The annals of long-term care : the official journal of the American Medical Directors Association最新文献

筛选
英文 中文
The Effectiveness of an Environmental and Behavioral Approach to Treat Behavior Problems in a Patient with Dementia with Lewy Bodies: A Case Study. 环境和行为方法治疗伴路易体痴呆患者行为问题的有效性:个案研究。
Terri J Huh, Patricia A Areán, Heather Bornfeld, Alexandra Elite-Marcandonatou
{"title":"The Effectiveness of an Environmental and Behavioral Approach to Treat Behavior Problems in a Patient with Dementia with Lewy Bodies: A Case Study.","authors":"Terri J Huh, Patricia A Areán, Heather Bornfeld, Alexandra Elite-Marcandonatou","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This case describes and reports the effects of a multi-component collaborative intervention to treat difficult behaviors in a 79-year-old woman with dementia with Lewy bodies (DLB). To assess for cognitive status and disruptive behavior patterns, we collected a cognitive screen, history of presenting illness, and measures of behavior problems prior to the intervention. The intervention included 32 weekly 1-hour sessions with the patient, 1-hour sessions with the patient's assigned caregiver and regular interactions with the patient's family and medical treatment team. All sessions were conducted at the patient's long-term residential care facility. We assessed behavior disturbances with the Cohen-Mansfield Agitation Inventory (CMAI). We assessed functional abilities with the Katz Activities of Daily Living (K-ADL), and assessed cognitive function with the Mini-Mental Status Exam (MMSE). At the closing session (week 32) caregiver ratings indicated significantly reduced scores on the CMAI (Baseline = 75 to Endpoint = 30) and maintenance in ADLs (Baseline=3 to Endpoint=3). Caregivers reported enhanced efficacy in treating behaviors and improvement in their relationship with the patient. Results demonstrate the benefits of a multi-component collaborative intervention, based on an enhanced environment and behavioral approach, in treating behavior problems related to DLB.</p>","PeriodicalId":87367,"journal":{"name":"The annals of long-term care : the official journal of the American Medical Directors Association","volume":"16 11","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222095/pdf/nihms123303.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30281355","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}
引用次数: 0
Patient Safety Culture: A Review of the Nursing Home Literature and Recommendations for Practice. 病人安全文化:疗养院文献回顾及实践建议。
Alice F Bonner, Nicholas G Castle, Subashan Perera, Steven M Handler
{"title":"Patient Safety Culture: A Review of the Nursing Home Literature and Recommendations for Practice.","authors":"Alice F Bonner, Nicholas G Castle, Subashan Perera, Steven M Handler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient safety culture (PSC) is a critical factor in creating high-reliability health-care organizations. Most PSC research studies to date have been conducted in acute care settings; however, nursing home studies have recently begun to appear in the literature. Nursing homes differ from hospitals in a number of ways, including the population they serve, the medical model of care, and having the vast majority of direct care provided by non-licensed certified nursing assistants. Research has shown that nursing home PSC differs in important ways from PSC in acute care institutions. Recent PSC studies conducted in nursing homes and related quality and safety research can guide recommendations for nursing homes wishing to evaluate their own PSC. Relationships between PSC measurement, quality improvement, and workforce issues are potentially important and may influence clinical outcomes.</p>","PeriodicalId":87367,"journal":{"name":"The annals of long-term care : the official journal of the American Medical Directors Association","volume":"16 3","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119574/pdf/nihms235056.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30261945","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}
引用次数: 0
Epilepsy and the elderly 癫痫与老年人
A. V. Cott, M. Pugh
{"title":"Epilepsy and the elderly","authors":"A. V. Cott, M. Pugh","doi":"10.1093/med/9780195369298.003.0040","DOIUrl":"https://doi.org/10.1093/med/9780195369298.003.0040","url":null,"abstract":"","PeriodicalId":87367,"journal":{"name":"The annals of long-term care : the official journal of the American Medical Directors Association","volume":"8 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91156857","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}
引用次数: 1
The POLST paradigm: Respecting the wishes of patients and families POLST模式:尊重病人和家属的意愿
P. Dunn, S. Tolle, A. Moss, Judith S. Black
{"title":"The POLST paradigm: Respecting the wishes of patients and families","authors":"P. Dunn, S. Tolle, A. Moss, Judith S. Black","doi":"10.13016/33DO-LZZK","DOIUrl":"https://doi.org/10.13016/33DO-LZZK","url":null,"abstract":"Despite the hope that traditional advance directives would ensure that patients' end-of-life treatment preferences are honored, numerous studies have found that only 20-30 percent of U.S. adults have an advance directive, and that these documents have limited effect on treatment decisions near the end of life. Some of the limitations associated with traditional advance directives are that they may not be available when needed, are not transferred with the patient, may not be specific enough, may be overridden by a treating physician, and do not immediately translate into a physician order.","PeriodicalId":87367,"journal":{"name":"The annals of long-term care : the official journal of the American Medical Directors Association","volume":"44 1","pages":"33-40"},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78468517","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}
引用次数: 6
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信