Evaluating the Impact of Pharmacists on Reducing Use of Sedative/Hypnotics for Treatment of Insomnia in Long-Term Care Facility Residents

2016 ◽  
Vol 31 (11) ◽  
pp. 650-657 ◽  
Author(s):  
Maria Grazia Gemelli ◽  
Katherine Yockel ◽  
KennethC. Hohmeier
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Sedative Hypnotics ◽  
The Impact

scholarly journals Implementation of a Scheduled Toileting Program in a Long Term Care Facility: Evaluating the Impact on Injury Risk to Caregiving Staff

AAOHN Journal ◽  
2004 ◽  
Vol 52 (10) ◽  
pp. 427-435 ◽  
Author(s):  
Chris Engst ◽  
Rahul Chhokar ◽  
Dan Robinson ◽  
Ann Earthy ◽  
Annalee Yassi
Keyword(s):  
Injury Risk ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
The Impact

scholarly journals Introduction of a Waterless Alcohol-Based Hand Rub in a Long-Term–Care Facility

2003 ◽  
Vol 24 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Lona Mody ◽  
Shelly A. McNeil ◽  
Rongjun Sun ◽  
Suzanne F. Bradley ◽  
Carol A. Kauffman
Keyword(s):  
Hand Hygiene ◽  
Long Term Care ◽  
Care Facility ◽  
Microbial Colonization ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Hygiene Practices ◽  
The Impact

AbstractObjective:To examine the impact of introduction of an alcohol-based hand rub on hand hygiene knowledge and compliance and hand colonization of healthcare workers (HCWs) in a long-term-care facility (LTCF).Methods:Two floors of an LTCF participated. Ward A used the hand rub as an adjunct to soap and water; ward B was the control. HCWs' hands were cultured using the bag-broth technique forStaphylococcus aureus,gram-negative bacilli (GNB),Candida,and vancomycin-resistant enterococci (VRE). HCWs completed a questionnaire at baseline and after an educational intervention and introduction of rub.Results:Hand hygiene practices, knowledge, and opinions did not change after the educational or rub intervention. Ward A HCWs thought that the rub was faster (P= .002) and less drying (P= .04) than soap. Hand hygiene frequency did not differ at baseline between the two floors, but increased on ward A by the end of the study (P= .04). HCWs were colonized frequently with GNB (66%),Candida(41%), S.aureus(20%), and VRE (9%). Although colonization did not change from baseline on either ward, the rub was more effective in clearing GNB (P= .03) and S.aureus(P= .003). Nosocomial infection rates did not change.Conclusion:The alcohol-based hand rub was a faster, more convenient, less drying method of hand hygiene for HCWs in an LTCF, and it improved compliance. Although microbial colonization did not change, the rub was more efficacious in removing pathogens already present on the hands of HCWs.

scholarly journals Insights into the impact and use of research results in a residential long-term care facility: a case study

2012 ◽  
Vol 7 (1) ◽  
Author(s):  
Lisa A Cranley ◽  
Judy M Birdsell ◽  
Peter G Norton ◽  
Debra G Morgan ◽  
Carole A Estabrooks
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Research Results ◽  
Long Term Care Facility ◽  
The Impact ◽  
Residential Long Term Care

The Impact of Long-term Care Facility Bed Availability on Emergency Department Overcrowding

2007 ◽  
Vol 14 (5 Supplement 1) ◽  
pp. S84-S85
Author(s):  
J. Fan ◽  
A. Al-Darrab ◽  
M. McIssac ◽  
A. Worster ◽  
S. Upadhye ◽  
...  
Keyword(s):  
Emergency Department ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Emergency Department Overcrowding ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
The Impact

scholarly journals The Impact of COVID-19 Measures on Well-Being of Older Long-Term Care Facility Residents in the Netherlands

