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John L. Dart Library
9 a.m. - 5 p.m.
Phone: (843) 722-7550
West Ashley Library
9 a.m. - 5 p.m.
Phone: (843) 766-6635
Folly Beach Library
9 a.m. - 2 p.m.
*open the 2nd and 4th Saturday
*open the 2nd and 4th Saturday
Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
Closed for renovations
Phone: (843) 883-3914
Wando Mount Pleasant Library
9 a.m. - 5 p.m.
Phone: (843) 805-6888
Village Library
9 a.m. - 1 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 5 p.m.
Phone: (843) 889-3300
Otranto Road Library
9 a.m. - 5 p.m.
Phone: (843) 572-4094
Mt. Pleasant Library
9 a.m. – 5 p.m.
Phone: (843) 849-6161
McClellanville Library
9 a.m. – 1 p.m.
Phone: (843) 887-3699
Keith Summey North Charleston Library
9 a.m. - 5 p.m.
Phone: (843) 744-2489
John's Island Library
9 a.m. - 5 p.m.
Phone: (843) 559-1945
Hurd/St. Andrews Library
9 a.m. - 5 p.m.
Phone: (843) 766-2546
Miss Jane's Building (Edisto Library Temporary Location)
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Phone: (843) 869-2355
Dorchester Road Library
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Phone: (843) 552-6466
Baxter-Patrick James Island
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Phone: (843) 795-6679
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9 a.m. - 5 p.m.
Phone: (843) 805-6930
Bees Ferry West Ashley Library
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Phone: (843) 805-6892
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Closed
Phone: (843) 805-6909
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Comprehensive discharge follow-up in patients’ homes by GPs and district nurses of elderly patients.
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- Author(s): Rytter, Lars1 (AUTHOR) ; Jakobsen, Helle Neel2 (AUTHOR); Rønholt, Finn3 (AUTHOR); Hammer, Anna Viola4 (AUTHOR); Andreasen, Anne Helms5 (AUTHOR); Nissen, Aase6 (AUTHOR); Kjellberg, Jakob7 (AUTHOR)
- Source:
Scandinavian Journal of Primary Health Care. Sep2010, Vol. 28 Issue 3, p146-153. 8p. 4 Charts, 1 Graph.- Subject Terms:
*NURSES; *NURSING practice; *ELDER care; *MEDICAL care; *HOME care services; *GENERAL practitioners; *CHI-squared test; *COMMUNITY health nursing; *CONFIDENCE intervals; *HEALTH status indicators; *INTERVIEWING; *PROBABILITY theory; *PSYCHOLOGICAL tests; *QUESTIONNAIRES; *RESEARCH funding; *STATISTICS; *LOGISTIC regression analysis; *DATA analysis; *ACTIVITIES of daily living; *RANDOMIZED controlled trials; *DISCHARGE planning; *PROPORTIONAL hazards models; *PATIENT readmissions; *DATA analysis software; *DESCRIPTIVE statistics; *KAPLAN-Meier estimator; *OLD age - Source:
- Additional Information
- Subject Terms:
- Abstract: Objectives. Many hospital admissions are due to inappropriate medical treatment, and discharge of fragile elderly patients involves a high risk of readmission. The present study aimed to assess whether a follow-up programme undertaken by GPs and district nurses could improve the quality of the medical treatment and reduce the risk of readmission of elderly newly discharged patients. Design and setting. The patients were randomized to either an intervention group receiving a structured home visit by the GP and the district nurse one week after discharge followed by two contacts after three and eight weeks, or to a control group receiving the usual care. Patients. A total of 331 patients aged 78+ years discharged from Glostrup Hospital, Denmark, were included. Main outcome measures. Readmission rate within 26 weeks after discharge among all randomized patients. Control of medication, evaluated 12 weeks after discharge on 293 (89%) of the patients by an interview at home and by a questionnaire to the GP. Results. Control-group patients were more likely to be readmitted than intervention-group patients (52% v 40%; p = 0.03). In the intervention group, the proportions of patients who used prescribed medication of which the GP was unaware (48% vs. 34%; p = 0.02) and who did not take the medication prescribed by the GP (39% vs. 28%; p = 0.05) were smaller than in the control group. Conclusion. The intervention shows a possible framework securing the follow-up on elderly patients after discharge by reducing the readmission risk and improving medication control. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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