Search PubMed⌕ Search

Biomedical subjects

D Kresevic

Publications and source records attributed to D Kresevic.

8 recordsLinked to original sources
PubMed1998

Family caregiving of hospitalized patients. Caregiver and nurse perceptions at admission and discharge.

To ensure patients will be discharged to stable, health-promoting home environments, nurses must understand family caregivers' perceptions of the patients' needs and problems in caring for them. At the time patients were admitted to and discharged from the hospital, there was little agreement between family caregivers and nurses about the kinds of things caregivers needed to care for older patients or about problems that might prevent the continuation of caregiving. There was slightly more overall agreement between family care-givers and admission nurses than discharge nurses, despite the fact that discharge nurses reported spending more time with patients and being more knowledgeable about them. Future discharge planning models should build opportunities for nurses to communicate with other health care colleagues who can contribute to a more accurate and complete picture of patients' and family caregivers' needs and problems in the transition from hospital to home.

Adult↗
PubMed1998

Interdisciplinary care.

The interdisciplinary team process of care combines the principles of geriatric assessment with guidelines for optimal medical and nursing care of patients in an interdisciplinary environment. Strong evidence suggests that this method of care can help prevent functional decline, restore function, and provide efficient and coordinated continuity of care for older patients who are hospitalized for acute medical illness. The loss of functional independence is not an inevitable consequence of acute illness and hospitalization among older patients.

Aged↗
PubMed1998

Head and neck patients. An innovative, cost-effective approach.

An otolaryngology (OTO) acute care unit was developed to provide nursing care for head and neck patients who required intensive respiratory monitoring but did not need to be in an intensive care unit because they were hemodynamically stable. This unit allowed better utilization of intensive care unit beds and contributed to a more cost-effective system for all patients while meeting the special needs of these patients and their families.

Cost-Benefit Analysis↗
PubMed1997

Decision support for assessing patient preferences for geriatric care.

This paper describes a pilot study that tested the strategy and feasibility of a decision support system (DSS) that assists nurses in integrating patients' preferences for self-care functions in the assessment of elderly patients. 12 elderly clients and a clinical nurse specialist (CNS) participated in this study. The CNS reported the assessment strategy to be very helpful to learn about patients' strengths and weaknesses in self-care functioning. Clients reported that being asked about their preferences helped them clarify their goals, and created a shared understanding between nurse and patient. This pilot study also suggests that patients have a clear understanding of their predominant problems and can discriminate between their preferences. It further supports previous literature that there is a substantial difference in values patients place on clinical outcomes. This highlights the importance of an individual approach to patient care and the usefulness of DSS to assist nurses in eliciting patient preferences.

Aged↗
PubMed1997

Including patient preferences in nurses' assessment of older patients.

The refinement of a patient assessment tool for older patients, Lorensen's Self-Care Capability Scale, is described where a systematic elicitation of patient preferences is included in the assessment. This study tests a decision analytic approach as a strategy for formalizing subjective judgement, which makes it possible to include patients' own values and preferences in planning patient care. Applying this technique to patient assessment contributes to explicitly tailoring nursing care decisions to desired outcomes as preferred by individual patients. A shared approach to decision making between nurse and patient ensures a mutual understanding about goals, priorities and patient values through discussion and negotiation. This pilot study supported the merit of including patient preferences systematically in the assessment of older patients. The method provides an important decision aid for nurses in planning nursing care in accordance with patients' own values and preferences for care.

Activities of Daily Living↗
PubMed1994

A medical unit for the acute care of the elderly.

Older patients often experience a loss of independent physical functioning during the course of an acute illness requiring hospitalization. This functional decline is associated with serious sequelae including prolonged hospital stay, nursing home placement, and mortality. Elements of hospitalization may contribute to the progression or persistence of functional decline. The Unit for Acute Care of the Elderly (ACE Unit) at University Hospitals of Cleveland is an acute care general medical service that is designed to foster the independent functioning of patients. The Prehab Program of Patient Centered Care on the ACE Unit is a multifaceted intervention that integrates geriatric assessment into the optimal medical and nursing care of patients in an interdisciplinary environment. The Prehab Program has several key elements tailored to each individual patient's needs: a prepared environment, patient-centered care, multidimensional assessment and nonpharmacologic prescriptions, medical care review, and home planning. Standards of care serve to reduce the risk of iatrogenic illness resulting from polypharmacy, use of physical restraints, and diagnostic procedures. Nurse-initiated guidelines contribute to prevention of functional decline and to restoration of independent patient functioning. The effectiveness of the ACE Unit is being evaluated in a randomized clinical trial.

Acute Disease↗
PubMed1985

The aging heart.

Explore the source record for details and available documents.

Aged↗