Diabetics at Risk for Malnutrition: Improving Hospitalization Rates through a Comprehensive Nutrition Care Program

2019 ◽  
Vol 119 (9) ◽  
pp. A20
Author(s):  
S. Sulo ◽  
S. Kozmic ◽  
J. Partridge ◽  
W. Landow ◽  
G. VanDerBosch ◽  
...  
Keyword(s):  
At Risk ◽  
Care Program ◽  
Nutrition Care ◽  
Hospitalization Rates

AnviMax®: optimal drug to combat ARVI and inflfluenza

2020 ◽  
pp. 28-30
Author(s):  
Nadezhda Kalinina ◽  
Keyword(s):  
At Risk ◽  
Russian Federation ◽  
Hospitalization Rates ◽  
Optimal Drug ◽  
The Russian Federation

In the epidemiological season 2019–2020, the situation with the incidence of ARVI and influenza was more critical and significantly compounded by concurrent outbreak and spread of new infection COVID-19 in the Russian Federation, resulting in increased hospitalization rates of people at risk with COVID-19 and influenza co-infection. Список литературы

scholarly journals Process evaluation of a national elderly nutrition care program in Iran: Perspectives of clients and providers

2020 ◽  
Author(s):  
Sorayya Kheirouri ◽  
Mohammad Alizadeh ◽  
Elaheh Foroumandi ◽  
Rahim Khodayari-zarnaq
Keyword(s):  
Health Care ◽  
Process Evaluation ◽  
Group Process ◽  
Implementation Process ◽  
Care Program ◽  
Monitoring And Evaluation ◽  
Evaluation Study ◽  
Nutrition Care ◽  
East Azerbaijan ◽  
Health Care Centers

Abstract Background The rapid growth of Iran elderly population highlights the importance of more attention to nutritional needs of this age group. Process evaluation study on the nutritional part of the national Elderly-Integrated Care Program was conducted to examine degree of exposure and satisfaction of the targets with the program components, and assess the reach, delivery, fidelity, and external contexts of the program.Methods To evaluate perspectives of clients on elderly integrated nutrition care program (EINCP) implementation process, a self-administrated questionnaire was constructed, validated, and applied to 256 individuals with the age of above 60 years attending the program at 57 health care centers of Tabriz metropolitan area of East Azerbaijan province in Iran using convenience sampling method. Another valid questionnaire was also applied to investigate viewpoint of the perceptions of 76 staffs of these health care centers as the program providers around the EINCP.Results The reach rate of the clients was reported 20.0%. Delivery of the educational components to entire program providers was accomplished (100.0%); however, the delivery of some parts of the program to the clients had some main weaknesses. The fidelity of the program tools was considered inadequate from perspectives of both clients and providers. 77.5% of the clients had exposure to the program. Clients’ satisfaction rate was varied from 4.2 to 34.7% with various available services, but 42.8% of the clients had high satisfaction with overall parts of the EINCP. The program also suffered from some external contexts such as the lack of financial support of program providers.Conclusion The format of the EINCP and strategies related to recruitment of the clients should be improved in order to minimize the barriers highlighted in this study. The providers should focus on raising the compliance of clients to receive a higher reach rate. It is suggested that program planners add periodic monitoring and evaluation of the program.

scholarly journals Identifying Low Value Malnutrition Care Activities for De-Implementation and Systematised, Interdisciplinary Alternatives—A Multi-Site, Nominal Group Technique Approach

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2063
Author(s):  
Alita Rushton ◽  
Kai Elmas ◽  
Judith Bauer ◽  
Jack J. Bell
Keyword(s):  
At Risk ◽  
Screening Tool ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Nutrition Care ◽  
Care Processes ◽  
Risk Patients ◽  
Group Technique

Malnutrition risk is identified in over one-third of inpatients; reliance on dietetics-delivered nutrition care for all “at-risk” patients is unsustainable, inefficient, and ineffective. This study aimed to identify and prioritise low-value malnutrition care activities for de-implementation and articulate systematised interdisciplinary opportunities. Nine workshops, at eight purposively sampled hospitals, were undertaken using the nominal group technique. Participants were asked “What highly individualised malnutrition care activities do you think we could replace with systematised, interdisciplinary malnutrition care?” and “What systematised, interdisciplinary opportunities do you think we should do to provide more effective and efficient nutrition care in our ward/hospital?” Sixty-three participants were provided five votes per question. The most voted de-implementation activities were low-value nutrition reviews (32); education by dietitian (28); assessments by dietitian for patients with malnutrition screening tool score of two (22); assistants duplicating malnutrition screening (19); and comprehensive, individualised nutrition assessments where unlikely to add value (15). The top voted alternative opportunities were delegated/skill shared interventions (55), delegated/skill shared education (24), abbreviated malnutrition care processes where clinically appropriate (23), delegated/skill shared supportive food/fluids (14), and mealtime assistance (13). Findings highlight opportunities to de-implement perceived low-value malnutrition care activities and replace them with systems and skill shared alternatives across hospital settings.

