Care management journals : Journal of case management ; The journal of long term home health care最新文献

{"title":"Ethnocultural Contextualization of Dementia Care: Cross-Cultural Perceptions on the Notion of Self.","authors":"Eleonor Antelius, John Traphagan","doi":"10.1891/1521-0987.16.2.62","DOIUrl":"https://doi.org/10.1891/1521-0987.16.2.62","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"16 2","pages":"62-3"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.16.2.62","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33902407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transnational Support of Asian Indian Elderly in India: Examining Patterns of Exchanges.","authors":"Jyotsna M Kalavar,&nbsp;Steven H Zarit,&nbsp;Brian J Ferraccio","doi":"10.1891/1521-0987.16.3.141","DOIUrl":"https://doi.org/10.1891/1521-0987.16.3.141","url":null,"abstract":"<p><p>Using a mixed methods approach, the provision of support exchanges between family members across national borders was examined. Specifically, this project examined transnational support among Asian Indian elderly residing in India whose children resided outside India. Seventy adults participated in this project in the cities of Bangalore and Mumbai. Individuals participated in either a focus group meeting or completed a survey to examine their transnational family support experiences. Most seniors were educated, of middle-income category or higher, socially active, enjoyed good health, and were not keen to live in multigeneration households. Survey findings suggest that transnational care is reciprocal in nature and that communication technology has enhanced intergenerational contact. The older adults' report of support exchanges provided and received between generations showed significant differences on certain types of support. Undoubtedly, in today's rapidly growing global economy, a great deal of emotional support, communication, and exchanges takes place between adults and their elderly parents across national borders.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"16 3","pages":"141-9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.16.3.141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34167387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meeting the Mental Health Needs of the Homebound: A Psychiatric Consult Service Within a Home-Based Primary Care Program.","authors":"Jennifer M Reckrey,&nbsp;Linday V DeCherrie,&nbsp;Micheline Dugue,&nbsp;Anna Rosen,&nbsp;Theresa A Soriano,&nbsp;Katherine Ornstein","doi":"10.1891/1521-0987.16.3.122","DOIUrl":"https://doi.org/10.1891/1521-0987.16.3.122","url":null,"abstract":"<p><p>The growing population of homebound adults increasingly receives home-based primary care (HBPC) services. These patients are predominantly frail older adults who are homebound because of multiple medical comorbidities, yet they often also have psychiatric diagnoses requiring mental health care. Unfortunately, in-home psychiatric services are rarely available to homebound patients. To address unmet psychiatric need among the homebound patients enrolled in our large academic HBPC program, we piloted a psychiatric in-home consultation service. During our 16-month pilot, 10% of all enrolled HBPC patients were referred for and received psychiatric consultation. Depression and anxiety were among the most common reasons for referral. To better meet patients' medical and psychiatric needs, HBPC programs need to consider strategies to incorporate psychiatric services into their routine care plans.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"16 3","pages":"122-8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.16.3.122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34213374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Informal Dementia Caregiving Among Indigenous Communities in Ontario, Canada.","authors":"Kristen Jacklin,&nbsp;Jessica E Pace,&nbsp;Wayne Warry","doi":"10.1891/1521-0987.16.2.106","DOIUrl":"https://doi.org/10.1891/1521-0987.16.2.106","url":null,"abstract":"<p><p>Recent studies suggest dementia is an emerging health issue for Indigenous peoples in Canada. In this article, we explore findings concerning informal dementia caregiving in Indigenous communities. Our research has been carried out in partnership with Indigenous communities in Ontario, Canada, over the past 4 years. Semistructured in-depth interviews were carried out with informal Indigenous caregivers (primarily family) to Indigenous people with dementia at 7 geographically and culturally diverse research sites (n = 34). We use a critical interpretive and postcolonial lens to explore common caregiving experiences and patterns to gain insight into Indigenous models of care and better understand how to appropriately support Indigenous families dealing with a dementia diagnosis. Themes from the interview data are explored through a storyline beginning with why and how participants came to the caregiving role; the challenges, struggles, and decisions along the way; and reflections on the rewards and benefits of caring for a loved one with dementia. The findings suggest that underlying Indigenous values created a consistent family caregiving model across the Indigenous cultures and geographic contexts included in the study. Family caregiving was found to facilitate cultural continuity through intergenerational contact and the transmission of cultural knowledge. Diverse community contexts presented significant challenges most immediately attributable to the nature of relations between Indigenous and non-Indigenous Canadians and the continued colonial policies governing access to services.