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Search Results: 1 - 10 of 15982 matches for " care "
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Effects of Prenatal Perineal Massage and Kegel Exercises on the Integrity of Postnatal Perine  [PDF]
Sevgul D?nmez, Oya Kavlak
Health (Health) , 2015, DOI: 10.4236/health.2015.74059
Abstract: Aim: This randomize controlled experimental study has been carried out to investigate the effects on the integrity of perine of perineal massage and Kegel exercises applied prenatally to women who experienced vaginal delivery. Methods: Research was carried out between January 2012 and 2013, with a total of 101 pregnant women who referred to Ege University Hospital in ?zmir. Data Collection Form, Kegel Exercise Training Brochure, Practice Observation Form and Prenatal Perinea Massage Learning Guide for Implementer were used. Researcher continued to perform this massage once a week until delivery. Kegel exercises were asked to perform exercises at home and also to register them until delivery. When exercise group came to weekly controls or when they were contacted at home they were asked if they have performed daily exercise or not. The pregnant women in control group did not receive any application. One to one interview was performed during delivery and postnatal 24 hours at the hospital and a telephone interview was performed 15 days postnatal, so three groups were evaluated. The chi-square, Mann-Whitney U test and Kruskal Wallis test were used. Results: A statistically significant difference was found between study and control groups in terms of episiotomy rates, laceration, postnatal 24 hours and 15 days perineal pain and improvement (p < 0.05). Conclusion: It was found that perineal massage and Kegel exercises are important in maintaining the integrity of perineal significantly. It is thought that when the perineal massage and Kegel exercise being performed during pregnancy is supported by health professional, it will play a significant role in women’s quality of life.
A Method for Estimating the Participation Rate of Elder Care  [PDF]
Ben David Nissim, Halperin Daphna, Kats Ruth, Lowenstein Ariela, Tur Sinai Aviad
Theoretical Economics Letters (TEL) , 2016, DOI: 10.4236/tel.2016.63054
Abstract:

This paper focused on estimating the participation rate of care giving to elders. We used a theoretical model frame that was in common use for analyzing activity in the labor market and adjusted it for analyzing the care giving rate in elders. Using data of the rate of start taking care and the rate of end taking care in elders from the Survey of Health, Aging and Retirement in Europe we evaluated the rate of \"caregivers\" in whole population at age over 50 and among males, females, people in labor force and out of labor force. According to our results, the lowest care rate is among men 16.8%, and the highest is among females 18.88%, while for whole population at age over 50, the care rate is 18.2%. According to our findings, there is a very high end of care rate from treatment in all population groups, pointing to the existence of a very large substitution among caregivers, mainly among people not in labor force (76.2%).

La Globalización del Cuidado y Sus Cadenas: Un Estudio de Caso
Mora,Enrico; León Medina,Francisco José;
Psicoperspectivas , 2011, DOI: 10.5027/psicoperspectivas-Vol10-Issue2-fulltext-151
Abstract: in this text we analyzed an externalization of a chain of care and its conversion into a service from catalonia to the philippines. we identified the shifts of gender position for the women implied: from the catalan employers to the philippine domestic workers. we also indicated the ambiguous and diffuse limits that installed between care and service relations under mercantile relations. the field research was performed both in catalonia as well as in the philippines. we used biographical interviews, interviews aimed at expert personnel, documentary and statistical analysis. for the object of this paper we leaned mainly on the interviews conducted with philippine domestic workers, catalan employers of domestic workers, and to expert personnel on migration, gender and domestic work of catalonia and the philippines. the techniques of analysis used were content analysis and discourse analysis.
Becoming a culturally competent nurse  [PDF]
Valarie F. Thomas
Open Journal of Nursing (OJN) , 2013, DOI: 10.4236/ojn.2013.38A009
Abstract:

Cultural competence in nursing provides an ideal avenue to meet the various needs of our patients while providing them with safe, competent care. “Racial and ethnic differences in family expectations or preferences for care are not yet well identified and cataloged, but they may uniquely affect individual ratings or experience with care” [1]. The purpose of this article is to enlighten nurses as health care providers about cultural care in an effort to provide that safe, competent care. Many times patients present for care at hospitals and clinics with language barriers and preconceived ideas based on their own cultural beliefs and practices. It is ideal when we, as nurses have the ability to meet those needs in an effort to meet patient’s expectations and healthcare needs. In order to meet the diverse needs of our growing multi-cultural population, it is becoming apparent that we must not only provide care based on the physical needs, but the entire person’s needs relevant to their cultural beliefs regarding healthcare practices and the healing process.

