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Ching Tzu Yang - One of the best experts on this subject based on the ideXlab platform.

  • Enhanced Interdisciplinary Care improves self-Care ability and decreases emergency department visits for older Taiwanese patients over 2 years after hip-fracture surgery: A randomised controlled trial
    International journal of nursing studies, 2015
    Co-Authors: Yea-ing Lotus Shyu, Jersey Liang, Ming Yueh Tseng, Huey Shinn Cheng, Shih Wei Chou, Ching Yen Chen, Ching Tzu Yang
    Abstract:

    Abstract Background Little evidence is available on the longer-term effects (beyond 12 months) of intervention models consisting of hip fracture-specific Care in conjunction with management of malnutrition, depression, and falls. Objective To compare the relative effects of an Interdisciplinary Care, and a comprehensive Care programme with those of usual Care for elderly patients with a hip fracture on self-Care ability, health Care use, and mortality. Design Randomised experimental trial. Setting A 3000-bed medical centre in northern Taiwan. Participants Patients with hip fracture aged 60 years or older ( N =299). Method Patients were randomly assigned to three groups: comprehensive Care ( n =99), Interdisciplinary Care ( n =101), and usual Care (control) ( n =99). Usual Care entailed only one or two in-hospital rehabilitation sessions. Interdisciplinary Care included not only hospital rehabilitation, but also geriatric consultation, discharge planning, and 4-month in-home rehabilitation. Building upon Interdisciplinary Care, comprehensive Care extended in-home rehabilitation to 12 months and added management of malnutrition and depressive symptoms, and fall prevention. Patients' self-Care ability was measured by activities of daily living and instrumental activities of daily living using the Chinese Barthel Index and Chinese version Instrumental Activities of Daily Living scale, respectively. Outcomes were assessed before discharge, and 1, 3, 6, 12, 18, 24 months following hip fracture. Hierarchical linear models were used to analyse health outcomes and health Care utilisation, including emergency department visit and hospital re-admission. Results The comprehensive Care group had better performance trajectories for both measures of activities of daily living and fewer emergency department visits than the usual Care group, but no difference in hospital readmissions. The Interdisciplinary Care and usual Care groups did not differ in trajectories of self-Care ability and service utilisation. The three groups did not differ in mortality during the 2-year follow-up. Conclusion Comprehensive Care, with enhanced rehabilitation, management of malnutrition and depressive symptoms, and fall prevention, improved self-Care ability and decreased emergency department visits for elders up to 2 years after hip-fracture surgery, above and beyond the effects of usual Care and Interdisciplinary Care.

  • Comprehensive Care Improves Health Outcomes Among Elderly Taiwanese Patients With Hip Fracture
    The journals of gerontology. Series A Biological sciences and medical sciences, 2012
    Co-Authors: Yea-ing Lotus Shyu, Jersey Liang, Ming Yueh Tseng, Huey Shinn Cheng, Shih Wei Chou, Ching Tzu Yang, Ching Yen Chen
    Abstract:

    Background. Fe w studies have investigated the effects of Care models that combine Interdisciplinary Care with nutrition consultation, depression management, and fall prevention in older persons with hip fracture. The purpose of this study was to compare the effects of a comprehensive Care program with those of Interdisciplinary Care and usual Care for elderly patients with hip fracture. Methods. A randomized experimental trial was used to explore outcomes for 299 elderly patients with hip fracture receiving three treatment Care models: Interdisciplinary Care (n = 101), comprehensive Care (n = 99), and usual Care (n = 99). Interdisciplinary Care included geriatric consultation, continuous rehabilitation, and discharge planning with post-hospital services. Comprehensive Care consisted of Interdisciplinary Care plus nutrition consultation, depression management, and fall prevention. Usual Care included only in-hospital rehabilitation without geriatric consultation, in-home rehabilitation, and home environmental assessment. Results. P articipants in the comprehensive Care group had better self-Care ability (odds ratio, OR = 3.19, p < .01) and less risk of depression (OR = 0.48, p < .01) than those who received usual Care. The comprehensive Care group had less risk of depression (OR = 0.51, p < .05) and of malnutrition (OR = 0.48, p < .05) than the Interdisciplinary Care group during the first year following discharge. Older persons with hip fracture benefitted more from the comprehensive Care program than from Interdisciplinary Care and usual Care. Conclusions. Older persons with hip fracture benefitted more from comprehensi ve Care including Interdisciplinary Care and nutrition consultation, depression management, and fall prevention than simply Interdisciplinary Care.

