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[PMID]:29329310
[Au] Autor:Bonaudo M; Martorana M; Dimonte V; D'Alfonso A; Fornero G; Politano G; Gianino MM
[Ad] Endereço:Department of Public Health Sciences and Pediatrics, Università di Torino, Torino, Italy.
[Ti] Título:Medication discrepancies across multiple care transitions: A retrospective longitudinal cohort study in Italy.
[So] Source:PLoS One;13(1):e0191028, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Medication discrepancies are defined as unexplained differences among regimens across different sites of care. The problem of medication discrepancies that occur during the entire care pathway from hospital admission to a local care setting discharge (namely all types of settings dedicated to formal care other than hospitals) has received little attention in the medical literature. The present study aims to (1) determine the prevalence of medication discrepancies that occur during the entire care pathway from hospital admission to local care setting discharge, (2) describe the discrepancy and medication type, and (3) identify potential risk factors for experiencing medication discrepancies in patient care transitions. Evidence from an integrated health care system, such as the Italian one, may explain results from other studies in different healthcare systems. METHODS: A retrospective longitudinal cohort study of patients admitted from July 2015 to July 2016 to the Giovanni Bosco Hospital serving Turin, Italy and its surrounding territory was performed. Discrepancies were recorded at the following four care transitions: T1: Hospital admission; T2: Hospital discharge; T3: Admission into local care settings; T4: Discharge from local care settings. All evaluations were based on documented regimens and were performed by a team (doctor, nurse and pharmacists). RESULTS: Of 366 included patients, 25.68% had at least one discrepancy. The most frequent type of discrepancy was from medication omission (N = 74; 71.15%). Only discharge from a long-stay care setting (T4) was significantly associated with the onset of discrepancies (p = 0.045). When considering a lack of adequate documentation, not as missing data but as a discrepancy, 43.72% of patients had at least one discrepancy. CONCLUSIONS: This study suggests that an integrated health care system, such as Italian system, may influence the prevalence of discrepancies, thus highlighting the need for structured multidisciplinary and, if possible, computerized medication reconciliation to prevent medication discrepancies and improve the quality of medical documentation.
[Mh] Termos MeSH primário: Continuidade da Assistência ao Paciente
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Itália
Estudos Longitudinais
Masculino
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180113
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191028


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[PMID]:29210185
[Au] Autor:Camlin CS; Charlebois ED; Geng E; Semitala F; Wallenta J; Getahun M; Kampiire L; Bukusi EA; Sang N; Kwarisiima D; Clark TD; Petersen ML; Kamya MR; Havlir DV
[Ad] Endereço:University of California, San Francisco, CA, USA.
[Ti] Título:Redemption of the "spoiled identity:" the role of HIV-positive individuals in HIV care cascade interventions.
[So] Source:J Int AIDS Soc;20(4), 2017 Dec.
[Is] ISSN:1758-2652
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The concept of "therapeutic citizenship" has drawn attention to ways in which public testimony, the "story-telling in the public sphere" undertaken by people living with HIV (PLHIV), has shaped the global response to the epidemic. This paper presents qualitative findings from two large studies in eastern Africa that reveal how the advent of population-based HIV testing campaigns and efforts to accelerate antiretroviral "treatment for all" has precipitated a rapidly expanding therapeutic citizenship "project," or social movement. The title of this paper refers to Goffman's original conceptualization of stigma as a social process through which a person's identity is rendered "spoiled." METHODS: Data were derived from qualitative studies embedded within two clinical trials, Sustainable East African Research in Community Health (SEARCH) (NCT# 01864603) in Kenya and Uganda, and START-ART (NCT# 01810289) in Uganda, which aimed to offer insights into the pathways through which outcomes across the HIV care continuum can be achieved by interventions deployed in the studies, any unanticipated consequences, and factors that influenced implementation. Qualitative in-depth semi-structured interviews were conducted among cohorts of adults in 2014 through 2015; across both studies and time periods, 217 interviews were conducted with 166 individuals. Theoretically informed, team-based analytic approaches were used for the analyses. RESULTS: Narratives from PLHIV, who have not always been conceptualized as actors but rather usually as targets of HIV interventions, revealed strongly emergent themes related to these individuals' use of HIV biomedical resources and discourses to fashion a new, empowered subjecthood. Experiencing the benefits of antiretroviral therapy (ART) emboldens many individuals to transform their "spoiled" identities to attain new, valorized identities as "advocates for ART" in their communities. We propose that the personal revelation of what some refer to as the "gospel of ARVs," the telling of personal stories about HIV in the public sphere and actions to accompany other PLHIV on their journey into care, is driven by its power to redeem the "spoiled identity:" it permits PLHIV to overcome self-stigma and regain full personhood within their communities. CONCLUSIONS: PLHIV are playing an unanticipated but vital role in the successful implementation of HIV care cascade interventions.
