scholarly journals Collaborative Assessment and Management of Suicidality in an inpatient setting: Results of a pilot study.

Psychotherapy ◽  
2012 ◽  
Vol 49 (1) ◽  
pp. 72-80 ◽  
Author(s):  
Thomas E. Ellis ◽  
Kelly L. Green ◽  
Jon G. Allen ◽  
David A. Jobes ◽  
Michael R. Nadorff
Keyword(s):  
Pilot Study ◽  
Inpatient Setting ◽  
Collaborative Assessment

Pilot study of the Collaborative Assessment and Management of Suicidality—Group

2021 ◽  
Author(s):  
Peter M. Gutierrez ◽  
Lora Johnson ◽  
Matthew C. Podlogar ◽  
Stacy Hagman ◽  
Tanner A. Muehler ◽  
...  
Keyword(s):  
Pilot Study ◽  
Collaborative Assessment

scholarly journals Effect of Bowel Preparation Volume in Inpatient Colonoscopy: Results of a Prospective, Randomized, Comparative Pilot Study

2019 ◽  
Author(s):  
Patricia V Hernandez ◽  
Jennifer L. Horsley-Silva ◽  
Diana L. Snyder ◽  
Noemi Baffy ◽  
Mary Atia ◽  
...  
Keyword(s):  
Pilot Study ◽  
Bowel Preparation ◽  
Medical Center ◽  
Controlled Trial ◽  
High Volume ◽  
Hospitalized Patients ◽  
Inpatient Setting ◽  
Volume Group ◽  
Low Volume ◽  
Colon Preparation

Abstract Background: Inpatient status has been shown to be a predictor of poor bowel preparation for colonoscopy; however, the optimal colon cleansing regimen protocol for hospitalized patients is unknown. Our aim was to compare the efficacy of bowel preparation volume size in hospitalized patients undergoing inpatient colonoscopy.Methods: This prospective, single blinded (endoscopist), randomized controlled trial was conducted as a pilot study at a tertiary referral medical center. Hospitalized patients undergoing inpatient colonoscopy were assigned randomly to receive a high, medium, or low-volume solution. Data collection included colon preparation quality based on the Boston Bowel Preparation Scale and a questionnaire given to all subjects, in which we evaluated the ability to completely finish bowel preparation and adverse effects (unpleasant taste, nausea, and vomiting). Results: Twenty-five colonoscopies were performed in 25 subjects. Patients who received low-volume prep averaged a higher mean total BBPS (7.4, SD 1.62), in comparison to patients who received high-volume (6.6, SD 2.19) and medium-volume prep (6.9, SD 1.55), P = 0.64. The low-volume group scored unpleasant taste as 0.6 (0.74), while the high-volume group gave unpleasant taste a score of 2.2 (0.97) and the medium-volume group gave a score of 2.1 (1.36), P < 0.01.Conclusion: Although not statistically significant, a low-volume colon preparation showed a trend of equivalent quality of bowel preparation measured by BBPS in comparison to traditional volume regimens, with less unpleasant taste, which may contribute to better patient compliance and therefore better bowel preparation in the inpatient setting. Further more robust studies are required to confirm these findings.Trial registration: clinicaltrials.gov NCT01978509

scholarly journals Effect of Bowel Preparation Volume in Inpatient Colonoscopy. Results of a Prospective, Randomized, Comparative Pilot Study

2020 ◽  
Author(s):  
Patricia V Hernandez ◽  
Jennifer L. Horsley-Silva ◽  
Diana L. Snyder ◽  
Noemi Baffy ◽  
Mary Atia ◽  
...  
Keyword(s):  
Pilot Study ◽  
Bowel Preparation ◽  
Medical Center ◽  
Controlled Trial ◽  
High Volume ◽  
Hospitalized Patients ◽  
Inpatient Setting ◽  
Volume Group ◽  
Low Volume ◽  
Colon Preparation

