Factors associated with successful discharge among older adults with traumatic brain injury in skilled nursing facilities.

2020 ◽  
Vol 101 (11) ◽  
pp. e12-e13
Author(s):  
Emily Evans ◽  
Roee Gutman ◽  
Mingyang Shan ◽  
Frank Devone ◽  
Raj Kumar ◽  
...  
Keyword(s):  
Older Adults ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing ◽  
Factors Associated

scholarly journals Successful Community Discharge Among Older Adults With Traumatic Brain Injury in Skilled Nursing Facilities

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Emily Evans ◽  
Roee Gutman ◽  
Linda Resnik ◽  
Mark R. Zonfrillo ◽  
Stephanie N. Lueckel ◽  
...  
Keyword(s):  
Older Adults ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing

scholarly journals Population of Patients With Traumatic Brain Injury in Skilled Nursing Facilities

2019 ◽  
Vol 34 (1) ◽  
pp. E39-E45 ◽  
Author(s):  
Stephanie N. Lueckel ◽  
Joan M. Teno ◽  
Andrew H. Stephen ◽  
Eric Benoit ◽  
Tareq Kheirbek ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing

scholarly journals Transitional care of older adults in skilled nursing facilities: A systematic review

2016 ◽  
Vol 37 (4) ◽  
pp. 296-301 ◽  
Author(s):  
Mark Toles ◽  
Cathleen Colón-Emeric ◽  
Josephine Asafu-Adjei ◽  
Elizabeth Moreton ◽  
Laura C. Hanson
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Transitional Care ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing

Nurses' Role in Managing “The Fit” of Older Adults in Skilled Nursing Facilities

2017 ◽  
Vol 43 (12) ◽  
pp. 11-20 ◽  
Author(s):  
Jacqueline Jones ◽  
Emily Lawrence ◽  
Amy Ladebue ◽  
Chelsea Leonard ◽  
Roman Ayele ◽  
...  
Keyword(s):  
Older Adults ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing ◽  
Nurses Role

scholarly journals The Triple Challenge of Recruiting Older Adults With Dementia and High Medical Acuity in Skilled Nursing Facilities

2013 ◽  
Vol 45 (4) ◽  
pp. 397-404 ◽  
Author(s):  
Ann Kolanowski ◽  
Paula Mulhall ◽  
Andrea Yevchak ◽  
Nikki Hill ◽  
Donna Fick
Keyword(s):  
Older Adults ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing

scholarly journals Decisions to Enter and Leave Skilled Nursing Facilities for Post-Acute Rehabilitation: A Qualitative Study

2020 ◽  
Vol 3 ◽  
Author(s):  
Daniel Chimitt ◽  
Jennifer Carnahan
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Comparative Method ◽  
Skilled Nursing Facilities ◽  
Phone Call ◽  
Healthcare Team ◽  
Discharge Process ◽  
Nursing Facilities ◽  
Skilled Nursing

Background and Hypothesis:   Approximately 40% of patients aged 80+ enter a Skilled Nursing Facility (SNF) following a hospitalization. SNFs can be used as “safety nets” to expedite the discharge process of older adults and it can be difficult to pinpoint how and who made the decision for a hospitalized older adult to discharge to a SNF.   This project examines the factors that drive older adults to enter and leave a SNF for their rehabilitation care.    Project Methods:   Interview transcripts from a qualitative study with patients and their caregivers were used to examine factors influencing admission to and discharge from SNFs. Baseline interviews were conducted within two to seven days after returning home from a SNF stay followed by a follow up phone call one to two weeks after the initial interview. Transcripts and audio files were coded (using NVivo version 12+) for major themes. Interviews were analyzed using a constant comparative method to elicit themes of interest to interviewees.    Results:   There were 24 baseline interviews and X follow up interviews performed with a total of 24 patients and 15 caregivers. The primary theme identified was that patients perceived a loss of autonomy when considering the decision-making process. 75% (18/24) patients or their caregivers felt the healthcare team told them they must go to a SNF for their rehabilitation. 38% (9/24) patients or caregivers felt they had no choice but to leave due to insurance coverage and 50% (12/24) stated that they needed more time.    Potential Impact:   To achieve better patient outcomes, one must understand both the purpose of skilled nursing facilities and also how patients and their families are feeling as they transition through this uncertain period of their lives. Restoring a patient’s sense of autonomy will foster better patient-healthcare relationships and improve trust in the system. 

Determinants of Quality of Life in Older Adults After Lower Limb Amputation and Rehabilitation in Skilled Nursing Facilities

2012 ◽  
Vol 60 (4) ◽  
pp. 796-798 ◽  
Author(s):  
Bianca I. Buijck ◽  
Sytse U. Zuidema ◽  
Monica S. van Eijk ◽  
Debby L. Gerritsen ◽  
Raymond TCM Koopmans ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Skilled Nursing Facilities ◽  
Limb Amputation ◽  
Nursing Facilities ◽  
Skilled Nursing

scholarly journals Patterns of Statin Use in Older Medicare Beneficiaries With Traumatic Brain Injury

2017 ◽  
Vol 33 (4) ◽  
pp. 156-166
Author(s):  
Bilal Khokhar ◽  
Linda Simoni-Wastila ◽  
Julia F. Slejko ◽  
Eleanor Perfetto ◽  
Min Zhan ◽  
...  
Keyword(s):  
Older Adults ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
National Sample ◽  
Pharmacological Therapy ◽  
Medicare Beneficiaries ◽  
Future Studies ◽  
Factors Associated ◽  
The Impact ◽  
Statin Use

Background: In addition to lowering lipids, statins also may be beneficial for older adults sustaining a traumatic brain injury (TBI), as statin use prior to and following trauma may decrease mortality following injury. However, despite statins’ potential to reduce mortality, there is limited research regarding statin use among older adults. Objective: To characterize and investigate factors associated with statin use among older adults with TBI. Methods: A retrospective drug utilization study was used to characterize statin use among Medicare beneficiaries 65 and older hospitalized with a TBI during 2006 to 2010 and with continuous Medicare Parts A, B, and D coverage 6 months prior and 12 months following TBI. Logistic regression was used to investigate the factors associated with statin use. The exposure of interest was statin use prior to and following TBI. Results: Of the 75 698 beneficiaries included in the study, 37 874 (~50%) of beneficiaries used a statin at least once during the study period. The most common statin used was simvastatin, while fluvastatin was the least used statin. Statin users were more likely to have cardiovascular diseases when compared to nonusers. Hyperlipidemia was a major factor associated with statin use and had the greatest impact on statin use compared to nonuse (odds ratio = 9.54; 95% confidence interval = 9.07, 10.03). Conclusions: This national sample of older adults with TBI suggests that statins are commonly used. Future studies must next examine the impact of statin use on mortality and secondary injury in order to shape pharmacological therapy guidelines following TBI.

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