2020 ◽  
Vol 21 (11) ◽  
pp. 1569-1570 ◽  
Author(s):  
Henriëtte G. Van der Roest ◽  
Marleen Prins ◽  
Claudia van der Velden ◽  
Stephanie Steinmetz ◽  
Elske Stolte ◽  
...  
Keyword(s):  
The Netherlands ◽  
Long Term Care ◽  
Care Facility ◽  
Well Being ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
The Impact

scholarly journals The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility

2016 ◽  
Vol 4 (3) ◽  
pp. 423-427 ◽  
Author(s):  
Lenche Neloska ◽  
Katerina Damevska ◽  
Andjelka Nikolchev ◽  
Lidija Pavleska ◽  
Biljana Petreska-Zovic ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Long Term Care ◽  
Pressure Ulcers ◽  
Demographic Data ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
The Impact

BACKGROUND: Malnutrition is common in elderly and is a risk factor for pressure ulcers.AIM: The aim of the present study was to determine the prevalence of malnutrition in geriatric and palliative patients hospitalised in long-term care facility, and to examine the influence of nutritional status on the prevalence of pressure ulcers (PU).MATERIAL AND METHODS: Descriptive, observational and cross-sectional study including 2099 patients admitted to the Hospital during a 24 month period (January 2013 to December 2014). We recorded: demographic data, body mass index (BMI), Braden score, laboratory parameters of interest (albumin, total protein, RBC count, haemoglobin and iron levels) and presence or absence of malnutrition and pressure ulcers.RESULTS: The pressure ulcer prevalence was 12.9% (256 out of 2099). Based on the BMI classification, 61.7% of patients had a good nutritional status, 27.4% were undernourished, and 2.1% were considered malnourished. Nutritional status was statistically significantly different between patients with and without PU (p < 0.0001). This study also showed that hypoproteinemia, hypoalbuminemia, low RBC was positively associated with PU prevalence.CONCLUSION: The results highlight the impact of nutritional status on the prevalence of pressure ulcers in hospitalised geriatric and palliative population. It is of paramount importance to correctly evaluate the presence of malnutrition in patients at risk of pressure ulcers.

scholarly journals Assessment of pharmacotherapeutic safety of medical prescriptions for elderly residents in a long-term care facility

2012 ◽  
Vol 48 (3) ◽  
pp. 477-485 ◽  
Author(s):  
Fabiana Rossi Varallo ◽  
Ingrid Stephanie Stein Ambiel ◽  
Luana Orlandelli Nanci ◽  
José Carlos Fernandes Galduróz ◽  
Patricia de Carvalho Mastroianni
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
World Health ◽  
Potentially Inappropriate Medications ◽  
Cross Sectional ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
The Impact

The present study aimed to estimate the prevalence of elderly using potentially inappropriate medications (PIM) and with occurrence of potentially hazardous drug interactions (PHDI); to identify the risk factors for the prescription of PIM and to evaluate the impact of pharmaceutical intervention (PI) for the prescription of safer therapeutic alternatives. Therefore, a cross-sectional study was performed in a long-term care facility in São Paulo State, between December/2010 and January/2011. The medical records of the patients >60 years old who took any drugs were consulted to assess the pharmacotherapeutic safety of the medical prescriptions, in order to identify PIM and PHDI, according to the Beers (2003) and World Health Organization criteria, respectively. PI consisted of a guidance letter to the physician responsible for the institution, with the suggestions of safer equivalent therapeutics. Approximately 88% of the elderly took at least one drug, and for 30% of them the PIM had been prescribed. Most of the PIM identified (53.4%) act on the central nervous system. Among the 13 different DI detected, 6 are considered PHDI. Polypharmacy was detected as a risk factor for PIM prescription. After the PI there was no change in medical prescriptions of patients who had been prescribed PIM or PHDI. The data suggests that PI performed by letter, as the only interventional, method was ineffective. To contribute it a wide dissemination of PIM and PHDI among prescriber professionals is necessary for the selection of safer treatment for elderly. Additionally, a pharmacist should be part of the health care team in order to help promote rational use of medicines.

Sign in / Sign up

Export Citation Format

Share Document