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82 • Primo episodio di ictus

10- PROCEDURE TERAPEUTICHE

Nessuna terapia 0

Terapia im, sc 2

93

Terapia infusiva 4

Educazione alla famiglia per la gestione della terapia infusiva 4

Terapia parenterale totale 5

Gestione di port-cat / pompa per la terapia del dolore 6

11- MEDICAZIONI

Nessuna medicazione 0

Medicazione semplice a piatto / medicazione stomie 2

Medicazione CVC / Giugulare / CVP 2

Medicazione di 2° grado + varie medicazioni 1° stadio 4

Medicazioni lesioni 3°stadio, rimozione escara, ferite complicate, supurate,

deiscenza di sutura 6

Lesioni necrotiche, medicazioni complesse arti, capo, troco 6

Lesioni trofiche 6

Deiscenze, fistole, ascessi 6

Gestione delle lesioni in pazienti a rischio infettivo (HIV, HCV, …) 7

Totale score

60 -Assistenza alla terminalità oncologica □ si □ no

61- Assistenza alla terminalità non oncologica □ si □ no

62 - Trattamento riabilitativo neurologico in presenza di disabilità □ si □ no

63 - Trattamento riabilitativo ortopedico in presenza di disabilità □ si □ no

64 - Trattamento riabilitativo di mantenimento in presenza di disabilità □ si □ no

65 - Supervisione continua di utente con disabilità □ si □ no

66 - Supervisione continua di utente con disabilità □ si □ no

67 - Assistenza nelle IADL di utente con disabilità □ si □ no

68 Se si □ familiare □ assistente domestica □ SAD LEGGENDA

Indice di complessità assistenziale BASSO <= 20

Indice di complessità assistenziale MEDI O < 40

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Bibliografia

The Italian Longitudinal Study Working Group. Prevalence of chronic diseases in older Italians: comparing self reported and clinical diagnoses. Internal Journal of Epidemiology 1997;26:995-1002

Senin U, Cherubini A, Mecocci P. Impatto dell’invecchiamento della popolazione sull’organizzazione socio-sanitaria: necessità di un nuovo modello di assistenza continuativa. Ann Ital Med Int 2003, 18:1

Fried L, Walston J. Frailty and failure to thrive. Principles of geriatric medicine and gerontology. 4th ed. New York, NY: McGraw-Hill, 1999: 1387-1402.

Parkers R.J., Shepperd S.; “Discharge planning from hospital to home”; The Cochrane Database of Systematic Reviews; 2003, vol. 3;

Bull M.J.. Hansen H. E., Gross C. R.; “A professional-patient partnership model of discharge planning with elders hospitalised with heart failure” Appl. Nurs res. 2000; 12:19-28;

Colle F., Palese A., Brusaferro S.; “La continuità dell’assistenza basata su informazioni scritte e infermieri dedicati: revisione della letteratura”, Assistenza Infermieristica e Ricerca, 2004; 3: 179-85

Dullers van Emden DM, Wynand JGR, Berns M. Transition of care: an evalution of the role of the discharge liaison nurse in the Netherlands. J Adv Nurs 1999; 30:1186-94

Issele L.M., Bekemeier B, Safe practice of population-focused nursing care: Development of a public health nursing concept, Nursing Outlook, Volume 58, Issue 5, sept. 2010, pp 226-232 (http://www.nursingoutlook.org/issues/contents?issue_key=S0029-6554(10)X0005-7)

Hurst J., Effective ways to realise policy reforms in health system, WHO Health work in progress n° 51, DELSA/HEA/WD/HWP(2010)2, 29 marzo 2010 (www.who.org)

Demagistris A, Bianco B, Cardinali L, Caudera V et al. Incidence of nutritional risk in a university hospital. Clin Nutr 2003; 22(S1): S97.

Food and Nutritional Care in Hospitals. How to Prevent Undernutrition. Report and recommendations of the Committee of Experts on Nutrition, Food safety and Customer Protection. Council of Europe Publishing, Strasbourg, 2002.

Kyle UG, Pirlich M, Schuetz T et al. Prevalence of malnutrition in 1760 patients at hospital admission: a controlled population study of body composition. Clin Nutr 2003; 22: 473-481.

