scholarly journals Perceptions of the nursing staff regarding the safety of elderly patients in the cardiac computed tomography with contrast

2014 ◽  
Vol 23 (2) ◽  
pp. 338-346
Author(s):  
Laura Vargas Acauan ◽  
Maria Cristina Soares Rodrigues
Keyword(s):  
Computed Tomography ◽  
Elderly Patients ◽  
Nursing Staff ◽  
Cardiac Computed Tomography ◽  
Federal District ◽  
The Elderly ◽  
Descriptive Study ◽  
Private Hospitals ◽  
Human Interactions ◽  
Iodinated Contrast

Descriptive study, with qualitative approach, in order to understand the perception of the nursing staff regarding the safety of elderly patients in the administration of iodinated contrast media, conducted at the diagnostic imaging centers of two private hospitals, located in Brasília, Federal District, Brazil. Data were collected by technical interview of eleven participants, between July and August 2012. The analysis and processing of the data were made by means of the method of content analysis, bringing out the safety category of the elderly in the realization of cardiac computed tomography - coronarian angiography. The nursing staff understood that the safety of the elderly in the exam is associated with the ability to assess risks for adverse events related to the administration of the radiopharmaceutical, in which processes, technologies and human interactions intertwine, implying in safe practices.

Computed Tomography in the Elderly 3. Affective Disorder

1980 ◽  
Vol 136 (3) ◽  
pp. 270-275 ◽  
Author(s):  
Robin J. Jacoby ◽  
Raymond Levy
Keyword(s):  
Computed Tomography ◽  
Elderly Patients ◽  
Affective Disorders ◽  
The Elderly ◽  
Consecutive Series ◽  
Healthy Controls ◽  
Ventricular Size ◽  
Radiological Criteria ◽  
Computed Tomographic ◽  
Ct Data

SummaryClinical and computed tomographic (CT) data on a consecutive series of 41 elderly patients with affective disorders are presented, and comparisons made with a group of 50 healthy controls. In both groups ventricular size increased with age, but only in the controls was there an age correlation with sulcal widening. Using clinical and radiological criteria, the prevalence of cerebrovascular disease in the patient group was 12 per cent. A sub-group of patients with enlarged ventricles emerged, whose first depression began later in life, and who at the time of this study were older and showed more ‘endogenous’ features than the remainder. It is suggested that this provides further evidence that organic cerebral factors may have aetiological significance in some depressions of old age.

525 EVERYONE NEEDS TO POOP: REDUCING CONSTIPATION IN THE ELDERLY INPATIENT POPULATION

2021 ◽  
Vol 50 (Supplement_2) ◽  
pp. ii8-ii13
Author(s):  
J C R G Rollo-Walker
Keyword(s):  
Elderly Patients ◽  
Nursing Staff ◽  
The Elderly ◽  
Morbidity And Mortality ◽  
Medical Review ◽  
Dependent Effect ◽  
Elderly Inpatient ◽  
Inpatient Population ◽  
Multi Disciplinary Team

Abstract Introduction Due to a variety of factors when elderly patients are admitted to hospital they can become constipated. This can impact the entire admission increasing morbidity and mortality for what is a treatable problem. The aim therefore was to assess how prevalent constipation was across the inpatient population; analyse if there were any common themes and implement interventions that might help solve these. Method Data was collected over 15 days across the department (up to 87 patients) using nursing handover sheets to review the date bowels had last been opened. Patients were classified as constipated if they had not opened their bowels for more than 3 days. On two days common themes in the constipated patients were reviewed and analysed. On average 27% of patients were constipated. The majority of these had been deemed ‘Medically Ready for Discharge’. They all had either no or only a reduced range of aperients prescribed. Stakeholders including patients, nursing staff, prescribers and Consultants were surveyed. First cycle intervention was to highlight those constipated at morning Multi-disciplinary Team (MDT) meetings to prompt medical review. Second cycle intervention: an e-prescribing bundle was designed to allow for simple prescription and for nurses to give aperients on an as required basis. A laxative prescribing guide sheet was also written to aid prescribers. Results Aim is to reduce constipation to less than 20% thereby reducing morbidity and mortality in inpatients. Highlighting patients at MDT had little effect partly as it was person dependent. Effect of prescribing bundle yet to be determined but received positively by stakeholders. Prescribing guide received positively by Consultants and junior prescribers. Conclusions Person dependent intervention was ineffective at reducing constipation highlighted by staff sickness due to Covid-19. A prescribing bundle is more system based. If used at admission hopefully will be effective and sustainable.

