ABSTRACT
Electrocardiograms (ECGs) from a case series of 86 amisulpride overdose events in 66 patients were reviewed for abnormal QT intervals and torsade de pointes (TdP). Eight patients exhibited TdP. In this investigative case series, the magnitude of prolongation of the QT interval was a stronger predictor of TdP than the mere presence of a prolongation per se.
Subject(s)
Antipsychotic Agents/poisoning , Long QT Syndrome/chemically induced , Sulpiride/analogs & derivatives , Torsades de Pointes/chemically induced , Adolescent , Adult , Amisulpride , Antipsychotic Agents/administration & dosage , Dose-Response Relationship, Drug , Drug Overdose , Electrocardiography , Female , Humans , Male , Middle Aged , Prospective Studies , Severity of Illness Index , Sulpiride/administration & dosage , Sulpiride/poisoning , Young AdultABSTRACT
Population trends show an increasing proportion of people older than 65 years of age. This report aims to describe the facilities/services accessible to the older adult living in Glasgow, Scotland and in San Francisco, United States of America. This comparative study serves to develop a broader understanding of what is involved in the process of ageing, and describes how these two cities are responding to the needs of older people. Long-term caring provision is complex and involves multiple agencies, often leaving both lay and professional individuals ill-informed as to which services exist and how best to use them. The nurse can be instrumental in providing information, viable alternatives and services. In this article, options available for caring of the older adult and financing of care are discussed along with a number of recommendations based on observations described, data collected and literature researched. With the advent of care being provided in the community, there is now a continuum of services ranging from independent living at home to dependent care in hospital. Whether an individual remains at home depends on the availability and affordability of, and access to, other resources/facilities. Creative alternatives are needed for care of the older adult in this millennium. This report describes the need for an integrated system of care, which can adjust to variations in clients' needs. Progressive care facilities, intergenerational sharing, community volunteer service programmes for the older person and Edenizing are a few recommendations discussed by the authors.
Subject(s)
Health Services for the Aged/organization & administration , Aged , Aged, 80 and over , Day Care, Medical/organization & administration , Eligibility Determination/economics , Female , Home Care Services/organization & administration , Humans , Intergenerational Relations , Long-Term Care/organization & administration , Male , Medical Assistance , Models, Organizational , Residential Facilities/organization & administration , San Francisco , Scotland , VolunteersABSTRACT
Recent changes in long-term care policies in the United Kingdom have resulted in many more older patients/clients, previously nursed in long-term hospital facilities, now being cared for in the community. This change has had a significant impact on nurses, forcing many to make the transition from working in hospital to within the community. This transition calls for appropriate professional educational preparation to enable these nurses to undertake their new roles effectively. The literature search that forms the basis for this paper revealed relatively little material focusing specifically on the educational needs of such nurses in transition. However, literature that addresses the needs of nurses caring for the older individual in the acute setting, and in the community environment, was found and is explored.
