End-of-life programme for older patients in a geriatric step-down hospital

Relationship between nursing needs and nursing satisfaction of older adult patients in a geriatric hospital: A cross-sectional study.

The purpose of this study was to identify and understand nurses' experiences of the death of patients in geriatric hospitals. Van Manen's hermeneutic phenomenological analysis was applied in the interpretation of experiential descriptions of seven nurses who had experienced the death of patients in a geriatric hospital. The essential subjects derived from the experience of the nurses on the death of patients in a geriatric hospital are covered in the following 7 themes. 'Placed in death site', 'Difficult repetition of death and farewell', 'Emotional waves that rushes in after farewell', 'Dilemmas in a place with no preparation to greet expected death', 'Getting dull from continually being struck with sorrow', 'Being together with living death', and 'Showing courtesy for a good farewell and living well'. The results of this research will contribute to the development of policy on all the deaths of patients in geriatric hospitals and suggest basic data that need to be applied in real practice and directions to introduce plans for realistic improvements in nursing care of deathbed patients in geriatric hospitals.

to investigate whether the benefits related to a geriatric day hospital programme exceeded the costs, using a cost-benefit analysis based on changes in functional autonomy. a quasi-experimental design with a historical cohort as comparison group. the geriatric day hospital programme at the Sherbrooke Geriatric University Institute in the Province of Quebec, Canada. 151 geriatric day hospital patients. after admission to and at discharge from the geriatric day hospital programme, functional autonomy was assessed by a trained nurse using the Functional Autonomy Measurement System. Based on financial reports, costs associated with resources consumed at the geriatric day hospital programme by each subject were established. The benefit in dollars per day was estimated with a societal perspective through regression equations based on functional autonomy changes related to the geriatric day hospital programme. A model for spreading the benefit per day was proposed: the median time to institutionalisation or death. for every dollar invested in the geriatric day hospital programme, the benefit for the health system was $2.14 (95% confidence interval: $1.72-$2.56). based on our sample of Sherbrooke Geriatric University Institute patients, the benefit related to the geriatric day hospital programme seems to exceed the costs.

Prevalence of malnutrition using harmonized definitions in older adults from different settings – A MaNuEL study

Nutritional and Functional Status in Geriatric Day Hospital Patients - MNA Short Form Versus Full MNA.

Antimicrobial Resistance Patterns Among Urine Isolates from Patients in a Geriatric Hospital and from Older Patients in a General Hospital in Jerusalem

A study of constipation and related factors was carried out in 439 geriatric hospital patients, 183 people living in two old people's homes, and 78 patients visiting a geriatric day hospital. In addition, a cross-sectional survey of constipation and related factors was undertaken in 138 people older than 74 years and 74 people aged 41 to 50 years living at home. Constipation and the use of laxatives were most frequent in the geriatric hospital (79% and 76% respectively), followed by the old people's homes (59% and 60%), the day hospital (29% and 31%), elderly living at home (38% and 20%) and middle-aged living at home (12% and 5%). The results suggest an increased risk of constipation for the persons walking less than 0.5 km daily [relative risk (RR) = 1.7], walking with help (RR = 3.4), chairbound (RR = 6.9) and bedbound (RR = 15.9). The relative risk of constipation increased for the persons living in the old people's homes (RR = 1.7) and the geriatric hospital (RR = 2.2), and also with advancing age (between 75 and 84 years, RR = 2.9; over 84 years, RR = 4.9). The prevalence of constipation was directly correlated to fecal and urinary incontinence.

The purpose of this study was to examine cognitive and physical functions based on dysphagia in aged patients in geriatric hospitals. Methods: The participants were 210 elders aged65 years conveniently selected from patients who were in three geriatric hospitals in B city. Data were collected between January 28, and March 28, 2019. Data collection was done using the following scales: Gugging Swallowing Screen (GUSS), Korean Mini Mental State Examination (K-MMSE), Korean Activity of Daily Living (K-ADL). Descriptive statistics, x 2 test, Fisher's exact test and independent t-test were used for data analysis. Results: The prevalence of dysphagia was 66.7%. There were statistically significant differences in the dysphagia according to age, nervous system disease, respiratory system disease, medication related to dysphagia and Body Mass Index. There were statistically significant differences in cognitive function (t=10.11, p<.001) and physical function (t=-11.00, p<.001) according to dysphagia. Conclusion: These findings are expected to be utilized in clinical practice and training of patients and nurses to provide a foundation for early screening of dysphagia, with the ultimate goal of reducing and preventing complications.

Cobalamin deficiency in the elderly: aetiology and management: a study of 125 patients in a geriatric hospital.

For a period of one week all visitors to Shropshire patients in geriatric, psychiatric, and subnormality hospitals were asked to give details of their journey to hospital, including the addresses from which they set out. These data, together with those of the patients in hospital that week, were used to examine (1) the effect of distance of the patient9s home from hospital upon the frequency of visiting; and (2) the likely consequences of adopting a policy of concentration of all resources at two district general hospitals. Whereas greater distances between home and hospital (up to 20 miles) resulted in little reduction in the frequency of visiting of short-stay (less than six months) geriatric patients and of both short and long-stay psychiatric patients, they resulted in much less frequent visiting of long-stay geriatric patients. The large majority of subnormality patients were in hospitals outside the County; relatively large distances only were involved and it was not possible to examine this issue for these patients. It was concluded that in this predominantly rural area, the provision of all hospital services at two district general hospital sites would, on the whole, greatly reduce distances travelled by visitors to psychiatric patients and to subnormal patients, and would increase distances to geriatric patients. From the point of view of patient visiting there is certainly a case for siting long-stay (over six months) geriatric patients in units near to their homes, and possibly psychiatric and subnormal patients if their homes are at inconvenient distances from the district general hospital.

