An Ethics Consult Team in Geriatric Long-Term Care

1995 ◽  
Vol 4 (2) ◽  
pp. 178-184 ◽  
Author(s):  
Eileen R. Chichin ◽  
Ellen Olson
Keyword(s):  
Long Term Care ◽  
Ethics Committees ◽  
Case Review ◽  
Advocacy Groups ◽  
Term Care ◽  
Ethical Problems ◽  
Set Up ◽  
Patient Advocacy Groups ◽  
Geriatric Long Term Care

The increasing incidence of ethical dilemmas in long-term care settings, in concert with recommendations from the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, has prompted long-term care institutions to develop mechanisms to address these concerns. Some facilities have chosen to set up an ethics committee, although estimates obtained in the past few years indicate that only between 2 and 27% of institutional long-term care settings have such committees. Ethics committees are responsible for assisting staff, residents, and families with the resolution of ethi- cal concerns, and typically engage in policy review and development, case review, and education. Such committees usually count among their membership representatives from a variety of disciplines, with family members, patients, and representatives from patient advocacy groups supplementing the professional component of the committee.

scholarly journals Association Between Length of Residence and Prevalence of Mrsa Colonization Among Residents in Geriatric Long-term Care Facilities

2020 ◽  
Author(s):  
Teppei Sasahara ◽  
Ryusuke Ae ◽  
Akio Yoshimura ◽  
Koki Kosami ◽  
Kazumasa Sasaki ◽  
...  
Keyword(s):  
Long Term Care ◽  
Length Of Residence ◽  
Term Care ◽  
Initial Testing ◽  
High Prevalence ◽  
Care Facilities ◽  
Cross Transmission ◽  
Mrsa Colonization ◽  
Geriatric Long Term Care

Abstract Background: A high prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonization has been reported among residents in geriatric long-term care facilities (LTCFs). Some studies indicate that MRSA might be imported from hospitals into LTCFs via resident transfer; however, other studies report that high MRSA prevalence might be caused by cross-transmission inside LTCFs. We aimed to assess which factors have a large impact on the high MRSA prevalence among residents of geriatric LTCFs.Methods: We conducted a cohort study among 260 residents of four geriatric LTCFs in Japan. Dividing participants into two cohorts, we separately analyzed (1) the association between prevalence of MRSA carriage and length of LTCF residence (Cohort 1: n=204), and (2) proportion of residents identified as MRSA negative who were initially tested at admission but subsequently identified as positive in secondary testing performed at ≥2 months after their initial test (Cohort 2: n=79).Results: Among 204 residents in Cohort 1, 20 (9.8%) were identified as positive for MRSA. Compared with residents identified as MRSA negative, a larger proportion of MRSA-positive residents had shorter periods of residence from the initial admission (median length of residence: 5.5 vs. 2.8 months), although this difference was not statistically significant (p=0.084). Among 79 residents in Cohort 2, 60 (75.9%) were identified as MRSA negative at the initial testing. Of these 60 residents, only one (1.7%) had subsequent positive conversion in secondary MRSA testing. In contrast, among 19 residents identified as MRSA positive in the initial testing, 10 (52.6%) were negative in secondary testing.Conclusions: The prevalence of MRSA was lower among residents with longer periods of LTCF residence than among those with shorter periods. Furthermore, few residents were found to become MRSA carrier after their initial admission. These findings highlight that MRSA in LTCFs is most likely to be associated with resident transfer rather than spread via cross-transmission inside LTCFs.

Drug Use in a Geriatric Long-Term Care Setting

Drugs & Aging ◽  
2006 ◽  
Vol 23 (2) ◽  
pp. 157-165 ◽  
Author(s):  
Zeev Arinzon ◽  
Alexander Peisakh ◽  
Aneta Zuta ◽  
Yitshal N Berner
Keyword(s):  
Drug Use ◽  
Care Setting ◽  
Long Term Care ◽  
Term Care ◽  
Geriatric Long Term Care

Nosocomial Infections in Geriatric Long-Term-Care and Rehabilitation Facilities: Exploration in the Development of a Risk Index for Epidemiological Surveillance

2001 ◽  
Vol 22 (12) ◽  
pp. 746-753 ◽  
Author(s):  
Franck Golliot ◽  
Pascal Astagneau ◽  
Bernard Cassou ◽  
Nicole Okra ◽  
Monique Rothan-Tondeur ◽  
...  
Keyword(s):  
Risk Factors ◽  
Long Term Care ◽  
Risk Index ◽  
Epidemiological Surveillance ◽  
Prevalence Survey ◽  
Term Care ◽  
Risk Indices ◽  
Rehabilitation Facilities ◽  
Geriatric Long Term Care

AbstractObjective:To compute a risk index for nosocomial infection (NI) surveillance in geriatric long-term-care facilities (LTCFs) and rehabilitation facilities.Design:Analysis of data collected during the French national prevalence survey on NIs conducted in 1996. Risk indices were constructed based on the patient case-mix defined according to risk factors for NIs identified in the elderly.Setting:248 geriatric units in 77 hospitals located in northern France.Participants:All hospital inpatients on the day of the survey were included.Results:Data from 11,254 patients were recorded. The overall rate of infected patients was 9.9%. Urinary tract, respiratory tract, and skin were the most common infection sites in both rehabilitation facilities and LTCFs. Eleven risk indices, categorizing patients in 3 to 7 levels of increasing NI risk, ranging from 2.7% to 36.2%, were obtained. Indices offered risk adjustment according to NI rate stratification and clinical relevance of risk factors such as indwelling devices, open bedsores, swallowing disorders, sphincter incontinence, lack of mobility, immunodeficiency, or rehabilitation activity.Conclusion:The optimal index should be tailored to the strategy selected for NI surveillance in geriatric facilities in view of available financial and human resources.

Sign in / Sign up

Export Citation Format

Share Document