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Related Concept Videos

Continuing Care01:25

Continuing Care

2.1K
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,...
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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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
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Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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Kubler Ross's Stages of Dying01:21

Kubler Ross's Stages of Dying

2.0K
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
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Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Related Experiment Video

Updated: Apr 18, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

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Functional trajectories in the year before hospice.

Hans F Stabenau1, Laura J Morrison1, Evelyne A Gahbauer1

  • 1Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut.

Annals of Family Medicine
|January 14, 2015
PubMed
Summary

Functional trajectories before hospice vary significantly in older adults. Neurodegenerative diseases are linked to worse trajectories, indicating potential unmet palliative care needs for many nearing end-of-life.

Keywords:
agingdisability evaluationend of life carefrail elderlyhospicelongitudinal studiespalliative carepractice-based research

Related Experiment Videos

Last Updated: Apr 18, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

10.9K

Area of Science:

  • Gerontology
  • Palliative Care
  • Disability Studies

Background:

  • Understanding functional trajectories in older adults before hospice is crucial for end-of-life care planning.
  • Significant disability burden often precedes hospice enrollment, impacting patient outcomes.

Purpose of the Study:

  • Identify distinct functional trajectories in the year preceding hospice admission.
  • Examine demographic and diagnostic differences among these trajectories.
  • Evaluate the association between functional trajectories and hospice outcomes.

Main Methods:

  • Analysis of data from 213 community-living individuals aged 70+ enrolled in hospice.
  • Assessment of disability in basic, instrumental, and mobility activities via monthly interviews.
  • Longitudinal evaluation from March 1998 to December 2011.

Main Results:

  • Five distinct functional trajectories were identified: late decline, accelerated, moderate, progressively severe, and persistently severe.
  • Cancer diagnoses were associated with more favorable trajectories, while neurodegenerative diseases showed the worst.
  • Median survival in hospice was 14 days; moderate trajectories showed higher post-admission independence.

Conclusions:

  • Functional decline patterns before hospice vary widely, with neurodegenerative diseases posing particular challenges.
  • Short hospice survival and high pre-hospice disability suggest unmet palliative care needs.
  • Early palliative care intervention may improve end-of-life experiences for older adults.