Optimizing In-Home Care Services to Avoid Residential Aged Care Admission: An Australian Pilot Study

2021 ◽  
pp. 082585972198954
Author(s):  
Victoria Cornell ◽  
Julie Ratcliffe
Keyword(s):  
Pilot Study ◽  
Home Care ◽  
Home Care Services ◽  
Aged Care ◽  
Residential Aged Care ◽  
Care Services

Chronic wound management in home care services – a pilot study

Pflege ◽  
2002 ◽  
Vol 15 (4) ◽  
pp. 169-176 ◽  
Author(s):  
Eva-Maria Panfil ◽  
Herbert Mayer ◽  
Wolfram Junge ◽  
Jochen Laible ◽  
Eveline Lindenberg ◽  
...  
Keyword(s):  
Pilot Study ◽  
Home Care ◽  
Chronic Wound ◽  
Home Care Services ◽  
Ulcus Cruris ◽  
Wound Management ◽  
Care Services ◽  
Chronic Wound Management

Derzeit existieren in Deutschland keine pflegebezogenen relevanten Daten zu Prävalenz und Wundversorgung in der ambulanten Pflege. Im Frühjahr 1999 wurden 38 ambulante Einrichtungen mittels einer deskriptiven quantitativen Erhebung befragt. Knapp 9% der von ambulanten Einrichtungen (Rücklauf 61%) versorgten Patienten leiden an chronischen Wunden. Häufigste Wunde ist der Dekubitus mit einer Prävalenz von 4,1% gefolgt von Ulcus cruris (2,7%) und Diabetischem Fuß (1%). 47 Patienten aus 24 Einrichtungen wurden zur Wundbehandlung befragt. Die befragten 18 Männer und 29 Frauen sind durchschnittlich 78 Jahre alt. Wichtige Informationen zur genauen Wunddiagnose und Rezidivzahl sind den Pflegenden nicht immer bekannt. Die Wunden bestehen durchschnittlich 6,7 Jahre mit einer Spannweite von 3 Wochen bis 45 Jahre. Bei 87% der Befragten wird die Wunde täglich verbunden. Der durchschnittliche Zeitaufwand beträgt 17 Minuten. Die Wundversorgung erfolgt polypragmatisch und entspricht nicht immer aktuellsten Erkenntnissen. Wesentliche Verbesserungspotenziale liegen im Einsatz moderner Wundauflagen, in der Reduktion der Verbandswechselhäufigkeit, der besseren standardisierten Dokumentation der Wundverläufe und der verbesserten Zusammenarbeit zwischen Ärzten, Pflegekräften und Krankenkassen. Die Ergebnisse müssen in Folgestudien ergänzt und/oder bestätigt werden

Confidence in Home Care Services Questionnaire

2006 ◽  
Author(s):  
Janice D. Crist ◽  
Humberto Velazquez ◽  
Ian Durnan ◽  
Diana Ramirez Figueroa
Keyword(s):  
Home Care ◽  
Home Care Services ◽  
Care Services

scholarly journals Differences in the Effectiveness of Long-Acting Injection and Orally Administered Antipsychotics in Reducing Rehospitalization among Patients with Schizophrenia Receiving Home Care Services

2019 ◽  
Vol 8 (6) ◽  
pp. 823
Author(s):  
Hsiao-Fen Hsu ◽  
Chia-Chan Kao ◽  
Ti Lu ◽  
Jeremy C. Ying ◽  
Sheng-Yu Lee
Keyword(s):  
Treatment Group ◽  
Home Care ◽  
Second Generation ◽  
Home Care Services ◽  
Rehospitalization Rate ◽  
Treatment Groups ◽  
Psychiatric Rehospitalization ◽  
Care Services ◽  
Long Acting

The current study explored the differences in the effectiveness of first and second generation long-acting injections and orally administered antipsychotics in reducing the rehospitalization rate among patients with schizophrenia receiving home care services in a medical center in Southern Taiwan. Longitudinal data between 1 January 2006, and 31 December 2015, were collected retrospectively. Patients were classified into three treatment groups: First generation antipsychotic (FGA) long-acting injection (LAI), second generation antipsychotic long-acting injection (SGA) (LAI), and oral antipsychotics. The primary outcomes were the rehospitalization rate and the follow-up time (duration of receiving home care services) until psychiatric rehospitalization. A total of 78 patients with schizophrenia were recruited. The average observation time was about 40 months. The oral treatment group tended to be older with a higher number of female patients and a lower level of education. The FGA treatment group tended to have a higher frequency and duration of hospitalization before receiving home care services. We found no significant differences in the follow-up time or psychiatric rehospitalization rate after receiving home care services among the three treatment groups. We propose that oral and LAI antipsychotics were equally effective when patients received home care services. Our results can serve as a reference for the choice of treatment for patients with schizophrenia in a home care program.

scholarly journals ‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Heidi Snoen Glomsås ◽  
Ingrid Ruud Knutsen ◽  
Mariann Fossum ◽  
Kristin Halvorsen
Keyword(s):  
Qualitative Study ◽  
Home Care ◽  
Health Care Quality ◽  
Care Service ◽  
User Involvement ◽  
Home Care Services ◽  
Care Quality ◽  
Service Users ◽  
Care Services ◽  
Welfare Technology

Abstract Background Public home care for the elderly is a key area in relation to improving health care quality. It is an important political goal to increase elderly people’s involvement in their care and in the use of welfare technology. The aim of this study was to explore elderly service users’ experience of user involvement in the implementation and everyday use of welfare technology in public home care services. Method This qualitative study has an explorative and descriptive design. Sixteen interviews of service users were conducted in five different municipalities over a period of six months. The data were analysed using reflexive thematic analysis. Results Service users receiving public home care service are not a homogenous group, and the participants had different wishes and needs as regards user involvement and the use of welfare technology. The analysis led to four main themes: 1) diverse preferences as regards user involvement, 2) individual differences as regards information, knowledge and training, 3) feeling safe and getting help, and 4) a wish to stay at home for as long as possible. Conclusion The results indicated that user involvement was only to a limited extent an integral part of public home care services. Participants had varying insight into and interest in welfare technology, which was a challenge for user involvement. User involvement must be facilitated and implemented in a gentle way, highlighting autonomy and collaboration, and with the focus on respect, reciprocity and dialogue.

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