Immunologic and virologic responses to antiretroviral therapy in treatment-naïve, HIV-infected elderly patients

2019 ◽  
Vol 30 (13) ◽  
pp. 1304-1310
Author(s):  
ER Ocheretyaner ◽  
J Yusuff ◽  
TE Park
Keyword(s):  
Antiretroviral Therapy ◽  
Elderly Patients ◽  
The Elderly ◽  
Descriptive Study ◽  
Virologic Response ◽  
Primary Objective ◽  
Virologic Suppression ◽  
Immunologic Response ◽  
Younger Patients ◽  
Treatment Naïve

Currently available data on immunologic and virologic responses to antiretroviral therapy (ART) in elderly patients are conflicting. The primary objective of this study was to assess immunologic and virologic responses to ART in treatment-naïve, HIV-infected elderly patients compared to younger patients. This was a single center, retrospective, descriptive study including treatment-naïve, HIV-infected adults initiated on ART between 1 January 2005 and 30 April 2015. Immunologic and virologic responses were compared between the ages ≥50 and < 50 years old. A total of 158 patients were included. By 14 months of ART, 85.9% (n = 67/78) of the patients ≥50 years old and 92.5% (n = 74/80) of those < 50 years old achieved immunologic response (p = 0.02). By 24 weeks of ART, 64.1% (n = 50/78) of the patients ≥50 years old and 65% (n = 52/80) of those < 50 years old achieved virologic response (p = 1). The amount of time it took the elderly patients to achieve virologic suppression was not significantly different compared to the younger patients (p = 0.459). Treatment-naïve, HIV-infected elderly patients achieved virologic response to ART that was comparable to younger patients although their immunologic response to ART was significantly lower.

Changes in the trend of anti-psychotics prescription in elderly patients in a general hospital in Singapore 2005–2013

2017 ◽  
Vol 41 (S1) ◽  
pp. S762-S762
Author(s):  
L. Tan ◽  
R. Kinson
Keyword(s):  
Elderly Patients ◽  
General Hospital ◽  
The Elderly ◽  
Descriptive Study ◽  
Health Sciences ◽  
Black Box ◽  
Cerebrovascular Events ◽  
Safety Warning ◽  
Black Box Warnings ◽  
Competing Interest

ObjectivesThis was a descriptive study of the prescription trend of anti-psychotics for elderly patients in a general hospital in Singapore.MethodsElderly patients aged >65 who received at least 1 prescription of anti-psychotics during 2005, 2007, 2009, 2011 and 2013 in Tan Tock Seng Hospital, Singapore, were selected. Data was obtained from the hospital computerized prescription records.ResultsThe total number of elderly patients who received anti-psychotics increased from 865 in 2005 to 1990 in 2013. Following the official warning issued by the health sciences authority in 2004 regarding the increased risks of cerebrovascular events in elderly patients taking olanzapine and risperidone, prescriptions for risperidone reduced between 2005 to 2013 (20.74% vs. 11.79%, 95% CI: 0.07–0.10, P < 0.0001). However, the percentage of prescriptions of other atypical anti-psychotics such as quetiapine increased from 27.47% to 58.48% (95% CI: 0.29–0.33, P < 0.0001), in 2005 and 2013 respectively, and prescriptions for olanzapine remained relatively stable at 6.65% in 2005 and 8.94% in 2013 (P > 0.05). With the black box warnings extended to typical anti-psychotics 3 years later, the percentage of prescriptions of typical anti-psychotics decreased between 2005 to 2013, e.g. haloperidol (33.19% vs. 13.39%, 95% CI: 0.17–0.22; P < 0.0001), sulpiride (6.58% vs. 2.83%, 95% CI: 0.03–0.05, P < 0.0001) and chlorpromazine (3.85% vs. 1.85%, 95% CI: 0.01–0.03, P < 0.0001).ConclusionsAfter the first safety warning the percentage of prescriptions for risperidone dropped significantly, and there was a significant increase for quetiapine. The percentage of haloperidol, sulpiride and chlorpromazine prescriptions declined after both warnings. Anti-psychotics use in the elderly continues to be prevalent.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Safety criteria for contrast administration in computed tomography cardiac angiography: perception of nursing

Rev Rene ◽  
2015 ◽  
Vol 16 (4) ◽  
pp. 504
Author(s):  
Laura Vargas Acauan ◽  
Maria Cristina Soares Rodrigues
Keyword(s):  
Computed Tomography ◽  
Contrast Media ◽  
Quality Care ◽  
Descriptive Study ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Iodinated Contrast Media ◽  
Contrast Administration ◽  
Cardiac Angiography ◽  
Iodinated Contrast

To understand the perception of the nursing team about the safety criteria adopted in the use and administration of iodinated contrast media on computed tomography cardiac angiography. Methods: a descriptive study with a qualitative approach. The data were produced using the semi-structured interview with twelve participants from two diagnostic imaging centers. Results: two thematic categories emerged from the analysis: safe practices in the use and administration of iodinated contrast media and use of light technologies for safe care in the use of iodinated contrast media. Conclusion: it was surmised that safety criteria linked by light and hard technologies are used, but not standardized. To promote effective and quality care focused on patient safety, protocols and guidelines should be established to overcome possible barriers unsafe.

