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Biomedical subjects

H J Cools

Publications and source records attributed to H J Cools.

At least 37 records · Page 2Linked to original sources
PubMed1994

[Body weight of elderly patients on admission to a nursing home].

Body weight of elderly patients on admission to a 'verpleeghuis' (Nursing-home in the Netherlands) was 5 to 8 kg lower than that of healthy persons of the same age living at home. No difference in body weight was found between 'verpleeghuis' patients on admission and after long stay. Psychogeriatric men weighed more than somatic; the body weight of psychogeriatric and somatic women did not differ. Terminal patients weighed less than chronic patients and patients, who could be discharged from the 'verpleeghuis'. A relationship was found between body weight and age: the older the patient is, the lower he weighs. Body weight of women was also lower in the case of 'unmarried status' and 'admission residential homes'.

Aged↗
PubMed1993

[Relationship between unwanted urine loss to other limitations in function].

A limited analysis of the data of the continuous health enquiry of the Central Statistics Office regarding forms of physical impairment of the non-institutionalized Dutch population and of some data on physical ability of nursing home patients, carried out in 1991 by the Health Care Information Centre Foundation, confirmed the supposition that the risk of unwanted urine loss is substantially higher in patients with disability with respect to locomotion, changing posture, purposeful action, communication and condition. This proved to be the case at all ages, in both sexes, and in those living alone and together with others. Further investigation is necessary to determine the connection of these various forms of impairment with each other and with involuntary urine loss, with a view to promoting efficient diagnostic and therapeutic coping with involuntary urine loss; special attention should be paid to the question to what extent the disorders and limitations contribute to the actual handicap.

Activities of Daily Living↗
PubMed1992

[Cause of death in nursing homes].

Data from the Verpleeghuis Informatie Systeem (Nursing Home Information System, SIVIS) of the Stichting Informatiecentrum Gezondheidszorg (Foundation Information Centre Public Health, SIG) unlike data from the Central Bureau voor de Statistiek (Central Statistics Office, CBS) can afford insight into the primary causes of death of patients in Dutch nursing homes. We studied the question whether the causes of death of patients in somatic and psychogeriatric care differed and whether in these groups there was difference between those decreased within and after six months. Also, using the death certificates issued for the 29 patients deceased in nursing home De Bieslandhof in the first quarter of 1991, a comparison was made of reporting to the SIG and to the CBS. In 1989, data on 82.5% of the nursing home patients were registered in the SIVIS. Irrespective of the interval between admission and death and the nature of the multidisciplinary care (somatic or psychogeriatric), pneumonia was the cause of death most frequently stated (16%). Of the somatic patients decreased within six months the cause of death was mostly a malignancy. The psychogeriatric patients mostly died due to dehydration and cachexia. However, uncertainties in establishing the primary cause of death and registration errors are not made sufficiently clear in the SIVIS registration. The reporting to SIG and CBS does not always tally.

Aged↗
PubMed1989

[Acute obstruction of the oronasal passages in nursing home patients].

Life-threatening episodes of oronasal obstruction were observed in five bedridden, cachectic and dehydrated nursing-home patients with deviation of the nasal septum. During the episode they had swollen nasal mucosae and rhinorrhoea. The patients were found in bed with the nostrils sucked against the septum and the mouth tightly closed. They were cyanotic but conscious. After introduction of disposable catheters through the nose, dyspnoea and cyanosis were resolved in a few minutes and the patients were able to open the mouth spontaneously.

Acute Disease↗
PubMed1989

[The patient with a long-term indwelling catheter].

A working-group of the Scientific Council of the CBO has drawn up a report on infection control of patients with longterm indwelling catheterization of the urinary bladder. In the first place, restricted use of catheters and shortening of their indwelling use are intended. Furthermore preventive and diagnostic measures and treatment are recommended in case of urinary tract infection and blocking catheters.

Aged↗
PubMed1989

[Measurement or estimation of body length in older nursing home patients].

Measurement of body height of elderly persons can be difficult or impossible because of inability to stand or inability to stand in the right position. In seventy-five percent of elderly patients of a nursing home (n = 281) height could not be measured. Measurement of the height in a recumbent position was possible in fifty-five percent of the patients and measurement of arm span, used as a substitute for height, in sixty percent. Knee height could be measured in 95% of the patients; height can however roughly be estimated from knee height. Indices reflecting nutritional status, which require height as a variable (such as Quetelet Index), are of limited use for elderly patients in nursing homes.

Aged↗
PubMed1988

Infection control in a skilled nursing facility: a 6-year survey.

In 1981 an infection control programme was started in a 320-bed skilled nursing facility in The Netherlands. The programme consisted of recording the antimicrobial drugs prescribed and the site of infection, culture of urine from patients admitted from hospital and from residents with suspected symptomatic urinary tract infection, restriction of long-term indwelling urethral catheterization and restricted use of antimicrobial drugs. At a weekly staff meeting, these data were reviewed. As a result of the programme, the number of treatments for urinary tract infections decreased by 74% between 1981 and 1986, and the number of courses for recurrent urinary tract infections decreased from 18 to 6% of the total number given. The patients who did not require antimicrobial therapy increased from 51% in 1981 to 70% in 1986.

Adult↗
PubMed1988

[Fecal incontinence in the elderly].

Faecal incontinence in the elderly is not compatible with normal social function and leads to interventions and/or institutionalization. In homes for the elderly about 10% and in nursing homes 42.8% of the patients are faecally incontinent. There are predisposing, precipitating and uncleanliness factors. Four ways of faecal loss are described. The purposes of diagnosis and therapy are: 1. prevent and cure diseases, which cause unintentional faecal loss, 2. maintain lavatory visiting as long as possible and 3. prevent soiling the old patient himself and his surroundings.

Aged↗
PubMed1986

Restriction of long-term indwelling urethral catheterisation in the elderly.

Eighty-nine (16%) of 543 patients admitted to a chronic care centre in 1983 had an indwelling urethral catheter. Of the 89, 51 patients (57%) received the catheter in a general hospital, 4 (5%) at home and 34 (38%) in the centre. More than half of the catheters that were inserted in the hospital could be removed within 4 weeks of admission to the centre, implying that a more restricted use of indwelling catheters in hospitals is possible. Only 18% of the indwelling catheters remained in situ for the designated period of 1 month. The other catheters were changed before that time, mainly because of obstructed drainage or leakage of urine around the catheter. The incidence of bacteriuria among catheterised patients was 90%. The bacteria were multiresistant in 37% of these cases, compared with 25% of non-catheterised patients. Multiresistant microflora were present significantly more often in the urine of patients admitted from hospitals (irrespective of whether they had a catheter) and the catheterised residents of the centre than in that of the other patients (P less than 0.001). When all patients of the centre were considered, it was found that 30.6% were treated with antimicrobial agents in the course of the year; 10.9% were treated more than once a year. This latter group of patients received 58% of all prescribed antimicrobial drugs; 37% of them had an indwelling catheter. The majority of catheterised patients (65%) did not need antimicrobial treatment. No significant influence of catheterisation on mortality could be demonstrated.

Aged↗