Practices of Care from Educators at Institutional Shelters for Children  [PDF]
Lilian de Jesus Fontel Cunha Donato, Celina Maria Colino Magalhaes, Laiane da Silva Corrêa
Psychology (PSYCH) , 2017, DOI: 10.4236/psych.2017.88075
Abstract: Shelter is a last resort in cases of suspected or threatened violation of rights in the Statute of the Child and Adolescent. The literature suggests that quality of care offered to children is one of the factors necessary to ensure the protective nature of the institutional care. This study aimed to investigate the profile and care practices of educators in the state of Pará, comparing two contexts, the metropolitan region of Belém (RMB) and the interior region of the state (IE). Data were collected by semi-structured interviews with 110 educators from 11 shelters in the state of Pará. The results show that the RMB educators have higher average service time than IE group, and significant differences were detected in 14 care practices between the groups. Our findings corroborate the literature on the importance of training and valuing the educator in order to provide a higher quality service.
Nurses’ Care Approach (NCAp): Connecting Differences to Islamic Believer Patients in the Arab World  [PDF]
Jefferson Garcia Guerrero
Open Journal of Nursing (OJN) , 2019, DOI: 10.4236/ojn.2019.93022
Abstract: Background: Nursing care approaches may vary from one patient to another. In the nursing profession, nurses are imbibed with the attributes of multicultural care competencies that would empower the nurses to be adaptive and mindful of how they provide and go with their carative nursing managements. This would entail that the non-Muslim nurses must be aware and be sensitive enough in their approaches and communicative exchanges with their Muslim patients. Objective: The study aims to identify the care approaches given by non-Muslim nurses working in the Arab world and how they elicit and provide a universal approach in caring Muslim patients. Methods: The study utilized a mixed methodology, specifically the explanatory sequential design, which involved a descriptive-comparative quantitative research design and eidetic qualitative research design. Results: Based on the result with the highest mean 3.63%, the respondents strongly agree that the non-Muslim nurse is aware of her own culture, 3.60% strongly agree that the non-Muslim Nurse does not discriminate the decisions of the patients regardless of gender, race, culture or belief and 3.58% still strongly agree that the non-Muslim nurse encourages patients to communicate as need arises. Here are three themes emerged from the study: understanding and respect of cultures, caring across borders, and caring calmness. In connecting the differences, non-Muslim nurses must be aware of their own culture, must not discriminate the decisions of the patients regardless of gender, race, culture or belief and must encourages patients to communicate as need arises. Conclusion: Knowing and understanding the scope of nursing practice with a high regard of respect to patients without discrimination will promote and provide holistic, safe and high-quality nursing care.
Mortality Rate and Outcome among Patients Admitted to General Intensive Care Unit during “Morning-Hour” Compared with “Off-Hour”  [PDF]
Shahram Ala, Nasrin Pakravan, Motahhare Ahmadi
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.33035
Abstract: Aim: This study aim to evaluate the effect of time of admission on mortality of patients admitted to the ICU. Method: This retrospective study included 391 of patients admitted to the ICU of an academic hospital during one year. Patients were categorized according to time of admission: working-hours and off-hours. Mortality was compared in the groups and associated factors of mortality were examined. Results: Two third of patients were admitted during off-hours. There was no significant difference in the GCS, age and length of stay among patients admitted during working-hours and off-hours. There was no difference in mortality among patients admitted during working-hours and off-hours Mortality was significantly higher in older and more severe cases, regardless of time of admission. Conclusion: Time of ICU admission does not have significant effect on patient’s outcome.
Preoperative and Postoperative Spirometry in Patients Undergoing Lobectomy for Sequelae of Pulmonary Tuberculosis  [PDF]
Elias Amorim, Roberto Saad, Armando Veiga Da Cruz Filho
Open Journal of Thoracic Surgery (OJTS) , 2013, DOI: 10.4236/ojts.2013.32008
Abstract:

Objective: To assess preoperative and postoperative spirometry values in patients undergoing lobectomy for sequelae of pulmonary tuberculosis. Method: A total of 20 patients (10 males) with history of treatment for tuberculosis and presenting with symptomatic sequelae (repeat infection or hemoptysis) who sought assistance at the chest surgery outpatient clinic between 11.09.07 and 04.02.10, were selected for the study. Only patients that met theeligibility criteria (symptomatic, submitted to tuberculosis treatment) were included in the study. The age of patients ranged from 15 to 56 years (mean: 35.75 years). The average treatment time for tuberculosis was 6 months and onset of symptoms occurred between 01 and 32 years after treatment. To assess the impact of surgery on the variables VC, FVC, FEV1, FEV1/FVC, FEF and PEF preoperative values were compared with postoperative values at 1st, 3rd, 6th and 12th month using the paired t test. The level of significance (α) applied for all tests was 5% where a value of p < 0.05 was considered significant. Results: 11 patients were treated because of recurrent infections and 9 because of haemoptysis. The most common lobectomy was right upper lobectomy (7 patients), followed by left upper lobectomy (6 patients), left lower lobectomy (6 patients), and right middle lobectomy (1 patient). There were no postoperative complications. There was no postoperative mortality. Conclusion: Based on the results of the present study, it can be concluded that, at the 12th postoperative month, spirometric parameters of patients with tuberculosis sequelae submitted to lobectomy had returned to preoperative levels.

Why Is Medical Care Expensive in the US?  [PDF]
Kaz Miyagiwa, Paul Rubin
Theoretical Economics Letters (TEL) , 2014, DOI: 10.4236/tel.2014.41010
Abstract:

America spends more on medical care than any other nation, with no noticeable difference in results. It is commonly thought that this is a result of a defect in the organization of medicine in the US, which can be repaired by “reform.” However, medicine is a labor-intensive good and labor is more expensive in the US. We show that these conditions will invariably lead to a higher price and a higher percentage of GDP spent on medicine. Thus, while reforms may improve the functioning of the health care sector, they are unlikely to have a major effect on spending levels.

Improving Hospital Utilization and Outcomes: Health Economics at the Community Level  [PDF]
Ronald Lagoe, Shelly Littau
Health (Health) , 2014, DOI: 10.4236/health.2014.69107
Abstract: This study reviewed efforts to improve health care efficiency at the community level from the perspective of the financial impact on provider organizations. It focused on utilization and outcomes programs that address this objective in the metropolitan area of Syracuse, New York and their implications for health economics. The study demonstrated that a range of length of stay initiatives, including programs addressing length of stay reduction between hospitals and nursing homes produced a savings of $12,448,300 - $31,232,900 over a fifteen-year period. These efforts involved community wide costs of $3,128,125 - $4,144,025. The study also demonstrated that efforts to reduce inpatient hospital complications produced a savings of between $1,622,400 - $3,623,400 over a four-year period. These efforts involved community wide costs of $739,200. The study suggested that these savings were enhanced through community wide initiatives that enabled hospitals to save expenses associated with data development and program implementation.
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