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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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Dementia01:30

Dementia

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Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Restorative Care01:19

Restorative Care

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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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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Related Experiment Video

Updated: Jul 9, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Delirium in Home Care: A Case Report.

Kelly Sabbe1, Roos Van Der Mast2, Bart Van Rompaey3

  • 1Medicine and Health Sciences, University of Antwerp, Antwerp, BEL.

Cureus
|November 29, 2023
PubMed
Summary

Delirium in older adults is often missed in home care. Early detection and multidisciplinary management, including hydration and nutrition, can lead to full recovery.

Keywords:
community health nurse (c.h.n.)family caregivergeneral practice < general medicinehome health careinfection induced deliriummixed deliriumpersistent deliriumprimary caregiver

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Area of Science:

  • Geriatrics
  • Internal Medicine
  • Neurology

Background:

  • Delirium presents a significant challenge in home care, impacting patients and caregivers.
  • Effective detection and management are crucial to prevent adverse outcomes.

Observation:

  • A frail 86-year-old man experienced cognitive and physical decline post-bronchitis.
  • Screening revealed confusion, apathy, and fatigue, indicative of delirium.
  • Functional Independence Measures and Delirium Observation Screening Scale (DOSS) confirmed functional decline and delirious symptoms.

Findings:

  • A multidisciplinary treatment plan focused on hydration, nutrition, medication adjustment, and exercise.
  • No specific pharmaceuticals were administered.
  • The patient achieved a full recovery.

Implications:

  • Healthcare professionals and caregivers must recognize delirium in deteriorating older patients.
  • Prompt diagnosis of delirium and underlying conditions is essential.
  • Integrated care involving dietitians and physiotherapists is vital for adequate treatment.