Teleconsultation in geriatrics: Impact on professional practice

노인장기요양보험 도입 이후 노인요양병원은 양적으로 빠르게 증가하였다. 그러나 노인요양병원 이용자의 만족도에 관한 연구는 많이 이루어지지 않았다. 이 연구는 Sheth의 소비가치이론을 우리나라 노인요양병원 환자들의 특성에 맞게 부분적으로 수정하여, 시립노인요양병원과 민간노인요양병원에 입원한 환자들을 대상으로 만족도의 중요한 요소 중 하나인 재이용 의사를 분석하여 노인요양병원 경영전략 수립에 필요한 기초자료를 도출하였다. 서울과 경기지역에 소재하고 있는 시립노인요양병원 2개소와 민간노인요양병원 3개소에서 진료를 받고있는 60세 이상의 입원환자 475명을 조사 대상으로 선정하였다. 구조화된 설문지를 개발하여 2012년 8월 1일부터 2012년 9월 30일 까지 자기 기입방법과 면담 설문방법으로 자료를 수집하였다. 분석방법은 SPSS(version14.0)을 사용하여 요인분석을 통해 범주를 추출하고, 위계적 로지스틱 회귀분석을 시행하였다. 연구결과 소비가치 요인 중에서 기능적 가치인 재활치료의 만족도가 병원을 재이용하도록 하는 가장 강한 요인이었으며, 감정적 가치인 첨단 고급성과 진료서비스의 신뢰성, 건강적 가치인 운명적인 건강관의 순으로 유의한 영향을 미치는 것으로 추정되었다. 따라서, 노인요양병원의 경영에 있어서 이러한 연구결과에 기초하여 병원 이용 만족도를 향상시킬 수 있는 재활치료 프로그램의 향상 및 시설, 장비의 개선, 직원의 친절도 향상 등의 전략을 수립하고, 병원 재이용 의사를 제고하기 위한 경영 전략을 수립하는 것이 필요하다. Objective: After introduction of the Elderly Long Term Care Insurance, number of geriatric hospitals increased greatly. However, few studies were conducted on the satisfaction of the patients of the geriatric hospitals especially on the intention to reuse geriatric hospitals. Methods: The current study modified Sheth's consumption value model, useful for the development of an effective marketing strategy for geriatric hospitals, and tested it in Korean circumstances. The survey was conducted at two municipal hospitals and three private hospitals in Seoul and Gyeonggi Province between August 1 and September 30 of 2012. Data were collected from 472 inpatients who are 60 years or older. The structured research tool was developed and distributed. Factor analysis and hierarchical logistic regression analysis were conducted using SPSS(version 14.0) Results: The result of the research suggested that the satisfaction on rehabilitation services, which is a functional value, among the consumption values was the strongest factor on the intention to reuse geriatric hospitals. Impression of high-end luxury, reliability of care, and outside locus of control on health followed. Conclusion: It is recommended that geriatric hospitals ought to improve rehabilitation programs, facilities, and equipments and enhance kindness of staff to encourage intention to reuse geriatric hospitals.

The purpose of this study was to identify correlations among the continence function, cognitive function, and activities of daily living(ADL) in elderly male patients with dementia in geriatric hospitals. The subjects were 64 patients aged 65 or above who were diagnosed with dementia among the hospitalized male patients in a geriatric hospital. For the subjects` cognitive function, a questionnaire developed for the Korean Mini Mental Status Examination(K-MMSE) was used. For the continence function and ADL, data were collected using a patient evaluation table. As a result, a lower level of cognitive function resulted in corresponding higher levels of dependence in all items of ADL except bathing(p<.05), and a lower level of cognitive function led to corresponding declines in the continence function(bowel control, bladder control)(p<.01). In addition, a higher level of dependence in ADL resulted in corresponding higher levels of difficulty in bowel and bladder control(p<.01). This study showed correlations among the cognitive function, ADL, and continence function of elderly men with dementia. The results of this study may be used as basic data for the management and treatment of hospitalized elderly male patients with dementia in geriatric hospitals.

The purpose of this study is to determine the correlations between problematic behaviors and activities of daily living(ADL) targeting 106 demented elderly people hospitalized in a geriatric hospital. To examine the cognitive function of the subjects, the study used Korean Mini Mental State Examination(K-MMSE). For problematic behaviors and ADL, the study collected data based on Patient Assessment Forms in the geriatric hospital. Among problematic behaviors, apathy/indifference had the highest correlation with the items of ADL. Irritability/lability, agitation/aggression, depression/ dysphoria, night-time behavior and wandering also showed to be correlated to items of ADL(p<.05). This study demonstrated that cognitive function, problematic behaviors and ADL of the demented elderly hospitalized in the geriatric hospital are correlated to each other.

Hepatitis C virus infection among elderly patients in a geriatric hospital