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What are the needs of frail older patients in the emergency department? A qualitative study

Dorien Venema (Onderzoeker); Sigrid C.J.M. Vervoort (Onderzoeker); Janneke M. de Man-van Ginkel (Onderzoeker); Nienke Bleijenberg (Lector); Lisette Schoonhoven (Onderzoeker); Wietske H.W. Ham (Onderzoeker)

Background: There is an increase in the number of frail elderly patients presenting to the emergency department. Diagnosis and treatment for this patient group is challenging due to multimorbidity, a-typical presentation and polypharmacy and requires specialised knowledge and competencies from healthcare …

2023GezondheidArtikel

What are the needs of frail older patients in the emergency department? A qualitative study

Dorien Venema (Onderzoeker); Sigrid Vervoort (Onderzoeker); Janneke de Man-van Ginkel (Onderzoeker); Nienke Bleijenberg (Lector); Lisette Schoonhoven (Onderzoeker); Wietske Blom-Ham (Onderzoeker)

Background There is an increase in the number of frail elderly patients presenting to the emergency department. Diagnosis and treatment for this patient group is challenging due to multimorbidity, a-typical presentation and polypharmacy and requires specialised knowledge and competencies from healthcare …

2023GezondheidArtikel

The impact of high versus standard enteral protein provision on functional recovery following intensive care admission (PRECISE trial)

van Gassel, Rob J. J.; Bels, Julia L. M.; Tartaglia, Katrien; van Bussel, Bas C. T.; van Kuijk, Sander M. J.; Deane, Adam M.; Puthucheary, Zudin; Weijs, Peter J. M. (Lectoraat Voeding En Beweging); Vloet, Lilian; Beishuizen, Bert; De Bie Dekker, Ashley; Fraipont, Vincent; Lamote, Stoffel; Ledoux, Didier; Scheeren, Clarissa; De Waele, Elisabeth; van Zanten, Arthur R. H.; Mesotten, Dieter; van de Poll, Marcel C. G.

Background Critically ill patients are subject to severe skeletal muscle wasting during intensive care unit (ICU) stay, resulting in impaired short- and long-term functional outcomes and health-related quality of life. Increased protein provision may improve functional outcomes in ICU patients by attenuating …

2023AlgemeenArtikel

More older adults died at their preferred place after implementation of a transmural care pathway for older adults at the end of life

van Doorne, Iris (Faculteit Gezondheid); de Meij, Marike A.; Parlevliet, Juliette L.; van Schie, Vera M. W.; Willems, Dick L.; Buurman, Bianca M.; van Rijn, Marjon (Lectoraat Geïntegreerde Complexe Zorg)

Background To improve transmural palliative care for older adults acutely admitted to hospital, the PalliSupport intervention, comprising an educational programme and transmural palliative care pathway, was developed. This care pathway involves timely identification of palliative care needs, advance …

2023AlgemeenArtikel

Physical, social, mental and spiritual functioning of COVID-19 intensive care unit-survivors and their family members one year after intensive care unit-discharge

Onrust, Marisa; Visser, Anja; van Veenendaal, Nadine; Dieperink, Willem; Luttik, Marie Louise (Family Care); Derksen, Mechteld-Hanna G.; van der Voort, Peter H. J.; van der Meulen, Ingeborg C.

OBJECTIVE: To describe the long-term functioning of patients who survived a COVID-19-related admission to the intensive care unit and their family members, in the physical, social, mental and spiritual domain. DESIGN: A single-centre, prospective cohort study with a mixed-methods design. SETTING: The …

2022-12-07AlgemeenArtikel

Malnutrition risk screening: New insights in a new era

de van der Schueren, Marian; Jager-Wittenaar, Harriët (Malnutrition And Healthy Ageing)

Twenty years ago, ESPEN published its “Guidelines for nutritional screening 2002”, with the note that these guidelines were based on the evidence available until 2002, and that they needed to be updated and adapted to current state of knowledge in the future. Twenty years have passed, and tremendous …

2022-10-01AlgemeenArtikel

Association between characteristics of nursing teams and patients' aggressive behavior in closed psychiatric wards

Doedens, Paul (Centre Of Expertise Urban Vitality); Vermeulen, Jentien; ter Riet, Gerben (Lectoraat Voeding En Beweging); Boyette, Lindy Lou; Latour, Corine (Lectoraat Geïntegreerde Complexe Zorg); de Haan, Lieuwe

Purpose: Estimate the effect of nursing, shift, and patient characteristics on patients' aggression. Design and Methods: Follow-up study on a closed psychiatric ward was performed to estimate the effect of nursing team characteristics and patient characteristics on the incidence of aggression. Findings: …

2022-10AlgemeenArtikel

Improving Appropriate Prescribing For Geriatric Patients Using a Clinical Decision Support System

Floor van den Hanenberg; Valentina D Poetsema; Carolina JPW Keijsers; Jeroen JMA Hendrikx; Jos van Campen; Michiel C Meulendijk; Jelle Tichelaar (Lector); Michiel A. van Agtmael

ABSTRACT Purpose: Polypharmacy is a known risk factor for potentially inappropriate prescribing. Recently there is an increasing interest in clinical decision support systems (CDSS) to improve prescribing. The objective of this study was to evaluate the impact of a CDSS, with the START-STOPP criteria …

2022-04-02GezondheidArtikel

Prescribing errors in post - COVID-19 patients

Rashudy F. Mahomedradja; Tessa O. van den Beukel; Maaike van den Bos; Steven Wang; Kirsten A. Kalverda; Birgit I. Lissenberg‑Witte; Marianne A. Kuijvenhoven; Esther J. Nossent; Majon Muller; Kim C. E. Sigaloff; Jelle Tichelaar (Lector); Michiel A. van Agtmael

Abstract Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19), has challenged healthcare globally. An acute increase in the number of hospitalized patients has neces‑ sitated a rigorous reorganization of hospital care, thereby creating …

2022-03-15GezondheidArtikel

Patient profile and outcomes of traumatic injury: The impact of mode of arrival to the emergency department

Julia Crilly (Onderzoeker); David Bartlett (Onderzoeker); Ishtar Sladdin (Onderzoeker); Richard Pellatt (Onderzoeker); Jesse T. Young (Onderzoeker); Wietske Ham (Onderzoeker); Louise Porter (Onderzoeker)

Background Traumatic injuries are of global health concern and significant contributors to Emergency Department (ED) and hospital workload. Aim To compare patterns of traumatic injuries among patient presentations to the ED across different modes of arrival (ambulance, police, or private transport) …

2022GezondheidArtikel

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