scholarly journals Implementation of a parenteral nutrition home care programme (nutrihome) in a tertiary hospital. Preliminary results

2021 ◽  
Vol 46 ◽  
pp. S783
Author(s):  
L. Arhip ◽  
M. Camblor ◽  
I. Bretón ◽  
M. Motilla ◽  
C. Serrano ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Home Care ◽  
Tertiary Hospital ◽  
Care Programme ◽  
Preliminary Results

scholarly journals Looking into the life of technology-dependent children and their caregivers in Korea: lifting the burden of too many responsibilities

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yu Hyeon Choi ◽  
Min Sun Kim ◽  
Cho Hee Kim ◽  
In Gyu Song ◽  
June Dong Park ◽  
...  
Keyword(s):  
South Korea ◽  
Home Care ◽  
Time Pressure ◽  
Economic Status ◽  
Financial Burden ◽  
Primary Caregivers ◽  
Healthcare Services ◽  
Tertiary Hospital ◽  
Cross Sectional ◽  
Dependent Children

Abstract Background The number of technology-dependent children (TDC) is increasing in South Korea, but available healthcare services after their discharge are poor. This study aimed to examine how TDC and caregivers live at home and identify their difficulties and needs regarding home care with few services to support them. Methods This cross-sectional study was conducted in a tertiary hospital for children in South Korea. A self-reported questionnaire was completed by primary caregivers of TDC who were younger than 19 years and had been dependent on medical devices for more than 3 months. Technologies included home mechanical ventilation, oxygen supplementation, suction equipment, enteral feeding tube, and home total parenteral nutrition. Patterns of healthcare use and home care of TDC and caregivers’ perception toward child were assessed. Results A total of 74 primary caregivers of TDC completed a self-reported questionnaire. About 60% children were aged under 5 years. There were 31.1% children who required both respiratory and nutritional support. On average, caregivers took care of a child for 14.4 (±6.1) hours, slept for 5.6 (±1.6) hours, and spent 2.4 h per day on personal activities. Children used hospital services for 41.3 (±45.6) days in 6 months, and most (78.1%) were transported through private car/ambulance. Participants (75.6%) reported taking more than an hour to get to the hospital. More than 80% of caregivers responded that child care is physically very burdensome. The only statistically significant relationships was between economic status and financial burden (p = 0.026). Conclusions Caregivers of TDC reported having significant time pressure regarding childcare-related tasks, insufficient time for personal activities, and inefficient hospital use because of inadequate medical services to support them in South Korea. Thus, it is necessary to support caregivers and develop a home care model based on current medical environment.

Prevalence of Hyponatremia and Its Associated Morbimortality in Hospitalized Patients Receiving Parenteral Nutrition

2017 ◽  
Vol 71 (1-2) ◽  
pp. 1-7 ◽  
Author(s):  
Emilia Gómez-Hoyos ◽  
Martín Cuesta ◽  
Nayade Del Prado-González ◽  
Pilar Matía ◽  
Natalia Pérez-Ferre ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Mortality Rate ◽  
Parenteral Nutrition ◽  
Demographic Data ◽  
Tertiary Hospital ◽  
Hospital Length ◽  
Hospitalized Patients ◽  
Hospital Length Of Stay ◽  
Control Subjects ◽  
Comorbidity Index

Background: The objective of the study was to determine the prevalence of hyponatremia (HN) and its associated morbimortality in hospitalized patients receiving parenteral nutrition (PN). Methods: A retrospective study including 222 patients receiving total PN (parenteral nutrition group [PNG]) over a 7-month period in a tertiary hospital and 176 matched to 179 control subjects without PN (control subjects group [CSG]). Demographic data, Charlson Comorbidity Index (CCI), date of HN detection-(serum sodium or SNa <135 mmol/L)-intrahospital mortality, and hospital length-of-stay (LOS) were registered. In the PNG, body mass index (BMI) and SNa before, during, and after PN were recorded. Results: HN was more prevalent in the PNG: 52.8 vs. 35.8% (p = 0.001), and independent of age, gender, or CCI (OR 1.8 [95% CI 1.1-2.8], p = 0.006). In patients on PN, sustained HN (75% of all intraindividual SNa <135 mmol/L) was associated with a higher mortality rate independent of age, gender, CCI, or BMI (OR 7.38 [95% CI 1.07-50.8], p = 0.042). The absence of HN in PN patients was associated with a shorter hospital LOS (<30 days) and was independent of other comorbidities (OR 3.89 [95% CI 2.11-7.18], p = 0.001). Conclusions: HN is more prevalent in patients on PN. Sustained HN is associated with a higher intrahospital mortality rate. Absence of HN is associated with a shorter hospital LOS.

AN AMERICAN HOME CARE PROGRAMME

1966 ◽  
Vol 1 (15) ◽  
pp. 640-642
Author(s):  
Harold I. Nemuth
Keyword(s):  
Home Care ◽  
Care Programme

scholarly journals 0407 Respiratory irritant exposures during cleaning and disinfecting in home care: preliminary results from the safe home care study

2017 ◽  
Author(s):  
Margaret Quinn ◽  
Catherine Galligan ◽  
John Lindberg ◽  
Pia Markkanen ◽  
Susan Sama ◽  
...  
Keyword(s):  
Home Care ◽  
Preliminary Results ◽  
Care Study

Place of death of cancer patients in Israel: the experience of a 'home-care programme'

1990 ◽  
Vol 4 (4) ◽  
pp. 299-304 ◽  
Author(s):  
David Loven ◽  
Efrat Goldberg ◽  
Yaakov Hart ◽  
Baruch Klein
Keyword(s):  
Home Care ◽  
Cancer Patients ◽  
Place Of Death ◽  
Care Programme

