Exploring Hospital Transfers for Long-Stay Nursing Home Residents With End-Stage Renal Disease.
J Nurs Care Qual
; 39(3): 232-238, 2024.
Article
em En
| MEDLINE
| ID: mdl-38198671
ABSTRACT
BACKGROUND:
Nursing home residents with end-stage renal disease (ESRD) are an understudied, yet growing population within nursing homes.PURPOSE:
To describe hospital transfers for nursing home residents diagnosed with ESRD and receiving hemodialysis.METHODS:
Data were analyzed for residents with ESRD transferred to the hospital between October 2016 and September 2020 (n = 219). Descriptive statistics, bivariate analyses, logistic regression, and content analysis were used for analysis.RESULTS:
Clinical factors associated with transfers included abnormal vitals, altered mental state, and pain. Other factors included lack of care planning and advance directives, provider communication, resident/family preferences, missing/refusing dialysis, and facility resources. The odds of an observation/emergency department only visit was 2.02 times larger when transferred from the dialysis clinic.CONCLUSIONS:
Advance care planning and coordinated care between nursing home and dialysis clinics are needed along with proactive planning when residents miss dialysis or experience a condition change at the dialysis clinic.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transferência de Pacientes
/
Falência Renal Crônica
/
Casas de Saúde
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article