Établissements de soins qualifiés : Questions médicales fréquentes
Nom anglais: Skilled Nursing Facilities
Descriptor UI:D012866
Tree Number:N02.278.825.610.770
Questions fréquentes et termes MeSH associés
Diagnostic
5
#1
Comment évaluer la nécessité d'un ESQ ?
L'évaluation se base sur l'état de santé du patient et ses besoins en soins continus.
Établissements de soins qualifiésÉvaluation de la santé
#2
Quels professionnels évaluent les patients pour un ESQ ?
Des médecins, infirmiers et travailleurs sociaux évaluent les besoins des patients.
InfirmiersMédecins
#3
Quels tests sont utilisés pour le diagnostic ?
Des tests médicaux, d'imagerie et des évaluations fonctionnelles sont utilisés.
Tests diagnostiquesImagerie médicale
#4
Quand un patient doit-il être transféré vers un ESQ ?
Après une hospitalisation, si le patient nécessite des soins continus et spécialisés.
Transfert de soinsHospitalisation
#5
Quels critères déterminent l'admission en ESQ ?
Les critères incluent la gravité de l'état de santé et le besoin de réhabilitation.
Critères d'admissionRéhabilitation
Symptômes
5
#1
Quels symptômes indiquent un besoin d'ESQ ?
Symptômes persistants nécessitant des soins médicaux réguliers, comme la douleur ou la faiblesse.
SymptômesDouleur
#2
Comment les symptômes varient selon les patients ?
Les symptômes varient selon les maladies sous-jacentes et l'état général du patient.
MaladiesÉtat de santé
#3
Quels signes cliniques nécessitent une attention immédiate ?
Des signes comme des difficultés respiratoires ou des changements d'état mental doivent alerter.
Signes cliniquesDifficultés respiratoires
#4
Les symptômes de réhabilitation sont-ils différents ?
Oui, les symptômes de réhabilitation incluent la fatigue et la douleur post-thérapeutique.
RéhabilitationFatigue
#5
Comment surveiller les symptômes en ESQ ?
Les infirmiers surveillent régulièrement les signes vitaux et les symptômes des patients.
SurveillanceSignes vitaux
Prévention
5
#1
Comment prévenir les complications en ESQ ?
La prévention inclut des soins appropriés, une surveillance et une éducation des patients.
PréventionComplications
#2
Quels programmes de prévention sont disponibles ?
Des programmes de réhabilitation et d'éducation à la santé sont souvent proposés.
Programmes de préventionÉducation à la santé
#3
Comment les infections sont-elles prévenues ?
Des protocoles d'hygiène stricts et des vaccinations sont mis en place pour prévenir les infections.
InfectionsHygiène
#4
Quel rôle joue l'éducation des patients ?
L'éducation aide les patients à comprendre leur état et à gérer leur santé efficacement.
Éducation des patientsGestion de la santé
#5
Les soins préventifs sont-ils inclus dans les ESQ ?
Oui, les soins préventifs font partie intégrante des services offerts en ESQ.
Soins préventifsServices de santé
Traitements
5
#1
Quels types de traitements sont offerts en ESQ ?
Les ESQ offrent des soins médicaux, de la réhabilitation physique et des soins palliatifs.
Soins palliatifsRéhabilitation
#2
Comment les traitements sont-ils personnalisés ?
Les traitements sont adaptés selon les besoins individuels et les diagnostics des patients.
Traitements personnalisésDiagnostic
#3
Quel rôle jouent les infirmiers dans les traitements ?
Les infirmiers administrent les médicaments et surveillent l'évolution des patients.
InfirmiersMédicaments
#4
Les traitements incluent-ils la thérapie physique ?
Oui, la thérapie physique est souvent intégrée pour aider à la réhabilitation des patients.
Thérapie physiqueRéhabilitation
#5
Comment les traitements sont-ils évalués ?
Les traitements sont régulièrement évalués par des équipes médicales pour ajustements.
Évaluation des traitementsÉquipe médicale
Complications
5
#1
Quelles complications peuvent survenir en ESQ ?
Les complications incluent les infections, les escarres et les problèmes respiratoires.
ComplicationsInfections
#2
Comment gérer les escarres en ESQ ?
La gestion des escarres implique des soins de la peau et des changements de position fréquents.
EscarresSoins de la peau
#3
Les complications sont-elles évitables ?
Certaines complications peuvent être évitées par des soins appropriés et une surveillance.
SurveillanceSoins appropriés
#4
Quel est l'impact des complications sur la réhabilitation ?
Les complications peuvent retarder la réhabilitation et prolonger le séjour en ESQ.
RéhabilitationSéjour en ESQ
#5
Comment les complications sont-elles surveillées ?
Les complications sont surveillées par des évaluations régulières et des rapports d'infirmiers.
Surveillance des complicationsÉvaluations
Facteurs de risque
5
#1
Quels sont les facteurs de risque pour les patients en ESQ ?
Les facteurs incluent l'âge avancé, les maladies chroniques et l'immobilité prolongée.
Facteurs de risqueMaladies chroniques
#2
Comment l'âge influence-t-il le besoin d'ESQ ?
