toward complete patient centered care clinical considerations

... that patient values guide all clinical decisions’–as an important dimension of healthcare quality [21] Interventions that focus on patient- centered communication have shown improvements in patient ... chronic care model and a patient- centered intervention that supplements standard interventions for depression by tailoring them to individual patients’ stated concerns and incorporating patient- centered ... treatment and clinical outcomes over 12 months [19,20] The Institute of Medicine includes patient- centeredness–’providing care that is respectful of and responsive to individual patient preferences,...

Ngày tải lên: 11/08/2014, 05:21

... afflict patients (table 1) Clark/Treisman Table Step-by-step approach to the individual patient with chronic pain Diseases Consider that the patient s distress is due to an unrecognized clinical ... accelerated with the closure of programs specifically designed to care for these patients All physicians must advocate for better care of these patients but the provision of interdisciplinary specialty ... [Magni et al., 1993] In another WHO study of over 25,000 primary care patients in 14 countries, 22% (United States ϭ 17%) of patients suffered from pain that was present for most of the time...

Ngày tải lên: 23/03/2014, 01:20

... address their needs Person -Centered Care 23 Experience of Patients and Communities Microsystems of Care (Where care occurs) Health Care Organizations External Environment of Care Policy/Financing/Regulation ... the health care system (Fig 2.1) Beginning with the experience of ‘‘patients and communities,’’ Berwick argues that health care should ‘‘honor the individual patient, respecting the patient s ... person-centeredness We use the term individual to refer to patients, clients, residents, members, users, consumers, and persons served Some words imply Treatment Planning for Person Centered Care...

Ngày tải lên: 29/03/2014, 00:21

... practitioners nowadays is offering quality dental care while demonstrating clinical competence, and comprehensive and compassionate patient care Therefore, training and refreshing of knowledge ... training and refreshing of knowledge are absolute necessities that contribute to successful clinical patient care The acquisition of new ideas is dependent on reading As Nietzsche put in his book ... Assisting dentists and pediatric dentists to identify patients with orthodontic treatment need Identifying patient prognoses and obtaining the patients’ informed consent, informing them of the risks...

Ngày tải lên: 27/06/2014, 10:20

... chronic disease care: patient centered, effective, safe, timely, efficient, and equitable One way of achieving these aims in primary care is by implementing the core criteria of the PatientCentered ... conditions frequently managed in adult primary care As such, it should help to make patienthealthcare team encounters more informed and patient- centered Formative research with clinicians indicated ... patient- centered communication, care, and follow-up related to prevention and selfmanagement of the most common adult chronic illnesses seen in primary care Results The Connection to Health Patient...

Ngày tải lên: 10/08/2014, 11:20

... suffering a recurrence Clinical examination showed bilateral cryptorchidism During her pregnancy our patient s mother was treated with diazepam towards the end of the pregnancy When our patient was 19 ... due to an sSMC which were all clinically normal Thus, this region seems to be a potentially transmittable unbalanced chromosomal abnormality (UBCA) without causing clinical problems (see case 12-O-p11.1/1-1 ... might point towards a specific way of formation of multiple sSMC during meiosis [10] Conclusions The present case confirms that multiple sSMC may be correlated with an almost normal clinical outcome...

Ngày tải lên: 11/08/2014, 03:21

... collaborative care within the workforce environment related to health care provider -patient dyads; serve as a strategy to increase quality of care and patient safety; and reinforce a patient- centered care ... defined as a decision-making process jointly shared by patients and their health care provider [3], and is said to be the crux of patient- centered care [4] It relies on the best evidence about risks ... ongoing research [7] Patient decision aids and decision coaching are effective interventions to support patients to engage in SDM When compared to usual care, decision aids reduce patients' passivity...

Ngày tải lên: 11/08/2014, 05:22

... collaborative care within the workforce environment related to health care provider -patient dyads; serve as a strategy to increase quality of care and patient safety; and reinforce a patient- centered care ... defined as a decision-making process jointly shared by patients and their health care provider [3], and is said to be the crux of patient- centered care [4] It relies on the best evidence about risks ... ongoing research [7] Patient decision aids and decision coaching are effective interventions to support patients to engage in SDM When compared to usual care, decision aids reduce patients' passivity...

Ngày tải lên: 11/08/2014, 16:20

... each patient is shown in Figure 4a and was more than 75% in three patients (upper quartile, black bars), between 50% and 75% in seven patients (gray bars), between 25% and 50% in eight patients ... storage, and research analysis of clinical and electronic data Each patient' s next of kin was informed, and written consent was obtained with the understanding that routine clinical and monitoring data ... the group of patients in the second quartile (gray bars) and 10% ± 5.8% for the group of patients in the third quartile (hatched bars) These differences in the data highlight how patients with...

Ngày tải lên: 13/08/2014, 03:20

... protocol to improve clinical outcome and minimize risk This simulation software and database were developed for the purpose of enhancing research, education, and clinical patient care related to ... controlled clinical trials to prove their relevance and efficacy What the VIMS can offer is a generic database for comparative purpose for normal and patient population studies In individual patient, ... and physicians with multiple applications including medical education, basic research and clinical patient care – a precursor to the grand challenge of the "Virtual Human" concept This innovative...

