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	Author	Fail, A.
	Title	Ageing in the 21st century			Type	Journal Article
	Year	1999	Publication	Vision: A Journal of Nursing	Abbreviated Journal
	Volume	5	Issue	9	Pages	24-31
	Keywords	Older people; Theory; Quality of life; Quality of health care; Age factors
	Abstract	The author looks at demographic and statistical information to extrapolate on trends that will affect the aged through into to the next century. She reviews policy approaches to the issues of a growing aged population combined with social and economic changes that could make this group vulnerable. Effective planning for the provision of quality care is placed in the context of social changes, advances in gerontology, and social theories of ageing.
	Call Number	NRSNZNO @ research @			Serial	1275
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	Author	Pirret, A.M.
	Title	A preoperative scoring system to identify patients requiring postoperative high dependency care			Type	Journal Article
	Year	2003	Publication	Intensive & Critical Care Nursing	Abbreviated Journal
	Volume	19	Issue	5	Pages	267-275
	Keywords	Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment
	Abstract	The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions.
	Call Number	NRSNZNO @ research @ 904			Serial	888
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