[Mh] Termos MeSH primário: Infecções por HIV/terapia
Papel do Doente
Estigma Social
[Mh] Termos MeSH secundário: Adulto
Grupo com Ancestrais do Continente Africano
Continuidade da Assistência ao Paciente
Feminino
Infecções por HIV/tratamento farmacológico
Infecções por HIV/psicologia
Seres Humanos
Quênia
Masculino
Meia-Idade
Quartos de Pacientes
Pesquisa Qualitativa
Identificação Social
Uganda
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1002/jia2.25023


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[PMID]:29351547
[Au] Autor:Geroldinger A; Sauter SK; Heinze G; Endel G; Dorda W; Duftschmid G
[Ad] Endereço:Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
[Ti] Título:Mortality and continuity of care - Definitions matter! A cohort study in diabetics.
[So] Source:PLoS One;13(1):e0191386, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To demonstrate that when investigating the relevance of continuity of care for patient outcomes, different definitions can lead to contradicting results. METHODS: We used claims data from the regional public health insurer of Lower Austria covering the period from 2008 to 2011. The study sample included subjects with repeated dispensings of anti-diabetic drugs. The continuity of care index was calculated firstly based on a patient's contacts with general practitioners (primary COCI) and secondly based on contacts at all medical disciplines (total COCI). The association of the two continuity of care measures with mortality was assessed in separate univariable and multivariable Cox regression models. RESULTS: Our study sample consisted of 51,717 patients with a median observation time of 3.65 years. The data showed that a high total COCI was associated with increased mortality, while there was no association between primary COCI and mortality. CONCLUSIONS: Measures of continuity of care are highly sensitive to the type of medical disciplines taken into account. The continuity of care index calculated from contacts at all medical disciplines might measure diversity rather than continuity of care.
[Mh] Termos MeSH primário: Continuidade da Assistência ao Paciente
Diabetes Mellitus/mortalidade
Diabetes Mellitus/terapia
[Mh] Termos MeSH secundário: Idoso
Áustria/epidemiologia
Estudos de Coortes
Continuidade da Assistência ao Paciente/estatística & dados numéricos
Diabetes Mellitus/tratamento farmacológico
Feminino
Seres Humanos
Hipoglicemiantes/uso terapêutico
Masculino
Meia-Idade
Análise Multivariada
Modelos de Riscos Proporcionais
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Hypoglycemic Agents)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191386


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[PMID]:27770385
[Au] Autor:Hwang AS; Atlas SJ; Hong J; Ashburner JM; Zai AH; Grant RW; Hong CS
[Ad] Endereço:Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Gray Bigelow 730, 55 Fruit Street, Boston, MA, 02114, USA. ahwang1@partners.org.
[Ti] Título:Defining Team Effort Involved in Patient Care from the Primary Care Physician's Perspective.
[So] Source:J Gen Intern Med;32(3):269-276, 2017 Mar.