Ngày tải lên: 20/06/2014, 00:20

... language that compared the effects of care with a CCDSS for PPC, used by healthcare providers, with care without a CCDSS Outcomes included processes of care and patient outcomes We only considered ... primary care Primary care visit during study year; Mammogram completed during study year; Pap smear test completed during study year Reminders to perform pap smear screening in primary care / ... screening in primary care / 20 / 5,801* Patients with primary care visit; Patients with pap smear completed Burack, 1997 [22] Reminders for mammography in primary care / 25 / 2,826* Mammography completion...

Ngày tải lên: 10/08/2014, 11:20

... metastatic HCC Our patient' s apparent complete response is certainly unusual We speculate that a subset of patients capable of attaining a complete remission will be identified as more patients with ... direct evidence of this in our patient Moreover, it is unknown how the patient' s underlying The authors provide specialized, multidisciplinary clinical care for patients with Hepatocellular Cancer ... the majority, 211 (71%) showed stable disease [3] Similarly complete remission has not been observed in clinical trials of sorafenib in patients with renal cell carcinoma Preliminary studies have...

Ngày tải lên: 10/08/2014, 22:20

... preventable clinical errors Studies in Australia and the UK suggest that around 10–16% of hospitalized patients experience an adverse event related to clinical care, with a mortality rate in these patients ... suited to the system of care in the USA, where primary care physicians often have continuing responsibility for inpatient care It might also be of value to other health care systems in which increasing ... outreach care as a means of improving the care of acutely ill patients in hospital wards The latter report identified three goals for a critical care outreach team The first was to identify patients...

Ngày tải lên: 12/08/2014, 20:20

... Exception is health care workers providing direct patient care No value judgments (and thus alterations in priority status) are considered on socioeconomic or lifestyle specifics of each patient To be ... relevant for the prediction of critical care outcomes (Table 3) Points are assigned based on clinical status of each patient and then the Beigi et al Critical Care 2010, 14:225 http://ccforum.com/content/14/3/225 ... evaluation at 72 hour intervals Patient demonstrating clear and unanimous clinical improvement after resource allocation Patient remains on ventilator (or other limited resource) Patient demonstrating...

Ngày tải lên: 13/08/2014, 20:21

... prevent AF in critically ill patients [41,45] There are no trials investigating prevention of AF in MICU patients In surgical ICU patients, and especially in CTS patients, there are trials and ... thromboembolism in patients with AF [135] Conclusion on stroke incidence There are insufficient data in medical ICU patients, but in CTS patients it is clear that the stroke incidence is increased in patients ... particular atrial fibrillation, in surgical intensive care patients Crit Care Med 2003, 31:401-405 84 Donovan KD, Hockings BE: Shocking? Crit Care Med 2003, 31: 639-640 85 Dunning J: Are the American...

Ngày tải lên: 25/10/2012, 10:35

... intensive care unit Crit Care Med 2004, 32:428-432 80 Stambouly JJ, McLaughlin LL, Mandel FS, Boxer RA: Complications of care in a pediatric intensive care unit: a prospective study Intensive Care ... in patient safety because they are the health care providers with whom patients are likely to spend the greatest amount of time This has two important implications One, decreasing nurse-topatient ... errors in the intensive care unit Crit Care Med 1995, 23:294300 Pronovost PJ, Thompson DA, Holzmueller CG, Lubomski LH, Morlock LL: Defining and measuring patient safety Crit Care Clin 2005, 21:1-19...

Ngày tải lên: 25/10/2012, 10:35

... 1548 patients hospitalised in a surgical intensive care unit (ICU) showed that maintaining normal glucose levels reduces morbidity and mortality [5] In another randomised study of 1200 patients ... and surgical patients [12] Therefore, we conducted a randomised clinical trial to assess the efficacy and safety of intensive insulin therapy compared with standard glucose control in patients hospitalised ... infusion was stopped when the patient' s nutrition was restarted or when the patient was no longer hypoglycaemic Protocols were consistently followed throughout the patient' s whole ICU stay After...

Ngày tải lên: 25/10/2012, 10:35

... together for all patients combined as well as for separate patient groups (general surgery patients, neurosurgery patients, cardiothoracic surgery patients, medical patients, and other patients) The ... observers were not involved in the daily care of the patients, and ICU physicians were not aware of this part of the observation As a consequence, the clinical relevance of the predefined abnormalities ... radiographs with a potentially clinically relevant abnormality resulted in action: in 14.3% of patients did daily routine CXRs exhibit an unexpected abnormality, and in 6.4% of patients did these radiologic...

Ngày tải lên: 25/10/2012, 10:39

... 18 (54%) patients The initial diagnosis at the time of admission to ICU was as followings: community-acquired pneumonia 19 patients (57%), congestive heart failure patients (12%), two patients ... Results Patient characteristics The numbers of patient diagnosed as pulmonary tuberculosis based on at least one positive sputum culture over period from January 1999-January 2006 were 33 patients ... period covered by our study Within the cohort of 33 patients, 20 (60.7%) were male, and 13 (39.3%) female The mean age of all patients was 63±17 years Clinical presentation The mean time lapse between...

Ngày tải lên: 15/02/2014, 12:20