Les personnes âgées ont souvent des besoins de soins plus complexes et fréquents.
Âge avancéBesoins de soins
#3
Les maladies chroniques augmentent-elles le risque ?
Oui, les maladies chroniques comme le diabète augmentent le besoin de soins spécialisés.
Maladies chroniquesSoins spécialisés
#4
Quel rôle joue l'immobilité dans les soins ?
L'immobilité prolongée peut entraîner des complications et nécessite des soins constants.
ImmobilitéComplications
#5
Comment évaluer les facteurs de risque ?
Les facteurs de risque sont évalués par des professionnels de santé lors de l'admission.
Évaluation des risquesProfessionnels de santé
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},
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},
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"name": "Les complications sont-elles évitables ?",
"position": 23,
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"text": "Certaines complications peuvent être évitées par des soins appropriés et une surveillance."
}
},
{
"@type": "Question",
"name": "Quel est l'impact des complications sur la réhabilitation ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent retarder la réhabilitation et prolonger le séjour en ESQ."
}
},
{
"@type": "Question",
"name": "Comment les complications sont-elles surveillées ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont surveillées par des évaluations régulières et des rapports d'infirmiers."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque pour les patients en ESQ ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge avancé, les maladies chroniques et l'immobilité prolongée."
}
},
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"name": "Comment l'âge influence-t-il le besoin d'ESQ ?",
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},
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"name": "Les maladies chroniques augmentent-elles le risque ?",
"position": 28,
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"@type": "Answer",
"text": "Oui, les maladies chroniques comme le diabète augmentent le besoin de soins spécialisés."
}
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"name": "Quel rôle joue l'immobilité dans les soins ?",
"position": 29,
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"@type": "Answer",
"text": "L'immobilité prolongée peut entraîner des complications et nécessite des soins constants."
}
},
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"@type": "Question",
"name": "Comment évaluer les facteurs de risque ?",
"position": 30,
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Department of Public Health Sciences, Division of Health Policy and Outcomes Research, 6923University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Publications dans "Établissements de soins qualifiés" :
Center for Health Equity Research and Promotion (CHERP), Corporal Michael Crescenz VA Medical Center, Philadelphia, Pennsylvania, USA.
Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Division of General Internal Medicine, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Publications dans "Établissements de soins qualifiés" :
Center for Health Equity Research and Promotion, Corporal Crescenz VA Medical Center, Philadelphia, PA, USA; Division of General Internal Medicine, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.
Publications dans "Établissements de soins qualifiés" :
Reduced institutional postacute care has been associated with savings in alternative payment models. However, organizations may avoid voluntary participation if participation could threaten their own ...
To characterize the association between hospital-skilled nursing facility (SNF) integration and participation in Medicare's Bundled Payments for Care Improvement Advanced (BPCI-A) program....
This is a cross-sectional analysis of hospital participation in BPCI-A beginning with its launch in 2018. Each SNF-integrated hospital was matched with 2 nonintegrated hospitals for each of 4 episode-...
Hospital-SNF integration, as defined by common ownership and referral patterns and identified using cost reports, Medicare claims, and Provider Enrollment, Chain, and Ownership System records. Additio...
Participation in BPCI-A....
In total, 1524 hospitals met criteria for inclusion in the hip and femur (HFP) analysis, 1825 were included in the major joint replacement of the lower extremity (MJRLE) analysis, 2018 were included i...
In this cross-sectional study, there was an uneven association between hospital-SNF integration and participation in Medicare's BPCI-A program. Other factors may be more consistent determinants of sel...
Firearm injury is a public health crisis. Most victims are minorities in underserved neighborhoods. Measuring firearm injury by mortality underestimates its impact, as most victims survive to discharg...
Using the 2019 Trauma Quality Improvement Program database, we identified GSW patients with Abbreviated Injury Scale (AIS) = 1-3. Exclusion criteria included patients who died in hospital and routine ...
Our sample included 2437 patients with GSWs. On univariable analysis, Black patients were more likely to discharge to home with home health (64.1% Black versus 34.7% White; P < 0.001). White patients ...
Postacute care following traumatic injuries is essential to recovery. Black GSW victims are more likely to be discharged to home health than White patients, who are more likely to be discharged to SNF...
Older adults with Alzheimer's disease and related dementias (ADRD) are at high risk for acute medical problems and their health trajectories frequently include hospital admission and care in a skilled...
We conducted a secondary analysis of data from a clinical trial of transitional care of older adults with transitions from SNF to home and assisted living. A multiple case study design was used in the...
Within 30 days of discharge, 20% of patients with ADRD experienced new or recurrent acute needs and hospital readmission....
Our findings suggest the need for nursing interventions to support patients with ADRD during care transitions, such as focusing care on the patient-caregiver dyad, providing transitional care, referri...
Skilled nursing facility (SNF) changes in ownership are receiving attention in the national conversation regarding health care quality and oversight. SNF ownership changes have been cited as possible ...
To determine which SNF characteristics are associated with changes in ownership and whether ownership changes were associated with differences in short-stay patient outcomes....
