Living in the Community While Waiting for an Admission in Long-term Care

Morin, Diane; Saint-Laurent, L.; Dallaire, Clémence; Boucher-Dancause, Gisèle; Lalancette, Sylvie; Leblanc, Nancy

doi:10.1097/00001786-200701000-00013

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…Patients waiting for long‐term care in the hospital tend to be frailer, more complex and more vulnerable to hospital‐acquired syndromes. In contrast, keeping older people in the community while waiting for admission to a nursing might be more satisfactory 29 …”

Section: Discussionmentioning

confidence: 99%

“…In contrast, keeping older people in the community while waiting for admission to a nursing might be more satisfactory. 29 Finally, there might be opportunities for enhancing the care and outcomes of patients in cluster 4. In the acute phase, these intermediate comorbidity patients with the potential to do well should have early access to intensive care resources, and there might be a role for critical care outreach in high-risk groups.…”

Section: Discussionmentioning

confidence: 99%

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Use of a laboratory only score system to define trajectories and outcomes of older people admitted to the acute hospital as medical emergencies

Romero-Ortuño

Silke

2012

Geriatrics Gerontology Int

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Aim: Increasing numbers of older people are admitted to hospital as medical emergencies. They are a heterogeneous population with uncertain trajectories and outcomes. Our aim was to retrospectively characterize subgroups of older inpatients based on their acuity trajectories. Methods: This was a single‐center patient series from St James's Hospital Dublin, Ireland (2002–2010). The Medical Admissions Risk System (MARS) score was used to classify a sample of 14 607 patients aged ≥65 years, from admission to end of episode, into four trajectory groups: (i) static high acuity (group 1); (ii) static low acuity (group 2); (iii) inpatient deterioration (group 3); and (iv) inpatient improvement (group 4). K‐means cluster analysis was used for the classification. Results: Group 1 (4.1%): median length of stay (LOS) 7.4 days, 23.6% used intensive care, mortality rate 79.2%; sepsis and renal failure were the dominant features. Group 2 (76.6%): median LOS 8.0 days, 5.2% used intensive care, mortality rate 9.5%; younger age, low comorbidity and diseases of non‐vital organs were predominant. Group 3 (7.6%): median LOS 17.2 days, 17.4% used intensive care, mortality rate 76.1%; high comorbidity and sepsis/respiratory disease featured. Group 4 (11.7%): median LOS 12.1 days, 12.8% used intensive care, mortality rate 22.7%; sepsis and renal/metabolic disease were frequent, and comorbidity levels were intermediate. Conclusions: In older acute medical inpatients, the outcome seemed more driven by specific diagnoses (such as sepsis and renal failure) and comorbidity, than by age. Using the MARS score to retrospectively categorize older inpatients might help to understand their heterogeneity and promote the design of appropriate care pathways. Geriatr Gerontol Int 2013; 13: 405–412.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of a laboratory only score system to define trajectories and outcomes of older people admitted to the acute hospital as medical emergencies

Romero-Ortuño

Silke

2012

Geriatrics Gerontology Int

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“…Nursing home waiting lists are used in the Netherlands, as well as in other countries . The existence of waiting lists means that, inevitably, the decision by informal carers to place a relative in a nursing home, is made in phases over time.…”

Section: Introductionmentioning

confidence: 99%

How spouses evaluate Nursing Home Placement of their demented partner: a study about the end of perseverance time

Kraijo

Leeuw

Schrijvers

2014

Scandinavian Caring Sciences

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Spouses indicated they could have kept on giving care for a longer period of time if they had been given more time and space to make their final decision about the admission of their partner. It may be helpful for informal and formal carers to focus on perseverance time in considering placement or prolonged support at home. Placement at an appropriate time may lead to a higher degree of well-being of informal carers before and especially after the admission.

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“…This situation derives, on the one hand, from the growing complexity of medical and nursing procedures (Cruttenden, 2006;De Boer et al, 2007;Dellefield, 2006) and, on the other, from increasing cost pressure, which will ultimately demand organisational structures based on synergy and cooperation (Acton, 2006;Cateau, 2006;Church, 2006;Comas-Herrera et al, 2006;Cruttenden, 2006;McGrail et al, 2007;Morin et al, 2007;Robinson and Street, 2004).…”

Section: Introductionmentioning

confidence: 99%

The policy, structure and evaluation of long-term care networks: the differentiated requirements referred to the example of integrated long-term care in Austria

Ostermann¹,

Staudinger²,

Staudinger³

et al. 2009

IJNVO

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Long-term care facilities are currently exposed to powerful forces demanding organisational change based on synergy and cooperation. The adoption of network structures is frequently regarded as an appropriate solution to this challenge by health politics.Focusing on the concrete example of the integrated long-term care network for the elderly in the Austrian land of Tyrol, the article aims (1) to explore which criteria the lawgiver formulated for the nursing cooperation structures, (2) to examine which targets and functional requirements the managers of the nursing institutions involved theoretically demand from a network structure in long-term care and (3) to investigate the functionality of the network by means of an empirical study focusing on the processes at interorganisational interfaces.Merging the major findings of the legal, theoretical and empirical enquiry, structural and functional efficiency criteria are derived, which are suggested as a framework for the evaluation of integrative nursing networks.

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Living in the Community While Waiting for an Admission in Long-term Care

Cited by 4 publications

References 5 publications

Use of a laboratory only score system to define trajectories and outcomes of older people admitted to the acute hospital as medical emergencies

Use of a laboratory only score system to define trajectories and outcomes of older people admitted to the acute hospital as medical emergencies

How spouses evaluate Nursing Home Placement of their demented partner: a study about the end of perseverance time

The policy, structure and evaluation of long-term care networks: the differentiated requirements referred to the example of integrated long-term care in Austria

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