Nurse and patient factors: Predicting seclusion in adolescent psychiatric units

2021 ◽  
Author(s):  
Miriam K. Yurtbasi ◽  
Glenn Melvin ◽  
Christine Pavlou ◽  
Michael Gordon
Keyword(s):  
Patient Factors ◽  
Psychiatric Units

scholarly journals An audit of the management of nicotine withdrawal in an Australian inpatient unit: are we there yet?

2017 ◽  
Vol 26 (1) ◽  
pp. 13-19 ◽  
Author(s):  
Reena Iyer ◽  
David Smith ◽  
Sharon Lawn
Keyword(s):  
Nicotine Dependence ◽  
Smoking Status ◽  
South Australia ◽  
Nicotine Withdrawal ◽  
Patient Factors ◽  
Optimal Care ◽  
Chi Square ◽  
Psychiatric Setting ◽  
Smoke Free Policy ◽  
Psychiatric Units

Objectives: This paper reports outcomes of a clinical audit of smoke-free policy implementation within an Australian inpatient psychiatric setting. It aimed to evaluate assessment of smoking status and subsequent management of nicotine withdrawal, and investigate any patient factors influencing these processes. Methods: A total of 67 medical case notes were retrospectively analysed for inpatients admitted to psychiatric units of a general hospital in South Australia, from July to September 2015. Patient demographic variables and information from the hospital’s Smoking Assessment and Management Form (SAMF) were recorded. Data analysis involved descriptive statistics and Chi-square tests of association between dependent variables (how the SAMF was completed) and independent variables (sex, voluntary status, diagnosis). Results: The SAMF was implemented for most patients (76.1%), with 64.71% completed within 24 hours of admission; though, many were incomplete. Nicotine dependence was not properly assessed for 42.3% of smokers; 69.23% were prescribed nicotine replacement therapy (NRT), despite most scoring moderate to high nicotine dependence. No statistically significant relationships were found between patient factors and form completion. Conclusions: SAMF completion was timely for most patients; however, sections important for determining support actions remained largely incomplete, suggesting patients’ nicotine withdrawal is not being adequately addressed. More work is needed to improve inpatient staff’s assessment to ensure optimal care.

A Case for Medical-Psychiatric Units

2006 ◽  
Vol 34 (10) ◽  
pp. 71
Author(s):  
MICHAEL J. SERBY
Keyword(s):  
Psychiatric Units

Substance Use Among Patients Admitted to Psychiatric Units in Harare, Zimbabwe

2019 ◽  
Author(s):  
Chido Rwafa ◽  
Walter O. Mangezi ◽  
Munyaradzi Madhombiro
Keyword(s):  
Substance Use ◽  
Psychiatric Units

Patient Factors that Predict Completion Proctectomy in Crohn's Disease

2019 ◽  
Vol 85 (4) ◽  
pp. 431-433
Author(s):  
Sandra L. Kavalukas ◽  
Alexander T. Hawkins ◽  
Rebeccah B. Baucom ◽  
Roberta L. Muldoon ◽  
M. Benjamin Hopkins ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Patient Factors

Variation in antibiotic use across intensive care units (ICU): A population-based cohort study in Ontario, Canada

2020 ◽  
Vol 41 (9) ◽  
pp. 1035-1041
Author(s):  
Erika Y. Lee ◽  
Michael E. Detsky ◽  
Jin Ma ◽  
Chaim M. Bell ◽  
Andrew M. Morris
Keyword(s):  
Cohort Study ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Ventilatory Support ◽  
Severity Of Illness ◽  
Antibiotic Use ◽  
Patient Factors ◽  
Days Of Therapy ◽  
Level 3 ◽  
Level 2

AbstractObjectives:Antibiotics are commonly used in intensive care units (ICUs), yet differences in antibiotic use across ICUs are unknown. Herein, we studied antibiotic use across ICUs and examined factors that contributed to variation.Methods:We conducted a retrospective cohort study using data from Ontario’s Critical Care Information System (CCIS), which included 201 adult ICUs and 2,013,397 patient days from January 2012 to June 2016. Antibiotic use was measured in days of therapy (DOT) per 1,000 patient days. ICU factors included ability to provide ventilator support (level 3) or not (level 2), ICU type (medical-surgical or other), and academic status. Patient factors included severity of illness using multiple-organ dysfunction score (MODS), ventilatory support, and central venous catheter (CVC) use. We analyzed the effect of these factors on variation in antibiotic use.Results:Overall, 269,351 patients (56%) received antibiotics during their ICU stay. The mean antibiotic use was 624 (range 3–1460) DOT per 1,000 patient days. Antibiotic use was significantly higher in medical-surgical ICUs compared to other ICUs (697 vs 410 DOT per 1,000 patient days; P < .0001) and in level 3 ICUs compared to level 2 ICUs (751 vs 513 DOT per 1,000 patient days; P < .0001). Higher antibiotic use was associated with higher severity of illness and intensity of treatment. ICU and patient factors explained 47% of the variation in antibiotic use across ICUs.Conclusions:Antibiotic use varies widely across ICUs, which is partially associated with ICUs and patient characteristics. These differences highlight the importance of antimicrobial stewardship to ensure appropriate use of antibiotics in ICU patients.

scholarly journals Predictors of Caregiver Burden in Delirium: Patient and Caregiver Factors

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 254-255
Author(s):  
Patricia Tabloski ◽  
Franchesca Arias ◽  
Nina Flanagan ◽  
Tamara Fong ◽  
Eva Schmitt ◽  
...  
Keyword(s):  
Caregiver Burden ◽  
Living Arrangements ◽  
Living Arrangement ◽  
Patient Characteristics ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Functional Domain ◽  
Medical Patients ◽  
Patient Factors ◽  
Caregiver Relationship

Abstract Delirium — an acute disorder of attention and cognition — is a common, life-threatening and costly syndrome occurring frequently in older hospitalized persons. The unexpected, rapid, and volatile nature of delirium can be difficult for family caregivers to experience and may contribute to subjective feelings of distress (i.e. “delirium burden”). The aim of this study was to examine whether pre-admission patient characteristics or patient-caregiver relationship and living arrangements were associated with caregiver burden as measured by the delirium burden scale for caregivers (DEL-B-C; score 0-40, higher score is more burden). Our sample consisted of 208 older adults and their caregivers from the Better Assessment of Illness (BASIL) study, an ongoing prospective, observational study of surgical and medical patients ≥70 years old; 22% of patients experienced delirium by the Confusion Assessment Method (CAM) and the average DEL-B-C score was 7.9, 95% CI(6.95-8.88). Results indicated that neither patient-caregiver relationship and living arrangement or patient factors including pre-admission pain, sleep disturbance, or new onset incontinence were significantly correlated with delirium-related caregiver burden. However, DEL-B-C scores were significantly higher in caregivers of patients with any ADL impairment (mean 8.5 vs. 5.2, p = .016) during hospitalization although none of the individual functional deficits alone were statistically significant. This finding suggests that the association of ADL impairment and DEL-B-C scores is not driven by a single functional domain. Future studies are needed to further understand how caregiver characteristics and patient factors occurring before and during hospitalization contribute to caregiver burden after the occurrence of delirium.

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