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Papers by Prakong Intarasombat
Ramathibodi Nursing Journal, Sep 25, 2009
Abstract: Functional decline is an important clinical problem in older patients that results from... more Abstract: Functional decline is an important clinical problem in older patients that results from acute illness prior to or during hospitalization. Having knowledge regarding functional decline in older persons can motivate health care providers to realize this problem and design nursing intervention appropriately. Thus, development of a program of care to prevent functional decline in hospitalized older patients using an evidence-based approach should be helpful to maintain and promote functional independence, as well as to prevent functional decline through the comprehensive geriatric assessment and nursing care protocol. This intervention program is developed with collaboration between nursing education and nursing service.
Acute and Critical Care, 2019
Delirium is an acute, confusional state characterized by altered consciousness and a reduced abil... more Delirium is an acute, confusional state characterized by altered consciousness and a reduced ability to focus, sustain, or shift attention. It is associated with a number of complex underlying medical conditions and can be difficult to recognize. Many critically ill patients (e.g., up to 80% of patients in the intensive care unit [ICU]) experience delirium due to underlying medical or surgical health problems, recent surgical or other invasive procedures, medications, or various noxious stimuli (e.g., underlying psychological stressors, mechanical ventilation, noise, light, patient care interactions, and drug-induced sleep disruption or deprivation). Delirium is associated with a longer duration of mechanical ventilation and ICU admittance as well as an increased risk of death, disability, and long-term cognitive dysfunction. Therefore, the early recognition of delirium is important and ICU medical staff should devote careful attention to both watching for the occurrence of delirium and its prevention and management. This review presents a brief overview of delirium and an update of the literature with reference to the 2018 Society of Critical Care Medicine Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU.
Abstract: The increase in life expectancy results in a greater number of older persons, which is ... more Abstract: The increase in life expectancy results in a greater number of older persons, which is moving to the population of aging. Accordingly, nurses and the nursing profession have a sharpened attention and responsibility to develop the level of competencies, skills, knowledge available, and positive attitude to meet specific needs of older persons in a variety of settings: home, community, long-term care institutions/hospitals, and hospitals for acute care. Care of older persons is ctrue nursing,e which is recognized as the largest single component of the health services required to care for the frail, sick, and dying, while also contributes to the maintenance of health and prevention of disease. An educational preparation is an important step towards further development of qualified nurses including the undergraduate program that provides fundamental contents about nursing care of older persons, the continuing education, as well as the masterus program as advanced nursing pract...
Archives of Gerontology and Geriatrics, 2011
Globalization is ongoing in the healthcare sector due to innovations in transportation and inform... more Globalization is ongoing in the healthcare sector due to innovations in transportation and information technology. In many cases, patients take part in medical tourism to get high quality healthcare; in particular, patients often travel from Western countries to Asian countries due to the lower costs of care in Asian countries (Saio, 2006; York, 2008). In addition, based on the Economic Partnership Agreement, the Japanese government allows Indonesian and Filipino nurses to work in Japan to help cope with the rapidly aging population and increased need for hospitalization. Migration of both patients and healthcare providers is promoted all over the world as well as in Japan. In recent years, up to 1.7 million Japanese subjects have been known to go abroad annually to work, study, travel, or learn another language and experience cross cultural exchange (Immigration Bureau of Japan, 2007). Though many of these travelers are young, some older people may also travel to another country and stay for the long-term. Long-stay, a word coined in Japan, means a long visit abroad by retired middle-aged and older people. In the 1970s to 1980s, many people in Europe began to stay abroad after their retirement (King et al., 1998). In 1986, the Japanese Ministry of International Trade and Industry launched the Silver Columbia Project, which encouraged Japanese elders to go on long-stay trips or immigrate abroad. Though the project failed due to the collapse of the bubble economy, the word long-stay has become a familiar term. The Japanese media has frequently reported cases of longstay elderly who live abroad after retirement and has recommended the long-stay life for retired baby boomers (Toda, 2001). The number of Japanese long-stay elderly may increase with the retirement of Japanese baby boomers. In addition, fear regarding shortages of or low-quality long-term healthcare/social security system for elderly in Japan, such as shortage of healthcare workers including doctors, nurses, and professional care workers, a
Ramathibodi Nursing Journal, Sep 25, 2009
Abstract: Functional decline is an important clinical problem in older patients that results from... more Abstract: Functional decline is an important clinical problem in older patients that results from acute illness prior to or during hospitalization. Having knowledge regarding functional decline in older persons can motivate health care providers to realize this problem and design nursing intervention appropriately. Thus, development of a program of care to prevent functional decline in hospitalized older patients using an evidence-based approach should be helpful to maintain and promote functional independence, as well as to prevent functional decline through the comprehensive geriatric assessment and nursing care protocol. This intervention program is developed with collaboration between nursing education and nursing service.
