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Related Concept Videos

Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

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Related Experiment Video

Updated: Jun 16, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Home-based palliative care services for underserved populations.

Ritabelle Fernandes1, Kathryn L Braun, Joseph Ozawa

  • 1Division of Palliative Medicine, Department of Geriatric Medicine, University of Hawaii, Honolulu, Hawaii 96817, USA. fernandes.ritabelle@gmail.com

Journal of Palliative Medicine
|February 9, 2010
PubMed
Summary
This summary is machine-generated.

Home-based palliative care (HBPC) effectively addressed end-of-life needs for underserved Asian and Pacific Islander immigrant populations. The study demonstrated improved quality of life and reduced hospitalizations, highlighting HBPC

Related Experiment Videos

Last Updated: Jun 16, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Area of Science:

  • Gerontology and Palliative Care
  • Health Services Research
  • Cultural Competency in Healthcare

Background:

  • Kokua Kalihi Valley, a federally qualified community health center, pioneered home-based palliative care (HBPC) for underserved immigrant populations from Asia and the Pacific Islands.
  • This demographic's end-of-life needs are often overlooked, necessitating specialized care approaches.
  • The HBPC team comprised a multidisciplinary group including a palliative medicine physician, nurse, case manager, psychologist, interpreter, and volunteers.

Purpose of the Study:

  • To evaluate the effectiveness of HBPC by measuring symptom relief and quality of life among patients.
  • To assess resource utilization, including healthcare services and case management.
  • To determine caregiver satisfaction with the provided home-based palliative care services.

Main Methods:

  • A prospective study enrolled 91 participants (46 patients with advanced chronic illnesses and 45 primary caregivers) over 12 months.
  • Data collection utilized validated instruments: Missoula-Vitas Quality of Life Index, Edmonton Symptom Assessment Scale, and Palliative Performance Scale.
  • Resource utilization, including case management, hospice, emergency department, and hospital visits, was systematically tracked.

Main Results:

  • Patients had a median age of 71, with over half suffering from chronic neurodegenerative conditions; 98% were ethnic minorities.
  • HBPC resulted in a significant decrease in hospitalizations (p = 0.002) and a substantial increase in end-of-life wishes discussion and documentation (50% to 90%, p < 0.01).
  • Caregivers reported high satisfaction with the HBPC program, with a median patient stay of 7 months and 3.5 visits.

Conclusions:

  • Evidence on the outcomes and quality indicators of HBPC programs is limited, particularly for immigrant Asian and Pacific Islander populations.
  • This study demonstrates the efficacy of home-based palliative care in improving outcomes and satisfaction for this vulnerable demographic.
  • Findings support the expansion and integration of HBPC services to address critical end-of-life care gaps in diverse communities.