Observations of the experiences of people with dementia on general hospital wards

2006 ◽  
Vol 11 (5) ◽  
pp. 453-465 ◽  
Author(s):  
Rachel Norman
Keyword(s):  
General Hospital ◽  
People With Dementia ◽  
Hospital Wards

scholarly journals Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards

Pain ◽  
2015 ◽  
Vol 156 (4) ◽  
pp. 675-683 ◽  
Author(s):  
Elizabeth L. Sampson ◽  
Nicola White ◽  
Kathryn Lord ◽  
Baptiste Leurent ◽  
Victoria Vickerstaff ◽  
...  
Keyword(s):  
General Hospital ◽  
Behavioural Problems ◽  
People With Dementia ◽  
Hospital Wards

scholarly journals A new opportunity: three tales of training in liaison psychiatry of old age

2002 ◽  
Vol 26 (11) ◽  
pp. 433-435 ◽  
Author(s):  
John Holmes ◽  
Jon Millard ◽  
Susie Waddingham
Keyword(s):  
General Hospital ◽  
Old Age ◽  
Psychiatric Comorbidity ◽  
Psychiatric Symptoms ◽  
Specialist Training ◽  
Liaison Psychiatry ◽  
Adult Psychiatry ◽  
Old Age Psychiatry ◽  
Hospital Wards ◽  
And Training

Liaison psychiatry has emerged as a sub-speciality within general adult psychiatry, with specific experience and training being required to develop the skills and knowledge to address comorbid physical and psychiatric symptoms and illness (House & Creed, 1993; Lloyd, 2001). Older people often present with significant physical and psychiatric comorbidity (Ames et al, 1994; Holmes & House, 2000) and most old age psychiatry services receive one-quarter to one-third of referrals from general hospital wards (Anderson & Philpott, 1991). Despite this, there are no specific requirements for training in liaison psychiatry for old age psychiatrists at any level. The experience gained in assessing and treating general hospital referrals during basic and higher specialist training is felt to be adequate (Royal College of Psychiatrists, 1998).

scholarly journals Why are family carers of people with dementia dissatisfied with general hospital care? a qualitative study

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Fiona J Jurgens ◽  
Philip Clissett ◽  
John RF Gladman ◽  
Rowan H Harwood
Keyword(s):  
Qualitative Study ◽  
General Hospital ◽  
Hospital Care ◽  
Family Carers ◽  
People With Dementia

scholarly journals Incidence of nutritional support complications in patient hospitalized in wards. multicentric study

2012 ◽  
pp. 147-153 ◽  
Author(s):  
Gloria María Agudelo Ochoa ◽  
Nubia Amparo Giraldo Giraldo ◽  
Nora Luz Aguilar ◽  
Beatriz Elena Restrepo ◽  
Marcela Vanegas ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Parenteral Nutrition ◽  
General Hospital ◽  
Medical Diagnosis ◽  
Nutritional Support ◽  
Nutritional Condition ◽  
High Complexity ◽  
Multicentric Study ◽  
Significant Difference ◽  
Hospital Wards

Introduction: Nutritional support generates complications that must be detected and treated on time. Objective: To estimate the incidence of some complications of nutritional support in patients admitted to general hospital wards who received nutritional support in six high-complexity institutions. Methods: Prospective, descriptive and multicentric study in patients with nutritional support; the variables studied were medical diagnosis, nutritional condition, nutritional support duration, approach, kind of formula, and eight complications. Results: A total of 277 patients were evaluated; 83% received enteral nutrition and 17% received parenteral nutrition. Some 69.3% presented risk of malnourishment or severe malnourishment at admittance. About 35.4% of those receiving enteral nutrition and 39.6% of the ones who received parenteral nutrition had complications; no significant difference per support was found (p = 0.363). For the enteral nutrition, the most significant complication was the removal of the catheter (14%), followed by diarrhea (8.3%); an association between the duration of the enteral support with diarrhea, constipation and removal of the catheter was found (p < 0.05). For parenteral nutrition, hyperglycemia was the complication of highest inci­dence (22.9%), followed by hypophosphatemia (12.5%); all complications were associated with the duration of the support (p < 0.05). Nutritional support was suspended in 24.2% of the patients. Conclusions: Complications with nutritional support in hospital-ward patients were frequent, with the removal of the catheter and hyperglycemia showing the highest incidence. Duration of the support was the variable that revealed an asso­ciation with complications. Strict application of protocols could decrease the risk for complications and boost nutritional support benefits.

scholarly journals Numerical investigation of airborne infection in naturally ventilated hospital wards with central-corridor type

2016 ◽  
Vol 27 (1) ◽  
pp. 59-69 ◽  
Author(s):  
Qi Zhou ◽  
Hua Qian ◽  
Li Liu
Keyword(s):  
General Hospital ◽  
Natural Ventilation ◽  
Index Patient ◽  
Dynamics Simulation ◽  
World Health ◽  
Future Design ◽  
Airborne Infection ◽  
Ventilation Rates ◽  
Hospital Wards ◽  
The Impact

Natural ventilation is believed to control airborne infection due to high ventilation rates while an undesired flow pattern may cause infection transmission in hospital wards. A computational fluid dynamics simulation was carried out in this study to investigate the impact of airflow pattern on cross infection in a real central-corridor hospital ward with natural ventilation in Nanjing, China. The simulation results demonstrate that the predicted infection risks of the downstream cubicle are up to 10.48% and 11.59% as the index patient is located in the corridor and in the opposite upstream cubicle, respectively. Under this circumstance, the downstream cubicle should be listed on the high-risk list and the central-corridor type is not recommended in a naturally ventilated ward. Measures such as keeping cubicle doors closed should be taken in order to cut off the transmission route. The results not only give direct evidence to strongly support World Health Organization’s recommendation but also suggest required amendment of the Chinese standard GB 51039-2014 to improve ventilation arrangement in general hospital wards in China. Our findings are useful for improving the future design of general hospital wards for airborne infection control.

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