How to Navigate Different Levels of Care

2019 ◽  
pp. 43-53
Author(s):  
Dana Sarvey
Keyword(s):  
Levels Of Care ◽  
Different Levels

‘Do not Do’ Recommendations in Hemophilia

2020 ◽  
Vol 20 (3) ◽  
pp. 168-174
Author(s):  
Hortensia De la Corte-Rodriguez ◽  
E. Carlos Rodriguez-Merchan ◽  
M. Teresa Alvarez-Roman ◽  
Monica Martin-Salces ◽  
Victor Jimenez-Yuste
Keyword(s):  
Improve Patient Safety ◽  
Health Resources ◽  
Fresh Frozen Plasma ◽  
Factor Ix ◽  
Levels Of Care ◽  
Fresh Frozen ◽  
History Of ◽  
Improve Patient ◽  
Different Levels ◽  
Frozen Plasma

Background: It is important to discard those practices that do not add value. As a result, several initiatives have emerged. All of them try to improve patient safety and the use of health resources. Purpose: To present a compendium of "do not do recommendations" in the context of hemophilia. Methods: A review of the literature and current clinical guidelines has been made, based on the best evidence available to date. Results: The following 13 recommendations stand out: 1) Do not delay the administration of factor after trauma; 2) do not use fresh frozen plasma or cryoprecipitate; 3) do not use desmopressin in case of hematuria; 4) do not change the product in the first 50 prophylaxis exposures; 5) do not interrupt immunotolerance; 6) do not administer aspirin or NSAIDs; 7) do not administer intramuscular injections; 8) do not do routine radiographs of the joint in case of acute hemarthrosis; 9) Do not apply closed casts for fractures; 10) do not discourage the performance of physical activities; 11) do not deny surgery to a patient with an inhibitor; 12) do not perform instrumental deliveries in fetuses with hemophilia; 13) do not use factor IX (FIX) in patients with hemophilia B with inhibitor and a history of anaphylaxis after administration of FIX. Conclusions: The information mentioned previously can be useful in the management of hemophilia, from different levels of care. As far as we know, this is the first initiative of this type regarding hemophilia.

scholarly journals Construindo o Projeto Cuidadosamente: reflexão sobre a saúde mental dos graduandos de Enfermagem frente ao COVID-19

2020 ◽  
Vol 10 (1) ◽  
pp. 13
Author(s):  
Natália Loureiro Rocha ◽  
Alcilea Barbosa de Andrade Sora ◽  
Alessandra Da Terra Lapa ◽  
Daniele Durval Dos Santos
Keyword(s):  
Nursing Students ◽  
Social Isolation ◽  
Rio De Janeiro ◽  
Private University ◽  
Support Network ◽  
Levels Of Care ◽  
Current Context ◽  
The City ◽  
Different Levels

O presente relato de experiência visa destacar a vivência dos autores na construção do Projeto Cuidadosamente em uma universidade privada localizada no município do Rio de Janeiro. Objetiva-se com esse estudo apontar a sua inserção prática, bem como, retratar a importância de um projeto desta magnitude no cuidado à saúde psíquica dos acadêmicos de enfermagem, principalmente no contexto atual de isolamento social pela pandemia de COVID-19. Conclui-se que a ação possibilita a construção de uma rede de apoio entre os próprios colegas de classe que estão experenciando as mesmas dificuldades com esse isolamento social e ameniza situações que possam maximizar ou desencadear algum tipo de transtorno mental, a exemplo de ansiedade e depressão, através de uma escuta qualificada, que é atribuição importante do enfermeiro nos diferentes níveis de assistência. Building the Project Mindfully: reflection on the mental health of nursing students in front of COVID-19The present experience report aims to highlight the authors’ experience in the construction of the Project Mindfully in a private university located in the city of Rio de Janeiro. The objective of this study is to point out its practical insertion, as well as, to portray the importance of a project of this magnitude in the care of the psychic health of nursing students, especially in the current context of social isolation by the pandemic of COVID-19. It is concluded that the action makes it possible to build a support network among the classmates themselves who are experiencing the same difficulties with this social isolation and alleviates situations that can maximize or trigger some type of mental disorder, such as anxiety and depression, through qualified listening, which is an important role of nurses at different levels of care.