Home Care for Chronic Mental Illness in Bangalore: An Experiment in the Prevention of Repeated Hospitalisation

1985 ◽  
Vol 147 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Shaila Pai ◽  
S. M. Channabasavanna ◽  
Nagarajaiah ◽  
R. Raghuram
Keyword(s):  
Home Care ◽  
Matched Control ◽  
Psychiatric Patients ◽  
Care Group ◽  
Control Group ◽  
Chronic Mental Illness ◽  
Care Programme ◽  
Duration Of Illness ◽  
Chronic Psychiatric Patients ◽  
Trained Nurse

SummaryThe article describes the outcome of a comparative study of home care, by a trained nurse, versus hospital out-patient supervision in the management of chronic psychiatric patients in Bangalore, India. Twenty-five patients, with a mean duration of illness of nine years, were started on the home care programme while a matched control group of 25 similar patients continued the regular out-patient contact offered by the hospital. Comparative assessments were carried out on the groups at the time of intake and again after two years. The results indicate that hospital admission was less often needed among the home care group.

Catheter-related bloodstream infections in palliative care patients receiving parenteral nutrition by medical home care

2020 ◽  
pp. bmjspcare-2020-002331
Author(s):  
Anna Schedin ◽  
Charlotte Goodrose-Flores ◽  
Stephanie Bonn ◽  
Linda Björkhem-Bergman
Keyword(s):  
Risk Factors ◽  
Palliative Care ◽  
Parenteral Nutrition ◽  
Home Care ◽  
Medical Home ◽  
Major Complication ◽  
Bloodstream Infections ◽  
Cancer Type ◽  
Incidence Proportion ◽  
Time Type

BackgroundCatheter-related bloodstream infections (CRBSIs) constitute a major complication associated with the use of central venous lines (CVL). The aim of this study was to investigate the incidence proportion and risk factors of CRSBI in palliative care patients with CVL receiving home parenteral nutrition (HPN).MethodsMedical records from patients admitted to a medical home care unit in stockholm, Sweden, during 2017 were reviewed (n=1022) and 454 palliative care patients with a CVL were identified. Data on CRBSI cases, HPN exposure time, type of parenteral nutrition (PN), age, diagnosis and type of CVL were collected.ResultsTwenty-nine of 143 patients receiving HPN through a CVL were diagnosed with a CRBSI (20%). Nine of 311 patients with CVL without exposure for HPN developed CRBSI (3%). The risk of a CRBSI was significantly higher in patients receiving HPN compared with those not receiving HPN, OR 8.5 (95% CI 4.0 to 18.7). For those receiving HPN six to seven times a week the risk was even higher, OR 13 (95% CI 5.1 to 30.3). The highest incidence proportion of CRBSI (31%) was found in a home care team where patients had been trained to disconnect themselves from the PN drip. Sex, cancer versus non-cancer, type of CVL or protein content in the PN, did not differ between patients that developed CRBSI versus those that did not develop the outcome.ConclusionHPN entails a high risk of CRBSI. A high frequency of PN and incautious handling of the disconnection of the drip, seem to be the most important risk factors.

scholarly journals Pilot implementation of a home-care programme with chlamydia, gonorrhoea, hepatitis B, and syphilis self-sampling in HIV-positive men who have sex with men

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
J. Leenen ◽  
C. J. P. A. Hoebe ◽  
R. P. Ackens ◽  
D. Posthouwer ◽  
I. H. M. van Loo ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Home Care ◽  
Hiv Care ◽  
Hiv Positive ◽  
Successful Implementation ◽  
Care Providers ◽  
Care Programme ◽  
Home Setting ◽  
Blood Samples ◽  
Sex With Men

Abstract Background Not all men who have sex with men (MSM) at risk for sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) infection currently receive sexual healthcare. To increase the coverage of high-quality HIV/STI care for MSM, we developed a home-care programme, as extended STI clinic care. This programme included home sampling for testing, combined with treatment and sexual health counselling. Here, we pilot implemented the programme in a hospital setting (HIV-positive MSM) to determine the factors for the successful implementation of STI home sampling strategies. Methods Healthcare providers from the HIV hospital treatment centre (Maastricht) were invited to offer free STI sampling kits (syphilis, hepatitis B, [extra]genital chlamydia and gonorrhoea laboratory testing) to their HIV-positive MSM patients (March to May 2018). To evaluate implementation of the program, quantitative and qualitative data were collected to assess adoption (HIV care providers offered sampling kits to MSM), participation (MSM accepted the sampling kits) and sampling-kit return, STI diagnoses, and implementation experiences. Results Adoption was 85.3% (110/129), participation was 58.2% (64/110), and sampling-kit return was 43.8% (28/64). Of the tested MSM, 64.3% (18/28) did not recently (< 3 months) undergo a STI test; during the programme, 17.9% (5/28) were diagnosed with an STI. Of tested MSM, 64.3% (18/28) was vaccinated against hepatitis B. MSM reported that the sampling kits were easily and conveniently used. Care providers (hospital and STI clinic) considered the programme acceptable and feasible, with some logistical challenges. All (100%) self-taken chlamydia and gonorrhoea samples were adequate for testing, and 82.1% (23/28) of MSM provided sufficient self-taken blood samples for syphilis screening. However, full syphilis diagnostic work-up required for MSM with a history of syphilis (18/28) was not possible in 44.4% (8/18) of MSM because of insufficient blood sampled. Conclusion The home sampling programme increased STI test uptake and was acceptable and feasible for MSM and their care providers. Return of sampling kits should be further improved. The home-care programme is a promising extension of regular STI care to deliver comprehensive STI care to the home setting for MSM. Yet, in an HIV-positive population, syphilis diagnosis may be challenging when using self-taken blood samples.

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