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SCI recidivism and nursing home placement: an interdisciplinary approach
K A Putney1, I Simpson-Page, H Resell
1Nursing Service for Extended Care/NHCU, Tuscaloosa Veterans Affairs Medical Center, AL, USA.
SCI Nursing : a Publication of the American Association of Spinal Cord Injury Nurses
|December 1, 1996
Summary
Recidivism in spinal cord injury (SCI) patients placed in nursing homes is a challenge. A new program, the Community Nursing Home Enrichment Program (CNHEP), aims to reduce hospital readmissions and improve outcomes for these veterans.
Area of Science:
- Rehabilitation Medicine
- Geriatric Care
- Neurology
Background:
- Community nursing home placement for spinal cord injury (SCI) patients presents significant challenges.
- Recidivism, or frequent rehospitalization, is a notable problem, with limited data on its causes and economic impact.
- Understanding the factors contributing to readmissions is crucial for improving patient care and outcomes.
Purpose of the Study:
- To identify demographic and clinical factors associated with recidivism in SCI patients readmitted from nursing homes.
- To analyze risk factors that predispose SCI patients to rehospitalization.
- To provide a basis for developing targeted intervention programs.
Main Methods:
- Retrospective analysis of demographic and clinical characteristics of SCI patients readmitted from nursing homes over two years.
- Identification and analysis of risk factors contributing to patient recidivism.
- Development of a comprehensive intervention program based on identified risk factors.
Main Results:
- Analysis identified specific risk factors and situations predisposing SCI patients to recidivism.
- These findings informed the design of a new intervention program.
- The program aimed to address lifestyle changes and reduce rehospitalization frequency.
Conclusions:
- The Community Nursing Home Enrichment Program (CNHEP) was developed to address recidivism in SCI patients.
- The program utilizes an interdisciplinary team approach with pre- and post-placement interventions.
- The goal of CNHEP is to improve patient preparation, decrease rehospitalizations, and enhance placement outcomes.