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"16 2","pages":"106-20"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.16.2.106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34283034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Literature Review: The State of Knowledge on Home Care Equipment and Supplies.","authors":"Kimberly D Fraser, Jonathan Lai, Catherine Nissen, Queenie Choo, Jamie Davenport, Abram Gutscher","doi":"10.1891/1521-0987.16.4.174","DOIUrl":"10.1891/1521-0987.16.4.174","url":null,"abstract":"<p><p>We explored the state of knowledge on home care supplies and equipment because not much is known about this topic. We used a scoping review for the literature review because it was the most appropriate approach considering the state of the literature. We searched for articles published in both the gray and peer-reviewed literature. We established five overarching themes based on the findings. These were supply management, durable medical equipment, wound care, best practices, and costs. This review demonstrates that although knowledge about home care supplies and equipment is growing, it is still an understudied area.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"13 1","pages":"174-83"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81573645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Construction of Dementia Progression, Behavioral Aberrations, and Situational Ethnicity: An Orthogonal Approach.","authors":"J Neil Henderson","doi":"10.1891/1521-0987.16.2.95","DOIUrl":"https://doi.org/10.1891/1521-0987.16.2.95","url":null,"abstract":"<p><p>Neurodegenerative diseases, such as Alzheimer's disease and related dementias, induce caregivers already struggling to cope with the behavioral aberrations of dementia to constantly update their cultural construction of the disease because the outward symptoms used to interpret it are in constant flux. For ethnic minority caregivers, particularly, coping is a process of tracking a moving set of symptoms, making cultural sense of them across time, and negotiating a medical environment that can be hostile to them because of their \"nonstandard\" cultural health beliefs. In the midst of a constantly changing disease, achieving optimal communications with the medical establishment causes the ethnic minority caregivers to change their behaviors to better fit the expectations of the clinic, then retreat to their own cultural comfort zone only to continue oscillating between cultures for the duration of their caregiving responsibilities. Ethnic minority dementia caregiving is conceptualized here from an orthogonal perspective in which the moving elements of the ethnic minority dementia experience intersect in numerous ways and produce many coping strategy permutations corresponding to the evolving disease and its cultural constructs.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"16 2","pages":"95-105"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.16.2.95","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34283033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older adults' perceptions of using iPads for improving fruit and vegetable intake: an exploratory study.","authors":"Ivan Watkins,&nbsp;Bo Xie","doi":"10.1891/1521-0987.16.1.2","DOIUrl":"https://doi.org/10.1891/1521-0987.16.1.2","url":null,"abstract":"<p><p>Fruit and vegetable (FV) consumption can improve older adults' health outcomes, but conventional interventions can be resource demanding and make it difficult to provide just-in-time intervention content. iPad-based interventions may help overcome these limitations, but little is known about how older adults might perceive and use iPads for FV consumption. To address this gap in the literature, we conducted a qualitative study to explore older adults' perceptions and use of iPads for improving FV consumption between February and August of 2012. Five focus group sessions each lasting 120 min were conducted with 22 older adult participants. During each session, participants received guided exposure and instruction on iPad use and then explored three iPad applications targeting FV consumption (MyFood, FiveADay Lite, and Whole Foods Market Recipes). Detailed notes from focus group interviews were analyzed with a grounded theory approach that applied a constant comparative method to enable themes to emerge from the data. Three themes were identified from the data regarding participants' baseline perceptions of iPads. These included (a) limited knowledge on iPad's functions, (b) iPads were intended for younger users, and (c) iPads were too expensive. Themes identified regarding participants' perceptions of iPads after guided exposure included (a) the touchscreen was easier to use than a computer mouse, (b) tapping the interface required practice, (c) portability was an asset in conjunction with functionality, (d) portability and functionality supported personal interests, (e) the difficulty of learning an iPad's functions varied, and (f) practice and instruction helped overcome fear of the iPad. Finally, participants recommended iPad app features that could help them overcome barriers to their FV intake. These included (a) locating inexpensive FV from nearby sources, (b) providing tailored food and recipe suggestions, and (c) tracking and communicating FV intake with a doctor. These findings have important implications for future research on mobile app-based eHealth interventions to improve older adults' FV intake.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"16 1","pages":"2-13"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.16.1.2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33256842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The analysis for the causes of surgical cancellations in a Brazilian university hospital.","authors":"Josiane Harumi Cihoda,&nbsp;Jessika Rojo Alves,&nbsp;Luciano Augusto Fernandes,&nbsp;Edmundo Pereira de Souza Neto","doi":"10.1891/1521-0987.16.1.41","DOIUrl":"https://doi.org/10.1891/1521-0987.16.1.41","url":null,"abstract":"<p><strong>Background: </strong>The aim of our study is to quantify the occurrence of suspension of scheduled surgeries in a Brazilian university hospital, trying to identify the causes of suspension of these operations and meet the medical specialties that most contributed to the cancellation.