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Biomedical subjects

C C Sherwood

Publications and source records attributed to C C Sherwood.

6 recordsLinked to original sources
PubMed1989

Inspection of care: findings from an innovative demonstration.

In this article, information is presented concerning the efficacy of a sample-based approach to completing inspection of care reviews of Medicaid-supported nursing home residents. Massachusetts nursing homes were randomly assigned to full (the control group) or sample (the experimental group) review conditions. The primary research focus was to determine whether the proportion of facilities found to be deficient (based on quality of care and level of care criteria) in the experimental sample was comparable to the proportion in the control sample. The findings supported such a hypothesis: Deficient facilities appear to be equally identifiable using the random or full-sampling protocols, and the process can be completed with a considerable savings of surveyor time.

Certification↗
PubMed1983

Discharged rehabilitation patients: impact of follow-up surveillance by a friendly visitor.

The period after hospital discharge is the most critical for rehabilitation patients returning to a community setting. A friendly visitor surveillance program using nonprofessional volunteers was designed to monitor treatment regimen compliance by alerting medical professionals of impending crises among discharged rehabilitation patients. A randomized experimental design was used to evaluate the impact of 1 year of program exposure on rehospitalization, service use, and psychosocial outcomes experienced by 142 patients. Patients were randomized into 3 groups: friendly visitors (FV) and biannual nursing visits; biannual nursing (RN) visits only; and controls (CON). Over 1/3 of the sample was rehospitalized at least once during the 1-year impact period, yet no differences were found across experimental groups nor patients' diagnostic category. No meaningful pattern of significant differences between the groups was observed at the p less than 0.1 probability level in any of the other outcome areas. The need to alert the medical system of impending patient problems occurred rarely, suggesting that existing informal support systems and regular use of medical services may be sufficient to monitor rehabilitation patients' progress.

Activities of Daily Living↗
PubMed1982

Comparison of community adjustment of older vs. younger mentally retarded adults.

The relationship between age and community adjustment was studied in a sample of 153 deinstitutionalized mentally retarded adults. Those aged 18 to 54 were compared with those aged 55 and older with respect to IQ, rate of recidivism, community adjustment, and residential environment. Results showed that although the two groups were comparable in IQ and recidivism rate, the older subjects lived in less autonomous residences in the community and functioned at a lower level. Alternative explanations for these results were offered, and policy implications were presented.

Adolescent↗
PubMed1979

Stroke rehabilitation: analysis of repeated Barthel index measures.

Functional abilities of stroke patients in a rehabilitation hospital are recorded every 2 weeks using the Barthel index. For purposes of this study, data were collected retrospectively and prospectively from consecutive records according to predetermined criteria on forms coded for computer analysis. Total scores of 110 patients were correlated with length of stay, placement at discharge and scores in individual functional abilities. Analysis of the data reveals that an initial score over 40 on the Barthel index defines a population with a greater proportion of discharges to home and that patients with initial scores over 60 have a shorter length of stay. Further analysis indicates a predictable progression in the development of functional skills in this population so that with a Barthel score below 40, no one was independent in the mobility skills and fewer than 50% were independent in the very basic skills, such as feeding, grooming and sphincter control. A score of 60 appears to be a pivotal score where patients move from dependency to assisted independence.

Activities of Daily Living↗