Acute and Critical Care, 2019
Delirium is an acute, confusional state characterized by altered consciousness and a reduced abil... more Delirium is an acute, confusional state characterized by altered consciousness and a reduced ability to focus, sustain, or shift attention. It is associated with a number of complex underlying medical conditions and can be difficult to recognize. Many critically ill patients (e.g., up to 80% of patients in the intensive care unit [ICU]) experience delirium due to underlying medical or surgical health problems, recent surgical or other invasive procedures, medications, or various noxious stimuli (e.g., underlying psychological stressors, mechanical ventilation, noise, light, patient care interactions, and drug-induced sleep disruption or deprivation). Delirium is associated with a longer duration of mechanical ventilation and ICU admittance as well as an increased risk of death, disability, and long-term cognitive dysfunction. Therefore, the early recognition of delirium is important and ICU medical staff should devote careful attention to both watching for the occurrence of delirium and its prevention and management. This review presents a brief overview of delirium and an update of the literature with reference to the 2018 Society of Critical Care Medicine Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU.
Abstract: The increase in life expectancy results in a greater number of older persons, which is ... more Abstract: The increase in life expectancy results in a greater number of older persons, which is moving to the population of aging. Accordingly, nurses and the nursing profession have a sharpened attention and responsibility to develop the level of competencies, skills, knowledge available, and positive attitude to meet specific needs of older persons in a variety of settings: home, community, long-term care institutions/hospitals, and hospitals for acute care. Care of older persons is ctrue nursing,e which is recognized as the largest single component of the health services required to care for the frail, sick, and dying, while also contributes to the maintenance of health and prevention of disease. An educational preparation is an important step towards further development of qualified nurses including the undergraduate program that provides fundamental contents about nursing care of older persons, the continuing education, as well as the masterus program as advanced nursing pract...
Archives of Gerontology and Geriatrics, 2011
Globalization is ongoing in the healthcare sector due to innovations in transportation and inform... more Globalization is ongoing in the healthcare sector due to innovations in transportation and information technology. In many cases, patients take part in medical tourism to get high quality healthcare; in particular, patients often travel from Western countries to Asian countries due to the lower costs of care in Asian countries (Saio, 2006; York, 2008). In addition, based on the Economic Partnership Agreement, the Japanese government allows Indonesian and Filipino nurses to work in Japan to help cope with the rapidly aging population and increased need for hospitalization. Migration of both patients and healthcare providers is promoted all over the world as well as in Japan. In recent years, up to 1.7 million Japanese subjects have been known to go abroad annually to work, study, travel, or learn another language and experience cross cultural exchange (Immigration Bureau of Japan, 2007). Though many of these travelers are young, some older people may also travel to another country and stay for the long-term. Long-stay, a word coined in Japan, means a long visit abroad by retired middle-aged and older people. In the 1970s to 1980s, many people in Europe began to stay abroad after their retirement (King et al., 1998). In 1986, the Japanese Ministry of International Trade and Industry launched the Silver Columbia Project, which encouraged Japanese elders to go on long-stay trips or immigrate abroad. Though the project failed due to the collapse of the bubble economy, the word long-stay has become a familiar term. The Japanese media has frequently reported cases of longstay elderly who live abroad after retirement and has recommended the long-stay life for retired baby boomers (Toda, 2001). The number of Japanese long-stay elderly may increase with the retirement of Japanese baby boomers. In addition, fear regarding shortages of or low-quality long-term healthcare/social security system for elderly in Japan, such as shortage of healthcare workers including doctors, nurses, and professional care workers, a