Ching Yen Chen - One of the best experts on this subject based on the ideXlab platform.

  • Enhanced Interdisciplinary Care improves self-Care ability and decreases emergency department visits for older Taiwanese patients over 2 years after hip-fracture surgery: A randomised controlled trial
    International journal of nursing studies, 2015
    Co-Authors: Yea-ing Lotus Shyu, Jersey Liang, Ming Yueh Tseng, Huey Shinn Cheng, Shih Wei Chou, Ching Yen Chen, Ching Tzu Yang
    Abstract:

    Abstract Background Little evidence is available on the longer-term effects (beyond 12 months) of intervention models consisting of hip fracture-specific Care in conjunction with management of malnutrition, depression, and falls. Objective To compare the relative effects of an Interdisciplinary Care, and a comprehensive Care programme with those of usual Care for elderly patients with a hip fracture on self-Care ability, health Care use, and mortality. Design Randomised experimental trial. Setting A 3000-bed medical centre in northern Taiwan. Participants Patients with hip fracture aged 60 years or older ( N =299). Method Patients were randomly assigned to three groups: comprehensive Care ( n =99), Interdisciplinary Care ( n =101), and usual Care (control) ( n =99). Usual Care entailed only one or two in-hospital rehabilitation sessions. Interdisciplinary Care included not only hospital rehabilitation, but also geriatric consultation, discharge planning, and 4-month in-home rehabilitation. Building upon Interdisciplinary Care, comprehensive Care extended in-home rehabilitation to 12 months and added management of malnutrition and depressive symptoms, and fall prevention. Patients' self-Care ability was measured by activities of daily living and instrumental activities of daily living using the Chinese Barthel Index and Chinese version Instrumental Activities of Daily Living scale, respectively. Outcomes were assessed before discharge, and 1, 3, 6, 12, 18, 24 months following hip fracture. Hierarchical linear models were used to analyse health outcomes and health Care utilisation, including emergency department visit and hospital re-admission. Results The comprehensive Care group had better performance trajectories for both measures of activities of daily living and fewer emergency department visits than the usual Care group, but no difference in hospital readmissions. The Interdisciplinary Care and usual Care groups did not differ in trajectories of self-Care ability and service utilisation. The three groups did not differ in mortality during the 2-year follow-up. Conclusion Comprehensive Care, with enhanced rehabilitation, management of malnutrition and depressive symptoms, and fall prevention, improved self-Care ability and decreased emergency department visits for elders up to 2 years after hip-fracture surgery, above and beyond the effects of usual Care and Interdisciplinary Care.

  • Comprehensive Care Improves Health Outcomes Among Elderly Taiwanese Patients With Hip Fracture
    The journals of gerontology. Series A Biological sciences and medical sciences, 2012
    Co-Authors: Yea-ing Lotus Shyu, Jersey Liang, Ming Yueh Tseng, Huey Shinn Cheng, Shih Wei Chou, Ching Tzu Yang, Ching Yen Chen
    Abstract:

