Social and Behavioral Sciences Commons^™

Long-Term Care For People With Dementia: Environmental Design Guidelines., Richard Fleming, Nitin Purandare

Faculty of Health and Behavioural Sciences - Papers (Archive)

No abstract provided.

Large-Scale Training In The Essentials Of Dementia Care In Australia: Dementia Care Skills For Aged Care Workers Project, Richard Fleming, Diana Fitzgerald

Faculty of Health and Behavioural Sciences - Papers (Archive)

Dementia has been identified as a national health priority in Australia. National programs in the areas of research, education and training have been established. The Dementia Care Skills for Aged Care Workers program is a three-year project that commenced in 2006. It has the goal of providing training in the essentials of dementia care to 17,000 staff of aged care services across Australia. Successful completion of the training results in the award of a nationally recognized qualification. Although the delivery of the training has been difficult in some areas – because of the long distances to be covered by trainers …

Midwifery And The Context Of Care: Is It Possible To Be 'Woman Centred'?, Moira Williamson, Lindsey Harrison

Faculty of Health and Behavioural Sciences - Papers (Archive)

Title: Midwifery and the context of care: Is it impossible to be ‘woman centred’? Dr Moira Williamson, School of Nursing, Midwifery and Indigenous Health, University of Wollongong, Northfields Avenue, Wollongong NSW 2522, Australia, ph. +61 2 4221 3381, email: moiraw@uow.edu.au Dr Lindsey Harrison, School of Health Sciences, University of Wollongong Background: Findings from a qualitative study show that the context of care can inhibit midwives’ provision of woman centred care; especially impacted is their ability to provide culturally appropriate care. Aim of the Study: The aims of the study were to gain an understanding of midwives’ concepts of culture and …

Constructing A Research Based Pre-Care Model To Improve Mental Health Interventions For Young People, Lindsey Harrison, Sue Webster

Faculty of Health and Behavioural Sciences - Papers (Archive)

ObjectiveThis study had two aims. Firstly, to explore how young people experienced the onset of mental health problems and to investigate their initial interactions with the health system; and secondly, to use thesefindings to construct a pre-care model that can be used by nurses and other health care professionals todesign appropriate interventions.DesignGrounded theory method was used to develop a theory of young peoples experience of the pathway to mental health care. Data were obtained through in-depth semi-structured interviews.SettingParticipants were recruited through two community health centres in a Sydney metropolitan area healthservice.SubjectsThe purposive sample consisted of eight males and twelve females …

Evaluating The Impact Of The Environment On The Physical Activity Levels Of People With Dementia In Aged Care Facilities, Loren Devries, Victoria Traynor, Nancy Humpel

Faculty of Health and Behavioural Sciences - Papers (Archive)

To evaluate the impact of the environment on the physical activity levels of people with dementia living in residential aged care facilities

An Investigation Into The Potential Barriers Associated With Warfarin Prescribing In An Elderly Population Residing In Illawarra Based Aged Care Facilities, Judy Mullan

Faculty of Health and Behavioural Sciences - Papers (Archive)

Warfarin Prescribing: • Systems varied - faxed warfarin-specific chart - faxed warfarin orders - phone calls from GPs - phone call from RN to GP’s secretary dose recorded on chart with a ‘post-it’ note • Common problems - faxes (misplaced or not received) - ? current orders • “If there was a standard package for dealing with nursing homes then we would go along with that and just get used to it” (GP)

An Investigation Into The Potential Barriers Associated With Warfarin Prescribing In An Elderly Population Residing In Illawarra-Based Aged Care Facilities, Judy Mullan, Margaret L. Jordan

Faculty of Health and Behavioural Sciences - Papers (Archive)

Warfarin Prescribing: • Systems varied - faxed warfarin-specific chart - faxed warfarin orders - phone calls from GPs - phone call from RN to GP’s secretary dose recorded on chart with a ‘post-it’ note • Common problems - faxes (misplaced or not received) - ? current orders • “If there was a standard package for dealing with nursing homes then we would go along with that and just get used to it” (GP)

Continuing Stability Of Center Differences In Pediatric Diabetes Care: Do Advances In Diabetes Treatment Improve Outcome?, Carine E. De Beaufort, Peter G. F. Swift, Timothy C. Skinner, - Hvidoere Study Group On Childhood Diabetes

Faculty of Health and Behavioural Sciences - Papers (Archive)

Objective: To reevaluate the persistence and stability of previously observed differences between pediatric diabetes centers and to investigate the influence of demography, language communication problems, and changes in insulin regimens on metabolic outcome, hypoglycemia, and ketoacidosis.

