The development of the comprehensive health assessment tool for young offenders within the secure estate

2014 ◽  
Vol 25 (1) ◽  
pp. 1-25 ◽  
Author(s):  
Prathiba Chitsabesan ◽  
Charlotte Lennox ◽  
Louise Theodosiou ◽  
Heather Law ◽  
Sue Bailey ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Health Assessment ◽  
Young Offenders ◽  
Comprehensive Health

scholarly journals Cross-Cultural Understanding of Health Assessments for People with Intellectual Disability: An Australian resource in the Philippines

2015 ◽  
Vol 8 (2) ◽  
pp. 1-9
Author(s):  
C. E. Brolan ◽  
M. T. Gomez ◽  
N. G. Lennox ◽  
R. S Ware
Keyword(s):  
Intellectual Disability ◽  
Assessment Tool ◽  
Health Assessment ◽  
People With Disabilities ◽  
The Philippines ◽  
High Income ◽  
Middle Income ◽  
Middle Income Countries ◽  
Comprehensive Health ◽  
Low And Middle Income

The Convention on the Rights of Persons with Disabilities has resulted in the involvement of high income countries in international development assistance to people with disabilities in low and middle income countries.  Healthcare tools designed in high income countries and delivered in low and middle income countries may not be appropriate to the context of the lives of people with disabilities.  We undertook a short qualitative study of participants’ views of an Australian-designed comprehensive health assessment tool, with participation from a WHO-Collaborating non-government organisation in regional Philippines. We also examined the participants’ perceptions of the barriers to healthcare for Filipinos with intellectual disabilities.  Responses to the comprehensive health assessment tool were positive although participants agreed that both linguistic and cultural translation would enhance wider use of the tool. The barriers identified included poverty, family isolation, stigma and communication issues as preventing appropriate healthcare delivery to Filipinos with intellectual disability. Consideration must be given to the complexities of transference of healthcare resources to a low and middle income country context, as well as the systemic and cultural barriers to appropriate healthcare provision to people with disabilities.

Comprehensive Health Assessment Tool

2014 ◽  
Author(s):  
Prathiba Chitsabesan ◽  
Charlotte Lennox ◽  
Louise Theodosiou ◽  
Heather Law ◽  
Sue Bailey ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Health Assessment ◽  
Comprehensive Health

151 Optimising Bone Health on Sheffield Frailty Unit Through Quality Improvement

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
C M Orton ◽  
N E Sinson ◽  
R Blythe ◽  
J Hogan ◽  
N A Vethanayagam ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Fracture Risk ◽  
Fragility Fracture ◽  
Bone Health ◽  
Assessment Tool ◽  
Health Assessment ◽  
Fragility Fractures ◽  
Improvement Project ◽  
Number Of Patients ◽  
Fracture Risk Assessment Tool

Abstract Introduction NICE and the National Osteoporosis Guidance Group (NOGG) advise on evaluation of fracture risk and osteoporosis treatment1,2, with evidence suggesting that screening and treatment reduces the risk of fragility fractures 3,4,5. However, it is often overlooked in the management of older patients within secondary care. Audit data from Sheffield Frailty Unit (SFU) in 2018 showed that national guidance was not routinely followed. Fracture Risk Assessment Tool (FRAX®) scores were not calculated and bone health was poorly managed. Therefore, we undertook a quality improvement project aiming to optimise bone health in patients presenting to SFU. Method & Intervention In January 2019 we collaborated with Sheffield Metabolic Bone Centre (MBC) to develop a pathway aiming to improve bone health assessment and management in patients presenting to SFU with a fall or fragility fracture. This included a user-friendly flow chart with accompanying guidelines, alongside education for staff. Performance was re-evaluated in May 2019, following which a tick box prompt was added to post take ward round documentation. A re-audit was performed in March 2020. Results In March 2018 0% of patients presenting with a fall had a FRAX® score calculated and only 40% of those with a new fragility fracture were managed according to guidelines. In May 2019, this had improved to 18% and 100% respectively. In March 2020 86% of patients had a FRAX® score calculated appropriately and 100% of fragility fractures were managed according to guidelines. In both re-audits 100% of FRAX® scores were acted on appropriately. Conclusions There has been a significant increase in the number of patients who have their bone health appropriately assessed and managed after presenting to SFU. However, achieving optimum care is under constant review with the aim to deliver more treatment on SFU, thereby reducing the need for repeat visits to the MBC.

scholarly journals Evaluation of a staff training programme to reimplement a comprehensive health assessment

