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Related Concept Videos

Restorative Care01:19

Restorative Care

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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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Documentation in Long-Term and Home Healthcare Setting01:29

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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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Assessment of Social Interaction Behaviors
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A Home Repair and Modification Program Embedded Within Mount Sinai Visiting Doctors.

Gabrielle Schiller1,2, Audrey Seligman3, Sara Lubetsky1

  • 1Brookdale Department of Geriatrics and Palliative Medicine, 5925Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society
|January 20, 2023
PubMed
Summary

A home modification and repair pilot program for patients improved clinical team feasibility and reduced burnout. Expansion requires more staff for timely assessments and an occupational therapist for functional needs.

Keywords:
activities of daily living (ADLs)dementiaindependencesocial worksuccessful aging

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Area of Science:

  • Geriatrics
  • Public Health
  • Health Services Research

Background:

  • Home modification and repair programs are crucial for supporting aging in place and improving patient health outcomes.
  • Mount Sinai Visiting Doctors implemented a pilot program to address home environmental needs for their patients.

Purpose of the Study:

  • To evaluate the feasibility, impact, and provider perspectives of a home modification and repair pilot program.
  • To identify areas for improvement in program implementation and expansion.

Main Methods:

  • Descriptive analyses of program enrollees, repairs, and costs.
  • Qualitative assessment of provider perspectives on program feasibility and impact.
  • Data collected from August 15, 2019, to December 31, 2020.

Main Results:

  • The program enrolled 33 patients with an average cost of $528 per patient.
  • The clinical team reported the program was feasible and helped reduce burnout.
  • Needs assessments were conducted by a social worker, and interventions were tracked.

Conclusions:

  • The home modification and repair program is feasible and beneficial for clinical teams.
  • Future expansion necessitates increased staffing for timely assessments and service delivery.
  • Integrating an occupational therapist is recommended for comprehensive patient functional needs assessment and intervention.