Biomedical subjects

S S Travis

Publications and source records attributed to S S Travis.

9 recordsLinked to original sources

PubMed1992

Hospitalization experiences in the long-term care trajectories of a Medicaid cohort.

Two groups of applicants (859 screened in the community and 607 screened in acute care) for Medicaid-reimbursed long-term care were followed for 1 year from their initial long-term care assessments. The role hospitalizations play in long-term care trajectories was explored. Results reinforce the need for active partnerships between acute care and long-term care multidisciplinary teams for ongoing management of a large number of Medicaid clients and their families.

Demography↗

PubMed1991

Nursing and medical care of primary dementia patients in a community hospital setting.

A group of 480 hospital discharges systematically drawn from elderly, community hospital discharges were examined in order to describe the hospitalization experiences of individuals with admitting or coexisting diagnoses of primary dementia. Demented patients (7.1% of the sample) were most likely to be among the oldest hospitalized elders. The most frequently recorded patient problem was "alteration in thought processes." Most nursing interventions emphasized safety precautions, often to the exclusion of psychosocial intervention to maximize and support the patient's level of cognitive functioning. Over one fourth of the demented patients had written "no code" prescriptions. Approximately 44% of the elders in the dementia subsample had prescriptions for psychotropic medications.

Aged↗

PubMed1990

Simple counts of the number of basic ADL dependencies for long-term care research and practice.

General acceptance of a patterned progression of dependency in activities of daily living has led to the widespread practice of simply counting the individual's basic ADL dependencies to reflect his or her self-care needs and level of impairment. This method is convenient, and it is practical to the extent that individuals do fit a scaled pattern of dependency that allows some meaningful comparison among individuals and between groups to be made. This research, based on 3,611 Medicaid cases in Virginia, reports that 36 percent of those individuals screened for nursing home admission do not match a commonly accepted pattern of dependency. The analyses include a logistic regression procedure to explain the characteristics of the "ADL divergent" cases and a Guttman scaling procedure on the ADL data for the sample. Results of the analyses indicate that a Guttman scaling procedure does as well as, but not better than, the original Katz ADL scale, with both scales describing approximately two-thirds of the cases in the sample.

Activities of Daily Living↗

PubMed1987