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Related Concept Videos

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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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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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.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Restorative Care01:19

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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,...
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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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Pneumonia V: Nursing management and Prevention01:30

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Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
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Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
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Heart Failure VII: Nursing Interventions01:30

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The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
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Related Experiment Video

Updated: Mar 6, 2026

Design and Analysis for Fall Detection System Simplification
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Reducing falls in a care home.

Rosie Cooper1

  • 1NHS Grampian, Aberdeen Health & Social Care Partnership.

BMJ Quality Improvement Reports
|March 22, 2017
PubMed
Summary

Care home falls were significantly reduced by implementing a new risk assessment tool and improving staff communication. This project achieved a 36.6% decrease in falls, enhancing resident safety.

Area of Science:

  • Gerontology
  • Healthcare Quality Improvement
  • Patient Safety

Background:

  • Care home residents face a higher risk of falls and injuries compared to community-dwelling peers.
  • Falls in care homes represent a significant patient safety concern, necessitating targeted interventions.

Purpose of the Study:

  • To reduce the incidence of falls in a care home setting by 20% within a defined timeframe.
  • To evaluate the effectiveness of the Model for Improvement in addressing falls in long-term care.

Main Methods:

  • Utilized qualitative data to understand staff knowledge and beliefs regarding falls.
  • Implemented the Lanarkshire Falls Risk/Intervention tool and employed "teach back" methods and "Huddles" to improve communication and tool completion.
  • Conducted root cause analysis of falls and iterative Plan-Do-Study-Act (PDSA) cycles to refine interventions.

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Main Results:

  • Achieved a 36.6% reduction in the average falls rate, exceeding the initial 20% target.
  • Sustained reduction in falls rate from 49 to 23.6 per 1000 occupied bed days.
  • Identified improved communication processes as crucial for sustained falls reduction.

Conclusions:

  • The integrated approach of a falls risk tool and enhanced communication significantly reduces falls in care homes.
  • Continuous quality improvement methodologies, including PDSA cycles, are effective in addressing complex patient safety issues.
  • Focusing on staff communication and understanding is vital for successful implementation of falls prevention strategies.