As proximity to a symptomatic case is a driver of norovirus outbreaks, transmission of norovirus infections is likely to be promoted in an environment in which care is provided in wards with high patient density with limited physical barriers and shared toilet facilities, coupled with patient movement between assessment units and final inpatient destination wards.
The destination was pediatric ward in 53% and home in 36%.
There is an age-related criteria of 65 years for ward destination after stroke as set by a ministerial decree, which is still practiced.
Analysis of the focus interview revealed several recurring themes, namely, ward destination, admission policies, the concepts of age as related to stroke.
Referral to established rehabilitation programmes, such as cardiac and PR, offers one potential resolution with over 50% of respondents reporting the use of other rehabilitation programmes for the critical care survivors, and this may further be influenced by the designated specialty of the ward destination of patients following ICU discharge.
Discharge destination was obtained from ward physiotherapists and confirmed against ISIS data, and case notes were used to determine any change in usual accommodation.
Purposive sampling will be used to enrol equal numbers from each of the RECOVER groups with representation from relevant subgroups according to age, gender, duration of mechanical ventilation, ward discharge destination, occupational status and level of social support.
8 The tool has recently been extended to other health care setting, including hospitals, where again it has been found to have excellent interrate reliability, concurrent validity with other tools, and predictive validity (LOS, mortality in elderly wards, and discharge destination in orthopedic patients).
And as home treatment is so widely available, psychiatric wards have become a destination for those unable to be cared for in community settings.
