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Related Concept Videos

Continuing Care01:25

Continuing Care

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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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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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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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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Endocarditis IV: Nursing Management01:29

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Related Experiment Video

Updated: Mar 6, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Frequency and Risk Factors for Live Discharge from Hospice.

David Russell1, Eli L Diamond2,3, Bonnie Lauder4

  • 1Center for Home Care Policy & Research, Visiting Nurse Service of New York, New York City, New York.

Journal of the American Geriatrics Society
|March 16, 2017
PubMed
Summary
This summary is machine-generated.

Approximately 21% of hospice patients experience live discharge, with acute hospitalization being the most common reason. Risk factors include younger age, minority status, and lack of advance directives, highlighting the need for improved hospice care strategies.

Keywords:
discharged aliveend of lifehospicehospice outcomeslive discharge

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Area of Science:

  • Palliative Care
  • Health Services Research
  • Gerontology

Background:

  • Live discharge from hospice, while less common than death during care, presents unique challenges for patients, families, and healthcare systems.
  • Understanding the reasons for live discharge is crucial for optimizing hospice services and patient outcomes.

Purpose of the Study:

  • To determine the frequencies of four distinct causes of live discharge from hospice.
  • To identify associated risk factors for each cause of live discharge.

Main Methods:

  • Retrospective cohort study utilizing electronic medical records.
  • Analysis of data from 9,190 hospice patients over a 3-year period (2013-2015) at a large urban hospice agency.
  • Multinomial logistic regression to identify risk factors for different discharge reasons.

Main Results:

  • 21% of patients (n=1911) were discharged alive. Acute hospitalization (42%), elective revocation (18%), disqualification (14%), and transfers/moves (26%) were the primary reasons.
  • Risk factors for acute hospitalization included younger age, minority status, and absence of advance directives.
  • Disqualification was strongly associated with non-cancer diagnoses (dementia, pulmonary disease). Transfers/moves were linked to minority status, lack of caregiver, and no advance directives.

Conclusions:

  • Further research is needed to understand and mitigate live discharge events, particularly acute hospitalizations, due to their associated costs and burdens.
  • Hospices should refine patient evaluations at enrollment, focusing on suitability, unmet needs, and end-of-life understanding, especially for non-cancer patients, to reduce avoidable live discharges.