scholarly journals Attitudes and beliefs of patients and primary caregivers towards deprescribing in a tertiary health care facility

2021 ◽  
Vol 19 (3) ◽  
pp. 2350
Author(s):  
Narayan Gaurang ◽  
Rajendran Priyadharsini ◽  
Kandan Balamurugesan ◽  
Mathiyalagen Prakash ◽  
Devanathan Reka
Keyword(s):  
Health Care ◽  
Primary Caregivers ◽  
Care Facility ◽  
Health Care Facility ◽  
The Elderly ◽  
Attitudes And Beliefs ◽  
Prescribing Practices ◽  
Elderly Age ◽  
Cross Sectional ◽  
Long Time

Background: Good prescribing practices form the essence of drug therapy for better patient care. The major aim of better prescribing is to improve rational prescribing. Deprescribing gained momentum in recent decades. Objective: This study aimed to explore the attitude and beliefs of deprescribing among patients and their caregivers forming dyads in a tertiary health care facility. Methods: Cross-sectional, questionnaire-based prospective study done for two months. Attitude towards deprescribing was assessed by using validated rPATD (revised Patient attitude towards deprescribing) questionnaire. Cohen's kappa coefficient was used to measure the agreement between the views of people and their caregivers forming dyads about medication cessation. Results: 312 patients and caregivers (156 forming dyads) participated in the study. Among 156 patients, 25.6% were hypertensives & 21.2% had diabetes. 41.7% were between 36-50 years of age. Only 16.7% belong to the elderly age group. 2.5% were taking >5 medications. 43.6% of patients and 62.2% of caregivers were female. 51.3% of the patients were willing to stop one or more of their regular medicine(s) under the treating physician's advice, but 62% were satisfied with their current medicine(s). 33.4% were reluctant to stop taking medicines for a long time. Conclusions: In our study, more than 50% of people and their caregivers were willing to try medication cessation under their physician's recommendation. There was moderate agreement between patients and their caregivers in the trial of medication cessation. Thus, the results obtained from this study may help towards improving rationalized prescribing practices in the institutional setup.

Examination of Practicability of Communication Robot-Assisted Activity Program for Elderly People

2011 ◽  
Vol 23 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masayoshi Kanoh ◽  
◽  
Yukio Oida ◽  
Yu Nomura ◽  
Atsushi Araki ◽  
...  
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Care Facility ◽  
Health Care Facility ◽  
The Elderly ◽  
Health Care Facilities ◽  
Robot Assisted ◽  
Care Facilities

We have developed a Robot Assisted Activity (RAA) program for recreational use in health care facilities for elderly people. The RAA program has been evaluated in such a facility to assess its usefulness. The program applies a standard classroom model, starting with homeroom and including lessons in the Japanese language, music, gymnastics, arithmetic, and other subjects. At the end of the program, there is a graduation ceremony. We use a video camera to record each scene. Each behavior and utterance of the participants is then analyzed. In addition, immediately upon completion of the RAA program, specialists conduct a Focus Group Interview (FGI) in which they collect comments, opinions, and requests from the participants. Ten elderly people participate in the program, two men and eight women (81.0±3.7 years old). All are residents at a health care facility in Aichi Prefecture, Japan. TheMMSE (MiniMental State Examination) score indicating the level of dementia is 24.1±3.0 points. Two participants are judged to be in a moderate stage of cognitive decline (21 points or less), six are in a mild stage (22-26 points), and the remaining two are normal. On the Geriatric Depression Scale (GDS), in which a score of 13.3±4.2 points indicates a state of depression, seven participants are judged to be depressive (11 points or more). The results of our study show that all participants have a favorable impression of the robot and nearly all have a positive opinion of the RAA program. This suggests that the program can be used for emotional and recreational therapy at health care facilities for the elderly. However, in spite of the overall success of the RAA program, we seldom observe interaction between participants and the robot.

scholarly journals Bundle Prevention Form Filling Completeness of Surgical Site Infection (SSI) on Sectio Caesarea Patients in 2016

2017 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Adita Puspitasari Swastya Putri ◽  
Kurnia Dwi Artanti ◽  
Dwiono Mudjianto
Keyword(s):  
Health Care ◽  
Surgical Site Infection ◽  
Care Facility ◽  
Health Care Facility ◽  
Simple Random Sampling ◽  
Total Sample ◽  
Health Care Facilities ◽  
Sectio Caesarea ◽  
Site Infection ◽  
Cross Sectional

