keyword
MENU ▼
Read by QxMD icon Read
search

"Multiple Chronic Conditions"

keyword
https://www.readbyqxmd.com/read/29678061/personalised-care-plan-management-utilizing-guideline-driven-clinical-decision-support-systems
#1
Gokce Banu Laleci Erturkmen, Mustafa Yuksel, Bunyamin Sarigul, Mikael Lilja, Rong Chen, Theodoros N Arvanitis
Older age is associated with an increased accumulation of multiple chronic conditions. The clinical management of patients suffering from multiple chronic conditions is very complex, disconnected and time-consuming with the traditional care settings. Integrated care is a means to address the growing demand for improved patient experience and health outcomes of multimorbid and long-term care patients. Care planning is a prevalent approach of integrated care, where the aim is to deliver more personalized and targeted care creating shared care plans by clearly articulating the role of each provider and patient in the care process...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29664526/-perioperative-care-of-older-patients-with-hip-fractures
#2
Francisco Bengoa, Marcela Carrasco, Pedro Pablo Amenábar, Daniel Schweitzer, Eduardo Botello, Ianiv Klaber
The number of osteoporotic fractures is increasing along with population aging. Most patients with these type of fractures are older than 65 years, with multiple chronic conditions and different degrees of disability. Hip fracture is the most relevant osteoporotic fracture due to its frequency, costs, severity and complications. Multidisciplinary management is of the utmost importance to obtain good therapeutic results. We herein review the management of this fracture. Orthogeriatric joint management should be incorporated in fragility fracture treatment...
November 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29650502/prevalence-of-multiple-chronic-conditions-among-older-adults-in-florida-and-the-united-states-comparative-analysis-of-the-oneflorida-data-trust-and-national-inpatient-sample
#3
Zhe He, Jiang Bian, Henry J Carretta, Jiwon Lee, William R Hogan, Elizabeth Shenkman, Neil Charness
BACKGROUND: Older patients with multiple chronic conditions are often faced with increased health care needs and subsequent higher medical costs, posing significant financial burden to patients, their caregivers, and the health care system. The increasing adoption of electronic health record systems and the proliferation of clinical data offer new opportunities for prevalence studies and for population health assessment. The last few years have witnessed an increasing number of clinical research networks focused on building large collections of clinical data from electronic health records and claims to make it easier and less costly to conduct clinical research...
April 12, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29648689/linking-neighborhood-context-and-health-in-community-dwelling-older-adults-in-the-medicare-advantage-program
#4
Daniel Jung, Amy Kind, Stephanie Robert, William Buckingham, Eva DuGoff
OBJECTIVES: To examine whether neighborhood context moderates the relationship between multiple chronic conditions (MCCs) and function in Medicare Advantage (MA) beneficiaries. DESIGN: Cross-sectional study. SETTING: Medicare Health Outcome Survey Cohort 16 baseline data from 2013. PARTICIPANTS: MA beneficiaries aged 65 and older (N=187,434). MEASUREMENTS: We defined disadvantaged neighborhoods as those with an Area Deprivation Index greater than the 85th percentile...
April 12, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29642691/high-risk-pci-how-to-define-it-today
#5
Vincenzo DE Marzo, Domenico D'Amario, Mattia Galli, Rocco Vergallo, Italo Porto
Before the percutaneous spread, the mortality rate of patients with coronary heart disease not suitable for cardiac surgery was markedly high. This limit has been progressively exceeded with the advent of minimally invasive approaches, which, although was initially intended exclusively for low risk patients, was then employed in complex patients often too compromised to undergo cardiac surgery. Given to the rising of high-risk population, due to an increase of patients with multiple chronic conditions linked to the best care offered, we are witnessing an expansion of the high-risk percutaneous coronary interventions (PCI) population...
April 11, 2018: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29624089/geriatric-interdisciplinary-team-training-2-0-a-collaborative-team-based-approach-to-delivering-care
#6
Maryanne M Giuliante, Sherry A Greenberg, Margaret V McDonald, Allison Squires, Ronnie Moore, Tara A Cortes
Interprofessional collaborative education and practice has become a cornerstone of optimal person-centered management in the current complex health care climate. This is especially important when working with older adults, many with multiple chronic conditions and challenging health care needs. This paper describes a feasibility study of the Geriatric Interdisciplinary Team Training 2.0 (GITT 2.0) program focused on providing interprofessional care to complex and frail older adults with multiple chronic conditions...
April 6, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29609993/evidence-on-selection-optimization-and-compensation-strategies-to-optimize-aging-with-multiple-chronic-conditions-a-literature-review
#7
Wenhui Zhang, Kavita Radhakrishnan
The self-regulation strategies of selection, optimization, and compensation (SOC) can be effective in optimizing aging with multiple chronic conditions (MCC). Nineteen articles on the use and effects of SOC among older adults with chronic conditions were reviewed. The studies' quality, evaluated by the Mixed Methods Appraisal Tool, ranged from medium to high (Mean = 0.90, SD = 0.10). SOC were found to improve the symptom experience for older adults, resulting in better health outcomes such as increased daily living activities, subjective well-being, life success, fewer falls/sick days, and use of medication for pain control...
