scholarly journals Oral Care in Acute Stroke

2022 ◽  
pp. 1-9
Author(s):  
Nalia Gurgel-Juarez ◽  
Karen Mallet ◽  
Mary Egan ◽  
Dylan Blacquiere ◽  
Anik Laneville ◽  
...  
Keyword(s):  
Chart Review ◽  
Oral Care ◽  
Acute Care Hospital ◽  
Retrospective Chart Review ◽  
Stroke Recovery ◽  
Quality Improvement Initiative ◽  
Care Hospital ◽  
Personal Care ◽  
Sources Of Information ◽  
Hospital Patients

Purpose: Stroke impacts independent activities, particularly personal care such as oral hygiene. Existing guidelines lack details about how to provide effective oral care. This study explores the frequency of oral care based on staff adherence to oral care policies. Method: As part of a quality improvement initiative, we conducted a retrospective chart review of 30 consecutive stroke admissions to an acute care hospital. Patients with primary intracerebral hemorrhage or ischemic stroke were eligible. Sources of information included a decision support database and an electronic chart review. Data collection included length of hospitalization, stroke type, presence of infections, oral mechanism exam, dysphagia evaluations, and daily personal care provision by nursing staff (e.g., oral care and bathing). Results: Twenty-seven patients met the inclusion criteria. They had a mean age of 74 years, and 52% were men. Most had supratentorial stroke (86%) with comparable frequencies of right (48%) and left (52%) hemisphere lesions. In over half of the cases, provision of oral care was not documented at any point during the patients' hospitalization ( Mdn = 128 hr). Pericare and bathing were about twice and 4 times more frequent than oral care, respectively. Conclusions: Oral care after stroke is challenging. Existing oral care recommendations from stroke guidelines lack sufficient detail and warrant reconsideration for optimal and routine implementation particularly in acute settings. Education around oral care and associated protocols are necessary to advance oral care practices and improve stroke recovery.

scholarly journals The Utility of Routine Admission Surveillance Cultures in Long-Term Acute Care Hospital Patients

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Lauren Dutcher ◽  
Naasha Talati ◽  
Jacqueleen Wise ◽  
Jennifer Han
Keyword(s):  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Surveillance Cultures ◽  
Hospital Patients

scholarly journals Long-term acute care hospitals and Georgia Medicaid: Utilization, outcomes, and cost

2016 ◽  
Vol 4 ◽  
pp. 205031211667092
Author(s):  
Evan S. Cole ◽  
Carla Willis ◽  
William C Rencher ◽  
Mei Zhou
Keyword(s):  
Acute Care ◽  
Diagnosis Related Groups ◽  
Acute Care Hospital ◽  
Acute Care Hospitals ◽  
Risk Scores ◽  
Average Risk ◽  
Care Hospital ◽  
Hospital Patients ◽  
Medicaid Population

Objectives: Because most research on long-term acute care hospitals has focused on Medicare, the objective of this research is to describe the Georgia Medicaid population who received care at a long-term acute care hospital, the type and volume of services provided by these long-term acute care hospitals, and the costs and outcomes of these services. For those with select respiratory conditions, we descriptively compare costs and outcomes to those of patients who received care for the same services in acute care hospitals. Methods: We describe Georgia Medicaid recipients admitted to a long-term acute care hospital between 2011 and 2012. We compare them to a population of Georgia Medicaid recipients admitted to an acute care hospital for one of five respiratory diagnosis-related groups. Measurements used include patient descriptive information, admissions, diagnosis-related groups, length of stay, place of discharge, 90-day episode costs, readmissions, and patient risk scores. Results: We found that long-term acute care hospital admissions for Medicaid patients were fairly low (470 90-day episodes) and restricted to complex cases. We also found that the majority of long-term acute care hospital patients were blind or disabled (71.2%). Compared to patients who stayed at an acute care hospital, long-term acute care hospital patients had higher average risk scores (13.1 versus 9.0), lengths of stay (61 versus 38 days), costs (US$143,898 versus US$115,056), but fewer discharges to the community (28.4% versus 51.8%). Conclusion: We found that the Medicaid population seeking care at long-term acute care hospitals is markedly different than the Medicare populations described in other long-term acute care hospital studies. In addition, our study revealed that Medicaid patients receiving select respiratory care at a long-term acute care hospital were distinct from Medicaid patients receiving similar care at an acute care hospital. Our findings suggest that state Medicaid programs should carefully consider reimbursement policies for long-term acute care hospitals, including bundled payments that cover both the original hospitalization and long-term acute care hospital admission.

