ABSTRACT
BACKGROUND: As more is learned about trauma and the ways in which trauma informed care (TIC) is provided, it is important to explore the education and training offered to those individuals who provide TIC. PURPOSE: This scoping review examined training provided to individuals who interact with persons aged birth to 21 years old who have experienced or are experiencing trauma. METHOD: The researchers searched six databases and identified 16 peer-reviewed articles in the areas of medicine/nursing, social work, and education published from 2012 to 2019 that met inclusion criteria. DISCUSSION: Although most training protocols had a similar foundation, the findings from this review suggested that trauma informed care training practices vary across disciplines. CONCLUSIONS: As training approaches varied greatly across disciplines, a conclusion on best practice guidelines cannot be stated for the professional environments.
Subject(s)
Health Personnel , Wounds and Injuries , Health Personnel/education , Humans , Wounds and Injuries/therapyABSTRACT
BACKGROUND: The concept of transitional care and the methods and processes to efficiently and effectively transition patients between a variety of care settings remains a continuous healthcare goal. Despite the numerous transitional care models that have been developed and implemented in a myriad of healthcare settings, increasing healthcare costs and substandard patient outcomes persist. OBJECTIVES: This article will examine the topic of older adults with cancer when transitioned to a skilled nursing setting and the challenges they may face along the care continuum. In addition, it will look at the continuity of care between the hospital and skilled nursing facility, as well as explore some of the clinical difficulties experienced by older adult patients with cancer in the postacute care setting. METHODS: Keyword searches were conducted in a selected literature review of CINAHL®, Ovid, PubMed, and Google Scholar databases. FINDINGS: Successful transitional care models are built around effective communication and often include an interprofessional team approach and/or a nurse navigator to aid in the effective execution of medical treatment and patient care plans.
Subject(s)
Geriatric Assessment/methods , Neoplasms/therapy , Outcome Assessment, Health Care , Patient Care Planning/organization & administration , Skilled Nursing Facilities/statistics & numerical data , Transitional Care/organization & administration , Aged , Aged, 80 and over , Decision Making , Female , Humans , Male , Neoplasms/diagnosis , Risk AssessmentSubject(s)
Collagen Diseases/pathology , Raynaud Disease/pathology , Skin Diseases, Vascular/pathology , Telangiectasis/pathology , Collagen Diseases/diagnosis , Collagen Type IV/metabolism , Female , Humans , Lower Extremity , Paresthesia/diagnosis , Paresthesia/pathology , Raynaud Disease/diagnosis , Skin Diseases, Vascular/diagnosis , Telangiectasis/diagnosis , Young AdultABSTRACT
Syringomas are benign adnexal neoplasms of eccrine ductal origin. They are most commonly described in females and typically are located on the anterior surfaces of the body. Syringomas rarely are reported on other regions of the body, especially the buttocks. We present the case of a 62-year-old man with multiple asymptomatic syringomas of 40 years' duration on his buttocks as well as the upper anterior thighs, groin, malar cheeks, and periorbital areas. This case is unique in that the duration and distribution of the lesions are more extensive than other cases reported in the literature.
Subject(s)
Buttocks/pathology , Sweat Gland Neoplasms/pathology , Syringoma/pathology , Humans , Male , Middle Aged , Sweat Gland Neoplasms/diagnosis , Syringoma/diagnosis , Time FactorsABSTRACT
OBJECTIVE: We examined associations between density of and proximity to fast food outlets and body weight in a sample of children (137 aged 8-9 years and 243 aged 13-15 years) and their parents (322 fathers and 362 mothers). METHODS: Children's measured and parents' self-reported heights and weights were used to calculate body mass index (BMI). Locations of major fast food outlets were geocoded. Bivariate linear regression analyses examined associations between the presence of any fast food outlet within a 2 km buffer around participants' homes, fast food outlet density within the 2 km buffer, and distance to the nearest outlet and BMI. Each independent variable was also entered into separate bivariate logistic regression analyses to predict the odds of being overweight or obese. RESULTS: Among older children, those with at least one outlet within 2 km had lower BMI z-scores. The further that fathers lived from an outlet, the higher their BMI. Among 13-15-year-old girls and their fathers, the likelihood of overweight/obesity was reduced by 80% and 50%, respectively, if they had at least one fast food outlet within 2 km of their home. Among older girls, the likelihood of being overweight/obese was reduced by 14% with each additional outlet within 2 km. Fathers' odds of being overweight/obese increased by 13% for each additional kilometre to the nearest outlet. CONCLUSIONS: While consumption of fast food has been shown to be associated with obesity, this study provides little support for the concept that exposure to fast food outlets in the local neighbourhood increases risk of obesity.