Strategies through the lifecourse to improve maternal, newborn, child, and adolescent health

2018 ◽  
pp. 7-10
Author(s):  
Joy Lawn ◽  
Samantha Sadoo
Keyword(s):  
Palliative Care ◽  
Child Health ◽  
Levels Of Care ◽  
Target Populations ◽  
Child Deaths ◽  
National Programmes ◽  
Newborn Child ◽  
The Life Course ◽  
And Child Health ◽  
Different Levels

Since the formation of WHO in the 1940s, global and national programmes have used ‘maternal and child health’ (MCH) as the foundation. However, over subsequent decades specific aspects have been neglected, notably newborns, stillbirths, and adolescents. Adopting a lifecycle approach brings attention to these target populations, with a shift from MCH to RMNCH+A (reproductive, maternal, newborn, child health, and adolescents). Two thirds of maternal, newborn, and child deaths could be prevented with essential, integrated packages of care. These interventions should be connected through time (across the life course) and place (across different levels of care from communities to facilities, and different types of care including preventive, curative, and palliative care). This enhances cost-effectiveness, uptake of services and health promotion, and is a concept known as the ‘continuum of care’.

scholarly journals Treatment and Outcome for Children with Esophageal Atresia from a Gender Perspective

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Julia Ekselius ◽  
Martin Salö ◽  
Einar Arnbjörnsson ◽  
Pernilla Stenström
Keyword(s):  
Esophageal Atresia ◽  
Pediatric Surgery ◽  
Ductus Arteriosus ◽  
Levels Of Care ◽  
Tertiary Center ◽  
Gender Specific Differences ◽  
Gender Specific ◽  
Different Levels ◽  
Patent Ductus

Background. Besides the incidence of esophageal atresia (EA) being higher in males, no other gender-specific differences in EA have been reported. The aim of this study was to search for gender-specific differences in EA. Methods. A retrospective study was conducted at a tertiary center for pediatric surgery. The medical charts of infants born with EA were reviewed. 20 girls were identified, and 20 boys were selected as matched controls with respect to concomitant malformations. Their treatment and outcome were evaluated. Results. Polyhydramnios was more common in pregnancies with boys, 40%, versus girls, 10%, with EA (p<0.01). In total, 36 (90%) children had patent ductus arteriosus, without any gender difference (18 and 18, resp., p=1). The distribution of days at the different levels of care was not equally distributed between boys and girls. Boys with EA had significantly more postoperative days (median 5 days) in the ward than girls (median 5 and 2 days, resp., p=0.04). No other gender-specific differences in surgical treatment, complications, or symptoms at follow-up were identified. Conclusion. Polyhydramnios appears to be more frequent in pregnancies with boys than girls with EA. In this study, boys have longer stays than girls at the pediatric surgery ward.

scholarly journals When and why frail elderly people give up independent living: The Netherlands as an example

2001 ◽  
Vol 21 (1) ◽  
pp. 45-69 ◽  
Author(s):  
NARDI STEVERINK
Keyword(s):  
Theoretical Model ◽  
Elderly People ◽  
Old Age ◽  
Frail Elderly ◽  
Independent Living ◽  
Levels Of Care ◽  
Frail Elderly People ◽  
Care Facilities ◽  
Strong Orientation ◽  
Different Levels

As yet the determinants of the need for nursing homes and old age homes are not clearly understood. This may be due to the fact that care facilities providing different levels of care may yield different predictors of use. Moreover, the absence of theory and ignorance of the problems with ‘use‘ as the dependent variable, may be responsible for this. In this study these issues are addressed explicitly. The study focuses on the need for living in an old age home and a theoretical model predicts under what circumstances frail elderly people will express the need for living in such a home. Findings show that, as hypothesised, loss of comfort and affection are among the main predictors of a strong orientation towards living in an old age home. Resources to counter the loss of comfort and affection – a spouse, income, home adaptations, private help, informal and formal home care – were only partly effective in their hypothesised function of deterring orientation towards living in an old age home. Pressure from others to apply for an old age home had the strongest effect. The findings are discussed and some implications for policy are considered.

scholarly journals Development of a questionnaire to assess the collaboration between clinicians from different levels of care

2012 ◽  
Vol 12 (7) ◽  
Author(s):  
Nuria Toro Polanco ◽  
Roberto Nuño Solinis ◽  
Regina Sauto Arce ◽  
Iñaki Berraondo Zabalegui ◽  
Leticia San Martín Rodríguez
Keyword(s):  
Levels Of Care ◽  
Different Levels
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