NURSING HOME PATIENTS: Liaison Nurse Visits influence Recidivism

Chappell, Hazel; Murrell, Diane V.

doi:10.3928/0098-9134-19940501-08

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…In an experimental study by Brooten and colleagues (1991), a clinical nurse specialist provided care to mothers and very-low-birthweight infants both in the hospital and at home. In a quasi-experimental design, Chappell and Murrell (1994) reported use of a master's prepared nurse in a nursing home for consultation and follow-up to decrease recidivism. Case management as a strategy to promote continuity across the health care continuum was discussed in several nonexperimental studies (Dorwart & Hoover, 1994;Lamb & Stemple, 1994;Sterling et al, 1994).…”

Section: System Issuesmentioning

confidence: 99%

Integrated Literature Review of Continuity of Care: Part 1, Conceptual Issues

Sparbel¹,

Anderson

2000

J of Nursing Scholarship

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Section: System Issuesmentioning

confidence: 99%

Integrated Literature Review of Continuity of Care: Part 1, Conceptual Issues

Sparbel¹,

Anderson

2000

J of Nursing Scholarship

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“…This finding supports what has been documented in the literature concerning dehydration as an antecedent condition for acute confusion. The problem of under-hydration/dehydration in the long-term care setting, which by itself often leads to poor outcomes such as increased hospitalizations (Chappell & Murrell, 1994;Himmelstein, Jones, & Woolhandler, 1983;Palevsky, Bhagrath, & Greenberg, 1996), is well-documented in the literature (Armstrong-Esther, C., Browne, Armstrong-Esther, D., & Sander, 1996; Chidester & , 1997;Colling, Owen, & McCreedy, 1994). Further, several authors propose that dehydration can be prevented easily by vigilant nursing personnel (Hoffman, 1991;Kositizke, 1990) through the use of a structured hydration management guideline ).…”

Section: Discussionmentioning

confidence: 99%

Acute confusion indicators: Risk factors and prevalence using MDS data

et al. 1999

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Long-term care (LTC) Minimum Data Set (MDS) data from a Midwestern state were analyzed to validate whether components of a conceptual model developed from findings in acute care identified acute confusion risk variables in LTC. The prevalence of probable acute confusion in this sample was 13.98% (n = 324). Using a cross-sectional design, both univariate and unconditional stepwise logistic regression analyses were accomplished with presence or absence of probable acute confusion as the outcome variable (N = 2,318). Variables significantly related to acute confusion by univariate analysis were included in the logistic regression analysis. Inadequate fluid intake was the first variable to enter the stepwise equation and was highly significant (OR 3.40, 95% CI 2.99-3.81, p < .0001). Other significant variables included a diagnosis of dementia or a fall in the last 30 days. Implications for nursing practice, education and research are discussed.

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“…Upon discharge, many elderly patients could benefit from community resources; however, they have difficulty accessing community services due a variety of factors including biological (e.g., hearing impairment or mild dementia), psychological (e.g., anxiety), or social (e.g., isolation) factors. Thus, determining the number of elderly people at risk for functional decline and hospital readmission may be helpful when arranging appropriate discharge protocols, community services, and supports (Chappell & Murrell, 1994;Klausner & Alexopoulos, 1999).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Profile of Elderly Patients Discharged from a Community Hospital

Preyde

Chapman²

2007

Social Work in Health Care

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Social workers have historically been an advocate for vulnerable groups. One such vulnerable group is elderly patients who have been shown to have multiple, chronic health problems. The current fiscal environment favors shortened lengths of stay, potentially leaving these vulnerable patients at risk for adverse outcomes upon discharge, especially Hospital (Ontario, Canada). The objectives were to (1) estimate the number of elderly people who indicate biopsychosocial risk for adverse outcomes, (2) determine the specific risks and their severity, and (3) estimate the number of readmissions to hospital within three months after discharge. Standardized, self-reported scales were used to measure risks in elderly patients at discharge from acute care medical and surgical units. The sample included 62 patients with a mean age of 79 years. At discharge almost 40% of the patients were considered at risk for adverse outcomes, 11% indicated depression, 45% indicated psychological distress, 13% showed cognitive impairment, and 62.5% (35/56) had at least one nutritional concern. Over the three-month follow-up period, there were 23 readmissions, 8 ED visits (not mutually exclusive), and 7 outpatient visits. The mortality rate over the three-month period was 5% (3/62). Many elderly patients who were discharged from hospital to home experienced several challenges medically, psychologically and some also experienced social adversities. The implication is that these patients may benefit from a more comprehensive discharge plan than is currently practiced that addresses their challenges.

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NURSING HOME PATIENTS: Liaison Nurse Visits influence Recidivism

Cited by 6 publications

References 9 publications

Integrated Literature Review of Continuity of Care: Part 1, Conceptual Issues

Integrated Literature Review of Continuity of Care: Part 1, Conceptual Issues

Acute confusion indicators: Risk factors and prevalence using MDS data

Psychosocial Profile of Elderly Patients Discharged from a Community Hospital

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