Archivo de la categoría: Scoop.it

Thrombosis and Thrombocytopenia after ChAdOx1 nCoV-19 Vaccination | NEJM

Summary We report findings in five patients who presented with venous thrombosis and thrombocytopenia 7 to 10 days after receiving the first dose of the ChAdOx1 nCoV-19 adenoviral vector vaccin

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Traversing the Edge of Chaos: Phase 1 and 2 preparations for post COVID-19 world

Kevin Kelly: What can we do now and what should prepare for for Fall 2020 and beyond with COVID-19 response? #MindWiresOnline

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Resource allocation across the dementia continuum: a mixed methods study examining decision making on optimal dementia care among health and social care professionals | BMC Health Services Research…

Background The understanding of appropriate or optimal care is particularly important for dementia, characterised by multiple, long-term, changing needs and the increasing expectations of people using services. However, the response of health and social care services is limited by resource constraints in most countries. This study sought to determine the optimal level, mix and cost of services for different dementia case types across the dementia continuum, and to better understand the resource allocation decision making process among health and social care professionals (HSCPs). Methods A balance of care framework was applied to the study questions and developed in three ways; firstly by considering optimality across the course of dementia and not just at the margin with residential care; secondly, through the introduction of a fixed budget to reveal constrained optimisation strategies; and thirdly through the use of a mixed methods design whereby qualitative data was collected at workshops using nominal group technique and analysed to obtain a more detailed understanding of the decision-making process. Twenty four HSCPs from a variety of disciplines participated in the resource allocation decision-making exercise. Results HSCPs differentiated between case type severity; providing 2.6 times more resources to case types with higher level needs than those with lower level needs. When a resource constraint was introduced there was no evidence of any disproportionate rationing of services on the basis of need, i.e. more severe case types were not favoured over less severe case types. However, the fiscal constraint led to a much greater focus on meeting physical and clinical dependency needs through conventional social care provision. There was less emphasis on day care and psychosocial provision when resources were scarcer following the introduction of a fixed budget constraint. Conclusions HSCPs completed complex resource allocation exercises for people with dementia, including expected differentiation across case type severity. When rationing was introduced, HSCPs did not discriminate in favour of case types with high levels of need. They did, however, support conventional home care provision over psychosocial care, although participants were still keen to provide some residual cover for the latter, especially for case types that might benefit.

Read the full article at: bmchealthservres.biomedcentral.com

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Newsletter January 2021

From the editor Happy New Year to all. It is pleasing to see how interRAI instruments are implemented across multiple situations which confirms the versatility of our systems. This newsletter also inc

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An MDS 3.0 Distressed Behavior in Dementia Indicator (DBDI): A Clinical Tool to Capture Change – Curyto – 2021 – Journal of the American Geriatrics Society – Wiley Online Library

Background/Objectives

Persons with dementia frequently demonstrate distress behaviors in dementia (DBD), associated with poorer outcomes. This study aimed to create a measure of DBD from routinely administered Minimum Data Set (MDS 3.0) behavior section items that demonstrated sensitivity to change, for evaluation of intervention efforts for VA Community Living Center (CLCs) residents exhibiting DBD.

 

The Distress Behavior in Dementia Indicator (DBDI) was created as a consistent factor with internal consistency, and was related to a validated measure as predicted at baseline and post‐intervention. Sensitivity to change was demonstrated by using change score correlations (r = 0.40–0.50), effect size (d = 0.63), and reliable change indices.

Conclusion

The DBDI is recommended for routine use in CLCs to evaluate impact of intervention effectiveness and provide quality improvement feedback.

Read the full article at: agsjournals.onlinelibrary.wiley.com

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The Minimum Data Set: An Opportunity to Improve Spasticity Screening

Spasticity is a common movement disorder that arises from trauma or disease affecting the central nervous system. Untreated spasticity can result in limitations in completing activities of daily living, painful limb contractures, and other conditions associated with loss of mobility. In the long-term care setting, this treatable condition is prevalent, yet often unrecognized likely because of a lack of spasticity-trained practitioners.
A recently published spasticity referral tool holds promise for addressing the underdiagnosisof spasticity in the long-term care population.

Read the full article at: www.jamda.com

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Development and validation of multivariable mortality risk-prediction models in older people undergoing an interRAI home-care assessment (RiskOP)

The New Zealand Health Research Council.

Read the full article at: pubmed.ncbi.nlm.nih.gov

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Are Nursing Home Residents With Dementia Appropriately Treated for Fracture Prevention?

Clinicians struggle with whether to prescribe osteoporosis medications for fracture

prevention for older nursing home (NH) residents with dementia, given the lack of

evidence in this population. To better understand real-world clinical practice, we conducted a retrospective cohort study examining… Sigue leyendo

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Comparing the case-mix of frail older people at home and of those being admitted into residential care: a longitudinal study

The study showed that the RUG-III system offers possibilities for identifying persons at risk of institutionalization. Interventions designed to avoid early nursing home admission can make use of the RUG-III system to optimize care planning and the allocation of services and resources. Based on the …

Read the full article at: pubmed.ncbi.nlm.nih.gov

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A comparison of 3 frailty measures and adverse outcomes in the intake home care population: a retrospective cohort study

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