Providing Acute Care at Home: Community Paramedics Enhance an Advanced Illness Management Program-Preliminary Data

2016 ◽  
Vol 64 (12) ◽  
pp. 2572-2576 ◽  
Author(s):  
Karen A. Abrashkin ◽  
Jonathan Washko ◽  
Jenny Zhang ◽  
Asantewaa Poku ◽  
Hyun Kim ◽  
...  
Keyword(s):  
Acute Care ◽  
Preliminary Data ◽  
Management Program ◽  
Illness Management ◽  
Advanced Illness ◽  
Care At Home ◽  
Home Community ◽  
At Home

scholarly journals 085Southern Trust Acute Care at Home Service for Older People

2017 ◽  
Vol 46 (Suppl_3) ◽  
pp. iii1-iii12
Author(s):  
Ann McCann ◽  
Patricia McCaffrey ◽  
Gail Nicholson ◽  
Eamon Farrell
Keyword(s):  
Older People ◽  
Acute Care ◽  
Home Service ◽  
Care At Home ◽  
At Home

Acute? Care at Home

2001 ◽  
Vol 49 (8) ◽  
pp. 1123-1125 ◽  
Author(s):  
Bruce Leff
Keyword(s):  
Acute Care ◽  
Care At Home ◽  
At Home

scholarly journals 266 Patient and Carers Experience of an Acute Care at Home Team: A Service Evaluation

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Deborah Toal ◽  
DrPatricia McCaffrey
Keyword(s):  
Acute Care ◽  
Hospital Care ◽  
Treatment Plan ◽  
Service Evaluation ◽  
X Rays ◽  
Home Team ◽  
Small Areas ◽  
Assessment And Treatment ◽  
Care At Home ◽  
At Home

Abstract Background The Aim of the Acute Care at Home Team is to provide acute care to over 65's in the patient's own home, providing assessment and treatment of acute conditions such as pneumonia, urinary sepsis and heart failure. It is a multidisciplinary team that works together to streamline services to enable a patient to stay safely in their own home. A full comprehensive geriatric assessment is carried out in all patients to help improve patient outcomes. The patients have full access to in patient services such as scans, and x-rays. All blood tests are treated as urgent to ensure the patient is in no way disadvantaged by being treated by acute care at home compared with hospital care. The aims and objectives are to explore patient and family experiences and identify any areas for improvement. Methods A service users and carers experience Questionnaire (N=31) was used to gain insight into how satisfied the patient or family were with the service and what the experience was like having the team come into their home. Results Patient satisfaction with this Acute Care at Home Team was reported at 100%. Patients were happy with the care they received, 100% of patients were happy with staff's knowledge of their condition and treatment plan. All of the respondents stated they would both recommend the service and use it again. The qualitative responses were in keeping with 100% satisfaction in that they were positive in nature. Conclusion This service evaluation has shown that patient and carer experience of this Acute Care at Home Team is a positive one, with 100% satisfaction levels. There are some small areas to be improved upon, however the results show this service is providing the over 65 population with a good experience of being treated at home as an alternative to hospital care when acutely unwell.

Hospital/Acute Care at Home

2021 ◽  
Vol 35 (6) ◽  
pp. 281-283
Author(s):  
Kevin Worth ◽  
Laure Lisk ◽  
Elizabeth Ann Scruth
Keyword(s):  
Acute Care ◽  
Care At Home ◽  
At Home

scholarly journals Acute Care at Home During the COVID-19 Pandemic Surge in Boston

2021 ◽  
Author(s):  
David Michael Levine ◽  
Henry Mitchell ◽  
Nicole Rosario ◽  
Robert B. Boxer ◽  
Charles A. Morris ◽  
...  
Keyword(s):  
Acute Care ◽  
Care At Home ◽  
At Home

scholarly journals Evaluating the impact of an Acute Care at Home service on acute hospital admissions

2017 ◽  
Vol 17 (5) ◽  
pp. 451 ◽  
Author(s):  
Eamon Farrell ◽  
Patricia McCaffrey ◽  
Roisin Toner ◽  
Catherine Sheeran
Keyword(s):  
Acute Care ◽  
Hospital Admissions ◽  
Acute Hospital ◽  
Home Service ◽  
Care At Home ◽  
The Impact ◽  
At Home

scholarly journals 10 Initiating and Improving Emergency Department-Based Processes for Acute Care at Home as an Alternative to Admission

2017 ◽  
Vol 70 (4) ◽  
pp. S4-S5
Author(s):  
A. Stuck ◽  
C. Crowley ◽  
V.T. Tolia ◽  
A.A. Kreshak ◽  
J.P. Killeen ◽  
...  
Keyword(s):  
Emergency Department ◽  
Acute Care ◽  
Care At Home ◽  
At Home

scholarly journals 193A Review of the Acute Care at Home Service in the Southern Trust

2018 ◽  
Vol 47 (suppl_5) ◽  
pp. v13-v60
Author(s):  
Anna Louise Alexander ◽  
Gail Nicholson ◽  
Patricia McCaffrey
Keyword(s):  
Acute Care ◽  
Home Service ◽  
Care At Home ◽  
At Home

scholarly journals 162 An Audit of Comprehensive Geriatric Assessment in the Southern Trust Acute Care at Home Service

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Ann McCann ◽  
Patricia McCaffrey ◽  
Deborah Toal
Keyword(s):  
Visual Acuity ◽  
Acute Care ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Cochrane Review ◽  
Care Planning ◽  
Advanced Care Planning ◽  
Electronic Assessment ◽  
Care At Home ◽  
At Home

Abstract Background The population is ageing. Acute Care at Home (AC@H) is a consultant led multidisciplinary team, providing acute non-critical care to our older population, preventing hospital admissions and promoting a better quality of life and supporting them to live independently for longer. A recent Cochrane review shows that older people who receive Comprehensive Geriatric Assessment rather than routine medical care after admission to hospital are more likely to be living at home and are less likely to be admitted to a nursing home at up to a year after hospital admission. Methods One-hundred patient charts were selected at random who had been under the AC@H team between 2016 and 2018. The nursing and medical assessments were reviewed to assess how well Comprehensive Geriatric Assessment was being carried out. The domains selected for audit are shown in the results table Results The domains were assessed appropriately as follows in percentages - Dementia 93%, Delerium 85%, Depression 6%, Falls, 99%, Fractures/Osteoporosis: 27%, Medication/Polypharmacy: 100%, Pain: 91%, Nutrition: 98%, Skin: 93%, Incontinence: 94%, Advanced Care Planning: 39%, Visual Acuity: 7%, Social Support: 99% Conclusion Whilst some areas of Comprehensive Geriatric Assessment are achieved adequately, others are not. Our electronic assessment did not include a Geriatric Depression Score. Although pain was frequently assessed, again a score was not always used. Other areas for improvement include visual acuity, fractures and osteoporosis and advanced care planning The results of this audit have been presented to the team, adjustments have been made to our electronic assessments so that we can record and capture this data better. There will be a reaudit in 6 month’s to evaluate improvement.

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