scholarly journals Investigating the demands for mobile internet-based home nursing services for the elderly

2021 ◽  
pp. jim-2021-002118
Author(s):  
Yu Gong ◽  
Jianyuan Zhou ◽  
Fang Ding
Keyword(s):  
Elderly Patients ◽  
Service System ◽  
The Elderly ◽  
Mobile Internet ◽  
Home Nursing ◽  
Psychological Care ◽  
Nursing Service ◽  
Satisfaction Rate ◽  
Nursing Services ◽  
Stoma Care

The great value of home nursing services in the treatment of ailments in elderly patients has attracted increasing attention. This study describes a new mobile internet-based home nursing service system and investigates the reasons for its use among elderly patients. 520 cases of mobile internet-based home nursing services were investigated. The proportion of major reasons to use mobile internet-based home nursing services among the elderly was analyzed and the satisfaction rate was investigated. The constituent ratios of nursing care for pressure ulcers, peripherally inserted central catheter (PICC), subcutaneous injection, general stoma care, psychological care, and intramuscular injection were 61.35%, 28.85%, 6.15%, 1.92%, 1.35%, and 0.38%, respectively. The satisfaction rate with mobile internet-based home nursing services among elderly patients was 100%. Considering the demand for home nursing services for elderly patients, this is the first time that a new mobile internet-based home nursing service has been applied to provide home nursing services to elderly patients and meet their home nursing service needs. Treatment for pressure ulcers, PICC, subcutaneous injection, general stoma care, psychological care, and intramuscular injection were found to be the main reasons to use mobile internet-based home nursing services among the elderly. The new mobile internet-based home nursing service system provides convenient home nursing services to elderly patients and ensures that they get equal rights in home nursing. The results provide basis for healthcare policy makers to formulate new home nursing policies for elderly patients.

Long-term mental activation activities in the practice of social and psychological ssistance gerontological patient

2020 ◽  
pp. 72-79
Author(s):  
Victoria Chupina ◽  
Natalia Tikhonova ◽  
Natalia Popenko
Keyword(s):  
Elderly Patients ◽  
The Elderly ◽  
Mental Activity ◽  
Necessary Condition ◽  
Psychological Care ◽  
Mental Processes ◽  
Environmental Practices ◽  
Mental Activation ◽  
Psychological Assistance

The problem of psychological assistance to the elderly continues to be relevant due to the peculiarities of the personal sphere and mental processes in patients of this age group. When providing medical and social assistance to an elderly patient, psychological support is required, which allows for more effective rehabilitation measures. The purpose of this work is to present modern approaches to psychological care that contribute to the long-term activation of mental activity of elderly patients. The results of the empirical study revealed violations of the dynamic and regulatory nature of all components of mental activity, emotional and volitional disorders in most patients. Therefore, normalization of indicators of mental processes in participants is a necessary condition for positive dynamics of changes in mental processes. Psychological assistance activities in a gerontology center allow you to use a variety of methods and tools that can help activate the mental activity of older people. As a rule, this effect is carried out only in the conditions of the gerontology center and is not long-term. Consequently, the activation of mental activity of elderly patients, achieved by specialists of the institution, may begin to decrease when the patient is discharged. In this regard, the institution introduces innovative forms of psychological and pedagogical influence, which allow the patient to be involved in prolonged projects, in which he can participate after discharge from the institution. The novelty of the work consists in the introduction of a long-term psychological and pedagogical project "Ecoletie", the purpose of which is to implement measures aimed at activating the mental activity of patients by increasing the level of their environmental culture and introducing environmental practices in the further daily activities of the elderly.

scholarly journals FACTORS AFFECTING THE SUCCESS OF THE USE OF ELECTRONIC MEDICAL RECORD (EMR) IN NURSING SERVICES IN HOSPITAL

2019 ◽  
Vol 2 (01) ◽  
pp. 23-27
Author(s):  
Astri Safariah
Keyword(s):  
Health Service ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Service System ◽  
Nursing Service ◽  
Factors Affecting ◽  
It Systems ◽  
Technological Advances ◽  
Nursing Services

The hospital is a health service facility that is integrated with the nursing service system. With the advancement of technology, the services of the congregation must be effective and efficient both in terms of service time so that the quality of service to patients is still prioritized. Nurses must be prepared to face challenges in the era of technological advances so that included in the use of electronic medical records, especially in the nursing service order, the factors that influence the success of EMR are nurses as users must be proficient in using computers, management must always evaluate and communicate with EMR use and IT systems themselves must be easier, faster and more flexible to use so nurses are more confident in using EMR

scholarly journals Associations between home deaths and end-of-life nursing care trajectories for community-dwelling people: a population-based registry study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Camilla Kjellstadli ◽  
Ling Han ◽  
Heather Allore ◽  
Elisabeth Flo ◽  
Bettina S. Husebo ◽  
...  
Keyword(s):  
End Of Life ◽  
Multinomial Logistic Regression ◽  
Community Dwelling ◽  
Place Of Death ◽  
Adjusted Relative Risk ◽  
Home Nursing ◽  
Home Death ◽  
Nursing Service ◽  
Nursing Services ◽  
At Home

