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AJN The American Journal of Nursing. 108(8):62-71, August 2008
Measuring risk for decline using the Hospital Admission Risk Profile (HARP) allows nurses and team members to identify and stratify risk, and to implement strategies to prevent new disabilities and reduce the likelihood that institutionalization will be the next step for older adult patients. In this program, a staff nurse and nursing student demonstrate the use of the HARP on a patient newly admitted for pneumonia. Using critical thinking skills and a wide range of expertise, the interdisciplinary team unfolds a plan of care designed to help this patient return to home, or at least to shorten any interim institutional care that might be needed first.
Would you believe that it is possible to maintain urinary continence among residents with end-stage dementia? The author of the article on which this program is based can attest to it.
Most practitioners have mistaken ideas about the inevitability of urinary incontinence as we age. That notion extends to the general public and is reinforced by advertisements for incontinence pads. However, research shows that urinary incontinence is treatable, often without pharmacologic intervention, especially if assessments are routinely made by registered nurses and behavioral interventions implemented.
This program outlines the myths and the science related to urinary incontinence, and steps you can take to assess, improve and maintain continence among your client population. The 60 minute program features interviews with Dr. Specht, nurses working in long-term care settings, a physical therapist, and a resident with urinary incontinence.
Staffing is, quite possibly, one of the most talked-about topics in health care. This program will provide you with important advice--whether your concerns revolve around the liabilities of insufficient staffing; steps to reduce these liabilities and improve your staffing sufficiency; or what the research says about the relationship between nurse staffing and the quality and cost of care.
Staffing Matters: Liability, Research, and Patient Outcomes provides further evidence of the critical link between nurse staffing and safety and quality of care and guides viewers in short and long-term strategies to protect patients and caregivers.
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