2.50
Hdl Handle:
http://hdl.handle.net/10755/159563
Type:
Presentation
Title:
Rehospitalization of Patients with COPD
Abstract:
Rehospitalization of Patients with COPD
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Madigan, Elizabeth, PhD
P.I. Institution Name:Case Western Reserve University
Title:Associate Professor
Contact Address:Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Contact Telephone:216.368.8532
Home health care (HHC) is under increasing pressure to provide evidence that care is effective. One measure of effectiveness is the rate of rehospitalization. While rehospitalization has been studied in various populations, there is little evidence on what leads to rehospitalization of HHC patients with COPD. Study aim: to provide a model for developing evidence-based profiles of the number, type, and timing of contacts needed to prevent rehospitalization. Areas of data collection include: 1.) patient signs/symptoms preceding rehospitalization and 2.) perceptions of patients and family members regarding the HHC contacts needed to prevent a subsequent rehospitalization. The sample presented here consists of 11 hospitalized patients, ? 65 years of age, with a primary or secondary diagnosis of COPD, and rehospitalized within 12 weeks. Audiotape interviews of the patient and family were conducted using open-ended questions; responses were analyzed using content analysis. Preliminary findings: The most frequent signs/symptoms were shortness of breath (81%) and chest pain (27%), followed by weakness, coughing and anxiety. Six (55%) patients identified at the time of index hospital discharge that they felt they were able to manage their care at home. Two identified they were not able to manage, one felt s/he had no choice, and one was "trying to manage". The rehospitalization occurred most often (n=5, 46%) following attempts at self care (use of albuterol and/or increased oxygen), followed by seeking assistance from a physician (3), a HHC nurse (1), or a family member (1). While only one patient identified HHC contacts as perhaps a way to prevent rehospitalization, four of the family members identified having a HHC nurse from one to three times per week would have helped to prevent the rehospitalization. Study results suggest that interventions may focus best on assisting patients to develop additional self care strategies and additional HHC contacts.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRehospitalization of Patients with COPDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159563-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Rehospitalization of Patients with COPD</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Madigan, Elizabeth, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">216.368.8532</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">eam13@po.cwru.edu</td></tr><tr><td colspan="2" class="item-abstract">Home health care (HHC) is under increasing pressure to provide evidence that care is effective. One measure of effectiveness is the rate of rehospitalization. While rehospitalization has been studied in various populations, there is little evidence on what leads to rehospitalization of HHC patients with COPD. Study aim: to provide a model for developing evidence-based profiles of the number, type, and timing of contacts needed to prevent rehospitalization. Areas of data collection include: 1.) patient signs/symptoms preceding rehospitalization and 2.) perceptions of patients and family members regarding the HHC contacts needed to prevent a subsequent rehospitalization. The sample presented here consists of 11 hospitalized patients, ? 65 years of age, with a primary or secondary diagnosis of COPD, and rehospitalized within 12 weeks. Audiotape interviews of the patient and family were conducted using open-ended questions; responses were analyzed using content analysis. Preliminary findings: The most frequent signs/symptoms were shortness of breath (81%) and chest pain (27%), followed by weakness, coughing and anxiety. Six (55%) patients identified at the time of index hospital discharge that they felt they were able to manage their care at home. Two identified they were not able to manage, one felt s/he had no choice, and one was &quot;trying to manage&quot;. The rehospitalization occurred most often (n=5, 46%) following attempts at self care (use of albuterol and/or increased oxygen), followed by seeking assistance from a physician (3), a HHC nurse (1), or a family member (1). While only one patient identified HHC contacts as perhaps a way to prevent rehospitalization, four of the family members identified having a HHC nurse from one to three times per week would have helped to prevent the rehospitalization. Study results suggest that interventions may focus best on assisting patients to develop additional self care strategies and additional HHC contacts.</td></tr></table>en_GB
dc.date.available2011-10-26T22:07:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:07:48Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.