ABSTRACT
This work describes a demonstration/research project to implement and evaluate community-developed, community-based strategies that address childhood lead poisoning. The project will increase knowledge of childhood lead poisoning as an environmental health risk, as well as hazard, exposure, and outcome surveillance for lead as an environmental agent. At the end of the second year of this study the data indicate increased knowledge about lead poisoning and that more children are being tested for lead poisoning in the experimental census tracts (CTs), when compared with the control CTs, with lower lead levels.
Subject(s)
Community Health Services/methods , Health Education/methods , Lead Poisoning/prevention & control , Adult , Black or African American , Child , Child, Preschool , Environmental Exposure/prevention & control , Focus Groups , Housing , Humans , Philadelphia , Poverty Areas , Program Development/methods , Program Evaluation/methodsABSTRACT
This article combines a case presentation of a university affiliation with a home care agency and a study of the perceptions of district nurses in the agency regarding client and student interactions. Overwhelmingly, district nurses found having student placements positive. However, some concerns are expressed.
Subject(s)
Community Health Nursing , Education, Nursing, Baccalaureate , Home Care Services , Personnel Staffing and Scheduling , Students, Nursing , Community Health Nursing/education , Humans , WorkforceABSTRACT
Joint arthroplasty procedures are significant in number and cost. Discharging hip and knee arthroplasty patients early from the hospital to a transitional home care program has the potential to reduce costs, while maintaining quality. A retrospective review of hospital records of hip and knee arthroplasty patients quantified patient problems during postoperative days 3 through 12 and analyzed them by age, gender, and joint type. The pilot study also allowed the development of a protocol for transitional home care after hip and knee arthroplasty.
Subject(s)
Hip Prosthesis/nursing , Home Care Services , Knee Prosthesis/nursing , Patient Care Planning , Patient Discharge , Adult , Aged , Clinical Protocols , Community Health Nursing , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Two case studies allow authors to share the need to further refine a proposed protocol for transitional home care after joint arthroplasty. The case reports present the clinical consequences after early discharge from the hospital to transitional home care. In addition, the impact on physical and psychosocial outcomes, as well as cost, is addressed for the two cases.
Subject(s)
Hip Prosthesis/nursing , Home Care Services , Knee Prosthesis/nursing , Patient Care Planning , Patient Discharge , Aged , Clinical Protocols , Community Health Nursing , Female , Humans , MaleABSTRACT
A review of recent case law demonstrates that there is little agreement regarding either the amount of disclosure required for informed consent or the person who must present the information for informed consent. Examples of objective standards, subjective standards, and statutory standards are presented, as well as the impact of these recent developments on nursing practice.