2018 ◽  
Vol 7 (4) ◽  
pp. e000353 ◽  
Author(s):  
Luke A Turcotte ◽  
Jake Tran ◽  
Joshua Moralejo ◽  
Nancy Curtin-Telegdi ◽  
Leslie Eckel ◽  
...  
Keyword(s):  
Data Quality ◽  
Quality Assessment ◽  
Health Information ◽  
Health Assessment ◽  
Training Programme ◽  
Care Planning ◽  
Assessment Framework ◽  
High Quality ◽  
Data Quality Assessment ◽  
Comprehensive Health

BackgroundHealth information systems with applications in patient care planning and decision support depend on high-quality data. A postacute care hospital in Ontario, Canada, conducted data quality assessment and focus group interviews to guide the development of a cross-disciplinary training programme to reimplement the Resident Assessment Instrument–Minimum Data Set (RAI-MDS) 2.0 comprehensive health assessment into the hospital’s clinical workflows.MethodsA hospital-level data quality assessment framework based on time series comparisons against an aggregate of Ontario postacute care hospitals was used to identify areas of concern. Focus groups were used to evaluate assessment practices and the use of health information in care planning and clinical decision support. The data quality assessment and focus groups were repeated to evaluate the effectiveness of the training programme.ResultsInitial data quality assessment and focus group indicated that knowledge, practice and cultural barriers prevented both the collection and use of high-quality clinical data. Following the implementation of the training, there was an improvement in both data quality and the culture surrounding the RAI-MDS 2.0 assessment.ConclusionsIt is important for facilities to evaluate the quality of their health information to ensure that it is suitable for decision-making purposes. This study demonstrates the use of a data quality assessment framework that can be applied for quality improvement planning.

scholarly journals Analysis of Nursing Clinical Practice of Oral Hygiene on Patient with Hemorraghic Stroke – A Case Study

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Yuyun Durhayati ◽  
Cut Sarida Pompey
Keyword(s):  
Oral Hygiene ◽  
Assessment Tool ◽  
Health Assessment ◽  
Hygiene Intervention ◽  
The Family ◽  
Before And After ◽  
Nursing Clinical Practice ◽  
Nursing Clinical ◽  
Neurological Ward

<p><strong>Objective</strong>: The  purpose  of  this  case  study  was  to  analyze  the  oral  hygiene intervention performed by  nurse  in  stroke  hemorrhagic  patient  in  neurological  ward</p><p> </p><p><strong>Methods:</strong> .Oral hygiene interventions were performed by using 0.2% chlorhexidine twice daily for seven days. This case study used oral health assessment tool (OHAT) which the measurements were taken before and after the intervention every day</p><p> </p><p><strong>Results</strong>: There was a decrease in oral hygiene assessment score from 9 to 1 which implied an improvement in oral hygiene condition. This study also showed that family of stroke patient was able to perform oral hygiene practice to the patient after simulation performed firstly by nurses</p><p> </p><p><strong>Conclusion</strong>: The study recommends that oral hygiene by using 0.2% chlorhexidine needs to be delivered routinely by nurses and continues by the family at home care.</p><p> </p><p><strong>Keywords</strong>: chlorhexidine 0.2%, oral hygiene, stroke.</p>

scholarly journals Online Child’s Health Assessment Tool for Obesity Prevention Programming

2018 ◽  
Vol 13 (3) ◽  
pp. 237-258
Author(s):  
Laura A. Palmer ◽  
Kimberly J. McCarthy ◽  
Daniel F. Perkins ◽  
Lynne M. Borden ◽  
Jennifer M. DiNallo
Keyword(s):  
Online Survey ◽  
Technical Assistance ◽  
Assessment Tool ◽  
Health Assessment ◽  
Well Being ◽  
Program Improvement ◽  
Quality Improvements ◽  
Survey Tool ◽  
Continuous Quality ◽  
Physical Activity Programming

To optimize public health in the next decade, prevention of childhood obesity will remain a central focus. To impact behavioral change, data must be linked to continuous quality improvements within existing nutrition and physical activity programming. The Children, Youth, and Families At-Risk Professional Development and Technical Assistance Center has developed a picture-based, online survey tool, the CYFAR Health Assessment Tool (CHAT), to assess health behaviors in youth ages 6 to18 years of age. Used for continuous program improvement, aggregate data results are coupled with tailored health recommendations in 4 domains (behavior and environmental modifications, education, and direct strategies) and evidence-informed resources for dissemination to youth and parents. Program implementers use the data and resources for targeted programmatic improvements that more effectively promote health and well-being. CHAT also informs our collective understanding of youth’s perceptions of health in comparison to their actual behaviors.  

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