scholarly journals Developing the APS-SE: Translation and Cultural Adaptation of the Abbey Pain Scale (APS) to A Swedish Care Context.

2020 ◽  
Author(s):  
Sussi Tegenborg ◽  
Per Fransson ◽  
Lisa Martinsson
Keyword(s):  
Nursing Home Residents ◽  
Pain Scale ◽  
Nursing Assistants ◽  
Swedish Version ◽  
Linguistic Differences ◽  
Staff Members ◽  
Culturally Adapted ◽  
Nurses And Physicians ◽  
End Stage ◽  
Translation And Cultural Adaptation

Abstract Background: The Abbey Pain Scale (APS) is an Australian observational scale for assessing pain in nursing home residents with end-stage dementia. The APS is widely used both in nursing homes and by other caregivers in Sweden for people with various diseases. No validated peer-reviewed translation to Swedish is available. The aim of this study was to translate and culturally adapt the APS for persons with end-stage dementia in Sweden.Methods: After an initial discussion of concepts, the APS was translated into Swedish and back into English to check for accuracy. The resulting Swedish version was then revised and culturally adapted through a series of interviews with nursing assistants, nurses, and physicians (n = 11) to develop the final Swedish version – the APS-SE.Results: The interviews emphasized the need to adapt the scale not only to the Swedish culture, but also to the educational and linguistic differences among the various staff members using it in different care contexts.Conclusion: This study highlights the importance of introducing new staff members carefully to the instrument, the APS-SE, to ensure understanding of all words and items.

The vulnerability of nursing home residents to the Covid-19 pandemic

2020 ◽  
Vol 23 (2-3) ◽  
pp. 57-60 ◽  
Author(s):  
Edward H Wagner
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
Nursing Home Residents ◽  
Nursing Assistants ◽  
Nursing Home Care ◽  
Term Care ◽  
Staff Members ◽  
Care Facilities

Residents in nursing homes and other long-term care facilities comprise a large percentage of the deaths from Covid 19. Is this inevitable or are there problems with NHs and their care that increase the susceptibility of their residents. The first U.S. cluster of cases involved the residents, staff, and visitors of a Seattle-area nursing home. Study of this cluster suggested that infected staff members were transmitting the disease to residents. The quality of nursing home care has long been a concern and attributed to chronic underfunding and resulting understaffing. Most NH care is delivered by minimally trained nursing assistants whose low pay and limited benefits compel them to work in multiple long-term care settings, increasing their risk of infection, and work while ill. More comparative studies of highly infected long-term care facilities with those organizations that were able to better protect their residents are urgently needed. Early evidence suggests that understaffing of registered nurses may increase the risk of larger outbreaks.

Neuroleptic Use and Behavioral Disturbance in Nursing Homes: A 1-Year Study

1995 ◽  
Vol 7 (4) ◽  
pp. 535-545 ◽  
Author(s):  
Lynda C. Burton ◽  
Barry W. Rovner ◽  
Pearl S. German ◽  
Larry J. Brant ◽  
Rebecca D. Clark
Keyword(s):  
Nursing Home ◽  
Problem Behaviors ◽  
Rating Scale ◽  
Nursing Home Residents ◽  
Disruptive Behaviors ◽  
Nursing Assistants ◽  
Behavioral Disturbance ◽  
Nursing Facilities ◽  
Medication Knowledge ◽  
Skilled Nursing

This article discusses a longitudinal study of change in disruptive behaviors among nursing home residents treated with neuroleptics compared with those not treated with neuroleptics. Observations were made of 201 participants on admission to and after 1 year in eight skilled nursing facilities. Nine disruptive behaviors were measured using the Psychogeriatric Dependency Rating Scale with nursing assistants. Neuroleptic use was documented from medication records. Odds ratios are reported for the association of behavior at baseline and use of neuroleptics on nine problem behaviors. For those who received neuroleptics during the year, there was greater change in both developing and resolving disruptive behaviors than for those not receiving neuroleptics. For both groups, restless or pacing behavior and belligerent behavior manifested by refusing instructions changed the most, both in developing and in apparently resolving. Our results show that change in disruptive behaviors occurs among nursing home residents regardless of neuroleptic use, but it occurs more frequently among those who receive neuroleptic medication. Knowledge of which disruptive behaviors are most likely to resolve or develop is important in training nursing home staff to cope with the behaviors as well as in planning interventions that may modify such behaviors.

scholarly journals Mortality in end-stage renal disease is associated with facility-to-facility differences in adequacy of hemodialysis.

1998 ◽  
Vol 9 (10) ◽  
pp. 1940-1947 ◽  
Author(s):  
W M McClellan ◽  
J M Soucie ◽  
W D Flanders
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Treatment Center ◽  
Inverse Association ◽  
Free Standing ◽  
Dialysis Adequacy ◽  
Center Staff ◽  
Staff Members ◽  
Stage Renal Disease ◽  
End Stage

Death rates of end-stage renal disease (ESRD) patients treated with hemodialysis vary substantially among treatment centers. The association between facility-to-facility differences in delivered hemodialysis dose and facility-specific mortality rates was examined among 5817 randomly selected patients treated with hemodialysis on October 1, 1994, from all 213 hemodialysis treatment centers reporting to ESRD Network 6. The mean urea reduction ratio (URR) for each treatment center, a measure of hemodialysis adequacy, was calculated for each facility, using measurements made by center staff members during one treatment for each of the randomly selected patients. During 7 mo of follow-up (ending April 30, 1995), 441 (7.6%) patients died. The average URR among the treatment centers was 64.9%. There was a strong, inverse association between increasing treatment center URR and adjusted mortality count (P = 0.009). Other treatment center characteristics associated with increased mortality included free-standing status (P = 0.009) and decreasing frequency of reported physician supervision of care (P = 0.01). It was concluded that lower average levels of dialysis adequacy in treatment centers are associated with higher rates of death, and this association persists after controlling for facility-to-facility differences in patient and nonpatient characteristics.

Covid-19-vaccinatie en antistofbepaling bij bewoners en personeel van 2 Lanakense woonzorgcentra in de lente van 2021

2021 ◽  
Author(s):  
F. BUNTINX ◽  
I. ASNONG ◽  
M. GULIKERS ◽  
G. VAES ◽  
H. DEWITTE ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Vaccination Campaign ◽  
Nursing Home Residents ◽  
Young Female ◽  
Negative Association ◽  
Antibody Testing ◽  
Post Vaccination ◽  
Staff Members ◽  
Antibody Titres

Uptake and results of Covid-19 vaccination during a pandemic in nursing home residents and staff This study involves the participation of residents and staff of 2 Flemish nursing homes in the Covid-19 vaccination program, as well as the subsequent presence and titres of Covid-19 antibodies. With 1 exception, all 259 residents and 94% of the eligible staff members (n = 237) were vaccinated, 16 young female staff members were vaccinated with some delay because of pregnancy and fertility related fears. Post-vaccination SARS-CoV-2 antibody testing was performed in 214 (83%) residents and 201 (85%) staff members. Of these, respectively 98% and 100% had SARS-CoV-2 antibodies. A clear negative association was found between antibody titres and age. Within these nursing homes (and a number of surrounding nursing homes) the vaccination campaign was successful as well as effective.

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