Hospital Acquired Infections (HAIs) is an infection acquired during a patient undergoing treatment proedur and medical measures in health care facilities within ≥ 48 hours or within ≤ 30 days and infection was observed after the patients leaving the health care facility. The one of Hais what often happens is Surgical Site Infection (SSI) so that SSI surveillance is needed for prevention and control of infection. Bundle prevention is an instrument used for data collection the incidence of SSI in Hospital X Surabaya. This study aims to look at the picture of existence, charging and completeness of bundle SSI prevention on patients sectio caesarea in Hospital X Surabaya. The study design used is cross sectional with a total sample of 47 patients were taken by simple random sampling on patients sectio caesarea in January-June 2016. The result showed that 64% of patient records status is not accompanied by SSI prevention bundle with charging and completeness of the data that is still below the predetermined standard that is equal to 80%. Although SSI surveillance is in conformity with the guidelines infection surveillance but there are still some shortcomings in terms of the accuracy of the data so that the information obtained is still not able to be reported as well.Keywords: surveillance, SSI, hospital

scholarly journals Epidemiology of preoperative hyperglycaemia among patients undergoing surgery at a tertiary health care facility of Eastern India

2019 ◽  
Vol 6 (7) ◽  
pp. 2838
Author(s):  
Souvik Banerjee ◽  
Rakesh Kumar ◽  
Debasis Basu
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Overweight And Obesity ◽  
World Health ◽  
Surgical Patients ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Health Organization

Background: With about 425 million patients globally and 72.9 million patients in India, diabetes mellitus (DM) is one of the global health emergency of 21st century. Perioperative hyperglycaemia is reported in 20-40% of patients undergoing general surgery. A substantial body of literature demonstrates a clear association between perioperative hyperglycaemia and adverse clinical outcomes. This study aims to find out the frequency of preoperative hyperglycaemia and factors influencing it among patients undergoing surgery at a tertiary health care hospital of Eastern India.Methods: This Institution based, cross-sectional, observational study was conducted among study subjects who were operated at IQ City Medical College and Multispecialty Hospital, Durgapur, India during January-February 2019. Relevant medical records were reviewed to collect data regarding clinic-social data. Estimation of fasting plasma glucose (FPG) has been done as per World Health Organization (WHO) guidelines. Hyperglycaemia was defined and classified as per American Diabetes Association (ADA). Anthropometric measurements were taken as per standard WHO protocols.Results: A total 158 study subjects participated in study. The mean age and mean FPG of the study subjects was 42.63±12.95 years and 103.3±17.37 mg/dl respectively. As per the ADA criteria, 58.9% had normal FPG, 24.0% had impaired fasting glucose (IFG) and 17.1% had diabetes. Out of total 27 T2DM patients, 22 (13.9%) were known cases of T2DM and 5 (3.2%) were undiagnosed. The frequency of preoperative hyperglycaemia i.e. sums of IFG and diabetes was found to be 41.1%. Increasing age, male gender and overweight and obesity significantly influenced the occurrence of preoperative hyperglycaemia.Conclusions: The prevalence of preoperative hyperglycaemia among patients undergoing surgery is higher than the prevalence of hyperglycaemia among non surgical patients. Routine HbA1C should be done in all surgical patients to differentiate between chronic undiagnosed hyperglycaemia and stress hyperglycaemia.

scholarly journals Prevalence of acute morbidities and their health seeking behaviour among under-five children of urban slums in a city in Karnataka

2017 ◽  
Vol 4 (7) ◽  
pp. 2449
Author(s):  
Yamuna B. N. ◽  
Ratnaprabha G. K. ◽  
Prakash Kengnal
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Sampling Technique ◽  
Cluster Sampling ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Cross Sectional ◽  
Under Five ◽  
The Past

Background: Morbidity and lack of health facility especially in the first five years of life would cause irreparable damage. Therefore it is important to assess the magnitude of morbidities, and their health seeking behaviour. The objectives of the study were to assess the prevalence of acute morbidities and their associated factors among Under-five (U5) children residing in slums of Davanagere city, Karnataka, and to assess the health-seeking behaviour of their mothers/caregiversMethods: It was a cross sectional study done in the slums of Davanagere city during August-September 2016. Using 30 cluster sampling technique, the estimated sample size was 656. A total of 22 children were included in each cluster. Questionnaire consisting of demographic details, history of acute morbidities in the past two weeks and their treatment details was administered to the mother/caregiver. Data was entered in Microsoft Excel sheet and analyzed using SPSS Version 20.Results: Totally 656 mothers/caregivers of U5 children were contacted, majority of the children were in the age group of 13 to 60 months. Total of 348 (53%) children suffered from some acute morbidity in the past 2 weeks, of whom 282 (81%) children were taken to some health care facility, and majority preferred private practitioner (73.4%). Most common reason for poor health seeking behaviour was “following the medicines which were prescribed for previous illness”.Conclusions: More than half of the children suffered from some acute morbidity in the past 2 weeks and 81% of them were taken to health care facility. 

