Long-term ventilator-dependent patients: New facilities and new models of care. The American perspective

2012 ◽  
Vol 18 (5) ◽  
pp. 214-216
Author(s):  
G. Criner
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S242-S243
Author(s):  
Katie Brittain ◽  
Dawn Craig ◽  
Karen Spilsbury ◽  
Paul Wilson ◽  
Katie Brittain ◽  
...  

Abstract Models of care are evolving to meet the demands of an ageing population in long-term care facilities. Syntheses of current evidence are an essential to inform future change. In this project we conducted a rapid synthesis of evidence relating to enhancing health in long term care facilities across technology and evaluation. Mapping reviews were conducted on the uses, benefits and challenges of technology in care homes and approaches to evaluation of new models of care. Systematic evidence syntheses addressed the questions of which technologies have a positive impact on resident health and well-being and which measurement tools have been validated for use in UK care homes. Key findings will be presented in animated format, including that the most promising interventions appear to be games that promote physical activity and enhance mental health. This presentation will highlight the benefits and importance of evidence synthesis to the development of models of care.


2020 ◽  
Vol 22 (Supplement_P) ◽  
pp. P56-P59
Author(s):  
Nick E J West ◽  
Wai-Fung Cheong ◽  
Els Boone ◽  
Neil E Moat

Abstract The global COVID-19 pandemic has led to unprecedented change throughout society.1 As the articles in this supplement outline, all segments of the broader cardiovascular community have been forced to adapt, to change models of care delivery, and to evolve and innovate in order to deliver optimal management for cardiovascular patients. The medtech/device industry has not been exempt from such change and has been forced to navigate direct and indirect COVID-associated disruption, with effects felt from supply chain logistics to the entire product lifecycle, from the running of clinical trials to new device approvals and managing training, proctoring and congresses in an increasingly-online world. This sea-change in circumstances itself has enforced the industry, in effect, to disrupt its own processes, models and activities. Whilst some of these changes may be temporary, many will endure for some time and some will doubtless become permanent; one thing is for sure: the healthcare ecosystem, including the medical device industry, will never look quite the same again. Although the pandemic has brought a short- to medium-term medical crisis to many countries, its role as a powerful disruptor cannot be underestimated, and may indeed prove to be a force for long-term good, given the accelerated innovation and rapid adaptation that it has cultivated.


2012 ◽  
Vol 53 (3) ◽  
pp. 165-177
Author(s):  
Lesley A. Graff ◽  
George Kaoukis ◽  
Norah Vincent ◽  
Andrea Piotrowski ◽  
Jason Ediger

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 711-712
Author(s):  
Katherine Ornstein ◽  
Jennifer Reckrey ◽  
Evan Bollens-Lund ◽  
Katelyn Ferreira ◽  
Mohammed Husain ◽  
...  

Abstract A large and growing population of older adults with multimorbidity, cognitive impairment, and functional disability live in the community but are homebound (never/rarely leave home). While homebound status is associated with decreased access to medical services and poor health outcomes, it is unclear how long individuals remain homebound. We used the National Health and Aging Trends Study (NHATS), a nationally representative sample of Medicare beneficiaries age 65 and over, with survey weighting to assess duration of homebound status in the community. Among the incident homebound in 2016 (n=253) , only 28% remained homebound after 1 year. 21% died, 18% were recovered, and one-third left the home but still reported difficulty. As the locus of long-term care shifts from nursing homes to the community and models of care expand to serve the needs of the homebound, it is critical that we better understand the heterogeneity and transitions of the homebound population.


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