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Biomedical subjects

M Mezey

Publications and source records attributed to M Mezey.

At least 37 records · Page 2Linked to original sources

Institutional care: caregivers and quality.

Quality of care in nursing homes is very much in the eye of the beholder. How we as a nation define and measure quality in many ways reflects our beliefs about life, death and aging, and the value we ascribe to those who care for those who are infirm. Many people typify quality as an intangible that can be detected from the minute you enter a nursing home. Others know better. They recognize that the problems nursing home patients face are highly complex and require both a caring and sophisticated response. There is general agreement that a central factor determining quality of care in nursing homes is the level and skill mix of staffing. Yet how to attract, reward, and retain professional nurses remains elusive, as does how to measure their success.

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GNPs on staff.

Explore the source record for details and available documents.

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Assessment of function: critically important to acute care of elders. The NICHE Faculty.

Assessment of functional status in hospitalized elders provides essential information that can assist maintenance or restoration of self-care. Nurses in acute care settings are in a pivotal position to assess function and target interventions to prevent loss of function and maintain an individual's self-care ability. This article discusses critical issues in the functional assessment of hospitalized elders and provides a clinical practice protocol that includes nursing care strategies to prevent functional decline during hospitalization and assist with discharge planning.

Activities of Daily Living↗

Gerontological nursing content in baccalaureate nursing programs: findings from a national survey.

Given the prevalence of elderly people in the health care system, it behooves the nursing community to assure that every nurse graduating from a baccalaureate nursing program has a defined level of competency in care of the elderly. To accomplish this, it is necessary to establish a baseline of the current status of geriatric content in the baccalaureate curriculum. This article provides such baseline data using the findings of a national study of geriatrics in baccalaureate nursing programs. The study, conducted in 1997, was distributed to the universe of baccalaureate nursing programs (n = 598). The findings are based on a respondent pool of 480 programs (80.3 per cent response rate). The survey covered a range of educational topics, including curriculum, content, faculty preparation, and how programs define their needs for further curriculum and faculty development. The data analysis included the identification of baccalaureate nursing programs with exemplary offerings in geriatric care. Finally, in the discussion section, recommendations are advanced for the full integration of geriatric content into baccalaureate nursing programs.

Credentialing↗

Home visits after hospitalization: enhancing baccalaureate nursing students' gerontologic clinical experience.

This article describes posthospitalization visits by 83 nursing students to 57 older patients and their caregivers discharged from two large academic medical centers and one community hospital. Patient and caregiver interviews in the home focused on the areas of geriatric assessments of cognitive and functional status, patient and caregiver satisfaction with recent hospitalization, ongoing health management, patient teaching, and discharge planning.

Academic Medical Centers↗

Integrating advanced practice nurses in home care. Recommendations for a teaching home care program.

MUCH, if not all, of the health service needs of the frail elderly can, and will, be provided in the community and at home. To be cared for at home is the overwhelming preference of the growing number of older people with chronic illness and those who are physically dependent-persons "aging in place" in their own domiciles, in naturally occurring retirement communities, and in public or privately funded adult housing residences and assisted living facilities. Medicare and Medicaid capitated financing is increasingly directed at programmatic and reimbursement initiatives that promote "independent living."

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Shaping the quality of health care for the elderly: are nursing students prepared?

Today, with few exceptions, a nurse's typical patient is an older adult. People 65 and over represent 12.8 percent of the American population. Older adults account for over 60 percent of ambulatory adult primary care visits, 80 percent of home care visits, 48 percent of in-hospital patients, and 85 percent of residents in nursing homes.

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