scholarly journals Descriptive and process evaluation of a shared primary care program

2007 ◽  
Author(s):  
Evelyn Vingilis ◽  
Jann Paquette-Warren ◽  
Nick Kates ◽  
Anne-Marie Crustolo ◽  
Jaimi Greenslade ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Process Evaluation ◽  
Care Program ◽  
Shared Care ◽  
Team Members ◽  
Care Services ◽  
Health And Nutrition ◽  
Nutrition Care ◽  
Patient Database

Purpose: This study involved the conduct of a descriptive and process evaluation to examine the implementation and maintenance of an existing local shared care program: The Hamilton Health Service Organization Mental Health and Nutrition Program located in Hamilton, Ontario, Canada. The program was organized to strengthen links between mental health, nutrition, and primary care services, to improve access to mental health and nutrition care, and to realize the benefits of improved communication, collaboration and mutual support among multiple practitioners, increased continuity of care, and increased family physicians’ comfort and skill in handling more complex problems. Method: A mixed-method, multi-measures evaluation design was used. Data were gathered from the program’s central patient database and by conducting focus groups. Results: Teams of practitioners provide comprehensive primary mental health and nutrition care. Collaboration and education opportunities are extensive although time constraints are an issue. Patients with a range of problems were assessed, treated, and referred among team members. There appears to be a decreased burden on external services. Conclusions & Discussion: This evaluation suggests that implementation and maintenance of shared care programs are possible within community practices.

scholarly journals Community Based Pasung Release on Schizophrenia

2021 ◽  
Vol 10 (1) ◽  
pp. 27
Author(s):  
Titik Dyah Agustini ◽  
Azimatul Karimah ◽  
Ivana Sajogo
Keyword(s):  
At Risk ◽  
Mental Illness ◽  
Mental Disorder ◽  
Assertive Community Treatment ◽  
Community Treatment ◽  
Severe Mental Disorder ◽  
Community Based ◽  
Hospitalization Rates ◽  
People With Mental Illness ◽  
The Government

Schizophrenia is a severe mental disorder, persistent, chronic, easy to relapse. Schizophrenics at risk of becoming victims of pasung. Confinement is any form of limitation of movement of people with mental illness by families and/or communities. The government has launched the program to end pasung, but the incidence of pasung in the community is still quite high. Liberation of community-based pasung includes prevention of pasung, handling of pasung and rehabilitation of post-pasung. The method of community-based pasung release at the rehabilitation stage that is widely used is Assertive Community Treatment (ACT) and has been proven to reduce recurrence and hospitalization rates in schizophrenics so as to reduce the incidence of pasung and prevent re-pasung.

scholarly journals Overview of Nutrition Care in Geriatrics and Orthogeriatrics

2021 ◽  
pp. 3-18
Author(s):  
Ólöf G. Geirsdóttir ◽  
Karen Hertz ◽  
Julie Santy-Tomlinson ◽  
Antony Johansen ◽  
Jack J. Bell
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Primary Prevention ◽  
Secondary Prevention ◽  
Interdisciplinary Team ◽  
Focal Points ◽  
Community Settings ◽  
Team Members ◽  
Nutrition Care ◽  
Care Approach

AbstractEngaging older adults, and all those who care for them, is pivotal to providing high-value nutrition care for older adults. Nurses and other interdisciplinary team members are essential to this process. The aim of this chapter is to provide an overview of the rationale and evidence for interdisciplinary and systematised nutrition care as an effective nutrition care approach for older adults with or at risk of malnutrition. This chapter also serves as a guide to detailed chapters across this book to provide focal points on different aspects of nutrition care that should be considered across primary prevention, acute care, rehabilitation, secondary prevention and community settings (Dreinhöfer et al., Injury 49(8):1393–1397, 2018).

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