De Looper, M. and G. Lafortune (2009), “Measuring Disparities in Health Status and in Access and Use of Health Care in OECD Countries”, OECD Health Working Papers, No 43, Paris

Alexander, J.W. & Bauerschmidt, A.D. (1987). Implications for nursing administration of the relationship of technology and structure to quality of care. Nursing Administration Quarterly, 11(4), 1- 10

Alexander, J. & Kroposki, M. (2001). Using a management perspective to define and measure changes in nursing technology. Journal of Advanced Nursing, 35(5) 776-783.

Alexander, J.W. & Mark, B. (1990). Technology and structure of nursing organizations. Nursing & Healthcare, 11(4), 195-199.

Barrick, A.L., Rader, J., Hoeffer, B., & Sloane, P.D. (2002). Bathing without a battle: personal care of individuals with dementia. New York: Springer Publishing Company.

Beck, C., Heacock, P., Mercer, S.O. Walls, R.C., Rapp, C.G., & Vogelpohl, T.S. (1997). Improving dressing behavior in cognitively impaired nursing home residents. Nursing Research, 46(3), 126-132.

Bernal, H., Wooley, S., & Schensul, J.J. (1997). The challenge of using Likert- type scales with low- literate ethnic populations. Nursing Research, 46, 179-181.

Campbell, S.L. (2003). Empowering nursing staff and residents in long-term care Geriatric Nursing, 24(3), 170-175.

95

Doran D.M. & Sidani S. Outcomes-Focused Knowledge Translation: A Framework for Knowledge

Translation and Patient Outcomes. Article first published online: 12 MAR 2007.

Doran D.M., Mylopoulos J., Kushniruk A., Nagle L., Sidani S., Laurie-Shaw B., Tourangeau A., Lefebre N., Reid-Haughian C., Cranley L., Carryer J. & McArthur, G. Evidence in the Palm of Your Hand: Development of an Outcomes-Focused Knowledge Translation Intervention. Worldviews on Evidence-Based Nursing, 2007. 4(2), 69-77.

Irvine D. M., Sidani S., & McGillis Hall L. Linking outcomes to nurses’ roles in health care. Nursing Economic$, 1998. 16(2), 58-64, 87.

Doran D.M., O’Brien-Pallas L., Sidani S., McGillis Hall L., Petryshen P., Hawkins J., Watt-Watson J. & Thompson, D. An evaluation of nursing sensitive outcomes for quality care. Journal of International Nursing Perspectives, 2003. 3(3), 109-125.

Doran, D. Patient and system outcomes to nurses' role functions. Nursing Economics, 1998: 16, 58- 64, 87.

Doran, D. Paterson, J. Clark, C. Srivastava, R. Goering,R.N. Kushniruk, A. W. Bajnok, I. Nagle, L. Almost, J. Carryer, J. A pilot study of an electronic interprofessional Evidence – Based Care planning tool for clients with mental health problems and addictions. Worldviews on Evidence – Based Nursing, 2010; x (x):1-11.

Doran, D. Haynes, R. B. Kushniruk, A.W. Straus, S. Grimshaw, McGillis Hall, J. L. Dubrowski, A. Di Pietro, T. Newman, K. Almost, J. Nguyen, H. Carryer, J. Jedras, D. Supporting Evidence – Based Practice for nurses through information technologies. Worldviews on Evidence – Based Nursing, 2010; 7 (1):4-15.

Field, A. (2000). Discovering statistics using SPSS fro Windows. London: Sage Publications.

Feldman, P.H. & Kane, R.L. (2003). Strengthening research to improve the practice and management of long-term care. The Milbanq Quarterly, 81(2), 179-220.

Ferguson, L. (2004). External validity, generalizability, and knowledge utilization. Journal of Nursing Scholarship, 36(1), 16-22.

Ferketich, S. & Muller, M.(1990). Factor analysis revisited. Nursing Research, 39(1), 59-62.

Ferketich, S. (1990). Internal consistency estimates of reliability. Research in Nursing & Health, 13, 437-440.

Ferketich, S. (1991). Aspects of item analysis. Research in Nursing &Health, 14, 165- 168.

Flesner, M.K. & Rantz, M.J. (2004). Mutual empowerment and respect: effect on nursing home quality of care. Journal of Nursing Care Quality, 19(3), 193- 196.

