An eightfold rise in hospital admissions for acute asthma from 1971-85 prompted two studies to audit the admissions policy at the Royal Alexandra Hospital. In the first study the on call senior house officer (SHO) was replaced by an experienced registrar and over a four month period 53 children out of 158 were sent home from the receiving room compared with six out of 39 seen by the SHOs. In th...

To find out what happens to patients admitted to an acute geriatric medical unit, all admissions during 1982 were reviewed. Demographic features were compared with those of the community served, and rehabilitation, inpatient mortality and mortality in the year following discharge were assessed. Inpatients accounted for 4% of the community aged over 65, and most patients were discharged back to ...

BACKGROUND There is some evidence that hospital performance in England measured by the Dr Foster Hospital Standardised Mortality Ratio (HSMR) has improved substantially over the last 10 years. This study explores mortality in-hospital and up to 30 days post-discharge over a five year period to determine whether there have been improvements in case-mix adjusted mortality, to examine if any chang...

Introduction: Many admissions for acute asthma are avoidable. Care following admission with acute asthma was audited at the Royal Glamorgan Hospital, South Wales, simple changes were introduced, and a re-audit was conducted. Methods: Adult admissions for acute asthma were analysed for an initial 2 month period followed by the introduction of changes in practice, then re-audited for a 5 week per...

AIM To examine medical and sociodemographic factors involved in acute paediatric admission. To compare outcome of admission with factors present at time of admission. METHODS Prospective questionnaire based study of 887 consecutive emergency general paediatric admissions to five Yorkshire hospitals during two separate three week periods in summer and winter. MAIN OUTCOME MEASURES Discharge ...

Many hospitalizations for asthma could potentially be avoided with appropriate management. The aim of this study was to analyze data on disease management of a paediatric population with a hospitalization for asthma. The study population comprised 6-17 year old subjects belonging to three local health units of the Lombardy Region, northern Italy. Regional administrative databases were used to c...

Between 1974 and 1981, 28 701 children in Wales were admitted to hospital for observation after an injury to the head. Only 22 of 35 who subsequently developed intracranial haemorrhage, presented for examination within 24 hours of the injury. All of these patients had symptoms or signs clearly needing continued observation or treatment six hours after the injury. Many children who are currently...

www.homehealthcarenurseonline.com Creating Teaching Plans for Adults Jan, an RN and case manager, arrived at Mrs. A’s house armed with wound care pamphlets and instruction sheets. This 64-year-old client was admitted to home care the previous day for assistance with dressing changes to a belowthe-knee amputation resulting from complications of diabetes. Jan’s plan was to review the information ...

[Purpose] (1) The aim of this study was to examine relations between clinical and functional assessment and discharge destination and (2) to identify the optimal cutoff point for estimating discharge to home after inpatient rehabilitation. [Subjects] The subjects were 54 hip fracture patients (15 males, 39 females; mean age 81.3 ± 7.4 years) living alone. [Methods] The patients were classified ...

BACKGROUND Crisis resolution teams (CRTs) can provide effective home-based treatment for acute mental health crises, although critical ingredients of the model have not been clearly identified, and implementation has been inconsistent. In order to inform development of a more highly specified CRT model that meets service users' needs, this study used qualitative methods to investigate stakehold...