PubMed Health⌕ Search

Biomedical subjects

E Duthie

Publications and source records attributed to E Duthie.

10 recordsLinked to original sources
PubMed2001

Prevalence of elder abuse in the United States: a comparative report between the national and Wisconsin data.

This study is designed to calculate the prevalence of elder abuse in Wisconsin and the United States and to perform a geographic comparison of elder abuse prevalence by county in Wisconsin. The national data was obtained from the National Elder Abuse Incidence Study, and the Wisconsin data from the Department of Health and Family Services. The population statistics were obtained from the United States Census Bureau. The prevalence of elder abuse based on substantiated cases was 2.7 per thousand (236,479 cases) in the United States and 1.6 per thousand (2629 cases) in Wisconsin in 1996 (p < 0.05). There was an increase in elder abuse prevalence in Wisconsin between 1990 and 1998. Larger metropolitan counties had the largest number of reported cases but more rural counties had the highest prevalence (14 per thousand in Vilas County) and the highest rate of increase in elder abuse prevalence (increase by 9.4 per thousand in Langlade County). This study shows that there are national and local geographic variations in the prevalence of elder abuse cases reported to Adult Protective Services. Further studies are needed to identify factors that led to these variations.

Aged↗
PubMed2000

Engaging staff nurses in evidence-based research to identify nursing practice problems and solutions.

This article illustrates how one academic health science center in a large metropolitan area sought to improve the quality of patient care by soliciting the input of their nursing staff in devising an action plan for change. The research model incorporated both survey and focus group methods used by nursing leaders in administration and practice to identify and prioritize nursing research and clinical needs in their organization. The goal was to establish consensus among clinicians and researchers about significant issues in the institution requiring in-depth attention. A second objective was to design a survey instrument that is easy to complete and could be distributed, collected, and analyzed easily, thereby providing empirical data to the clinicians in a timely manner and in a simple format. This expedited process enabled specific action plans to be developed around the identified problems. Moreover, the process promoted interest in advancing nursing research and evidence-based practice among the clinicians and administrators.

Adult↗
PubMed1999

Techniques for applying subatmospheric pressure dressing to wounds in difficult regions of anatomy.

Subatmospheric pressure dressing (SPD) has been commercially available in the United States since 1995 as the vacuum-assisted closure (VAC) device. SPD increases local blood flow, decreases edema and bacterial count, and promotes the formation of granulation tissue. Despite recent clinical successes with the use of SPD in a variety of wound types, problems may occur with application of VAC system in certain areas of the body. The main limitation occurs when attempting to maintain an airtight seal over irregular surfaces surrounding a wound. For example, application of the adhesive drape and creation of a seal are particularly difficulty in the hip and perineum. In addition, wounds of the lower extremity can occur in multiple sites, posing the problem of providing a vacuum dressing to more than one wound from one suction pump machine. To address these challenging clinical wounds, we have developed techniques to allow the successful application of SPD to sacral pressure ulcers near the anus, and to multiple large lower extremity ulcers.

Adhesives↗
PubMed1998

Nursing home rehabilitation after acute rehabilitation: predictors and outcomes.

OBJECTIVE: To determine the predictive factors and functional outcomes of patients who were discharged from an acute rehabilitation unit to a nursing home care unit (NHCU) at a Veterans Affairs (VA) hospital. DESIGN: Cohort descriptive study. SETTING: An academically affiliated urban VA Medical Center. PATIENTS: All patients (n = 81, median age 68 years) admitted to a VA rehabilitation unit over a 1-year period. OUTCOME MEASURES: Discharge locations, predictors for NHCU transfer, and functional status as determined by Functional Independence Measure (FIM) scores. RESULTS: Patients discharged to the NHCU (17%) were compared with those discharged to the community (80%). Multiple logistic regression analysis showed that acute rehabilitation length of stay (LOS), admission, and discharge FIM scores were the only independent variables that predicted discharge to the VA NHCU. Although overall FIM gains in both groups during acute rehabilitation were similar, the NHCU group had significantly lower admission FIM scores and lower LOS efficiency because of longer acute rehabilitation LOS. Postacute NHCU rehabilitation resulted in significant gains in FIM scores at a slower rate. Sixty-four percent of these nursing home patients eventually returned to the community. CONCLUSION: Nursing home rehabilitation can result in favorable functional and community outcomes for selected patients.

Activities of Daily Living↗
PubMed1993

Utilization of cardiopulmonary resuscitation in nursing homes in one community: rates and nursing home characteristics.

OBJECTIVE: To determine the rate of cardiopulmonary resuscitation use among all nursing homes in a large urban area, to examine CPR use over time, to discover whether CPR use varies among nursing homes, and to describe characteristics of patients undergoing CPR. DESIGN: Retrospective survey. SETTING: Nursing homes in a large urban area. PARTICIPANTS: One hundred ninety-six nursing home residents of 68 nursing homes underwent cardiopulmonary resuscitation over a 4-year period (1986-1989). Over this time there were 9,486 deaths in these homes, which comprised 10,252 beds. MEASUREMENTS: The CPR:death ratio was determined for each facility. The ratio was analyzed over time and by type of facility (eg, proprietary, non-profit, size of facility). The ratio was also examined among facilities with variable death rates. Patients undergoing CPR are described. RESULTS: The ratio of CPR:death over the 4-year period was 0.02. CPR:death ratio was higher (0.03) for the proprietary homes compared with the non-profit homes (0.01) P < 0.0001. A significant downward trend of CPR:death was noted over the study period for the non-profit homes; no such trend was noted in the proprietary homes. Size of nursing home did not influence the rate of CPR use. Homes with greater numbers of deaths per bed had a lower utilization of CPR. Patients undergoing CPR were old, frail, and had multiple medical problems. CPR attempts were frequent around the time of nursing home admission. CONCLUSION: The utilization of CPR in nursing homes is quite low. Non-profit homes utilize CPR less than proprietary homes. Nursing homes with the highest numbers of deaths per bed utilize CPR less than homes with lower numbers of deaths per bed. Nursing home residents receiving CPR are quite old, have multiple illnesses, and are impaired.

Activities of Daily Living↗
PubMedDate not supplied

Bedside terminals and quality of nursing documentation.

In this article, the authors report on part one of a three-part investigation studying the impact of bedside terminals at New York University Medical Center, New York, NY. Using a before-after parallel control-group design, the quality of computerized nursing documentation was studied before and after adding computers to patient rooms. The quality of documentation was defined by timeliness and completeness of data. The study hypothesis, which predicted a positive relationship between the presence of bedside terminals and the quality of nursing documentation, was not supported. Study results showed a minimal use of the computer terminals located in patient rooms. A surprising result was the use of terminals located in rooms other than that of the patient for which documentation was made.

Computer Terminals↗