scholarly journals Bundle Prevention Form Filling Completeness of Surgical Site Infection (SSI) on Sectio Caesarea Patients in 2016

2017 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Adita Puspitasari Swastya Putri ◽  
Kurnia Dwi Artanti ◽  
Dwiono Mudjianto
Keyword(s):  
Health Care ◽  
Surgical Site Infection ◽  
Care Facility ◽  
Health Care Facility ◽  
Simple Random Sampling ◽  
Total Sample ◽  
Health Care Facilities ◽  
Sectio Caesarea ◽  
Site Infection ◽  
Cross Sectional

Hospital Acquired Infections (Hais) is an infection acquired during a patient undergoing treatment proedur and medical measures in health care facilities within ≥ 48 hours or within ≤ 30 days and infection was observed after the patients leaving the health care facility. The one of Hais what often happens is Surgical Site Infection (SSI) so that SSI surveillance is needed for prevention and control of infection. Bundle prevention is an instrument used for data collection the incidence of SSI in Hospital X Surabaya. This study aims to look at the picture of existence, charging and completeness of bundle SSI prevention on patients sectio caesarea in Hospital X Surabaya. The study design used is cross sectional with a total sample of 47 patients were taken by simple random sampling on patients sectio caesarea in January-June 2016. The result showed that 64% of patient records status is not accompanied by SSI prevention bundle with charging and completeness of the data that is still below the predetermined standard that is equal to 80%. Although SSI surveillance is in conformity with the guidelines infection surveillance but there are still some shortcomings in terms of the accuracy of the data so that the information obtained is still not able to be reported as well. Keywords: Surveillance, SSI, Hospital

scholarly journals PERSEPSI PASIEN RAWAT JALAN TERHADAP KUALITAS PELAYANAN DI RUMAH SAKIT

2018 ◽  
Vol 46 (4) ◽  
Author(s):  
Made Lely ◽  
Tati Suryati
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Services ◽  
Care Facility ◽  
Health Care Facility ◽  
Data Retrieval ◽  
Cross Sectional ◽  
Quality Of Health Services ◽  
Cross Sectional Design

ABSTRACT  Development in the health field today in addition to aiming for healing and recovery also to improve health and prevent the incidence of a disease in the community. The hospital is a place to provide health services for the community. The quality of health services can be seen from several perspectives: the perspective of the health care provider, the perspectives of the funder, the perspective of the owner of the health care facility and the patient's perspective. While patient satisfaction is the level of satisfaction experienced by patients after using health services. Quality of health services and customer satisfaction are the indicators of hospital service success. The purpose of this study was to know the description of patient satisfaction of referral of outpatient at District Hospital, Regional Hospital and Provincial Hospital. The study was conducted with cross sectional design, using questionnaire instrument. The respondent is an outpatient at the hospital who has finished receiving the service or finished treatment at the hospital, where if the patient age ≤ 15 years or difficult to communicate there must be a companion. Data retrieval is done by direct interviews to the patient or the patient's companion. The result of the research shows the description of satisfaction respondent/outpatient exit interview in the hospital that overall more than 80% of respondents /outpatient satisfied to service given in the hospital. Respondents/outpatients who work more satisfied than those who do not work, and non-PBI participants are more satisfied than the PBI participants. The conclusions of this study, most of the respondents / outpatients in hospitals are satisfied with the services provided by the hospital.   Keywords: outpatient perception, service quality, hospital

Hourly Rounding for Falls Prevention: A Change Initiative

2013 ◽  
Vol 19 (3) ◽  
pp. 153-158 ◽  
Author(s):  
Daryl Dyck ◽  
Tracy Thiele ◽  
Rodney Kebicz ◽  
Michelle Klassen ◽  
Carly Erenberg
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Care Facility ◽  
Health Care Facility ◽  
Implementation Process ◽  
The Elderly ◽  
Falls Prevention ◽  
Fall Rates ◽  
Hourly Rounding ◽  
Safety Initiative

Fall-related injuries are a particular concern within the elderly population, and trends toward an aging demographic will keep this issue at the forefront in health care. We are challenged to develop creative strategies to significantly reduce harm and fall rates among the elderly. This article describes the process of establishing an hourly rounding initiative in a health care facility. Hourly rounding is supported by the literature as an effective strategy for falls prevention and patient safety. When the initiative was not successfully adopted initially, the implementation process was critically examined and an innovative sustainability plan was developed to ensure that the change would be embedded in the organization’s culture. Through this opportunity, nurses and allied health members from all levels were able to collaborate on strategies for this patient safety initiative.

scholarly journals PROBLEMS AND SUGGESTIONS REGARDING DISEASE EARLY WARNING SYSTEM, COMMUNICATED BY HEALTH CARE WORKERS OF DISTRICT SWAT KHYBER PUKHTOONKHWA