    Background. Fe w studies have investigated the effects of Care models that combine Interdisciplinary Care with nutrition consultation, depression management, and fall prevention in older persons with hip fracture. The purpose of this study was to compare the effects of a comprehensive Care program with those of Interdisciplinary Care and usual Care for elderly patients with hip fracture. Methods. A randomized experimental trial was used to explore outcomes for 299 elderly patients with hip fracture receiving three treatment Care models: Interdisciplinary Care (n = 101), comprehensive Care (n = 99), and usual Care (n = 99). Interdisciplinary Care included geriatric consultation, continuous rehabilitation, and discharge planning with post-hospital services. Comprehensive Care consisted of Interdisciplinary Care plus nutrition consultation, depression management, and fall prevention. Usual Care included only in-hospital rehabilitation without geriatric consultation, in-home rehabilitation, and home environmental assessment. Results. P articipants in the comprehensive Care group had better self-Care ability (odds ratio, OR = 3.19, p < .01) and less risk of depression (OR = 0.48, p < .01) than those who received usual Care. The comprehensive Care group had less risk of depression (OR = 0.51, p < .05) and of malnutrition (OR = 0.48, p < .05) than the Interdisciplinary Care group during the first year following discharge. Older persons with hip fracture benefitted more from the comprehensive Care program than from Interdisciplinary Care and usual Care. Conclusions. Older persons with hip fracture benefitted more from comprehensi ve Care including Interdisciplinary Care and nutrition consultation, depression management, and fall prevention than simply Interdisciplinary Care.

Colleen Galambos - One of the best experts on this subject based on the ideXlab platform.

  • psychosocial assessment of nursing home residents via mds 3 0 recommendations for social service training staffing and roles in Interdisciplinary Care
    Journal of the American Medical Directors Association, 2012
    Co-Authors: Kelsey Simons, Robert Connolly, Robin P Bonifas, Priscilla D Allen, Kathleen Bailey, Deirdre Downes, Colleen Galambos
    Abstract:

    The Minimum Data Set 3.0 has introduced a higher set of expectations for assessment of residents’ psychosocial needs, including new interviewing requirements, new measures of depression and resident choice, and new discharge screening procedures. Social service staff are primary providers of psychosocial assessment and Care in nursing homes; yet, research demonstrates that many do not possess the minimum qualifications, as specified in federal regulations, to effectively provide these services given the clinical complexity of this client population. Likewise, social service caseloads generally exceed manageable levels. This article addresses the need for enhanced training and support of social service and Interdisciplinary staff in long term Care facilities in light of the new Minimum Data Set 3.0 assessment procedures as well as new survey and certification guidelines emphasizing quality of life. A set of recommendations will be made with regard to training, appropriate role functions within the context of Interdisciplinary Care, and needs for more realistic staffing ratios.

Yea-ing Lotus Shyu - One of the best experts on this subject based on the ideXlab platform.

  • Enhanced Interdisciplinary Care improves self-Care ability and decreases emergency department visits for older Taiwanese patients over 2 years after hip-fracture surgery: A randomised controlled trial
    International journal of nursing studies, 2015
    Co-Authors: Yea-ing Lotus Shyu, Jersey Liang, Ming Yueh Tseng, Huey Shinn Cheng, Shih Wei Chou, Ching Yen Chen, Ching Tzu Yang
    Abstract:

    Abstract Background Little evidence is available on the longer-term effects (beyond 12 months) of intervention models consisting of hip fracture-specific Care in conjunction with management of malnutrition, depression, and falls. Objective To compare the relative effects of an Interdisciplinary Care, and a comprehensive Care programme with those of usual Care for elderly patients with a hip fracture on self-Care ability, health Care use, and mortality. Design Randomised experimental trial. Setting A 3000-bed medical centre in northern Taiwan. Participants Patients with hip fracture aged 60 years or older ( N =299). Method Patients were randomly assigned to three groups: comprehensive Care ( n =99), Interdisciplinary Care ( n =101), and usual Care (control) ( n =99). Usual Care entailed only one or two in-hospital rehabilitation sessions. Interdisciplinary Care included not only hospital rehabilitation, but also geriatric consultation, discharge planning, and 4-month in-home rehabilitation. Building upon Interdisciplinary Care, comprehensive Care extended in-home rehabilitation to 12 months and added management of malnutrition and depressive symptoms, and fall prevention. Patients' self-Care ability was measured by activities of daily living and instrumental activities of daily living using the Chinese Barthel Index and Chinese version Instrumental Activities of Daily Living scale, respectively. Outcomes were assessed before discharge, and 1, 3, 6, 12, 18, 24 months following hip fracture. Hierarchical linear models were used to analyse health outcomes and health Care utilisation, including emergency department visit and hospital re-admission. Results The comprehensive Care group had better performance trajectories for both measures of activities of daily living and fewer emergency department visits than the usual Care group, but no difference in hospital readmissions. The Interdisciplinary Care and usual Care groups did not differ in trajectories of self-Care ability and service utilisation. The three groups did not differ in mortality during the 2-year follow-up. Conclusion Comprehensive Care, with enhanced rehabilitation, management of malnutrition and depressive symptoms, and fall prevention, improved self-Care ability and decreased emergency department visits for elders up to 2 years after hip-fracture surgery, above and beyond the effects of usual Care and Interdisciplinary Care.

  • Comprehensive Care Improves Health Outcomes Among Elderly Taiwanese Patients With Hip Fracture
    The journals of gerontology. Series A Biological sciences and medical sciences, 2012
    Co-Authors: Yea-ing Lotus Shyu, Jersey Liang, Ming Yueh Tseng, Huey Shinn Cheng, Shih Wei Chou, Ching Tzu Yang, Ching Yen Chen
    Abstract:

    Background. Fe w studies have investigated the effects of Care models that combine Interdisciplinary Care with nutrition consultation, depression management, and fall prevention in older persons with hip fracture. The purpose of this study was to compare the effects of a comprehensive Care program with those of Interdisciplinary Care and usual Care for elderly patients with hip fracture. Methods. A randomized experimental trial was used to explore outcomes for 299 elderly patients with hip fracture receiving three treatment Care models: Interdisciplinary Care (n = 101), comprehensive Care (n = 99), and usual Care (n = 99). Interdisciplinary Care included geriatric consultation, continuous rehabilitation, and discharge planning with post-hospital services. Comprehensive Care consisted of Interdisciplinary Care plus nutrition consultation, depression management, and fall prevention. Usual Care included only in-hospital rehabilitation without geriatric consultation, in-home rehabilitation, and home environmental assessment. Results. P articipants in the comprehensive Care group had better self-Care ability (odds ratio, OR = 3.19, p < .01) and less risk of depression (OR = 0.48, p < .01) than those who received usual Care. The comprehensive Care group had less risk of depression (OR = 0.51, p < .05) and of malnutrition (OR = 0.48, p < .05) than the Interdisciplinary Care group during the first year following discharge. Older persons with hip fracture benefitted more from the comprehensive Care program than from Interdisciplinary Care and usual Care. Conclusions. Older persons with hip fracture benefitted more from comprehensi ve Care including Interdisciplinary Care and nutrition consultation, depression management, and fall prevention than simply Interdisciplinary Care.

Yang Li-l - One of the best experts on this subject based on the ideXlab platform.

  • Interdisciplinary Care Rounds for Improving Nursing Quality
    Chinese Journal of General Practice, 2009
    Co-Authors: Yang Li-l
    Abstract:

    Nursing rounds is significance level to evaluate nursing quality as well as a method to improve nursing quality guided by theory.In order to adapt to changes in the pattern of modern nursing and train the general nurse,nurses' the theory level,practical ability and nursing quality should be improved quality of Care and training of general nurses.In recent years,Interdisciplinary Care rounds were carried out in clinical departments of our hospital.We constantly sum up the experience of nursing practice rounds and reform the model of nursing practice rounds,and got a good result.In this article,we summarized the mode,contents and results of Interdisciplinary Care rounds,so as to improve the nursing quality in the further.