Research Design and Methods: This was an observational cross-sectional international study in 21 centers, with clinical data obtained from all participants and A1C levels assayed in one central laboratory. All individuals with diabetes aged 11–18 years (49.4% female), with duration of diabetes of at least 1 year, were invited to participate. Fourteen of the centers participated in previous Hvidoere Studies, allowing direct …

Beyond The Rhetoric: What Do We Mean By A 'Model Of Care'?, Patricia Davidson, Elizabeth Halcomb, L Hickman, J Phillips, B Graham

Faculty of Science, Medicine and Health - Papers: part A

Background: Contemporary health care systems are constantly challenged to revise traditional methods of health care delivery. These challenges are multifaceted and stem from: (1) novel pharmacological and non-pharmacological treatments; (2) changes in consumer demands and expectations; (3) fiscal and resource constraints; (4) changes in societal demographics in particular the ageing of society; (5) an increasing burden of chronic disease; (6) documentation of limitations in traditional health care delivery; (7) increased emphasis on transparency, accountability, evidence-based practice (EBP) and clinical governance structures; and (8) the increasing cultural diversity of the community. These challenges provoke discussion of potential alternative models of care, …

Poisoned Patients As Potential Organ Donors: Postal Survey Of Transplant Centres And Intensive Care Units, David Michael Wood, Paul Ivor Dargan, Alison L. Jones

Faculty of Science, Medicine and Health - Papers: part A

Background The number of patients awaiting allograft transplantation in the UK exceeds the number of organs offered for transplantation each year. Most organ donors tend to be young, fit and healthy individuals who die because of trauma or sudden cardiac arrest. Patients who die from drug and poison intoxication tend to have similar characteristics but are less frequently offered as potential organ donors. Methods A postal questionnaire survey of all transplantation centres and an equal number of intensive care units in the UK was undertaken. The use of kidney, heart, lung, liver and pancreas transplants from poisoned patients following deliberate …

Can Motivational Signs Prompt Increases In Incidental Physical Activity In An Australian Health-Care Facility?, A L. Marshall, A E. Bauman, C Patch, J Wilson, J Chen

Faculty of Health and Behavioural Sciences - Papers (Archive)

This study aimed to evaluate whether a stairpromoting signed intervention could increase the use of the stairs over the elevator in a health-care facility. A time-series design was conducted over 12 weeks. Data were collected before, during and after displaying a signed intervention during weeks 4–5 and 8–9. Evaluation included anonymous counts recorded by an objective unobtrusive motion-sensing device of people entering the elevator or the stairs. Self-report data on stair use by hospital staff were also collected. Stair use significantly increased after the first intervention phase (P 0.02), but after the intervention was removed stair use decreased back towards …

Psychological Problems In New Zealand Primary Health Care: A Report On The Pilot Phase Of The Mental Health And General Practice Investigation (Magpie), John Bushnell, Deborah Mcleod, A D. Dowell, C Salmond, S Ramage, S Collings, University Of Otago, Marjan Kljakovic, L Mcbain

Faculty of Science, Medicine and Health - Papers: part A

Aim. To carry out a pilot study in two regions in order to investigate prevalence of psychological problems in primary care in New Zealand. Method. General Practitioners (GPs) within two geographic regions were randomly selected. All adult attenders at their practice on selected days were administered a short questionnaire, the GHQ-12, which assesses the presence of psychological symptoms. The GP recorded the reasons for each consultation, and was interviewed at the end of each day about selected patients, to determine their opinion about the type of psychological problems experienced. Results. Three-quarters of selected GPs (76%) agreed to participate. 96% of …

A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman

Faculty of Health and Behavioural Sciences - Papers (Archive)

Headache is a common symptom in primary care about which surprisingly little is known. Over a 14-month period 3847 patients making 4940 consecutive visits for headache to 38 primary care practices in the USA and Canada were studied. The clinical characteristics of patients, as well as the diagnostic and therapeutic strategies employed by their doctors, were examined. Visits for headache represented 1.5% of all visits during this period. Most patients (72.0%) made only one visit, and nearly half of the headaches reported were new. Only a small number of patients (3.0%) received a computerized tomographic scan; other investigations were used …