Factors associated with attrition rate in a supportive care service for substance using pregnant women in Brazil

2017 ◽  
Vol 26 (7) ◽  
pp. 676-679 ◽  
Author(s):  
Rosa Marina Avilla ◽  
Juliana Surjan ◽  
Maria de Fátima Ratto Padin ◽  
Martha Canfield ◽  
Ronaldo Ramos Laranjeira ◽  
...  
Keyword(s):  
Supportive Care ◽  
Pregnant Women ◽  
Care Service ◽  
Attrition Rate ◽  
Factors Associated ◽  
Supportive Care Service

scholarly journals Factors Associated with Supportive Care Service Use Among California Alzheimer’s Disease Patients and Their Caregivers

2020 ◽  
Vol 73 (1) ◽  
pp. 77-86
Author(s):  
Lori A. Newkirk ◽  
Virginia L. Dao ◽  
Joshua T. Jordan ◽  
Loren I. Alving ◽  
Helen D. Davies ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Supportive Care ◽  
Service Use ◽  
Care Service ◽  
Factors Associated ◽  
Supportive Care Service

scholarly journals LEVEL OF FOOD CONSUMPTION SCORE AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN AT SHEGAW MOTTA HOSPITAL, NORTHWEST ETHIOPIA

2020 ◽  
Author(s):  
Mehariw Birhan ◽  
Tsegahun Worku ◽  
Mekuanint Taddele ◽  
Zewdie Aderaw
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Food Consumption ◽  
Associated Factors ◽  
Care Service ◽  
Northwest Ethiopia ◽  
Vulnerable Groups ◽  
Factors Associated ◽  
Food Consumption Score ◽  
Study Participants

ABSTRACTBackgroundAll populations are at risk for poor food consumption, but pregnant women are the most vulnerable groups for poor food consumption particularly for those in resource limiting settings like Ethiopia. However, there is a lack of literature for food consumption score in these population groups and study area. Therefore, the results of this study may give information for local decision makers.ObjectiveTo assess level of food consumption score and associated factors among pregnant women attending antenatal service at Shegaw Motta Hospital, Northwest Ethiopia, 2018.MethodInstitution based cross-sectional study design was conducted among 422 pregnant women attending antenatal care service at Shegaw Motta Hospital from February 23, 2018-April 3, 2018. A systematic random sampling technique was used to select study participants. Data were collected using interviewer administered structured questionnaire and coded and entered to Epi-Data version 3.1 then exported to SPSS version 23 for analysis. Binary Logistic Regression was used for analysis.ResultA total of 422 pregnant women with response a rate of 100% participated in the study. The overall food consumption score among pregnant women was found to be eight of study participants [1.9% (95% CI: 0.7, 3.3)] reported that their food consumption score were poor, seventy of them [16.6% (95% CI: 13.0, 20.4)] were borderline and the remaining 81.5 % (95% CI: 77.5, 85.1) of them had acceptable food consumption score. Residence, being rural or urban [AOR=4.594(95% CI: 1.871, 11.283)], religion status, being an Orthodox or others [AOR= 0.073(95% CI: 0.021, 0.254)], were factors associated with food consumption score.Conclusion and recommendationFood consumption scores among pregnant women was found to be highly unacceptable. Residence and religion were factors associated with food consumption score. Therefore, appropriate nutrition education should be given.

Development of an integrated palliative and supportive care service within an academic cancer center.

2018 ◽  
Vol 36 (34_suppl) ◽  
pp. 99-99
Author(s):  
Sarah Loschiavo ◽  
Trena Stoute ◽  
Karen Hook
Keyword(s):  
Supportive Care ◽  
Medical Oncology ◽  
Care Service ◽  
Cancer Center ◽  
Name Change ◽  
Team Meetings ◽  
Supportive Care Service ◽  
Assessment Survey ◽  
One Year ◽  
Needs Assessment Survey

