The Perils of Patient Government: Professionals and Patients in a Chronic-Care Hospital Joseph W. Lella with J. Z. Csank, J. McKay and J. R. BayneThe Perils of Patient Government: Professionals and Patients in a Chronic-Care Hospital Joseph W. Lella with J. Z. Csank, J. McKay and J. R. Bayne Waterloo: Wilfrid Laurier University Press, 1986, 232 p., $11.95

1988 ◽  
Vol 5 (1) ◽  
pp. 76-77
Author(s):  
David A. E Shephard
Keyword(s):  
Chronic Care ◽  
Care Hospital

scholarly journals Transforming a Paper based Process to a Natural user Interfaces Process in a Chronic Care Hospital

2012 ◽  
Vol 14 ◽  
pp. 173-180 ◽  
Author(s):  
Junia Anacleto ◽  
Sidney Fels ◽  
Rodrigo Silvestre
Keyword(s):  
User Interfaces ◽  
Chronic Care ◽  
Care Hospital ◽  
Natural User Interfaces

HYPODERMOCLYSIS THERAPY IN A CHRONIC CARE HOSPITAL SETTING

1997 ◽  
Vol 23 (6) ◽  
pp. 23-28 ◽  
Author(s):  
Fran Worobec ◽  
Mary K Brown
Keyword(s):  
Chronic Care ◽  
Hospital Setting ◽  
Care Hospital

Knowing Versus Doing: Education and Training Needs of Staff in a Chronic Care Hospital Unit for Individuals With Dementia

2014 ◽  
Vol 40 (12) ◽  
pp. 26-34 ◽  
Author(s):  
Katherine A. Marx ◽  
Ian H. Stanley ◽  
Kimberly Van Haitsma ◽  
Jennifer Moody ◽  
Dana Alonzi ◽  
...  
Keyword(s):  
Chronic Care ◽  
Education And Training ◽  
Training Needs ◽  
Care Hospital ◽  
Hospital Unit ◽  
And Training

scholarly journals Effectiveness of a Bed Positioning Program for Treating Older Adults With Knee Contractures Who Are Institutionalized

2000 ◽  
Vol 80 (4) ◽  
pp. 363-372 ◽  
Author(s):  
Patricia Fox ◽  
Julie Richardson ◽  
Bonnie McInnes ◽  
Diane Tait ◽  
Michel Bedard
Keyword(s):  
Knee Flexion ◽  
Chronic Care ◽  
Knee Extension ◽  
Care Hospital ◽  
Intervention Period ◽  
Term Care ◽  
Flexion Contractures ◽  
Skin Integrity ◽  
High Level

Abstract Background and Purpose. Although contractures in patients in long-term care institutions are an important issue, there have been only a few studies that have evaluated interventions for contractures. The purpose of this study was to determine the effectiveness of a bed positioning program (BPP) for the treatment of patients with knee flexion contractures. Subjects. Sixteen patients with a high level of cognitive and functional impairment (mean age=82 years, SD=6.48, range=71–93) in a chronic care hospital participated in the study. Methods. The BPP consisted of stretching a patient's knee into extension and then securing and maintaining the position for a period of 40 minutes, 4 times per week. Participants were randomly assigned to 2 groups (n=8 in each group). One group received a BPP for 8 weeks, followed by 8 weeks of no intervention. The other group received the intervention in the reverse order. Once a week, participants were assessed for range of knee extension, knee pain, and skin integrity. Results. Twelve participants completed the study. There was no improvement in participants' range of knee extension during the intervention period. Overall, there was no difference in mean range of knee extension between the intervention period and the no-intervention period. Conclusion and Discussion. The results of this study do not support the use of a BPP for treating patients with knee flexion contractures.

Leg extensor power and functional performance in very old men and women

1992 ◽  
Vol 82 (3) ◽  
pp. 321-327 ◽  
Author(s):  
E. Joan Bassey ◽  
Maria A. Fiatarone ◽  
Evelyn F. O'neill ◽  
Margaret Kelly ◽  
William J. Evans ◽  
...  
Keyword(s):  
Performance Measures ◽  
Chronic Care ◽  
Walking Speed ◽  
Functional Performance ◽  
Stair Climbing ◽  
Care Hospital ◽  
Maximal Power Output ◽  
Frail Elderly People ◽  
Leg Extensor Power ◽  
Old Men

1. Residents of a chronic care hospital (13 men of mean age 88.5 ± 6 sd years and 13 women of mean age 86.5 ± 6 sd years) who had multiple pathologies were assessed for leg extensor capability in several ways. 2. A custom-built rig was used to assess leg extensor power, that is, maximal power output over less than 1 s in a single extension of one leg. Performance measures were obtained by timing chair rises (from a standard chair 0.43 m high), stair climbing (four risers, total height 0.635 m) and a walk (6.1 m). For each measurement the best of several trials were recorded as definitive. 3. Leg extensor power was significantly correlated with all performance measures, but the performance measures were not related to each other except for chair rising and walking speed. 4. Women had significantly less extensor power than men, but their power explained more of the variance in performance, e.g. power accounted for 86% of the variance in walking speed. 5. There was no relation within the group between age and any of the variables measured. 6. Measurement of leg extensor power in frail elderly people may prove useful in focusing effective rehabilitation programmes.

scholarly journals Burnout in the staff of a chronic care hospital

2018 ◽  
Vol 52 ◽  
pp. 45
Author(s):  
Maria Jose Merino-Plaza ◽  
Francisco Javier Carrera-Hueso ◽  
Nuria Arribas-Boscá ◽  
Amparo Martínez-Asensi ◽  
Emilia Trull-Maravilla ◽  
...  
Keyword(s):  
Chronic Care ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Average Score ◽  
Care Hospital ◽  
Cross Sectional ◽  
Mean Values ◽  
Fatigue Score ◽  
The Mean ◽  
Personal Fulfillment

