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Biomedical subjects

L Ferrús

Publications and source records attributed to L Ferrús.

6 recordsLinked to original sources
PubMed2000

[The elderly with AIDS. Case report].

When we speak about AIDS, even today, we rarely associate it with the elderly. Nonetheless, nursing care reality demonstrates that AIDS cases are more numerous all the time inside this population group known as the third generation. We should not forget that sex is a personal experience that can be practiced at all ages, and is not limited only to the young, and that preventive measures are necessary in all situations. Therefore, it is interesting to share what these authors reflect about this topic; they refer to a real case. It will probably be necessary to change the established schemes and consider this age group to be one in need of information on the possibilities of contagion. It will also be essential to carry out faster diagnoses and to develop educational measures as well as continuing professional development procedures in order that the elderly be considered susceptible to suffer this disease and to improve the treatment provided to the elderly. AIDS does not discriminate. Therefore, we cannot discriminate either.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

[Intensity of care during inappropriate hospital stay: Research Project in Nursing and Appropriateness Evaluation Protocol].

OBJECTIVE: To determine the proportion of inappropriate hospital stays, their typology and the level of nursing care in Diagnosis Related Groups(DRG). To evaluate the use of the PRN (Project Research in Nursing) register forms, when determining AEP (Appropriateness Evaluation Protocol). METHOD: A cross-sectional study was performed on 494 patients classified with one of the 10 more frequent DRG in the hospital from February to July 1997. Information from patient clinical histories, PRN register forms, sociodemographic data, and nursing care activities were used. The appropriateness of hospital stay to AEP was assessed on the day prior to discharge. Comparison of inappropriate stays with appropriate stays was performed by chi-square test for categorical variables and Student t-test for continuous variables. The independent associated factors with inappropriateness of hospital stay, were estimated using a log regression model. RESULTS: Out of 417 valid cases, hospital stay was considered appropriate in 269 (64.5%) patients and inappropriate in 148 (35.5%) patients. Mean-age of inappropriate stays was significantly higher than that of appropriate stays (70.06 +/- 13.84 vs 61.57 +/- 15.07, p < 0.05). Care intensity for inappropriate stays was larger than that of appropriate stays (median 137 [minimal value 45, maximal value 355] vs median 95 [minimal value 35, maximal value 131] p < 0.001). Care time in mobilization, elimination and hygiene activities was longer in inappropriate stays than in appropriate stays. In a log regression model, the age, feeding care intensity, therapy care intensity and DRG assigned to each process were independent predictive factors of inappropriate stays. For application of AEP, 56.9% of cases were reviewed using PRN register forms and 43.1% were reviewed using the case history. CONCLUSIONS: From the DRG examined, patients who undertook inappropriate stays consumed a large intensity of nursing basic activities; therefore, they may be candidates for receiving home care and/or sociosanitary care. PRN register forms afforded a decreased review time on applying the AEP.

Adolescent↗
PubMedDate not supplied

[Strategies in measuring nursing care].

When resources are limited, the balance between the supply and the demand of nursing care is becoming more and more necessary. This situation justifies the use of tools to measure work charges in nursing. This article analyses the relationship between work charges and time estimation in nursing care. From a bibliographical review on this topic it discusses possibilities and techniques of time estimation for the nursing care given to a patient, as well as the caring time he or she requires. Two different approaches and some conclusions from the analysis of both of them are showed: first; the direct method, i.e. that of measuring caring levels; and secondly, the indirect method, that is a system for classifying patients. The interest of the direct method is advocated because of its clarity, external validation possible integration in nursing care plans.

Humans↗