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Results for “Transitional Care”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 505 records · Page 28Linked to original sources
PubMed1998

Transitioning the critical care nurse from ICU to high-tech homecare.

Critical care nurses are in a good position to take advantage of the changes in health care. They can build a career that will be on the cutting edge of the changes in technology and care delivery if they are willing to learn some new skills and practice in a more autonomous environment. Nurses who are new to the homecare setting need to know more about insurance systems, diagnosis coding, and outcomes tools and prepare themselves for the rapid growth of computer assisted technologies that are being introduced into the practice of homecare. They also need to take the whole continuum of care into consideration when planning care for patients in the home and to be aware of community and family supports that can enhance the patient's health related quality of life.

Career Mobility↗
PubMed1998

[Transition in home care service in our hospital].

Progress of medical team ability, including analgesic treatment and nursing care, and a building closer connections with welfare services including visiting nurse station, is necessary for home medical care for the terminal cancer patient.

Costs and Cost Analysis↗
PubMedDate not supplied

Menopause: providing comprehensive care for women in transition.

Knowledge and research on the physiological changes associated with menopause is steadily expanding. A partnership between women and health care providers can contribute to the quality of women's life expectancy which is estimated to be 79.1 years (United States Bureau of Census, 1993). Menopause is a normal phenomena of aging and women experiencing menopause must have access to comprehensive care, including a complete history, thorough physical exam, risk factor and age-appropriate screening, and patient education. Studies confirm women's lack of knowledge concerning menopause and the need for education on bodily changes and approaches to self-care during transition. Decline in the ovarian production of estrogen and the feedback effect of gondatropins leads to an increased follicle-stimulating hormone (FSH) of 40 mlU/mL. Vasomotor flushing, night sweats, vaginal dryness, shortening of the menstrual cycle with heavy flow progressing to longer cycles and scant flow and eventual cessation of menses for a period of 12 consecutive months confirms menopause. A program of screening and education for self-care can enhance women's quality of life.

Adult↗
PubMed1991

Adolescents with chronic disease. Transition to adult health care.

Older adolescents are in the midst of many life changes related to physical and emotional development, education and career choices, family and peer relationships. The presence of a chronic disease adds an additional burden. At this stage of development, transfer of care to an adult facility becomes a major challenge for the adolescent, parents, and pediatric and adult care providers. This article describes an interdisciplinary transition program from pediatric to adult health care for older adolescents with rheumatic diseases. Care is transferred to an internist-rheumatologist who collaborates closely with the pediatric team. Scope of the program includes pretransitional assessments and interventions, including education, counseling, and referral around career, postsecondary education, sexuality, and other transitional issues. Benefits of and barriers to a structured transition program are discussed.

Adolescent↗
PubMed2002

A review of older people's experiences with residential care placement.

BACKGROUND: Transition to the care and environment of a residential home has been identified in the literature as the most significant relocation affecting older people. However, little effort has been made systematically to review and synthesize the body of knowledge relating to older people's experiences with such placement. This has led to lack of concerted effort in the development of strategies to help elders adjust to such placement with dignity and success. AIM: This paper presents a critical review of the literature related to older people's experiences with residential care placement, with an attempt to identify how knowledge in this area could be moved forward. CONCLUSIONS: It is concluded that, while understanding of older people's pre and postplacement experiences was abundant, there was a dearth of literature on the actual experiences involved as older people made their day to day adjustment after placement. There is a need for future research to identify the dynamic processes of how older people come to terms with residential living. Future research should also focus on developing an accurate understanding of the adjustment experiences of elders with different ethnic background.

Adaptation, Psychological↗
PubMedDate not supplied

Decentralization of the staff development department in home care.

An easy transition to home care and improved quality of orientation are important factors for home care agencies considering decentralization of the staff development department. A Visiting Nurse Association found that the positive advantages of decentralization outweighed the initial adjustment problems.

Community Health Nursing↗
PubMed1987

New directions in life care: an industry in transition.

Current approaches to financing long-term care are inadequate; they are even less likely to meet future needs of increasing numbers of disabled and chronically ill elderly persons. While insurers, providers, and policy makers are developing models of risk-pooling that cover long-term care, the industry that first put these concepts into practice is moving in other directions. Despite the success of many continuing-care retirement communities in offering full and affordable long-term care coverage, a new trend emphasizes amenities over comprehensiveness. Sponsorship and consumer demand are contrasted with insurability of risks as key issues for the industry and for policy makers.

Aged↗
PubMed1992

Development of a postoperative self-assessment form.

This paper describes a patient self-assessment form developed for use in a research study examining early discharge and transitional nursing follow-up care for women with abdominal hysterectomy. Transitional care nursing involves preparation for an early discharge from the hospital and nursing follow-up for convalescence at home through an 8-week recovery period. The goal of transitional care is to assist the client in regaining her preoperative level of self-care. This article will include a brief overview of the ongoing research study, a description of the role of the clinical nurse specialist (CNS) in transitional care, and the use of the self-assessment form. The form is applicable to numerous clinical settings.

Clinical Nursing Research↗
PubMed2002

[Nursing discharge planning: from the viewpoint of patients and necessary consequences for hospital organization].

As the length of time that patients stay in hospital becomes shorter, transitional nursing care will become even more important as one of the concepts of integrated medical care. This means that in Germany, in the years to come, the viewpoint of those receiving this care--i.e. the patients and those closely involved with them--will also become increasingly important. The success of concepts relating to transitional nursing care will depend on how satisfied the patients are and how well they cope with living at home again after their stay in hospital. This article will focus on the sight of patients who received transitional nursing care and describe a evaluation study in Nuremberg/Germany. It is becoming clear that, in order to remain successful in the long term, concepts concerning transitional care will always additionally involve consistent measures in relation to organisational and staff development.

Aged↗
PubMed2000

Role tuning between caregiver and care receiver during discharge transition: an illustration of role function mode in Roy's adaptation theory.

The purpose of this study was to develop a conceptual framework to explain the interaction between the caregiver and the care receiver during the discharge transition. Data from face-to-face interviews with 12 care receivers and 16 caregivers were subjected to constant comparative analysis. Findings revealed that role tuning was the process used by caregivers and care receivers to achieve a harmonious pattern of caregiving and care receiving during the transition from hospital to home. This empirical finding can illustrate the concept of role function mode in the Roy adaptation theory and sensitize healthcare providers to the needs of the families during the discharge transition.

Activities of Daily Living↗
PubMedDate not supplied

Choosing to change. Three healthcare executives discuss how and why they made the transition out of acute care settings.

It was the hot opportunity for professionals in healthcare administration. But hospital administration is no longer necessarily the most attractive career option for healthcare executives at any stage of their career. Many professionals who have built their careers in the once rock-solid field of hospital management are having to eye other healthcare management avenues, and most of them are finding that the field is wide open. Following are three profiles of former acute care executives who moved out of the acute care setting into areas where they never dreamed of working. While change is always a little threatening, all of them agree that the transition from the acute care world has not been overly traumatic. In fact, their experiences suggest that with the right skills and the right opportunities, transitioning out of acute care can be a positive experience.

Career Mobility↗