OBJECTIVE: To estimate the prevalence of Burnout in a medium or long-stay hospital, to monitor its evolution and to highlight the importance of cut-off points used to avoid distortions in the interpretation of the results. METHODS: Two cross-sectional studies (2013–2016) were carried out, applying the Spanish version of the Maslach Burnout Inventory to the staff of a chronic care hospital (n = 323). Result variables were: Burnout prevalence and a high degree of affectation of the subscales and predictor variables: sociodemographic characteristics and factors that trigger and modulate the syndrome. The association between variables was quantified using odds ratio. RESULTS: The participation rate went from 31.5% to 39.3%. The professionals presented a mean level of Burnout in both moments, observing a lower degree of affectation of the depersonalization subscales and personal accomplishment in the 2016 cut-off. The average score of the subscales in 2016 was 21.5 for emotional fatigue, 4.7 for depersonalization and 41.7 for personal fulfillment, compared to the values of emotional fatigue = 21.6, depersonalization = 6.9 and personal fulfillment = 36.3 obtained in 2013. The emotional fatigue score was slightly higher than the mean value of the national studies (19.9), while the rest of the values were similar to the mean values of the studies considered. The prevalence of Burnout and the interpretation of the results varied significantly according to the cut-off points considered. In both studies, sociodemographic variables showed little significance, while social support and interpersonal relationships were associated with the degree of burnout among professionals. CONCLUSIONS: Our prevalence of Burnout was similar to that of other studies consulted, although the emotional component is more marked in our environment. The interpretation of the results varied significantly according to the cut-off points applied, due to the cross-cultural differences.

scholarly journals Testing Blood Glucose at the Bedside in a Chronic Care Hospital

1997 ◽  
Vol 28 (1) ◽  
pp. 63-67
Author(s):  
Robert M. Greendyke ◽  
F. Ronald Gifford
Keyword(s):  
Blood Glucose ◽  
Chronic Care ◽  
Care Hospital

A Survival Analysis of Institutional Relocation in a Chronic Care Hospital

1996 ◽  
Vol 15 (4) ◽  
pp. 514-524
Author(s):  
John P. Hirdes ◽  
K. Stephen Brown
Keyword(s):  
Survival Analysis ◽  
Chronic Care ◽  
Care Hospital ◽  
Grand Nombre ◽  
Patients Âgés ◽  
Taux De Mortalité ◽  
Maladies Chroniques ◽  
Petite Taille ◽  
Risque Relatif

RÉSUMÉLe lien entre le relogement des patients âgés et leur taux de mortalité continue de faire l'objet de nombreux débats à cause, en partie du moins, des résultats équivoques des travaux scientifiques. La plupart des recherches dans ce domaine sont toutefois limitées par la petite taille des échantillons, l'utilisation de périodes de suivi arbitraires et l'emploi de méthodes statistiques peu précises. Les analyses présentées ici reposent sur les données de mortalité d'une période de six ans accumulées par une unité pour les maladies chroniques. Les patients de cet établissement ont été relogés en grand nombre dans une nouvelle unité. En tenant compte de l'âge, du sexe et de la durée du séjour avant le suivi, le risque relatif de mortalité lié au relogement était de 1,53.

Consultation-Liaison Psychiatry in a Chronic Care Hospital: The Consultation Function

1981 ◽  
Vol 26 (2) ◽  
pp. 96-100 ◽  
Author(s):  
Donald Wasylenki ◽  
Mary Kay Harrison
Keyword(s):  
Affective Disorder ◽  
Psychotropic Medication ◽  
Psychiatric Diagnosis ◽  
Chronic Care ◽  
Care Hospital ◽  
Liaison Psychiatry ◽  
Rehabilitation Hospital ◽  
Therapeutic Attitude ◽  
Consultation Liaison Psychiatry

This paper describes psychiatric consultations in a chronic care and rehabilitation hospital It reports that although 60% of consultation requests were for depression, only 8.6% of patients seen received a diagnosis of Affective Disorder. Many patients seen, 51.4%, did not receive a formal psychiatric diagnosis and were found to present problems in adapting to chronic disabling illnesses. These problems included difficulties with convalescent and rehabilitative tasks, manifested by pathological behaviours such as persistent denial and pseudo-independence, as well as characteristic reactions to specific catastrophic illnesses. It is important to recognize that in this population psychotropic medication should be used judiciously, and interpersonal and milieu approaches should be emphasized. It is also important for the psychiatric consultant to maintain an optimistic, therapeutic attitude in what often seem to be rather foreboding consultation settings.

A Decision-Making Aid for Long-Term Care Waiting List Policies: Modelling First-Come, First-Served vs. Needs-Based Criteria

1996 ◽  
Vol 9 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Jacquelyn Burkell ◽  
Alison Wright ◽  
Barry Hoffmaster ◽  
Kathleen Webb
Keyword(s):  
Decision Making ◽  
Chronic Care ◽  
Computer Modelling ◽  
Waiting List ◽  
Care Hospital ◽  
Term Care ◽  
Additional Information ◽  
Admission Criterion ◽  
Individual Placement

A chronic care hospital in London, Ontario, was faced with the question of whether to continue to admit applicants on a first-come, first-served basis, or to implement a needs-based admission criterion. To provide information relevant to this decision, a simple computer modelling technique was used to model the waiting list under both policies. Analysis of the results indicated substantial variability in the need for care demonstrated by waiting list applicants, and individual placement priority under the two schemes. Descriptions of individuals affected by the proposed change in policy provided additional information. The information provided by the waiting list analysis contributed to the decision-making process about waiting list policy. The method used is applicable to waiting list management decisions in other institutions.

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