPCS include the specification of alarm purposes, the routing of alarms directly to the mobile phone; the capability of immediate communication via phone; and three-stage bed-exit alerts with low false alarm rate.
RESULTS
Approximately 56% of nurses in the TPCS wards perceived that the bed-exit alert was easily ignorable, while this rate was reduced to 32% in the SPCS ward. The immediate communication via phone was considered as the most helpful function of the SPCS, with a weighted average score of 3.92/5, and 52% of nurses strongly agreed (5/5) that this function was helpful. The second-highest ranked function was the three-stage bed-exit alert, with an average score of 3.68/5, with approximately 24% of nurses strongly agreeing (5/5) that this function was helpful. The average response time using TPCS was 145.66 s while it was 59.02 s using the SPCS (P < .001). Among the 110 observed alarms in the SPCS ward, none of them were false bed-exit alarms. In comparison, among 120 observed alarms in the TPCS wards, 42 (35%) of them were false bed-exit alarms (P < .001). In this study, we found that 30.91% of alarms using SPCS were processed because nurses received and responded to the alert via mobile phone.
CONCLUSIONS
A smart patient care system is needed to help nurses make more informed prioritization decisions between responding to alarms and ongoing tasks and finally assist them in adjusting their work in various situations to improve work efficiency and care quality.
Topics: Clinical Alarms; Cross-Sectional Studies; Hospitals; Humans; Patient Care; Quality of Health Care
PubMed: 35093036
DOI: 10.1186/s12913-022-07511-7 -
ESMO Open Aug 2022
Topics: Humans; Neoplasms; Patient Care
PubMed: 35964547
DOI: 10.1016/j.esmoop.2022.100557