Hickson, D.J., Pugh, D.S., & Pheysey, D.C. (1969). Operations technology and organization structure: an empirical reappraisal. Administrative Science Quarterly,14, 378-397.

Wunderlich G.S. & Kohler, P.O. (Eds.). (2001). Improving the quality of long-term care. Washington, DC: National Academy Press.Institute of Medicine (IOM).

Jones, K.R., Fink, R., Vojir, C., Pepper, G., Hutt, E., Clark, L., Scott, J., Martinez, R., Vincent, D., & Mellis, B.K. (2004). Translation research in long-term care: improving pain management in nursing homes. Worldviews on Evidence-Based Nursing, Supp 1, S13-20.

Lee, J.W., Jones, P.S., Mineyama, Y., & Zhang, X.E. (2002). Cultural differences in responses to a Likert Scale. Research in Nursing & Health, 25, 295-306.

Mark, B.A., Salyer, J., & Wan, T.T.H. (2003). Professional nursing practice: impact on organizational and patient outcomes. Journal of Nursing Administration, 33(4), 224-234.

McDaniel, R.R., Jordan, M.E., Fleeman, B.F. (2003). Surprise, surprise, surprise! A complexity science view of the unexpected. Health Care Management Review, 28(3), 266-278. Medicare NH Compare (2005). Retrieved September 15, 2005: http://www.medicare.gov/NHCompare/

96

Morgan, D.G., Semchuk, K.M., Stewart, N.J. & D’Arcy, C. (2002). Job strain among staff of rural nursing homes. A comparison of nurses, aides, and activity workers. Journal of Nursing Administration, 32(3), 152-161.

Mueller, C. (2002). Quality care in nursing homes: when the resources aren’t there. Journal of the American Geriatrics Society, 50(8), 1458-1460.

Myers, D., Silverstein, B., & Nelson, N.A. (2002). Predictors of shoulder and back injuries in nursing home workers: a prospective study. American Journal of Industrial Medicine, 41, 466-47

Pett, M.A., Lackey, N.R., & Sullivan, J.J. (2003). Making sense of factor analysis. Thousand Oaks, CA: Sage Publication

Perrow, C. (1967). A framework for the comparative analysis of organizations. American Sociological Review, 32(2), 194-208.

Ray, W. (2000). Improving quality of long-term care. Medical Care, 38(12), 1151.

Redman, B.K. (2001). The practice of patient education (9th ed.). St. Louis: Mosby.

Riggs, C.J. & Rantz, M.J. (2001) A model of staff support to improve retention in long-term care. Nursing Administration Quarterly, 25(2), 43-54)

Schnelle, J.F., Simmons, S.F., Harrington, C., Cadogan, M., Garcia, E., & Bates- Jensen, B.M. (2004). Relationship of nursing home staffing to quality of care. HSR: Health Services Research, 39(2), 225- 250.

The Future Supply of Long-term Care Workers in Relation to the Aging Baby Boom Generation (May 14, 2003). Report to Congress. Retrieved July 30, 2003

from: http://aspe.hhs.gov/daltcp/reports/ltcwork.pdf

Van De Ven, A.H. (1976). A framework for organizational assessment. Academy of Management Review. 64-78.

Van De Ven, A.H. (1979). Organizations and environments (book review). Administrative Science Quarterly, 24(2), 320-326.

Verran, J.A. (1982). Development of the Ambulatory Care Classification Instrument. Unpublished doctoral dissertation, University of Arizona, Tucson, AZ.

Verran, J.A. (1986). Testing a classification instrument for the ambulatory care setting. Research in Nursing & Health, 9, 279-287.

Verran, J.A. (1996). Quality of care, organizational variables, and nurse staffing. In Nursing Staff in Hospitals and Nursing Homes: Is It Adequate? (pp. 308-331). Washington DC: National Academy press.

Verran, J.A., Gerber, R.M., & Milton, D.A. (1995). Data aggregation: criteria for

psychometric evaluation. Research in Nursing & Health, 18, 77-80.

Verran J.A. & Reid, P.J. (1987). Replicated testing of the Nursing Technology Model. Nursing Research, 36(3), 190-194. Verran, J.A. & Shaw, J. (1986). Theoretical testing of a nursing technology model. Communicating Nursing Research, 18, 81.

97