Improving patient and family education through diagnosis-driven protocols and documentation.
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Biomedical subjects
Publications and source records attributed to A Brown.
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This paper describes an outreach nursing service for patients discharged from a Sydney hospital after treatment for an acute episode of chronic airflow limitation (CAL) and people referred for early exacerbation of the condition. In its first two years, 395 patients received the home-based service. The readmission rate of these patients within 28 days of discharge was approximately half that of the hospital's CAL patients in the year before the service was available. The cost of the outreach service in 1994-5 and 1995-6 was 36% and 61% lower respectively than the cost of hospitalizing the estimated 57 patients whose admission or readmission to hospital was avoided because their conditioned was managed at home by the outreach service.
Reported "success rates" for abuser treatment programs vary greatly, from as low as 5% to as high as 67%. Regardless of statistics, intervention cannot be overlooked if domestic violence is to be addressed. The primary concern must always be safety for the victim, but the cycle of violence will not stop without treatment interventions for the abuser. Effective screening and referral of potential abusers are crucial to breaking the cycle. Working under the provisions of NC General Statute 50B-3(a), the North Carolina Council for Women works with abuser treatment programs in order to establish eligibility requirements for abusers. These programs, listed in Health Watch (pages 345-8), provide individual and group counseling for a set fee, which the abuser pays. For more information call Joyce W. Allen, NC Council For Women, 919/733-2455.