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Long-term care hospitals

Despite the growing emphasis on pain management, pain often remains undertreated and continues to be a problem in hospitals, long-term care facilities, and the community. In one series of reports, 50% of seriously ill hospitalized patients reported pain however, 15% were dissatisfied with pain control, and some remained in pain after hospitalization.14,15... [Pg.488]

Intravenous (i.v.) solutions are commonly administered to patients in hospitals, long-term care facilities, and ambulances. They are used primarily to replace body fluids and to serve as a vehicle for injecting drugs into the body. The advantages of this pharmaceutical dosage form include the rapid onset of action, the ability to treat patients unable to take medication orally and the ability to administer a medication unavailable in any other dosage form. [Pg.13]

Distribute informational memorandums to physicians, hospitals, long-term care facilities, schools, universities, and major employers. [Pg.463]

The JCAHO has identified pain management as an import focus for accreditation visits starting in 2000 and 2001. Standards have been developed for ambulatory care, behavioral health care, home care, health care networks, hospitals, long-term care, and long-term care pharmacies.These new standards should help improve acute pain management in these settings. [Pg.639]

Ohwaki, K., Nagashima, H., Aoki, M., Aoki, H., and Yano, E. (2009). A foodborne norovirus outbreak at a hospital and an attached long-term care facility. Jpn. J. Infect. Dis. 62, 450-454. [Pg.34]

TBW depletion (often referred to as dehydration ) is typically a more gradual, chronic problem compared to ECF depletion. Because TBW depletion represents a loss of hypotonic fluid (proportionally more water is lost than sodium) from all body compartments, a primary disturbance of osmolality is usually seen. The signs and symptoms of TBW depletion include CNS disturbances (mental status changes, seizures, and coma), excessive thirst, dry mucous membranes, decreased skin turgor, elevated serum sodium, increased plasma osmolality, concentrated urine, and acute weight loss. Common causes of TBW depletion include insufficient oral intake, excessive insensible losses, diabetes insipidus, excessive osmotic diuresis, and impaired renal concentrating mechanisms. Long-term care residents are frequently admitted to the acute care hospital with TBW depletion secondary to lack of adequate oral intake, often with concurrent excessive insensible losses. [Pg.405]

Pressures sores, also known as decubitous ulcers or bedsores, affect 1.5 to 3 million Americans annually.35 The cost of healing pressure sores can be substantial, with current estimates ranging from 2000 to 70,000 per wound.35 Although the prevalence of pressure sores is highest in long-term care facilities, 57% to 60% of new pressure sores actually develop in the hospital, most commonly in intensive-care and orthopedic patients. Elderly patients and those with spinal cord injuries are most at risk36... [Pg.1084]

Many potential indications for EN exist (Table 98-2). PN was used extensively previously for many of these conditions. Advances in EN technology now allow many patients with these conditions to receive EN. EN is administered in both institutional (e.g., hospital and long-term care facility) and home settings. [Pg.1513]

A number of EN formulas are marketed commercially Hospitals and long-term care facilities usually limit their formularies of EN formulas, stocking only a limited number of... [Pg.1516]

The prototypes of modem psychopharmaceuticals were discovered between 1952 and 1958. Since that time the effective treatment of schizophrenic psychoses, depressions, anxiety syndromes and other mental disorders has become possible and a new, multidisciplinary science biological psychiatry has developed. Clinical psychiatry has changed dramatically in the past 50 years fewer patients are hospitalized long term, psychiatric care and treatment have largely shifted to outpatient departments and private practices, and new models of combined pharmacological and non-drug-based prophylactic and therapeutic interventions have been developed. [Pg.416]

What is the consumer expectation for pharmacy services in an ambulatory setting, long-term care environment, hospice, and hospital How do they differ ... [Pg.196]

Pharmacists and technicians play a major role in medication safety in modern pharmacy practice. After summarizing several studies performed in hospitals and long-term care facilities, Allan and Barker (1990) estimated that medication errors occur at a rate of about 1 per patient per day. In a more recent study performed in ambulatory pharmacies, they found an overall dispensing accuracy rate for prescription medications of 98.3 percent (Allan, Barker, and Carnahan, 2003). While most of these errors probably have minimal clinical relevance and do not affect patients adversely, many experts believe that medication error rates may be higher in the ambulatory care setting because errors may not always be evident to the health professionals who work there. For example, medication errors can occur when a patient purchases nonprescription medications without speaking with the pharmacist about any potential interactions with his or her prescription medications or if patients fail to verify the appropriate dose of the over-the-counter (OTC) medication. [Pg.522]

Within pharmacy, there is often a specialization of labor. Specialization works not only with employees but departments as well. In pharmacy, this is seen on a large scale because there are pharmacists specializing in hospital pharmacy work and those specializing in community practice, with the subspecialization of independent vs. chain stores, and even long-term-care or managed-care pharmacy. Further, even within a given setting, pharmacists are divided based on their specialties. In hospitals, there are unit-dose phar-... [Pg.26]

Hospitals, chain pharmacies, and long-term care pharmacy providers commonly use capital budgets more often than small local pharmacies. Because planning involves an estimate of future demand, it is an extremely difficult and inexact process. Therefore, many forecasts of demand are for the short term, usually for the next 6 to 12 months. [Pg.141]

Standard-setting organizations also publish texts for use by individuals or organizations seeking compliance with a particular set of industry standards or best practices. For example, the JCAHO publishes an annual accreditation manual for several health care settings, including hospitals, laboratories, and long-term care, ambulatory care, home care, and behavioral health care facilities. The ASHP publishes its positions and best practices in the Best Practices for Health-System Pharmacy Positions and Practice Standards of ASHP. ... [Pg.409]

Health care delivery system affected Hospitals, EMS, psychiatric facilities, long-term care, elderly/ disability services, home health agencies, blood services, assisted living facilities, cemeteries, senior meal sites, pharmacies, medical equipment suppliers, EMS dispatch, urgent care centers, eye care, dialysis units, physician offices, hearing and dental care. Meals on Wheels, and Visiting Nurse Associations. [Pg.73]

Review current partnerships with organizations (e.g.. Emergency Management, Private Elealth Care, Skilled Nursing/Long-Term Care, Eluman Services, Schools, Business and Industry, Media, Voluntary Organizations, Hospitals, Home Health). [Pg.476]


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See also in sourсe #XX -- [ Pg.299 , Pg.305 , Pg.311 ]




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Acute care hospitals long-term

Hospital care

Hospitalism

Hospitalized

Hospitals

Long-term care

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