[Is] ISSN:1525-1497
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A better understanding of the attributes of patients who require more effort to manage may improve risk adjustment approaches and lead to more efficient resource allocation, improved patient care and health outcomes, and reduced burnout in primary care clinicians. OBJECTIVE: To identify and characterize high-effort patients from the physician's perspective. DESIGN: Cohort study. PARTICIPANTS: Ninety-nine primary care physicians in an academic primary care network. MAIN MEASURES: From a list of 100 randomly selected patients in their panels, PCPs identified patients who required a high level of team-based effort and patients they considered complex. For high-effort patients, PCPs indicated which factors influenced their decision: medical/care coordination, behavioral health, and/or socioeconomic factors. We examined differences in patient characteristics based on PCP-defined effort and complexity. KEY RESULTS: Among 9594 eligible patients, PCPs classified 2277 (23.7 %) as high-effort and 2676 (27.9 %) as complex. Behavioral health issues were the major driver of effort in younger patients, while medical/care coordination issues predominated in older patients. Compared to low-effort patients, high-effort patients were significantly (P < 0.01 for all) more likely to have higher rates of medical (e.g. 23.2 % vs. 6.3 % for diabetes) and behavioral health problems (e.g. 9.8 % vs. 2.9 % for substance use disorder), more frequent primary care visits (10.9 vs. 6.0 visits), and higher acute care utilization rates (25.8 % vs. 7.7 % for emergency department [ED] visits and 15.0 % vs. 3.9 % for hospitalization). Almost one in five (18 %) patients who were considered high-effort were not deemed complex by the same PCPs. CONCLUSIONS: Patients defined as high-effort by their primary care physicians, not all of whom were medically complex, appear to have a high burden of psychosocial issues that may not be accounted for in current chronic disease-focused risk adjustment approaches.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Assistência ao Paciente/métodos
Médicos de Atenção Primária
Atenção Primária à Saúde/organização & administração
[Mh] Termos MeSH secundário: Fatores Etários
Doença Crônica/terapia
Estudos de Coortes
Continuidade da Assistência ao Paciente/organização & administração
Feminino
Seres Humanos
Masculino
Meia-Idade
Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos
Padrões de Prática Médica
Risco Ajustado
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE
[do] DOI:10.1007/s11606-016-3897-6


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[PMID]:29210555
[Au] Autor:Davis J; Savoy M; Bittner-Fagan H
[Ad] Endereço:Sidney Kimmel Medical College - Thomas Jefferson University, 1025 Walnut St, Philadelphia, PA 19107.
[Ti] Título:Improving Patient Safety: Care Transitions.
[So] Source:FP Essent;463:16-20, 2017 Dec.
[Is] ISSN:2159-3000
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Care transitions are times of high risk of harm to patients. The transition from hospital care to outpatient care is perhaps the most well-studied transition and is encountered commonly in the family medicine setting. For discharge transitions, several hospital-based interventions for patients with major diagnoses have resulted in improvements in readmission rates, costs, and patient satisfaction. Prompt scheduling of a follow-up appointment with patients after discharge is crucial. Key issues to consider in the first post-discharge appointment include drug reconciliation and follow-up of any pending tests and results. In the outpatient setting, establishing working relationships with hospital physicians and consultants, educating patients to notify physicians of admissions to hospitals or other care facilities, and educating patients to bring current drug lists to appointments can improve care transitions. Physicians now can receive greater reimbursement for transitional care management services using new CPT codes.
[Mh] Termos MeSH primário: Continuidade da Assistência ao Paciente/normas
Medicina de Família e Comunidade
Erros Médicos/prevenção & controle
Segurança do Paciente
Administração da Prática Médica
Melhoria de Qualidade
[Mh] Termos MeSH secundário: Seres Humanos
Modelos Organizacionais
Cultura Organizacional
Relações Médico-Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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[PMID]:29370162
[Au] Autor:Dudley L; Mukinda F; Dyers R; Marais F; Sissolak D
[Ad] Endereço:Division of Health Systems and Public Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
[Ti] Título:Mind the gap! Risk factors for poor continuity of care of TB patients discharged from a hospital in the Western Cape, South Africa.
