Standardized care plans for home care

Standardized Care Plans reflect the expected, accepted, normal nursing care and outcome of a patient with a specific diagnosis, problem, or condition. The patient's progress can therefore be evaluated against the expected outcome.     

From managed care to cooperative care

The difficulties manifested between managed care and its practitioners are formidable but not inevitable. A change in the perception of practitioners toward managed care will need a concerted effort on the part of both the provider and the industry, realizing there is more to gain by working together. The author reports two examples of cooperative care. These did not happen on their own. Rather, perceptions were changed in the only way perceptions are really changed: through results. This article is optimistic that, by persons of vision on both sides, there can be a move from managed to cooperative care.     

人文关怀在优质护理服务工作中的应用

目的探讨人文关怀在优质护理服务中的运用,强化护理责任感、落实基础护理,提高护理质量,提高患者满意度。方法通过营造良好的病区环境,增强护士综合素质和主动服务的意识,夯实基础护理,提供安全的护理,实施出院后的延续护理等措施,为患者提供优质护理。结果人文关怀在优质护理服务中的运用,切实提高了护士主动服务的意识,患者满意度和护理质量得到了提高,护理纠纷减少,患者满意度由85.77%提高到97.50%(P<0.01)。结论人文关怀在优质护理服务活动中,提升了护士与患者主动沟通的能力,促进患者的恢复,达到真正意义上的护患和谐、医患和谐和社会的和谐。     

Continuity of care. Balancing care of elders between health care settings

Continuing care planning and balancing care of elders are crucial components of health care today. The most sweeping change that has come with the advent of prospective pricing for the acute care setting is in the financing of health care for the aged and disabled. Prospective pricing, which uses the diagnosis-related group system, is the method chosen by federal agencies to restrain Medicare costs. For almost two decades, the hospital has been the reservoir for the impaired elderly who could not be returned home or to the community without support services. The system now encourages shortened hospital stays. Continuing care planning is the key to balancing the care of the elder through the process of discharge planning. We must assure patients and families that their needs will be met in the community when the patient is discharged. Balancing care of elders between health care settings through discharge planning is identified in three simple words: A Complex Process. As health care professionals, we must be ready to accept this challenge.     

Association between rehabilitation care practices and care quality in long-term care facilities

This article analyzes the association between rehabilitation care practices and quality outcomes in Finland and represents unit-level (n = 256) associations between rehabilitation nursing and quality outcomes. Units classified as units providing a high frequency of rehabilitation care practices had better outcomes in 2 of 5 quality outcomes.     

安宁缓和医疗中的灵性照顾

灵性照顾是安宁缓和医疗实践的核心内容之一.本文以中国医科大学附属盛京医院宁养病房开展灵性照顾的实践经验为基础,阐述了灵性的概念和灵性照顾的意义,以及有效开展灵性照顾的相关要点,供安宁缓和医疗从业人员参考.