</p><p><strong>Methods: </strong>This study takes the form of an exploratory, descriptive, and quantitative enquiry carried out by analyzing the database from 2008 to 2011 of the operating theater.</p><p><strong>Results: </strong>Of the 29,518 scheduled surgeries, 16.1% were cancelled. The patient was the main reason, accounting for more than 40% of all suspensions. When calculating the rate of surgery suspended from a specialty, dividing the number of cancelled surgeries in a specialty by the number of scheduled surgeries in the same, we found that otolaryngology is the specialty with the highest rate of 21.3%.</p><p><strong>Conclusions: </strong>One of the main reasons in our sample why surgeries were cancelled is nonappearance of the patient. Improving communication between patient and hospital facilitates the client program and also contributes to avoid cancellations.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"16 1","pages":"41-7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.16.1.41","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33256846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of the Maryland Person-Centered Hospital Discharge Program: a pilot targeting decreasing long-term care use and hospital readmissions.","authors":"Allison Payne Carew,&nbsp;Barbara Resnick","doi":"10.1891/1521-0987.16.1.48","DOIUrl":"https://doi.org/10.1891/1521-0987.16.1.48","url":null,"abstract":"<p><p>The Person-Centered Hospital Discharge Program (PCHDP) was offered by the Centers for Medicare and Medicaid Services as a way to improve care to Medicare and Medicaid beneficiaries in Maryland. The PCHDP used a care nurse/coordinator to facilitate the successful transition of patients at risk for becoming eligible for Medicaid. The purpose of this study was to examine the outcomes of the PCHDP pilot, explore factors that influenced hospital and long-term care admissions following hospital discharge, and obtain operational data to develop new programs with related objectives. Area Agencies on Aging were provided with a care coordinator who obtained patient data, developed an individualized care plan, and determined visit frequency and length of services. Multivariate analysis of variance was conducted to examine differences between those hospitalized or admitted to a skilled nursing facility during the follow-up period. The sample consisted of 359 at-risk patients, and the mean length of follow-up was approximately two months. Most patients did not go to the emergency room (N = 319, 88%) during the period of follow-up and were not admitted to an acute care setting (N = 301, 84%) or skilled nursing home (N = 322, 86%). Those who were rehospitalized were slightly younger and had more visits from the care coordinator. We anticipate that the care coordinators identified individuals at greatest need for follow-up and support. Future research should explore ways in which these care coordinators can intervene to prevent hospital readmission and long-term nursing home care.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"16 1","pages":"48-58"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.16.1.48","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33256847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Patient-Centered Transitions Framework for Persons With Complex Chronic Conditions.","authors":"Julia Ho,&nbsp;Kerry Kuluski,&nbsp;Ashlinder Gill","doi":"10.1891/1521-0987.16.3.159","DOIUrl":"https://doi.org/10.1891/1521-0987.16.3.159","url":null,"abstract":"<p><p>Hospitals are under increasing pressures by governing bodies to meet mandated performance standards and fiscal targets. As a result, hospitals are incentivized by funders to discharge patients efficiently and effectively. Gaining insight into the patient experience of discharge, as well as understanding patient needs and concerns, is prudent. Leveraging this knowledge may expedite patient discharge and potentially minimize hospital readmission rates. The purpose of this study was to better understand the discharge experiences and concerns of patients with multiple chronic diseases-a population currently understudied. In this study, qualitative survey data were analyzed from a large scale, mixed methods study that took place in 2011 at Bridgepoint Hospital, a complex continuing care and rehabilitation facility in Toronto, Canada. One hundred and sixteen patients were interviewed individually using a self-designed survey composed of open- and close-ended questions. All data pertaining to hospital discharge were extracted and examined using qualitative descriptive analysis. Key discharge concerns were related to process (next steps in the care plan, friction in the provider-patient relationship, premature discharge), consequences (relocation, impact on family, leaving the comforts and security of the hospital), and needs (availability of home care, managing daily activities, navigating the predisability home). Our findings are presented in a patient-centered framework that can be used as a guide for future discharge strategies for complex patient populations.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"16 3","pages":"159-69"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1891/1521-0987.16.3.159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34168834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}