[So] Source:PLoS One;13(1):e0190258, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: TB patients discharged from hospitals in South Africa experience poor continuity of care, failing to continue TB treatment at other levels of care. Factors contributing to poor continuity of TB care are insufficiently described to inform interventions. OBJECTIVE: To describe continuity of care and risk factors in TB patients discharged from a referral hospital in the Western Cape, South Africa. DESIGN: This retrospective observational study used routine information to describe continuity of care and risk factors in TB patients discharged from hospital. RESULTS: 788 hospitalized TB patients were identified in 6 months. Their median age was 32 years, 400 (51%) were male, and 653 (83%) were urban. A bacteriological TB test was performed for 74%, 25% were tested for HIV in hospital, and 32% of all TB patients had documented evidence of HIV co-infection. Few (13%) were notified for TB; 375 (48%) received TB medication; 284 (36%) continued TB treatment after discharge; 91 (24%) had a successful TB treatment outcome, and 166 (21%) died. Better continuity of care was associated with adults, urban residence, bacteriological TB tests in hospital and TB medication on discharge. Fragmented hospital TB data systems did not provide continuity with primary health care information systems. CONCLUSIONS: Discharged TB patients experienced poor continuity of care, with children, rural patients, those not tested for TB in hospital or discharged without TB medication at greatest risk. Suboptimal quality of hospital TB care and a fragmented hospital information system without linkages to other levels underpinned poor continuity of care.
[Mh] Termos MeSH primário: Continuidade da Assistência ao Paciente
Alta do Paciente
Tuberculose/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
Fatores de Risco
África do Sul/epidemiologia
Tuberculose/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190258


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[PMID]:29393303
[Au] Autor:Barker J
[Ad] Endereço:Clinical Assistant Professor of Psychiatry and Human Behavior, Alpert Medical School of Brown University; Assistant Clinical Professor of Psychiatry, Tufts University School of Medicine.
[Ti] Título:Clinical Challenges in the Growing Medical Marijuana Field.
[So] Source:R I Med J (2013);101(1):13-14, 2018 Feb 02.
[Is] ISSN:2327-2228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Unique clinical challenges arise with the growing number of patients who possess medical marijuana cards. Medical marijuana patients with mental disorders can have worsening symptoms with marijuana use. Often there is sparse continuity of care between the patient and the medical marijuana practitioner. Lack of communication between the patient's treating practitioners and the practitioner who has authorized the medical marijuana can be problematic. This article is a discussion of the new clinical challenges practitioners are likely to encounter with the growing number of medical marijuana patients. [Full article available at http://rimed.org/rimedicaljournal-2018-02.asp].
[Mh] Termos MeSH primário: Maconha Medicinal/efeitos adversos
[Mh] Termos MeSH secundário: Continuidade da Assistência ao Paciente
Seres Humanos
Relações Interprofissionais
Transtornos Mentais/psicologia
Transtornos Mentais/terapia
Relações Médico-Paciente
Padrões de Prática Médica
Rhode Island
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Medical Marijuana)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:28450898
[Au] Autor:Wyndow N; Crossley KM; Vicenzino B; Tucker K; Collins NJ
[Ad] Endereço:School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, 4072 QLD Australia.
[Ti] Título:A single-blinded, randomized, parallel group superiority trial investigating the effects of footwear and custom foot orthoses versus footwear alone in individuals with patellofemoral joint osteoarthritis: a phase II pilot trial protocol.
[So] Source:J Foot Ankle Res;10:19, 2017.
[Is] ISSN:1757-1146
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patellofemoral joint osteoarthritis is a common condition, yet information regarding conservative management is lacking. Foot orthoses are an effective intervention for improving pain and function in younger individuals with patellofemoral pain and may be effective in those with patellofemoral osteoarthritis. This pilot study will seek to establish the feasibility of a phase III randomised controlled trial to investigate whether foot orthoses worn in prescribed motion controlled footwear are superior to prescribed motion control footwear alone in the management of patellofemoral osteoarthritis. METHODS/DESIGN: This phase II pilot clinical trial is designed as a randomized, single-blind, parallel group, two arm, superiority trial. The trial will recruit 44 participants from Queensland and Tasmania, Australia. Volunteers aged 40 years and over must have clinical symptoms and radiographic evidence of patellofemoral osteoarthritis to be eligible for inclusion. Those eligible will be randomized to receive either foot orthoses and prescribed motion control shoes, or prescribed motion control shoes alone, to be worn for a period of 4 months. The feasibility of a phase III clinical trial will be evaluated by assessing factors such as recruitment rate, number of eligible participants, participant compliance with the study protocol, adverse events, and drop-out rate. A secondary aim of the study will be to determine completion rates and calculate effect sizes for patient reported outcome measures such as knee-related symptoms, function, quality of life, kinesiophobia, self-efficacy, general and mental health, and physical activity at 2 and 4 months. Primary outcomes will be reported descriptively while effect sizes and 95% confidence intervals will be calculated for the secondary outcome measures. Data will be analysed using an intention-to-treat principle. DISCUSSION: The results of this pilot trial will help determine the feasibility of a phase III clinical trial investigating whether foot orthoses plus motion control footwear are superior to motion control footwear alone in individuals with patellofemoral osteoarthritis. A Phase III clinical trial will help guide footwear and foot orthoses recommendations in the clinical management of this disorder. TRIAL REGISTRATION: Retrospectively registered with the Australian New Zealand Clinical Trials Registry: ACTRN12615000002583. Date registered: 07/01/15.