March 30, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/29609235/-incidence-of-fall-related-injury-in-people-aged-50-and-above-and-risk-factors-in-8-provinces-in-china-a-cross-sectional-study
#8
Y F Guo, W J Ma, Q J Zhang, M Yu, Y Z Xiao, X L Guo, Y L Zhu, F Liu, Y Ruan, S Y Sun, Z Z Huang, Y Zheng, F Wu
Objective: To estimate the incidence and distribution characteristics of fall related injury in people aged ≥50 years in 8 provinces in China and related physiological, psychological and social risk factors. Methods: Cross-sectional data were collected from adults aged ≥50 years participating in the World Health Organization (WHO) study on global ageing and adult health (SAGE) round 1 in China. Two-level hierarchical logistic model was used to identify the related factors for fall-related injury. All the models were stratified by living area (urban/rural)...
March 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/29573333/self-care-among-older-people-living-with-chronic-conditions
#9
Raeann G LeBlanc, Cynthia S Jacelon
PURPOSE: The aim of this study was to clarify the concept of self-care among older people living with chronic health conditions. This concept clarification will assist nurses in addressing self-care among older people through research, policy and practice in offering an expanded conceptual model. BACKGROUND: Several policy influences over the past decade directly relate to the increased importance and economic necessity to require self-directed care for older people living with chronic health conditions to maintain their care at home in the community...
March 24, 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29554592/substance-use-disorders-and-medical-comorbidities-among-high-need-high-risk-patients-with-diabetes
#10
Li-Tzy Wu, Udi E Ghitza, He Zhu, Susan Spratt, Marvin Swartz, Paolo Mannelli
BACKGROUND: The majority of the U.S. healthcare resources are utilized by a small population characterized as high-risk, high-need persons with complex care needs (e.g., adults with multiple chronic conditions). Substance use disorders (SUDs) and mental health disorders (MHDs) are a driver of poor health and additional healthcare costs, but they are understudied among high-need patients. OBJECTIVE: We examine the prevalence and correlates of SUDs and MHDs among adults with high-risk diabetes, who are patients at the top 10% risk score for developing poor outcomes (hospital admission or death)...
March 3, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29527464/physical-activity-and-annual-medical-outlay-in-u-s-colorectal-breast-and-prostate-cancer-survivors
#11
Alice F Yan, Yang Wang, Alexander V Ng
Multiple chronic conditions in cancer survivors are highly prevalent and may increase health care costs for both patients and the health care system. Studies of cancer survivors reveal positive effects of physical activity (PA) on reducing risk of cancer recurrence, other chronic conditions, and secondary cancer. Few nationally representative studies have examined how physical activity levels have affected survivors' annual economic burden in the United States. Leisure-time physical activity data from the National Health Interview Survey was linked to health care expenditure data from the Medical Expenditure Panel Survey data (2008-2012)...
March 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29521414/diabetes-heart-disease-and-dementia-national-estimates-of-functional-disability-trajectories
#12
Janet L MacNeil Vroomen, Ling Han, Joan K Monin, Kasia J Lipska, Heather G Allore
OBJECTIVES: To estimate the associations between diabetes, heart disease, and dementia, which may increase the difficulty of self-care; model functional disability trajectories jointly with attrition (death or dropout) over 5 years. DESIGN: Population-based complex survey design. SETTING: National Health and Aging Trends Study. PARTICIPANTS: Community-dwelling Medicare beneficiaries aged 65 and older (N=7,609). MEASUREMENTS: National estimates were generated using sampling weights...
March 9, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29498748/feasibility-and-pilot-testing-of-a-mindfulness-intervention-for-frail-older-adults-and-individuals-with-dementia
#13
Christine R Kovach, Crystal-Rae Evans, Lisa Sattell, Kimberly Rosenau, Sandeep Gopalakrishnan
Mindfulness interventions have been beneficial for healthy adults and individuals experiencing a stressful medical or mental health diagnosis. The purposes of the current study were to: (a) determine feasibility of mindfulness for older adults in long-term residential settings, and (b) examine differences in outcomes between a mindfulness and cognitive activity. The current study is the first mindfulness study to include individuals in moderate and severe stages of dementia, and included 36 individuals with a range of cognitive abilities...
March 1, 2018: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/29496973/care-coordination-for-children-with-medical-complexity-whose-care-is-it-anyway
#14
Dennis Z Kuo, Jeanne W McAllister, Lisa Rossignol, Renee M Turchi, Christopher J Stille
Children with medical complexity (CMC) have multiple chronic conditions and require an array of medical- and community-based providers. Dedicated care coordination is increasingly seen as key to addressing the fragmented care that CMC often encounter. Often conceptually misunderstood, care coordination is a team-driven activity that organizes and drives service integration. In this article, we examine models of care coordination and clarify related terms such as care integration and case management. The location of care coordination resources for CMC may range from direct practice provision to external organizations such as hospitals and accountable care organizations...