1969 ◽  
Vol 6 (1) ◽  
pp. 748-752
Author(s):  
SAIDUL ABRAR ◽  
QAR1B ULLAH ◽  
SHAHID KHAN ◽  
NAEEMULLAH
Keyword(s):  
Health Care ◽  
Early Warning ◽  
Early Warning System ◽  
Focal Point ◽  
Medical Officer ◽  
Care Facility ◽  
Health Care Facility ◽  
Warning System ◽  
Outbreak Detection ◽  
Cross Sectional

BACKGROUND: The Disease Early Warning System (DEWS), implemented by the World HealthOrganization (WHO) in collaboration with the Ministry of Health and National Institute of Health, is themain national surveillance system to detect and respond to infectious disease epidemics in Pakistan. TheDEWS was initially implemented in response to natural disaster and displacement emergencies inPakistan, most notably the 2010 floods. However, the system has now expanded to cover about 107million people of Pakistan's population. Its approaches for outbreak detection include immediate alertreporting and weekly data collection from about 2800 health facilities.OBJECTIVE: To find out what problems and suggestions do the trained Health Care Workerscommunicate regarding Disease Early Warning System.MATERIAL & METHODS: This cross-sectional study was conducted on sixty nine Health CareWorkers trained on Disease Early Warning System, from twenty nine randomly selected Basic HealthUnits and Civil Dispensaries in District Swat in the Khyber Pakhtunkhwa province, Pakistan. Astructured interviewer administered questionnaire was used. Within each selected Health Care Facility,we aimed to interview the medical officer or technician in charge who is the designated focal point forDEWS or surveillance/outbreak control activities. At each Health Care Facility all respondents (if morethan one) were interviewed simultaneously in a focus group discussion.RESULTS: 47(68.1%) of the respondents communicated no problem, frequently mentioned barriers tohealth facility were communication problems 9(13.1%), shortage of mane power 4 (5.8%), Irrelevantissues 4(5.8%), Plotting watch chart 1(1.4), DEWS & DHIS forms 1( 1.4), English language 1( 1.4%) andno response 1( 1.4%)CONCLUSION: Improved means of communication needs to be introduced. Performance basedawards in the form of appreciation certificate may be considered. Refresher and on job trainings areneeded.KEY WORDS: Surveillance, Health Care Worker, Pakistan.

scholarly journals DENGUE FEVER

2018 ◽  
Vol 25 (06) ◽  
pp. 876-880
Author(s):  
Hamzullah Khan ◽  
Fazli Bari
Keyword(s):  
Health Care ◽  
Observational Study ◽  
Platelet Transfusion ◽  
Care Facility ◽  
Health Care Facility ◽  
Female Gender ◽  
P Value ◽  
Cross Sectional ◽  
Study Results ◽  
Study Setting

Objectives: To determine the frequency and characteristics of dengue patients.Study Design: Cross sectional observational study. Setting: Qazi Hussain Ahmed MedicalComplex Nowshera. Period: 5th July to 25th Sept 2017. Material and Methods: A total of72 cases were received for dengue serology. Relevant information’s were collected on a predesignedquestionnaire prepared in accordance with the objectives of the study. Results: Atotal of 117 patients were referred from fever clinic and emergency OPD for dengue serology.72(61.5%) were males and 45(38.5%) were females. 24(20.5%) cases were dengue positive.14(12%) were NSL1 positive, 8(8.8%) were IgM positive and 2 (1.7%) were IgM&IgG positive.We received patient in the range of 4 years to 60 years, Mean with SD was 27 +3 years. Out of14 NSL1 positive cases 8 were males and 6 females. 2 females were IgG positive. The spectrumof dengue in correlation with gender was significantly positive with p value .026. In two casesplatelet at first visit were 58000/cmm3 that were both IgM&IgG positive. Out of 24 positivedengue cases two cases were also positive for plasmodium vivax (ring tropozoites). 6 caseswere managed in hospital and discharged home with an average stay of 3 days and 4 casesreferred to Lady Reading Hospital Peshawar for repeated platelet transfusion. Mortality waszero in our cases. Conclusion: The suspicion rate of the clinician for dengue from fever clinicwas 1:7. The cause of poor rate can be contributed to the patient insist for doing the denguetest before they are screened for MP and FBC etc. NSL1 was positive in 6 cases that showsthat people reach the health care facility for screening well in time and patient are educatedabout the dengue. Females 50% positive cases were IGM and IGG positive that shows femalereceive the health care later than males as NSL1 positivity in female gender is less than males.The spectrum of dengue in correlation with gender was significantly positive with p value .025that shows mosquito has some affinity for specific gender, or dengue virus has it for differencein gender or the inside immunity of the both gender is involved that causes different mode ofpresentation and activation of antibodies.

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