[Mh] Termos MeSH primário: Órtoses do Pé
Osteoartrite do Joelho/terapia
Síndrome da Dor Patelofemoral/terapia
Sapatos
[Mh] Termos MeSH secundário: Adulto
Idoso
Continuidade da Assistência ao Paciente
Desenho de Equipamento
Estudos de Viabilidade
Feminino
Nível de Saúde
Seres Humanos
Masculino
Registros Médicos
Meia-Idade
Articulação Patelofemoral
Cooperação do Paciente
Projetos Piloto
Queensland
Consulta Remota
Autoeficácia
Método Simples-Cego
Resultado do Tratamento
[Pt] Tipo de publicação:CLINICAL TRIAL, PHASE II; COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1186/s13047-017-0200-y


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[PMID]:28457493
[Au] Autor:Carpenter JG; Berry PH; Ersek M
[Ad] Endereço:University of Utah College of Nursing, 10 South 2000 East, Salt Lake City, UT 84112, USA; Corporal Michael J. Crescenz VA Medical Center - Philadelphia, 3900 Woodland Avenue, Annex Suite 203, Philadelphia, PA 19104, USA. Electronic address: Joan.Carpenter@va.gov.
[Ti] Título:Nursing home care trajectories for older adults following in-hospital palliative care consultation.
[So] Source:Geriatr Nurs;38(6):531-536, 2017 Nov - Dec.
[Is] ISSN:1528-3984
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Palliative care consultation (PCC) during hospitalization is increasingly common for older adults with life-limiting illness discharged to nursing homes. The objective of this qualitative descriptive study was to describe the care trajectories and experiences of older adults admitted to a nursing home following a PCC during hospitalization. Twelve English-speaking adults, mean age 80 years, who received a hospital PCC and discharge to a nursing home without hospice. Data were collected from medical records at five time points from hospital discharge to 100 days after nursing home admission and care trajectories were mapped. Interviews (n = 15) with participants and surrogates were combined with each participant's medical record data. Content analysis was employed on the combined dataset. All PCC referrals were for goals of care conversations during which the PCC team discussed poor prognosis. All participants were admitted to a nursing home under the Medicare skilled nursing facility benefit. Seven were rehospitalized; six of the 12 died within 6 weeks of initial nursing home admission. The two care trajectories were Focus on Rehabilitative Care and Comfort Care Continuity. There was a heavy emphasis on recovering functional status through rehabilitation and skilled nursing care, despite considerable symptom burden and poor prognosis. Regardless of PCC with recommendations for palliative interventions, frail older adults with limited life expectancy and their family caregivers often perceive that rehabilitation will improve physical function. This perception may contribute to inappropriate, ineffective care. More emphasis is needed to coordinate care between PCC recommendations and post-acute care.
[Mh] Termos MeSH primário: Continuidade da Assistência ao Paciente
Casas de Saúde/organização & administração
Cuidados Paliativos/utilização
Encaminhamento e Consulta
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Feminino
Hospitalização
Seres Humanos
Masculino
Casas de Saúde/utilização
Alta do Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:29235797
[Au] Autor:Johnson C
[Ti] Título:Harm reduction in the addiction continuum of care.
[So] Source:Can Nurse;113(3):36, 2017 May-Jun.
[Is] ISSN:0008-4581
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Continuidade da Assistência ao Paciente
Redução do Dano
Transtornos Relacionados ao Uso de Substâncias/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE



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