Physical Restraint: a descriptive study in swiss nursing homes

1998 ◽  
Vol 5 (4) ◽  
pp. 330-346 ◽  
Author(s):  
Virpi Hantikainen
Keyword(s):  
Nursing Homes ◽  
Nursing Staff ◽  
Physical Restraint ◽  
The Elderly ◽  
Descriptive Study ◽  
Physical Restraints ◽  
Next Of Kin ◽  
The Mean ◽  
Negative Sense

This article focuses on the reasons for using physical restraints, their prevalence and nurses’ experiences of their use. The data were collected by means of a questionnaire from nurses, trained nurse’s aids and auxiliary staff ( n = 173) in seven Swiss nursing homes. The results showed that physical restraints are used in nursing units, the mean number of restrained residents in each being 3.7 (SD 3.9). However, nursing staff did not necessarily understand and consider the term ‘restraint’ as a restrictive device in its negative sense. The most common reasons indicated for the use of restraint were related to the protection and safety of the residents themselves, the prevention of disturbance of other residents, and the residents’ restlessness and aggressiveness. As for the reasons related to staffing, reference was made to understaffing, a lack of competence on the part of nurses, and the demands of residents, their next of kin and doctors. It was not common practice to inform the elderly residents that they would be restrained, and therefore they were not always aware of what was happening to them and why. Twenty-nine per cent of the respondents reported that the flexibility of their work was affected by the use of physical restraint.

scholarly journals Computed tomography as a first-line investigation for elderly patients admitted to a surgical assessment unit

2018 ◽  
Vol 100 (4) ◽  
pp. 285-289 ◽  
Author(s):  
RW Radwan ◽  
AM Tang ◽  
WD Beasley
Keyword(s):  
Computed Tomography ◽  
Length Of Stay ◽  
Elderly Patients ◽  
White Cell Count ◽  
Length Of Hospital Stay ◽  
The Elderly ◽  
Primary Outcome Measure ◽  
Ct Imaging ◽  
First Line ◽  
Assessment Unit

Background Increases in life expectancy has meant that a higher proportion of patients presenting to surgical assessment units are now elderly. Abdominal computed tomography (CT) can provide early and accurate diagnosis in the elderly, even in the presence of incomplete clinical and biological findings. The aim of this study was to investigate the use of early CT imaging in elderly patients presenting directly to the surgical assessment unit. Materials and methods All consecutive patients aged 65 years and over admitted directly to the surgical assessment unit between January 2017 and April 2017 were identified. Data were collected on demographics, laboratory investigations, radiological investigations and hospital admission. The primary outcome measure was overall length of stay. Results A total of 200 consecutive patients were identified and included over a six-month period. This comprised 110 women and 90 men with a median age of 78 years (range 64–98 years). A total of 83 patients underwent CT on admission to the surgical assessment unit. White cell count (WCC) and C-reactive protein (CRP) results were significantly higher in patients undergoing CT (P = 0.001). Median length of stay for patients undergoing CT was 5 days (range 1–19 days). This was significantly lower than those patients not receiving CT imaging, at 6 days (range 1–105 days; P = 0.034). Discussion CT should be considered as a first-line investigation when elderly patients with an acute abdomen are admitted to surgical assessment units. Early CT can accelerate hospital discharge and decrease overall length of hospital stay.

Stress X-Ray Computed Tomography

2018 ◽  
pp. 344-346
Author(s):  
L. Samuel Wann
Keyword(s):  
Computed Tomography ◽  
Electron Beam ◽  
Multidetector Ct ◽  
Cardiac Computed Tomography ◽  
Coronary Calcification ◽  
Intravenous Contrast ◽  
X Ray ◽  
Iodinated Contrast ◽  
History Of ◽  
X Ray Computed

The chapter Stress X-Ray Computed Tomography reviews the history of cardiac computed tomography (CT) including electron beam and multidetector CT. After a brief history of CT, the chapter examines the opportunities and challenges of the use of electron beam and multidetector CT in the assessment of myocardial perfusion imaging. The practical use of multidetector CT at this time is for anatomic evaluation of epicardial coronary stenoses and pathology, assessment of coronary calcification, and increasing of a noninvasive assessment of fractional flow reserve. Limitations include the need to precisely time multiple CT scans with intravenous contrast injection; multidetector CT’s acute sensitivity to motion artifacts, requiring the latest generation CT scanners for optimal results; and, despite its excellent spatial resolution, the resolution of iodinated contrast in the myocardium as a measure of perfusion is suboptimal.

Sign in / Sign up

Export Citation Format

Share Document