Long Stay Hospital Patients in Acute Care Hospital beds - What does Dementia have to do with this?

2013 ◽  
Vol 21 (3) ◽  
pp. S141
Author(s):  
Pamela Jarrett ◽  
Rose McCloskey ◽  
Connie Stewart ◽  
Alexander R. McCollum ◽  
Heather Oakley
Keyword(s):  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Hospital Beds ◽  
Hospital Patients ◽  
Stay Hospital

Complexity of nursing care in acute care hospital patients: results of a pilot study with a newly developed questionnaire

2014 ◽  
Vol 29 (3) ◽  
pp. 591-602 ◽  
Author(s):  
Michael Kleinknecht-Dolf ◽  
Francis Grand ◽  
Elisabeth Spichiger ◽  
Marianne Müller ◽  
Jacqueline S. Martin ◽  
...  
Keyword(s):  
Pilot Study ◽  
Acute Care ◽  
Nursing Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Hospital Patients

scholarly journals The Effectiveness of Routine Daily Chlorhexidine Gluconate Bathing in Reducing Klebsiella pneumoniae Carbapenemase–Producing Enterobacteriaceae Skin Burden among Long-Term Acute Care Hospital Patients

2014 ◽  
Vol 35 (4) ◽  
pp. 440-442 ◽  
Author(s):  
Michael Y. Lin ◽  
Karen Lolans ◽  
Donald W. Blom ◽  
Rosie D. Lyles ◽  
Shayna Weiner ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Acute Care ◽  
Acute Care Hospital ◽  
Chlorhexidine Gluconate ◽  
Care Hospital ◽  
Klebsiella Pneumoniae Carbapenemase ◽  
Hospital Patients ◽  
Skin Colonization

We evaluated the effectiveness of daily chlorhexidine gluconate (CHG) bathing in decreasing skin carriage of Klebsiella pneumoniae carbapenemase–producing Enterobacteriaceae (KPC) among long-term acute care hospital patients. CHG bathing reduced KPC skin colonization, particularly when CHG skin concentrations greater than or equal to 128 μg/mL were achieved.

scholarly journals Supervised consumption services for acute care hospital patients

2020 ◽  
Vol 192 (18) ◽  
pp. E476-E479
Author(s):  
Kathryn A. Dong ◽  
Jennifer Brouwer ◽  
Curtis Johnston ◽  
Elaine Hyshka
Keyword(s):  
Acute Care ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Hospital Patients

scholarly journals Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases

2015 ◽  
Vol 7 (3) ◽  
pp. 105-108
Author(s):  
Simple Patadia ◽  
Amitkumar Keshri ◽  
Saurin Shah
Keyword(s):  
Uptake Rate ◽  
Pure Tone ◽  
Chart Review ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Uttar Pradesh ◽  
Retrospective Chart Review ◽  
Long Term Results ◽  
Care Hospital ◽  
Tympanic Membrane Perforations

ABSTRACT Objective Cartilage shield tympanoplasty (CST) is an acknowledged procedure to repair total tympanic membrane perforations. The main objective of this study was to share our experience of CST, in form of its technique, graft uptake and hearing outcomes. Study design Retrospective chart review. Setting Tertiary care hospital, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. Patients A total of 69 cases of type 1 CST, from January 2013 to March 2014. We followed all patients for a minimum period of 6 months. Intervention Therapeutic. Main outcome measures Graft uptake rate, along with preand postoperative pure tone audiogram air bone gap (ABG) and postoperative complications, was evaluated. We compared ABG using Student's t-test. Results Graft uptake was seen in 68 cases (98.5%). The mean pre- and postoperative pure tone audiometry (PTA)-ABG was 37.58 ± 6.43 dB and 20.19 ± 8.14 dB, respectively. Hearing improvement was maximum at 2 kHz with mean postoperative value of 17.73 dB, and the least improvement was seen at 8 kHz with value of 30 dB in postoperative period. Conclusion The graft uptake rate was excellent, and hearing results were satisfactory. Cartilage shield tympanoplasty should be a recommended procedure for total perforation, subtotal perforation and revision cases. However, long-term results are still awaited. How to cite this article Patadia S, Keshri A, Shah S. Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases. Int J Otorhinolaryngol Clin 2015;7(3):105-108.

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