Improving Communication to Neonatal Resuscitation Team Members During High-Risk Births.

Objective: To determine whether implementation of a written communication tool in labor and delivery during high-risk births improves communication, preparation, and satisfaction of responding neonatal resuscitation team members.

Design: Quality improvement project with a pretest and posttest design.

Setting/local Problem: Two labor and delivery units and a third labor-delivery-recovery-postpartum unit within a health care system in the southeastern United States.

Nutrition in chronic disease management in the elderly.

Older Americans experience chronic disease at rates well above other segments of our society. Rates of health services use are also 2 to 3 times that of younger age groups. The most rapidly growing segments of America's aging population are also its most nutritionally vulnerable-women, minorities, and those 85 years of age and older.