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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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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Program evaluation of a recuperative care pilot project.

Lauren Valk Lawson1, Bonnie Bowie1, Melanie Neufeld2

  • 1Seattle University College of Nursing, Seattle, WA, USA.

Public Health Nursing (Boston, Mass.)
|November 15, 2020
PubMed
Summary
This summary is machine-generated.

This recuperative care pilot project successfully provided hospitalized unhoused individuals with a safe place to recover. The program proved feasible and cost-effective, offering significant savings to acute care facilities.

Keywords:
homelessnessprogram evaluationpublic health nursingrecuperative carerespite care

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Area of Science:

  • Public Health
  • Healthcare Management
  • Social Determinants of Health

Background:

  • Unhoused individuals face significant barriers to post-hospitalization recovery.
  • Lack of adequate recuperative care contributes to prolonged hospital stays and readmissions for this population.

Purpose of the Study:

  • To evaluate the feasibility of a recuperative care pilot project for unhoused individuals.
  • To assess the cost-effectiveness and impact of providing transitional care.

Main Methods:

  • Descriptive post-program evaluation of a recuperative care pilot.
  • Data collection on referrals, admissions, costs, community service referrals, and discharge destinations.
  • Case management care model with a public health nurse and outreach worker.

Main Results:

  • 23 admissions from 73 referrals; 65% of admissions from one hospital.
  • Common diagnoses included abscess/wound care (44%) and postsurgery recovery (17%).
  • Average cost per guest per day was $157.45, with estimated daily savings of $18,000-$48,000 for acute care facilities.

Conclusions:

  • The recuperative care project is a feasible and cost-effective model for supporting unhoused individuals post-hospitalization.
  • Identified challenges and provided recommendations for future program development and sustainability.