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Related Concept Videos

Discharge Summary Forms01:31

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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.
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Oral Drug Delivery Systems: Delayed-Release Systems01:11

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Delayed-release drug delivery systems are specialized pharmaceutical formulations designed to postpone the release of active compounds until the drug reaches a specific region of the gastrointestinal (GI) tract, typically the intestine. These systems are essential for drugs that may cause gastric irritation, are unstable in acidic environments, or need to exert therapeutic effects locally in the intestinal or colonic regions.The core feature of delayed-release systems is the use of enteric...
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Planning Nursing Care I01:21

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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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Modified-Release Drug Delivery Systems: Rate-Programmed I01:22

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Rate-programmed drug delivery systems (DDS) are designed to release drugs at specific, controlled rates to maintain consistent therapeutic levels. These systems are categorized based on their release mechanisms, including dissolution-controlled DDS, diffusion-controlled DDS, and combined dissolution-diffusion-controlled DDS.In dissolution-controlled DDS, the release rate depends on the slow dissolution of the drug itself or the surrounding matrix. Drugs with inherently slow dissolution rates,...
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Modified-Release Drug Delivery Systems: Drug Release Characteristics01:22

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Drug release from modified-release dosage forms is designed to achieve specific therapeutic effects by controlling the rate and extent of drug release. The classification of these drug release systems is based on key pharmacokinetic assumptions: drug disposition follows first-order kinetics, drug release is the rate-limiting step in absorption, and the released drug is rapidly and completely absorbed.There are four major models of drug release patterns. The first model is the slow zero-order...
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Modified-Release Drug Delivery Systems: Rate-Programmed II01:19

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Rate-programmed drug delivery systems release drugs in a controlled manner to maintain therapeutic levels. Three main designs include reservoir, matrix, and hybrid systems.Reservoir systems consist of a drug core enclosed within a membrane that controls drug release. In non-swelling reservoir systems, polymers like ethyl cellulose or polymethacrylates are used. These do not hydrate in aqueous media and control release through membrane thickness, porosity, or insolubility. This type includes...
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Delayed discharge.

Daniel Allen

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |July 7, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Delayed hospital discharges for older people cost the National Health Service (NHS) £820 million annually. This is due to increased demand and reduced social care funding, impacting 1.15 million bed days.

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    Area of Science:

    • Health Economics
    • Public Health Policy
    • Geriatric Care

    Background:

    • Delayed transfers of care (DTC) represent a significant financial burden on the National Health Service (NHS).
    • In the last year, 1.15 million bed days were lost in acute hospitals due to DTC, a 31% increase since 2013.
    • Reduced local authority spending on adult social care, down 10% since 2009-10, exacerbates NHS service demand.

    Purpose of the Study:

    • To quantify the financial impact of delayed hospital discharges for older people on the NHS.
    • To identify contributing factors to the rise in delayed transfers of care.

    Main Methods:

    • Analysis of National Audit Office (NAO) report data.
    • Examination of hospital bed day utilization and financial cost data.

    Main Results:

    • The annual cost to the NHS from delayed discharges of older people is estimated at £820 million.
    • A 31% increase in lost bed days (1.15 million) was recorded in the past year.
    • A 10% decrease in local authority adult social care spending since 2009-10 contributes to the problem.

    Conclusions:

    • Delayed discharges of older patients incur substantial financial costs for the NHS.
    • The issue is driven by a combination of increased demand for services and reduced social care funding.
    • Urgent policy interventions are needed to address the social care funding gap and improve patient flow.