Clinical Decision Making in Skilled Nursing/Long-Term Care: Using and Generating Evidence in the Field

2015 ◽  
Vol 36 (03) ◽  
pp. 179-189 ◽  
Author(s):  
Heather Jeng
Keyword(s):  
Decision Making ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Term Care ◽  
Skilled Nursing

Home Telecare, Medical Implant, and Mobile Technology

2013 ◽  
pp. 222-237
Author(s):  
Vishaya Naidoo ◽  
Yedishtra Naidoo
Keyword(s):  
Mobile Technology ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Technological Solution ◽  
Term Care ◽  
Mobile Wireless ◽  
Global Aging ◽  
Mobile Wireless Technology

With a rapidly expanding global aging population, alternatives must be developed to minimize the inevitable increase in acute and long-term care admissions to the health care system. This chapter explores the use of home telecare as an alternative medical approach to managing this growing trend, while also providing superior care to geriatric patients. To address some of the emergent disadvantages of home telecare concerning usability, self-management, and confinement to the home, the use of a cardiac implant in conjunction with a mobile device—to assist in the management of chronic heart failure in seniors—is proposed as a promising technological solution to overcoming these limitations. Ultimately, it seems that the growth of home telecare, as well as the great potential to enhance its services with the use of mobile wireless technology, stands to drastically improve clinical decision-making and management of health services in the future.

Home Telecare, Medical Implant, and Mobile Technology

2016 ◽  
pp. 1658-1673
Author(s):  
Vishaya Naidoo ◽  
Yedishtra Naidoo
Keyword(s):  
Mobile Technology ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Technological Solution ◽  
Term Care ◽  
Mobile Wireless ◽  
Global Aging ◽  
Mobile Wireless Technology

With a rapidly expanding global aging population, alternatives must be developed to minimize the inevitable increase in acute and long-term care admissions to the health care system. This chapter explores the use of home telecare as an alternative medical approach to managing this growing trend, while also providing superior care to geriatric patients. To address some of the emergent disadvantages of home telecare concerning usability, self-management, and confinement to the home, the use of a cardiac implant in conjunction with a mobile device—to assist in the management of chronic heart failure in seniors—is proposed as a promising technological solution to overcoming these limitations. Ultimately, it seems that the growth of home telecare, as well as the great potential to enhance its services with the use of mobile wireless technology, stands to drastically improve clinical decision-making and management of health services in the future.

The Inter-Rater Reliability of the Observation Instrument for Assessing Pain in Elderly With Dementia: An Investigation in the Long-Term Care Setting

2017 ◽  
Vol 25 (3) ◽  
pp. E173-E184 ◽  
Author(s):  
Gerhard Mueller ◽  
Petra Schumacher ◽  
Elisabeth Holzer ◽  
Martin Pallauf ◽  
Eva Schulc
Keyword(s):  
Care Setting ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cross Sectional ◽  
Term Care ◽  
Convenience Sample ◽  
Rater Reliability ◽  
Observation Instrument

Background and Purpose: The Observation Instrument for Assessing Pain in Elderly With Dementia (BISAD) was developed in Germany. The instrument demonstrated high interrater reliability values for the original French version. So far, there are no results to that effect in the Austrian long-term care setting available. The objective of this study was to investigate agreement and inter-rater reliability of BISAD in residents with dementia. Methods: A quantitative multicenter-descriptive cross-sectional design with a convenience sample of 71 residents. Results: Analysis of all eight items demonstrated fair to moderate concordance. Absolute agreement of the total value was 25.32%. Subtotals of the observation before mobilization was 52.11%, and during mobilization 32.39%. Conclusion: The reliability analysis shows that the items are less reliable. Currently, BISAD does not make a reliable contribution to clinical decision making in the tested setting.

scholarly journals Clinical Questions Asked by Long-Term Care Providers Through eConsult: A Retrospective Study

2021 ◽  
Vol 7 ◽  
pp. 233372142110320
Author(s):  
Celeste Fung ◽  
Soha Shah ◽  
Mary Helmer-Smith ◽  
Cheryl Levi ◽  
Erin Keely ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Long Term Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Primary Care Providers ◽  
Question Type ◽  
Care Providers ◽  
Term Care ◽  
Case Examples

Introduction eConsult allows primary care providers (PCPs) to access timely specialist advice and informs patient care. To understand the use of eConsult in long-term care (LTC) settings, we examined the clinical content and types of questions asked by LTC PCPs. Methods A descriptive, retrospective study of eConsults submitted through the Champlain BASE™ eConsult Service between January 1, 2017, and December 31, 2018, by LTC PCPs was conducted. Cases were classified using validated taxonomies. Descriptive statistics were generated for content and question type classifications, service utilization data, and close-out survey responses. Results 22 LTC PCPs submitted 113 eConsults. They sought advice about drug treatment (58%), diagnosis (44%), and management (38%) in a breadth of clinical areas, often skin-related (39%). Long-term care PCPs frequently asked more than one question type (42%). They received advice within 1 week (91%) and rated eConsult as very helpful and educational. Three case examples are presented. Conclusion This study demonstrates the type of advice LTC PCPs are seeking through eConsult and its usefulness in this setting. Long-term care stakeholders are encouraged to consider implementing eConsult in other regions, as a means to improve access to timely specialist advice, support clinical decision-making, and improve residents’ quality of life.

scholarly journals Blood transfusion prescribing in the ACT: an insight into clinical decision making

2005 ◽  
Vol 29 (2) ◽  
pp. 240 ◽  
Author(s):  
Philip J Crispin ◽  
Bethany J Crowe ◽  
Anne M McDonald
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Early Discharge ◽  
Organisation Of Care ◽  
Metropolitan Hospital ◽  
Loss Of Appetite ◽  
Insight Into ◽  
Structured Questionnaire

This study aimed to determine the perspectives of a group of patients categorised as ?long-stay outliers? at a large South Australian metropolitan hospital about aspects of organisation of care and the perceived impact of long-term hospitalisation. Nineteen patients were interviewed using a semi-structured questionnaire. Eighty-nine percent of participants stated that they had no knowledge of how long they were to be in hospital. Forty-two percent indicated that they did not know when they would be discharged from hospital. This was of concern, especially considering the vulnerability of this patient group and the known benefits of patient involvement in decision making and the improvements this can make to health outcomes and early discharge. Participants indicated concern about sleep deprivation, diet, ability to return to paid employment, and missing their family as the main areas of impact of their long hospitalisation. Concerns about being discharged from hospital included: apprehension as to whether they were well enough to leave; the recurrence of infection; whether they would be able to sleep well when they got home; their recent loss of appetite and associated weight loss; mobility concerns; and what supports they would have when they were discharged home. All these issues require staff to be more patient and family-centred in their approach to preparing for discharge.

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