Comparison of Care and Cost Outcomes for Stroke Patients With and Without Home Care • This study was undertaken to compare care and cost outcomes of stroke patients who received home care with those who did not receive home care at St. Luke's Hospital Medical Center, New York, New York. Twenty-five home care stroke patients were matched by age and sex with 25 comparable stroke patients receivin...

background: pain is a common experience among mechanically ventilated patients. pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions. the aim to this study was to investigate pain levels and predictors among mechanically ventilated patients during rest and routine nursing interventions. materials and metho...

background: simulation teaching means recreating clinical scenario for training / evaluation. aim: to expose postgraduates to simulation / didactic lecture for postpartum hemorrhage (pph) management; to assess which method was more effective. methods: present prospective study was conducted in obstetrics gynecology department of rural tertiary center of northern india.  twenty postgraduates wer...

A specialist 'Hospice at Home' (HaH) service commenced in 2006 in Mid West Ireland whereby participants received palliative care from a specialist team in their own home. An independent team was commissioned to evaluate the key stakeholders' perspectives of this service including patients, carers and staff. This original paper presents the findings from the patients receiving the HaH service. O...

sarah was  a 22 year old woman who passing her first pregnancy.  the  pregnancy was unplanned and random and she did not know her last menstrual history. he was visited at home by a midwife community health. no important problem was found in his medical history but he was  smoking 20 cigarettes daily . it was noteworthy that saeed ,his wife, had transient neonatal diabetes history. although sar...

This article describes gaming, an interactive teaching strategy that promotes active learning. An evaluation study conducted with home health care nurses tested the use of a game as a teaching tool. The study evaluated learning outcomes and learners' level of engagement and satisfaction with an educational game as a teaching method.

Objective To evaluate the impact on place of death of a hospital at home service for palliative care. Design Pragmatic randomised controlled trial. Setting Former Cambridge health district. Participants 229 patients referred to the hospital at home service; 43 randomised to control group (standard care), 186 randomised to hospital at home. Intervention Hospital at home versus standard care. Mai...

Since I am not a graduate of Bristol University, I had no first-hand opportunity of appreciating the worth of Professor Bruce Perry as a teacher and diagnostician. Very soon after my appointment here 13 years ago, I realized these abilities and also his critical and self-critical approach to the so called advances in medicine, a good example being anti-coagulant treatment. The study which I am ...