Inventaire et possibilités futures de prestations techniques de soins infirmiers à domicile Décembre 2006 – Novembre 2007

Report (2007)

Recherche-action concernant l’utilisation de l’outil RAI/MDS dans les hôpitaux de jour gériatriques, les maisons de repos et de soins, les centres de soins de jour et domicile (via les services intégrés de soins à domicile)

Report (2007)

Implementation of discharge management for geriatric patients at risk of readmission or institutionalization

in International Journal for Quality in Health Care (2006), 18(5), 352-358

Objective. To evaluate whether implementation of discharge management by trained social workers or nurses reduces hospital readmissions and institutionalizations of geriatric patients in a real-world ... [more ▼]

Objective. To evaluate whether implementation of discharge management by trained social workers or nurses reduces hospital readmissions and institutionalizations of geriatric patients in a real-world setting. Design. Quasi-experimental design. Setting. Six general hospitals in Belgium. Participants. A representative sample of 824 patients, 355 of whom were assigned to the experimental group receiving comprehensive discharge management and 469 to the control group receiving usual care. Inclusion criteria were patients admitted to a geriatric, rehabilitation, or internal medicine ward, not residing in a nursing home, and showing risk of readmission or institutionalization on admission in the hospital. Intervention. In-hospital discharge planning according to a case management protocol allowing for adjustment to participating hospitals' case mix and patients' and families' specific needs. Main outcome measures. Hospital readmission within 15 and 90 days post discharge; institutionalization at discharge and within 15 and 90 days post discharge. Results. Discharge management resulted in fewer institutionalizations (n = 53; 14.9%) compared with usual care (n = 130; 23.7%) (adjusted odds ratio = 0.47; CI 95% = 0.31-0.70). Readmission rates between the intervention and usual care group were not significantly different. Conclusions. This implementation project showed that a discharge planning intervention can reduce institutionalization rates of elderly patients in real-life settings. [less ▲]

Formation de base en nutrition pour les PME - Phase pilote - Projet Cluster Nutrition

Report (2005)

Age- and sex-stratified prevalence of physical disabilities and handicap in the general population

in Osteoporosis International (2005, March), 16(Suppl.3), 25

Ontslagmanagement in Belgische ziekenhuizen : Beleidsvoorbereidend rapport. [Discharge management in Belgian hospitals : policy preparing study]. Final report, 2005

Report (2005)

Intervisions organisées dans le cadre de la « Fonction de référent hospitalier pour la continuité des soins ». Exercice 2004

Report (2005)

Fonction de référent hospitalier pour la continuité des soins : une démarche d’aide à la décision

Report (2005)

Intervisions organisées dans le cadre de la « Fonction de référent hospitalier pour la continuité des soins ». Exercice 2003

Report (2004)

Age- and sex-stratified prevalence of physical disabilities and handicap in the general population.

in Aging Clinical & Experimental Research (2004), 16(5), 389-97

BACKGROUND AND AIMS: Our aim was to provide age- and sex-stratified prevalence estimates of physical disabilities and handicap in the general Belgian population. METHODS: A cross-sectional and ... [more ▼]

BACKGROUND AND AIMS: Our aim was to provide age- and sex-stratified prevalence estimates of physical disabilities and handicap in the general Belgian population. METHODS: A cross-sectional and demographically representative health interview survey was conducted nationwide in Belgium in 1997. The 8836 persons aged 15 years and over who answered the health interview were included in this study. Seventeen items from the survey encompassing main activities of daily living (ADL) and confining were analyzed. To provide prevalence estimates as detailed as possible, neither aggregation nor dichotomization were applied. RESULTS: Women consistently reported more disability than men: mobility (p < 0.001), transfer in-out bed (p < 0.001), transfer in-out chair (p < 0.001), dressing (p = 0.004), washing hands and face (p = 0.029), getting to and using toilet (p = 0.003), continence (p < 0.001), seeing (p < 0.001) and mastication (p < 0.001). As expected, there was a marked trend for increased prevalence of disability with increasing age for both sexes. Moderate disability arose mainly from the 25-34 age group for both sexes. For both genders, severe disability appeared mainly at higher ages, particularly for the 65-74 age group. Nevertheless, the data suggest that continence problems for women, mobility and transfer issues for men, as well as mastication problems for both genders, clearly emerge earlier than age 65. Regarding handicap, observed prevalence rates were increasing, in age as was the case for disability, but no differences were found between men or women, except for confinement to house/garden, for which women presented a higher rate in general (p < 0.001) and in the 75-84 age group (p = 0.036) in particular. CONCLUSIONS: This study shows the wide range of disability types in the general population and their association with handicap. While elderly individuals consistently report higher degrees of disability and handicap, attention should also be paid to younger age groups. Disability calls for wide, coherent and relevant medical as well as social responses. [less ▲]