99 Background: Timely incorporation of palliative services with chemotherapy treatment has become a new standard of care for oncology patients based on evidence-driven national clinical practice guidelines. However, best practices for service integration are not known, particularly for small academic centers. In our 224 bed university hospital, we hypothesized that advertisement, responsiveness to needs and service integration would result in increased utilization of palliative and supportive care. We report the process of developing our Integrated Model of Care. Methods: The program began with a 1.0 FTE APRN boarded as a FNP and certified as an advanced hospice and palliative nurse. The goal was to identify opportunities for her integration within the outpatient cancer center. A needs-assessment survey was sent to medical oncology faculty with the following items: proposed change in service name, care areas of greatest need, limitations to providing palliative care, additional growth opportunities. The Interdisciplinary Supportive Care Team was created utilizing existing staff. One year of billed consults were reviewed. The APRN attended tumor boards, team meetings, biweekly Interdisciplinary Team Meetings, communicated directly with the Inpatient Hem/Onc Team and provided educational sessions. Results: Needs assessment survey and service name change proposal sent to 14 oncology providers: 50% completed survey; seven responded YES to name change; zero providers responded NO. Of the 489 consults billed within the 1st year of service, 249 were inpatient and 240 outpatients. 168 individual patients were referred; > 72 patients were referred to palliative/hospice services; > 82 patients died. One year satisfaction survey; 17 respondents; 88.23% were satisficed and 100% would consult again. Conclusions: Medical oncology faculty at our institution responded favorably to the development of a designated “Oncology Supportive Care Service” evidenced by increased consultation and utilization of services. Optimizing clinical infrastructure, processes, education and research has led to the success of this integrated care model, lending to recruitment of additional allied health professionals and ongoing program growth.

MULTIPLE ORGAN FAILURE PATIENTS ON A HOSPITAL SUPPORTIVE CARE SERVICE

1988 ◽  
Vol 16 (4) ◽  
pp. 410
Author(s):  
Brenda E. Field ◽  
Lynn Devich ◽  
Marilyn T. Haupt ◽  
Richard W. Carlson
Keyword(s):  
Supportive Care ◽  
Multiple Organ Failure ◽  
Organ Failure ◽  
Care Service ◽  
Multiple Organ ◽  
Supportive Care Service

The integrated care service: Impact of a multidisciplinary supportive care service for medical oncology patients in a NCI-designated cancer center.

2018 ◽  
Vol 36 (34_suppl) ◽  
pp. 134-134
Author(s):  
Finly Zachariah ◽  
Denise Morse ◽  
Lucia Kinsey ◽  
Marianna Koczywas ◽  
Ravi Salgia ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Supportive Care ◽  
Integrated Care ◽  
Medical Oncology ◽  
Care Service ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Readmission Rates ◽  
Supportive Care Service ◽  
The Impact

134 Background: Palliative care (PC) has shown benefits to inpatient length of stay (LOS), symptom burden reduction, utilization decrease, and time on hospice. It has shown less impact on the rate of hospice referrals. We assessed the impact of an integrated care model on these outcomes. Methods: From Jan-July, 2018, the Department of Supportive Care Medicine collaborated with medical oncology (med onc), nursing and administration to create the Integrated Care Service (ICS). Multi-disciplinary rounds include med onc, supportive care (PC, social work, spiritual care, psychiatry, psychology, hospice liaison), nursing, case management, nutrition, and physical and occupational therapy. The admission criteria include: 1) Later-stage disease; 2) Non-curative intent therapy; 3) High distress burden; and 4) Poor prognosis. The ICS was designed to have geographic co-location, morning PC and med onc rounds, multidisciplinary rounds, and post-acute management. The ICS was compared with other med onc patients (non-ICS) and Mantel-Haenszel Chi-Square statistical significance (p<0.05) was calculated using Epi Info StatCalc. Results: In 6 months, 190 med onc patients (pts) were admitted to ICS versus 537 non-ICS pts. Compared with non-ICS, the ICS pts had a higher Case Mix Index (1.81 vs. 1.56) and metastatic disease incidence (95% vs. 78%, p=0.008). Discharge to hospice was higher from ICS versus non-ICS (23% vs. 7%, p=<0.001), and average time on hospice increased from 9 to 15 days. No chemotherapy was given in the last two weeks of life to any pts on ICS (0 vs. 6 non-ICS pts). Length of stay (LOS) was higher on ICS as compared to non-ICS (8.45 vs. 5.26 days) and readmission rates were similar (12% vs. 13%). Conclusions: For medical oncology pts in a comprehensive cancer center, the ICS, an integrated, multidisciplinary supportive care service, significantly improved discharge rates to hospice, increased LOS on hospice by almost a week, avoided patients receiving chemotherapy, and maintained similar readmission rates. LOS was higher for complex ICS patients as compared to non-ICS. Based on this pilot, the ICS is planning for expansion to include hematology and surgical services.

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