Abstract Background: Inpatient status has been shown to be a predictor of poor bowel preparation for colonoscopy; however, the optimal bowel preparation regimen for hospitalized patients is unknown. Our aim was to compare the efficacy of bowel preparation volume size in hospitalized patients undergoing inpatient colonoscopy. Methods: This prospective, single blinded (endoscopist), randomized controlled trial was conducted as a pilot study at a tertiary referral medical center. Hospitalized patients undergoing inpatient colonoscopy were assigned randomly to receive a high, medium, or low-volume preparation. Data collection included colon preparation quality, based on the Boston Bowel Preparation Scale, and a questionnaire given to all subjects evaluating the ability to completely finish bowel preparation and adverse effects (unpleasant taste, nausea, and vomiting). Results: Twenty-five colonoscopies were performed in 25 subjects. Patients who received low-volume preparation averaged a higher mean total BBPS (7.4, SD 1.62), in comparison to patients who received high-volume (7.0, SD 1.41) and medium-volume prep (6.9, SD 1.55), P = 0.77. When evaluating taste a higher score meant worse taste. The low-volume group scored unpleasant taste as 0.6 (0.74), while the high-volume group gave unpleasant taste a score of 2.2 (0.97) and the medium-volume group gave a score of 2.1 (1.36), P < 0.01. Conclusion: In this pilot study, the low-volume colon preparation Prepopik® may be preferred in the inpatient setting due its better rate of tolerability and comparable bowel cleanliness when compared to larger volume preparation, although we cannot overreach any definitive conclusion. Further more robust studies are required to confirm these findings.

Exploring family relationships through associations of comfort, relatedness states, and life closure in hospice patients: A pilot study

2014 ◽  
Vol 13 (2) ◽  
pp. 305-311 ◽  
Author(s):  
Dana M. Hansen ◽  
Patricia A. Higgins ◽  
Camille Beckette Warner ◽  
M. Murray Mayo
Keyword(s):  
Pilot Study ◽  
End Of Life ◽  
Family Relationships ◽  
Inpatient Setting ◽  
Family Interactions ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Home Setting ◽  
For Profit ◽  
Visual Analog Scales

AbstractObjective:Research at the end of life tends to focus on the dying patient's symptoms, often overlooking issues associated with family interactions. However, many families struggle just to maintain or initiate these valuable connections. The purpose of our pilot study was to explore family relationships at the end of life and investigate associations among perceived comfort, relatedness states, and life closure.Method:This descriptive study used a cross-sectional design, and a convenience sample (n = 30; 18 women; mean age = 71 years) was recruited from patients admitted to a large not-for-profit hospice in northeastern Ohio. In-person interviews using the Hospice Comfort Questionnaire, Relatedness States Visual Analog Scales, and the Life-Closure Scale provided data for analyses.Results:Family interactions that were not associated with the physical tasks of caregiving were related to life closure (r = 0.36, p = 0.001), and life closure and comfort were highly correlated (r = 0.69, p < 0.001). Participants residing in an inpatient setting had higher levels of involvement (t[18] = –2.07, p = 0.05) and comfort in relationships (t[28] = –2.06, p = 0.05) than those in the home setting.Significance of Results:This is the first known study investigating the associations among comfort, relatedness, and life closure at the end of life. The majority of participants had high levels of involvement and comfort in their relationships, and they preferred interactions that required minimal effort. Studies that focus on both patients' and family members' perceptions of relationships are needed as well as outcome studies that test simple interventions.

scholarly journals 50. Pilot Study on Offering HIV Pre-Exposure Prophylaxis (PrEP) to People Who Inject Drugs (PWID) in the Inpatient Setting

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S35-S35
Author(s):  
Terry A Marryshow ◽  
Jose Caro
Keyword(s):  
Pilot Study ◽  
Perceived Risk ◽  
Effective Means ◽  
Significant Proportion ◽  
Hiv Infections ◽  
The United States ◽  
Further Education ◽  
High Risk Population ◽  
Inpatient Setting ◽  
People Living With Hiv

