Mission: The Permanente Journal advances knowledge in scientific research, clinical medicine, and innovative health care delivery. Circulation: 25,000 print readers per quarter, and accessed by 700,000 unique Web readers in the last 12 months from 164 countries. ON THE COVER "Myrtle Beach Sunrise" by John Davenport, MD, is a photograph taken at the house Dr Davenport and his family have rented each summer for almost 40 years. The modest house offers the serenity Dr Davenport tried to capture here. This photograph was taken with a Canon EOS xTi on July 4, 2010.
Female patients, sixty-five of age and over, admitted to acute medical and psychiatric wards of a municipal hospital were observed directly and unobtrusively for a three hour time period every other day during the first two weeks of hospitalization. The behaviors of the patients and of those who interacted with them were recorded and later categorized according to fifteen activities defined as representing basic health needs. Behaviors were compared according to the outcome of hospitalization, discharge, transfer to another ward or institution, or death. Differences which distinguished patients who were discharged from those who died were found in the activities of movement, comunication, and learning. Behaviors observed at different points in time during hospitalization also were compared. This study is the first step in the development of an instrument to measure the perceived satisfaction of health needs of geriatric patients in institutions.
Although there have been many advances in the past 30 years, HIV remains a healthcare concern throughout the world. Nurses play a critical role in educating patients about HIV transmission, treatment, and prevention, as well as identifying at-risk patients for preexposure prophylaxis.
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