March 2018: Pediatrics
https://www.readbyqxmd.com/read/29487063/age-trends-in-30-day-hospital-readmissions-us-national-retrospective-analysis
#15
Jay G Berry, James C Gay, Karen Joynt Maddox, Eric A Coleman, Emily M Bucholz, Margaret R O'Neill, Kevin Blaine, Matthew Hall
OBJECTIVE: To assess trends in and risk factors for readmission to hospital across the age continuum. DESIGN: Retrospective analysis. SETTING AND PARTICIPANTS: 31 729 762 index hospital admissions for all conditions in 2013 from the US Agency for Healthcare Research and Quality Nationwide Readmissions Database. MAIN OUTCOME MEASURE: 30 day, all cause, unplanned hospital readmissions. Odds of readmission were compared by patients' age in one year epochs with logistic regression, accounting for sex, payer, length of stay, discharge disposition, number of chronic conditions, reason for and severity of admission, and data clustering by hospital...
February 27, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29476377/self-report-of-aerobic-activity-among-older-african-americans-with-multiple-chronic-conditions
#16
Gina M McCaskill, Kathleen A Bolland, Cynthia J Brown, T Mark Beasley
Physical inactivity among older adults around the world is a growing concern. In the United States, older African Americans report high levels of physical inactivity, especially older African Americans with chronic conditions. This study examined the influence of chronic conditions on aerobic activity among a sample of community-dwelling, older African Americans with a self-reported diagnosis of type 2 diabetes and other chronic conditions, such as hypertension and arthritis. Findings indicate that regardless of age, the number of chronic conditions was a significant influence in self-report of aerobic activity...
February 23, 2018: Journal of Cross-cultural Gerontology
https://www.readbyqxmd.com/read/29471360/adverse-consequences-of-unmet-needs-for-care-in-high-need-high-cost-older-adults
#17
Scott R Beach, Richard Schulz, Esther M Friedman, Juleen Rodakowski, Grant Martsolf, Alton Everette James
Objectives: We explore adverse consequences of unmet needs for care among high-need/high-cost (HNHC) older adults. Method: Interviews with 4,024 community-dwelling older adults with ADL/IADL/mobility disabilities from the 2011 National Health and Aging Trends Study (NHATS). Reports of socio-demographics, disability compensatory strategies, and adverse consequences of unmet needs in the past month were obtained from older adults with multiple chronic conditions (MCC), probable dementia (DEM), and/or near end-of-life (EOL) and compared older adults not meeting these criteria...
February 17, 2018: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/29452247/persistent-candidemia-despite-appropriate-fungal-therapy-first-case-of-candida-auris-from-the-united-arab-emirates
#18
Adnan Alatoom, Mohammad Sartawi, Karen Lawlor, Laila AbdelWareth, Jens Thomsen, Ahmad Nusair, Imran Mirza
In this case, we report an elderly patient with multiple chronic conditions and prolonged intensive care units (ICU) stay who had recurrent Candida auris (C. auris) in blood despite antifungal therapy. C. auris was misidentified using conventional automated identification system as Candida haemulonii resulting in delayed diagnosis. The isolate showed increasing minimum inhibitory concentrations (MICs) to different antifungal drugs and persisted in the patient's blood before the patient deceased. This is the first case of C...
February 13, 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29432589/changing-change-adaptations-of-an-evidence-based-telehealth-cardiovascular-disease-risk-reduction-intervention
#19
Leah L Zullig, Felicia McCant, Mina Silberberg, Fred Johnson, Bradi B Granger, Hayden B Bosworth
Relatively few successful medication adherence interventions are translated into real-world clinical settings. The Prevention of Cardiovascular Outcomes in African Americans with Diabetes (CHANGE) intervention was originally conceived as a randomized controlled trial to improve cardiovascular disease-related medication adherence and health outcomes. The purpose of the study was to describe the translation of the CHANGE trial into two community-based clinical programs. CHANGE 2 was available to Medicaid patients with diabetes and hypertension whose primary care homes were part of a care management network in the Northern Piedmont region of North Carolina...
March 1, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29420543/does-the-chronic-care-model-meet-the-emerging-needs-of-people-living-with-multimorbidity-a-systematic-review-and-thematic-synthesis
#20
Kasey R Boehmer, Abd Moain Abu Dabrh, Michael R Gionfriddo, Patricia Erwin, Victor M Montori
BACKGROUND: The Chronic Care Model (CCM) emerged in the 1990s as an approach to re-organize primary care and implement critical elements that enable it to proactively attend to patients with chronic conditions. The chronic care landscape has evolved further, as most patients now present with multiple chronic conditions and increasing psychosocial complexity. These patients face accumulating and overwhelming complexity resulting from the sum of uncoordinated responses to each of their problems...
2018: PloS One
keyword
keyword
27633
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"