Abstract Background Few studies have estimated planned home deaths compared to actual place of death in a general population or the longitudinal course of home nursing services and associations with place of death. We aimed to investigate trajectories of nursing services, potentially planned home deaths regardless of place of death; and associations of place of death with potentially planned home deaths and nursing service trajectories, by analyzing data from the last 90 days of life. Methods A retrospective longitudinal study with data from the Norwegian Cause of Death Registry and National registry for statistics on municipal healthcare services included all community-dwelling people who died in Norway 2012–2013 (n = 53,396). We used a group-based trajectory model to identify joint trajectories of home nursing (hours per week) and probability of a skilled nursing facility (SNF) stay, each of the 13 weeks leading up to death. An algorithm estimated potentially planned home deaths. We used a multinomial logistic regression model to estimate associations of place of death with potentially planned home deaths, trajectories of home nursing and short-term SNF. Results We identified four home nursing service trajectories: no (46.5%), accelerating (7.6%), decreasing (22.1%), and high (23.5%) home nursing; and four trajectories of the probability of a SNF stay: low (69.0%), intermediate (6.7%), escalating (15.9%), and increasing (8.4%) SNF. An estimated 24.0% of all deaths were potentially planned home deaths, of which a third occurred at home. Only high home nursing was associated with increased likelihood of a home death (adjusted relative risk ratio (aRRR) 1.29; CI 1.21–1.38). Following any trajectory with elevated probability of a SNF stay reduced the likelihood of a home death. Conclusions We estimated few potentially planned home deaths. Trajectories of home nursing hours and probability of SNF stays indicated possible effective palliative home nursing for some, but also missed opportunities of staying at home longer at the end-of-life. Continuity of care seems to be an important factor in palliative home care and home death.

106 Precipitating factors in the elderly patients admitted with the diagnosis of heart failure. Are easy to find?

2006 ◽  
Vol 5 (1) ◽  
pp. 25-26
Author(s):  
R VIDALPEREZ ◽  
E ABUASSI ◽  
M PARAMODEVEGA ◽  
P VELOSO ◽  
A VARELAROMAN ◽  
...  
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
The Elderly ◽  
Precipitating Factors

Evaluation of R-CHOP and R-CVP in the treatment of elderly patient with non-Hodgkin lymphoma

MedPharmRes ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 1-6
Author(s):  
Truc Phan ◽  
Tram Huynh ◽  
Tuan Q. Tran ◽  
Dung Co ◽  
Khoi M. Tran
Keyword(s):  
Elderly Patients ◽  
Hodgkin Lymphoma ◽  
B Cell Lymphoma ◽  
Complete Response ◽  
The Elderly ◽  
Free Survival ◽  
Non Hodgkin Lymphoma ◽  
Common Sign ◽  
Related Mortality

Introduction: Little information is available on the outcomes of R-CHOP (rituximab with cyclophosphamide, doxorubicin, vincristine and prednisone) and R-CVP (rituximab with cyclophosphamide, vincristine and prednisone) in treatment of the elderly patients with non-Hodgkin lymphoma (NHL), especially in Vietnam. Material and methods: All patients were newly diagnosed with CD20-positive non-Hodgkin lymphoma (NHL) at Blood Transfusion and Hematology Hospital, Ho Chi Minh city (BTH) between 01/2013 and 01/2018 who were age 60 years or older at diagnosis. A retrospective analysis of these patients was perfomed. Results: Twenty-one Vietnamese patients (6 males and 15 females) were identified and the median age was 68.9 (range 60-80). Most of patients have comorbidities and intermediate-risk. The most common sign was lymphadenopathy (over 95%). The proportion of diffuse large B cell lymphoma (DLBCL) was highest (71%). The percentage of patients reaching complete response (CR) after six cycle of chemotherapy was 76.2%. The median follow-up was 26 months, event-free survival (EFS) was 60% and overall survival (OS) was 75%. Adverse effects of rituximab were unremarkable, treatment-related mortality accounted for less than 10%. There was no difference in drug toxicity between two regimens. Conclusions: R-CHOP, R-CVP yielded a good result and acceptable toxicity in treatment of elderly patients with non-Hodgkin lymphoma. In patients with known cardiac history, omission of anthracyclines is reasonable and R-CVP provides a competitive complete response rate.

ACUTE KIDNEY INJURY IN ELDERLY PATIENTS

2019 ◽  
Vol 72 (8) ◽  
pp. 1466-1472
Author(s):  
Grażyna Kobus ◽  
Jolanta Małyszko ◽  
Hanna Bachórzewska-Gajewska
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Elderly Patients ◽  
Older Patients ◽  
Age Groups ◽  
Kidney Injury ◽  
The Elderly ◽  
Younger Patients ◽  
Common Cause

Introduction: In the elderly, impairment of kidney function occurs. Renal diseases overlap with anatomic and functional changes related to age-related involutionary processes. Mortality among patients with acute renal injury is approximately 50%, despite advances in treatment and diagnosis of AKI. The aim: To assess the incidence of acute kidney injury in elderly patients and to analyze the causes of acute renal failure depending on age. Materials and methods: A retrospective analysis included medical documentation of patients hospitalized in the Nephrology Clinic during the 6-month period. During this period 452 patients were hospitalized in the clinic. A group of 77 patients with acute renal failure as a reason for hospitalization was included in the study. Results: The prerenal form was the most common cause of AKI in both age groups. In both age groups, the most common cause was dehydration; in the group of patients up to 65 years of age, dehydration was 29.17%; in the group of people over 65 years - 43.39%. Renal replacement therapy in patients with AKI was used in 14.29% of patients. In the group of patients up to 65 years of age hemodialysis was 16.67% and above 65 years of age. -13.21% of patients. The average creatinine level in the group of younger patients at admission was 5.16 ± 3.71 mg / dl, in the group of older patients 3.14 ± 1.63 mg / dl. The size of glomerular filtration GFR in the group of younger patients at admission was 21.14 ± 19.54 ml / min, in the group of older patients 23.34 ± 13.33 ml / min. Conclusions: The main cause of acute kidney injury regardless of the age group was dehydration. Due to the high percentage of AKI in the elderly, this group requires more preventive action, not only in the hospital but also at home.

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