scholarly journals Multidimensional and nutritional evaluation in post-acute long-term care setting

2017 ◽  
Vol 3 (3) ◽  
Author(s):  
Antonio Uneddu ◽  
Mauro Sotgia ◽  
Valentina Spissu ◽  
Marta Manzocco ◽  
Alessandra Filippi

Since 2011 the Unit of Post Acute Long-Term Care started the activity in Sassari, Sardinia region, initially as Local Health Care Public Service and currently integrated in the University Hospital. The purpose of this paper was to describe the main care methods based on a comprehensive geriatric approach and the multidimensional prognostic index to stratify the risk of mortality and other negative outcomes. With a strong emphasis on nutritional problems, we analyzed the correlations among malnutrition and motility, cognitive impairment, comorbidity and major diseases, and psychosocial determinants.

2016 ◽  
Vol 25 (3) ◽  
pp. 554-556
Author(s):  
Jason Lesandrini ◽  
Carol O’Connell

Ethical issues in long-term care settings, although having received attention in the literature, have not in our opinion received the appropriate level they require. Thus, we applaud the Cambridge Quarterly for publishing this case. We can attest to the significance of ethical issues arising in long-term care facilities, as Mr. Hope’s case is all too familiar to those practicing in these settings. What is unique about this case is that an actual ethics consult was made in a long-term care setting. We have seen very little in the published literature on the use of ethics structures in long-term care populations. Our experience is that these healthcare settings are ripe for ethical concerns and that providers, patients, families, and staff need/desire ethics resources to actively and preventively address ethical concerns. The popular press has begun to recognize the ethical issues involved in long-term care settings and the need for ethics structures. Recently, in California a nurse refused to initiate CPR for an elderly patient in a senior residence. In that case, the nurse was quoted as saying that the facility had a policy that nurses were not to start CPR for elderly patients.1 Although this case is not exactly the same as that of Mr. Hope, it highlights the need for developing robust ethics program infrastructures in long-term care settings that work toward addressing ethical issues through policy, education, and active consultation.


Gerodontology ◽  
2008 ◽  
Vol 25 (2) ◽  
pp. 107-112 ◽  
Author(s):  
Martin Schimmel ◽  
Patricia Schoeni ◽  
Gilbert B. Zulian ◽  
Frauke Müller

2012 ◽  
Vol 10 (4) ◽  
pp. 313-313
Author(s):  
Janine Maitland ◽  
Kevin Brazil ◽  
Bill James-Abra

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