Algorithm for transitional care for caregivers of dependent older adults: a validation study

Gomes, Thawanna Jeremias Barbosa; Ferreira, Bruna Alexandra da Silva; Baixinho, Cristina Lavareda; Ferreira, Óscar

doi:10.1590/0034-7167-2020-0625

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…Additionally, these interventions must guarantee access to useful contacts and guidance regarding what to do when there are signs of decompensation or worsening of disease. They should also provide educational programs regarding self-management [25] and support to caregivers [26].…”

Section: Discussionmentioning

confidence: 99%

Transitional Care Management from Emergency Services to Communities: An Action Research Study

Batista

Pinheiro²,

Madeira

et al. 2021

IJERPH

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In recent years, nurses have developed projects in the area of hospital to community transition. The objective of the present study was to analyze the transitional care offered to elderly people after they used emergency services and were discharged to return to the community. The action research method was chosen. The participants were nurses, elderly people 70 years old or older, and their caregivers. The study was carried out from October 2018 to August 2019. The data were collected by means of semi-structured interviews with the nurses, analysis of medical records, participatory observation, phone calls to the elderly people and caregivers, and team meetings. The qualitative data were submitted to Bardin’s content analysis. Statistical treatment was carried out by applying SPSS version 23.0. The institution’s research ethics committee approved the research. Only 31.4% of the sample experienced care continuity after discharge, and the rate of readmission to emergency services during the first 30 days after discharge was 33.4%. The referral letters lacked data on information provided to patients or caregivers, and nurses mentioned difficulties in communication between care levels, as well as obstacles to teamwork; they also mentioned that the lack of health policies and clinical rules to formalize transitional care between the hospital and the community perpetuated non-coordination of care between the two contexts. The low level of literacy of patients and their relatives are mentioned as a cause for not understanding the information regarding seeking primary health care services and handing the discharge letter. It was concluded that there is an urgent need to mobilize health teams toward action in the patients’ process of returning home, and this factor must be taken into account in care planning.

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Section: Discussionmentioning

confidence: 99%

Transitional Care Management from Emergency Services to Communities: An Action Research Study

Batista

Pinheiro²,

Madeira

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

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Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review

Nicolau

Mendes

Ciríaco

et al. 2022

JPM

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(1) Background: The prevalence of coxarthrosis associated with ageing is one of the main reasons for the increase in hip arthroplasty. Educational intervention in the pre- and postoperative period of hip arthroplasty can improve functionality and, consequently, quality of life. Therefore, we intend to map the educational interventions that improve the functional capacity of people undergoing hip arthroplasty on their rehabilitation process. (2) Methods: Scoping review. The search was carried out in the databases: CINAHL complete, MEDLINE Complete, Nursing and Allied Health Collection: Comprehensive, Cochrane Methodology Register, Library, Information Science and Technology Abstracts, MedcLatina, and Google Academic. We included studies that evaluated the implementation of educational rehabilitation interventions that enable the empowerment and teaching of people undergoing hip arthroplasty. (3) Results: Thirteen studies were analysed that met the eligibility criteria and allowed the research question to be answered. Education in the perioperative period promotes training to perform rehabilitation exercises, improves the hospitalisation experience, increases participation in the rehabilitation process, allows early mobilisation, and increases the functional potential, thus enabling faster reintegration into society. (4) Conclusion: Early mobilisation plays a very important role in a person′s functional recovery, as well as in the prevention of thromboembolic complications. Exercise produces benefits in relation to physical function, namely, in improving strength, balance, facilitating functional activities, and preventing complications.

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Algorithm for transitional care for caregivers of dependent older adults: a validation study

Cited by 2 publications

References 22 publications

Transitional Care Management from Emergency Services to Communities: An Action Research Study

Transitional Care Management from Emergency Services to Communities: An Action Research Study

Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review

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