Publications by authors named "J M Van der Ploeg"
Background: Residents in long-term care homes (LTCHs) are often diagnosed with chronic, life-limiting illnesses, and it is now a common site to provide high levels of care and eventual death. There is an urgent need to address communication gaps and uncertainties surrounding resident's end of life preferences. Nurses are well situated to be key facilitators of necessary advance care planning (ACP), ensuring residents have discussions with family, substitute decision-makers and healthcare providers regarding future health and personal care preferences.
View Article and Find Full Text PDFDeltaScan for the Assessment of Acute Encephalopathy and Delirium in ICU and non-ICU Patients, a Prospective Cross-Sectional Multicenter Validation Study.
Am J Geriatr Psychiatry
September 2024
Article Synopsis
- DeltaScan is a special tool that helps doctors quickly find out if a patient has delirium, which is a type of confusion that can happen when someone is very sick.
- The study tested DeltaScan on 494 patients in different hospitals and found that it was very accurate, with a success rate of 99% in detecting brain issues.
- The researchers want to learn more about how well DeltaScan can predict future problems related to delirium in patients.
Article Synopsis
- Long-term care homes often lack formal palliative care programs, prompting the development of the Strengthening a Palliative Approach in Long Term Care (SPA-LTC) programme by researchers to improve care for residents nearing the end of life.
- The study will utilize a randomized control trial design across 18 LTC homes in three provinces, comparing interventions with control groups to assess the program’s effectiveness and implementation.
- Key outcomes will include emergency department use in the last 6 months of life, resident satisfaction, family decisional conflict, and staff confidence, with data analysis employing logistic regression and intention-to-treat principles.
Introduction And Hypothesis: Pessary treatment for pelvic organ prolapse (POP) is effective and safe, but long-term continuation is low. Pain and vaginal discharge may play a role. This study was aimed at evaluating vaginal discharge and pain during pessary cleaning in an outpatient setting and in continuous pessary use.
View Article and Find Full Text PDFMany social interventions have been developed with the hopes of reducing and preventing social isolation among older people (e.g., recreation, arts-based programs and social prescription).
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