This cohort study was a secondary analysis of 2016 to 2019 Medicare administrative data including SNFs in the United States with complete data. Data were analyzed from January 2016 through December 20...
SNF change in ownership....
Outcomes of interest were facility-level risk-adjusted rates of hospital readmissions, emergency department visits, and community discharge for short-stay patients after admission to an SNF. Analyses ...
Of 11 004 SNFs, 1459 (13.26%) changed ownership between 2016 and 2019. Compared with for-profit SNFs, nonprofit and government SNFs had lower odds of changing ownership (nonprofit: odds ratio [OR], 0....
In this cohort study of 11 004 SNFs in the US between 2016 and 2019, SNF characteristics historically associated with lower quality were more likely to change ownership; however, ownership changes wer...
This study evaluated the impact of standardized care protocols, as a part of a quality improvement initiative (J10ohns Hopkins Community Health Partnership, J-CHiP), on hospital readmission rates for ...
A retrospective study comparing 30-day hospital readmission rates the year before and 2 years following the implementation of the care protocol interventions....
Patients discharged from Johns Hopkins Hospital or Johns Hopkins Bayview Medical Center to the participating SNFs diagnosed with CHF and/or COPD....
The standardized protocols included medical provider or nurse assessments on SNF admission, multidisciplinary care planning, and medication management to avoid unplanned readmissions to the hospital. ...
There were 1128 patients in the pre-J-CHiP cohort and 2297 patients in the J-CHiP cohort. About half of the patients with a recorded diagnosis of CHF without COPD had the standardized protocol initiat...
There were improvements in the readmission rates in this study, especially for patients who had initiated standardized care protocols in the SNFs. Our findings demonstrate great value in standardizing...
To assess whether hospitals participating in Medicare's Bundled Payments for Care Improvement (BPCI) program for joint replacement changed their referral patterns to favor higher-quality skilled nursi...
Retrospective observational study using 2009-2015 inpatient and outpatient claims from a 20% sample of Medicare beneficiaries undergoing joint replacement in US hospitals (N = 146,074) linked with dat...
We ran fixed effect regression models regressing BPCI participation on hospital-SNF referral patterns (number of SNF discharges, number of SNF partners, and SNF referral concentration) and SNF quality...
We found that BPCI participation was associated with a decrease in the number of SNF referrals and no significant change in the number of SNF partners or concentration of SNF partners. BPCI participat...
BPCI participation was associated with lower volume of SNF referrals and small increases in the quality of SNFs to which patients were discharged, without narrowing hospital-SNF referral networks....
The aims of the study are to describe the frequency that functional goals are documented on the Minimum Data Set and to identify resident characteristics associated with meeting or exceeding discharge...
We selected Medicare fee-for-service beneficiaries admitted to a skilled nursing facility within 3 days of hospital discharge from October 1, 2018, to December 31, 2019 ( N = 1,228,913). The admission...
For all self-care items, more than 70% of residents had a goal score of 1-6 points documented on the admission Minimum Data Set. Chair/bed-to-chair transfer had the highest percentage of residents wit...
Assessing a resident's functional goals is important to providing patient-centered care. This information may help skilled nursing facilities determine whether a resident has made meaningful functiona...
Skilled nursing facility (SNF) care is frequently used after cardiac surgery, but the patterns and determinants of use have not been well understood. The objective of this study was to evaluate determ...
A retrospective analysis of Medicare Fee-For-Service claims linked to the Society of Thoracic Surgeons clinical data was conducted on isolated coronary artery bypass grafting patients without prior SN...
In our sample of 8614 patients, the average age was 73.3 years, 70.5% were male, and 7.7% were listed as non-White race. An SNF was utilized by 1920 (22.3%) patients within 90 days of discharge and va...
The use of SNF care after isolated coronary artery bypass grafting was frequent and variable across Michigan hospitals and associated with worse risk-adjusted outcomes. Standardization of criteria for...
To explore how people with stroke, discharged to skilled nursing facilities before returning home, experience the chain of care and rehabilitation....
Qualitative, semi-structured interview design....
Thirteen stroke survivors discharged from a stroke unit to a skilled nursing facility before returning to independent living participated. Semi-structured telephone interviews were conducted 2-5 month...
The analysis resulted in three categories, Organizational processes, critical and complex, Rehabilitation, the right support at the right time and Adaptation to the changed situation, with a total of ...
Support and rehabilitation as well as individuals' needs varied, throughout the chain of care. To enable participation in the rehabilitation, assistance in setting goals and repeated information is wa...
Although a majority of patients in the U.S. receive post-acute care in skilled nursing facilities (SNFs) following hip fracture, large-sample observational studies of analgesic prescribing and use in ...
We included residents with a diagnosis of hip fracture between January 1, 2018 and June 30, 2021 who had at least one administration of an analgesic. Use of analgesics was ascertained from EHR medicat...
The study included 23,706 residents (mean age 80.5 years, 68.6% female, 87.7% White). Most (~ 60%) residents received opioids + APAP. Monotherapy with APAP or opioids was also common. The most prevale...
We successfully leveraged federated SNF EHR data to describe analgesic use among residents receiving hip fracture post-acute care....