An acquired process of generalized risk.
Patients recently hospitalized are not only recovering from their acute illness, but are experiencing a period of generalized risk for a range of adverse health events.
The post-hospital syndrome, is an acquired, transient period of vulnerability related to impaired physiological systems , depleted reserves, and the body cannot effectively defend against health threats.
Nearly one fifth of Medicare patients discharged from a hospital, that is approximately 2.6 million individuals, have an acute medical problem within the subsequent 30 days that necessitates another hospitalization.
Many rehospitalizations are unrelated to the initial hospitalization diagnosis.
Causes of readmission commonly include heart failure, pneumonia, COPD, infection, gastrointestinal conditions, mental illness, metabolic derangements, and trauma.
The severity of the original acute illness predicts poorly which patients will have an adverse medical event soon after discharge and require readmission.
Hospitalization associated with deprivation of sleep, disruption of circadian rhythm, poor nutrition, experience pain and discomfort, receive medications that can have multiple side effects, altered cognition reduced physical function, and become deconditioned by bed rest or inactivity.
All of the above processes can adversely affect health and contribute to impairments during the recovery period, an inability to fend off disease, and susceptibility to mental difficulties.
Hospitalized patients often experience disturbance of sleep, with reductions in sleep time, rapid eye movement , slow wave movement and an increase in non-REM sleep time.
Sleep disturbance has adverse behavioral and physiological effects, and and alters metabolic and cognitive
This disruption can have debilitating behavioral and physiological effects, and alters metabolic and cognitive function.
Sleep changes can result in impaired physical functioning, coordination, immune function, coagulation process, and increases cardiac risk.
Perturbations in circadian rhythms may have adverse effects, independently of sleep deprivation and abnormalities.
Nutritional issues during hospitalizations are common with as many as one fifth of hospitalized patients 65 years of age or older having an average nutrient intake of less than 50% of their calculated maintenance energy requirements.
Patients are commonly ordered to have nothing by mouth for prolonged periods, during which they are not fed by alternate means.
Patients receiving mechanical ventilation or those who cannot take food by mouth, often have delayed in nutritional needs.
Nutritional deficits can lead to protein-energy malnutrition.
Loss of weight and decreased blood albumin levels after discharge to be strong predictors of readmission within 30 days.
Malnutrition can result in impairment of wound healing, increased risk of infections,pressure ulcers, impaired respiratory and cardiac function, poorer outcomes of chronic lung diseases, increased risk of gastrointestinal disorders, and poorer physical function.
Hospitalization is often associated with the stresses of the healthcare environment which can lead to confusion, and post hospitalization delirium.
Pain and other associated discomforts experienced during hospitalization are often inadequately addressed, and can lead to sleep disorders, mood disturbances, and impaired cognitive functioning.
Poorly controlled pain can influence immune and metabolic function.
Medications to treat symptoms can negatively affect the recovery period and include a variety of agents affecting cognition and emotional status.
Recently discharged patients often are deconditioned and have impaired stamina, coordination, and strength, increasing risk for accidents and falls.
Recently discharged hospitalized patients have impaired capacity to resume basic activities
Patients recently hospitalized are not only recovering from their acute illness, but are experiencing a period of generalized risk for a range of adverse health events.
The post-hospital syndrome, is an acquired, transient period of vulnerability related to impaired physiological systems , depleted reserves, and the body cannot effectively defend against health threats.
Nearly one fifth of Medicare patients discharged from a hospital, that is approximately 2.6 million individuals, have an acute medical problem within the subsequent 30 days that necessitates another hospitalization.
Many rehospitalizations are unrelated to the initial hospitalization diagnosis.
Causes of readmission commonly include heart failure, pneumonia, COPD, infection, gastrointestinal conditions, mental illness, metabolic derangements, and trauma.
The severity of the original acute illness predicts poorly which patients will have an adverse medical event soon after discharge and require readmission.
Hospitalization associated with deprivation of sleep, disruption of circadian rhythm, poor nutrition, experience pain and discomfort, receive medications that can have multiple side effects, altered cognition reduced physical function, and become deconditioned by bed rest or inactivity.
All of the above processes can adversely affect health and contribute to impairments during the recovery period, an inability to fend off disease, and susceptibility to mental difficulties.
Hospitalized patients often experience disturbance of sleep, with reductions in sleep time, rapid eye movement , slow wave movement and an increase in non-REM sleep time.
Sleep disturbance has adverse behavioral and physiological effects, and and alters metabolic and cognitive
This disruption can have debilitating behavioral and physiological effects, and alters metabolic and cognitive function.
Sleep changes can result in impaired physical functioning, coordination, immune function, coagulation process, and increases cardiac risk.
Perturbations in circadian rhythms may have adverse effects, independently of sleep deprivation and abnormalities.
Nutritional issues during hospitalizations are common with as many as one fifth of hospitalized patients 65 years of age or older having an average nutrient intake of less than 50% of their calculated maintenance energy requirements.
Patients are commonly ordered to have nothing by mouth for prolonged periods, during which they are not fed by alternate means.
Patients receiving mechanical ventilation or those who cannot take food by mouth, often have delayed in nutritional needs.
Nutritional deficits can lead to protein-energy malnutrition.
Loss of weight and decreased blood albumin levels after discharge to be strong predictors of readmission within 30 days.
Malnutrition can result in impairment of wound healing, increased risk of infections,pressure ulcers, impaired respiratory and cardiac function, poorer outcomes of chronic lung diseases, increased risk of gastrointestinal disorders, and poorer physical function.
Hospitalization is often associated with the stresses of the healthcare environment which can lead to confusion, and post hospitalization delirium.
Pain and other associated discomforts experienced during hospitalization are often inadequately addressed, and can lead to sleep disorders, mood disturbances, and impaired cognitive functioning.
Poorly controlled pain can influence immune and metabolic function.
Medications to treat symptoms can negatively affect the recovery period and include a variety of agents affecting cognition and emotional status.
Recently discharged patients often are deconditioned and have impaired stamina, coordination, and strength, increasing risk for accidents and falls.
Recently discharged hospitalized patients have impaired capacity to resume basic activities.