Abstract Background Due to the ongoing opioid epidemic, PWID represent an increasingly high-risk population for HIV infections in the United States, accounting for 10% of all new HIV diagnoses in 2018 and 12.5% of all deaths among people living with HIV. PrEP is an effective means of preventing HIV, though uptake has been low among PWID, possibly due to low access to care. Inpatient admissions may represent missed opportunities for provision of PrEP to PWID. Methods Inpatient prescriptions for tenofovir disoproxil fumarate-emtricitabine (TDF-FTC) from 10/2019 to 8/2020 were analyzed to assess baseline provision of PrEP to PWID. Physicians on the Infectious Diseases ward service were anonymously queried on perceived barriers and their practices regarding provision of PrEP to PWID. PWID admitted from 9/2020 to 5/2021 were approached at bedside, provided counseling on PrEP and offered initiation prior to discharge. We analyzed patient perceptions and acceptance of PrEP. Results 16 total prescriptions for TDF-FTC were provided at discharge from 10/2019 to 8/2020, with 0 being for PrEP in PWID. The 8 physicians surveyed estimated caring for an average 4 PWID per week of service. 5/8 physicians reported that at least one PWID was offered PrEP during their most recent week of service. The most commonly reported physician barrier to prescribing PrEP was uncertainty regarding adherence and follow up (5/8). 30 patients were approached, with 14 reporting prior knowledge of PrEP. 18 were willing to engage in further education. Only 4 were accepting of PrEP, with 2 provided prescriptions. Of those declining, 13 denied equipment sharing, 4 denied active drug use, 7 stated a commitment to future abstinence, 3 were unwilling to adhere to a daily medication, 2 declined due to concerns of adverse effects and 1 due to concerns regarding stigma. Table 1. Physician Reported Barriers to Prescribing PrEP (n = 8) Table 2. Patient Knowledge and Acceptance of PrEP (n = 30) Table 3. Patient Reasons for Declining PrEP (n = 30) Conclusion In this pilot study, few admitted PWID were accepting of PrEP. Attempts to initiate PrEP in PWID in the inpatient setting may not be effective at our institution. The most common reason for declining was low self-perceived risk of HIV acquisition; however, a significant proportion of patients showed interest in further education. Therefore, the inpatient setting may be a valuable site of initial counseling and referral for future potential provision of PrEP in the outpatient setting. Disclosures All Authors: No reported disclosures

scholarly journals Activity Aprons for Inpatients Requiring Individual Nursing Assignment Care: A Prospective Randomized Controlled Pilot Study

2018 ◽  
Vol 8 (4) ◽  
pp. 183-187
Author(s):  
Michael W. Ruff ◽  
Anthony Fine ◽  
Jay Mandrekar ◽  
Cindy Sweeney ◽  
Lyell K. Jones ◽  
...  
Keyword(s):  
Pilot Study ◽  
Standard Care ◽  
Hospital Setting ◽  
Length Of Hospital Stay ◽  
Standard Of Care ◽  
Control Group ◽  
Inpatient Setting ◽  
Term Care ◽  
Randomized Controlled ◽  
Restraint Use

Background: Activity aprons are commercially available products used to occupy patients with dementia at home or in long-term care facilities. We hypothesized that inpatient use of activity aprons could potentially reduce or eliminate behaviors that result in self-harm, increased nursing supervision, and restraint use in an inpatient hospital setting. Methods: A single-center prospective randomized controlled pilot study was performed from July 2015 to November 2016 comparing activity apron plus standard care versus standard care alone. Consecutively enrolled patients were randomized by stratified randomization using age (cutoff: 80 years) and preexisting diagnosis of dementia or cognitive impairment. Primary outcomes were safety and feasibility of apron use. Secondary outcomes included duration of hospitalization postrandomization and individual nursing assignment (IA), time in restraints, nonphysical restraints use, falls, apron-related complications, dismissal destination, and 30-day hospital readmission. Results: Thirty patients were enrolled, with 13 randomized to apron and 17 randomized to the control group. There was no statistically significant reduction in mean length of hospital stay (15.8 vs 21.5 day; P = .40), duration of IA compared to non-apron control group (6.4 vs 9.1, respectively; P = .39), or antipsychotic medication use (61.5% vs 70.6% in control group; P = .60). No complications secondary to apron use were seen. Conclusions: Activity aprons are a safe addition to the standard of care when managing encephalopathic patients in the inpatient setting. These aprons may have a role as part of a comprehensive complement of interventions to address delirium and encephalopathy in hospitalized patients.

A Pilot Study to Test the Practicality and Efficiency of Methods Used to Evaluate Colon Cleansing in an Inpatient Setting

2010 ◽  
Vol 33 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Marilee Schmelzer ◽  
Nancy Nardelli ◽  
Lori Wilson ◽  
Shari Mirzaei ◽  
Shelley Long
Keyword(s):  
Pilot Study ◽  
Inpatient Setting ◽  
Colon Cleansing

Mental Health Recovery Through "Art Therapy": A Pilot Study in Portuguese Acute Inpatient Setting

2019 ◽  
Vol 40 (5) ◽  
pp. 399-404 ◽  
Author(s):  
Carlos Laranjeira ◽  
Clara Campos ◽  
Aida Bessa ◽  
Goreti Neves ◽  
Maria Isabel Marques
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Art Therapy ◽  
Mental Health Recovery ◽  
Inpatient Setting
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