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https://www.readbyqxmd.com/read/29933487/dementia-and-hearing-loss-interrelationships-and-treatment-considerations
#1
H Isabel Hubbard, Sara K Mamo, Tammy Hopper
Hearing loss is common among typically aging older adults and those with dementia. In recent years, there has been a renewed interest in the relationship between hearing and cognition among older adults, and in hearing loss as a modifiable risk factor for dementia. However, relatively less attention has been focused on the management of hearing loss among individuals with dementia and the key roles of speech-language pathologists and audiologists in providing such care. In this article, the authors review the literature on hearing loss and dementia, and analyze the research evidence for treatment of hearing loss in the context of major neurocognitive disorders, such as Alzheimer's disease...
July 2018: Seminars in Speech and Language
https://www.readbyqxmd.com/read/29933425/dehospitalisation-at-a-general-hospital-in-minas-gerais-challenges-and-prospects
#2
Kênia Lara Silva, Roseni Rosângela de Sena, Wesley Souza Castro
OBJECTIVE: To analyse the dehospitalisation process at a general public hospital in Minas Gerais, Brazil, from the perspective of managers, health workers, users and their families. METHODS: This is a qualitative, exploratory, descriptive study based on the principles of methodological and theoretical dialectics. The participants were 24 hospital health workers and 15 companions of users going through the process of dehospitalisation. Data were collected from April to June 2015 using semi-structured interviews and a field journal records and subsequently subjected to content analysis...
June 7, 2018: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/29933365/traditions-of-research-in-community-mental-health-care-planning-and-care-coordination-a-systematic-meta-narrative-review-of-the-literature
#3
Aled Jones, Ben Hannigan, Michael Coffey, Alan Simpson
CONTEXT: In response to political and social factors over the last sixty years mental health systems internationally have endeavoured to transfer the delivery of care from hospitals into community settings. As a result, there has been increased emphasis on the need for better quality care planning and care coordination between hospital services, community services and patients and their informal carers. The aim of this systematic review of international research is to explore which interventions have proved more or less effective in promoting personalized, recovery oriented care planning and coordination for community mental health service users...
2018: PloS One
https://www.readbyqxmd.com/read/29933327/mobile-apps-for-individuals-with-rheumatoid-arthritis-a-systematic-review
#4
Dee Luo, Penny Wang, Fengxin Lu, Josephine Elias, Jeffrey A Sparks, Yvonne C Lee
BACKGROUND: Mobile health applications (apps) have the potential to help individuals with chronic illnesses learn about, monitor, and manage their condition, but these apps are largely unexamined, with the state and direction of development unclear. OBJECTIVE: We performed a systematic review of publicly available apps, directed toward individuals with rheumatoid arthritis (RA); described their current features; and determined areas of unmet need. METHODS: We searched the iTunes and Google Play App Stores for the term "arthritis" and reviewed the descriptions of these apps for specific mentions of RA...
June 21, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29933304/development-of-a-prehabilitation-multimodal-supportive-care-interventions-for-men-and-their-partners-before-radical-prostatectomy-for-localized-prostate-cancer
#5
Catherine Paterson, Charlotte Primeau, Irene Pullar, Ghulam Nabi
BACKGROUND: An important question revolves around when the most opportune time is to introduce recovery-optimizing behaviors for men opting for radical prostatectomy (RP) for localized prostate cancer (PCa). An emerging field of research describes the role of preoperative strategies to improve treatment tolerance and overall physical and psychological recovery. OBJECTIVE: The aim of this study was to explore the perceptions of a multimodal prehabilitation intervention for men and their partners before RP for localized PCa...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933267/perioperative-management-in-hepatic-resections-comparative-effectiveness-of-neuraxial-anesthesia-and-disparity-of-care-patterns
#6
Jeron Zerillo, Parul Agarwal, Jashvant Poeran, Nicole Zubizarreta, George Poultsides, Myron Schwartz, Stavros Memtsoudis, Madhu Mazumdar, Samuel DeMaria
BACKGROUND: Complication rates after hepatic resection can be affected by management decisions of the hospital care team and/or disparities in care. This is true in many other surgical populations, but little study has been done regarding patients undergoing hepatectomy. METHODS: Data from the claims-based national Premier Perspective database were used for 2006 to 2014. The analytical sample consisted of adults undergoing partial hepatectomy and total hepatic lobectomy with anesthesia care consisting of general anesthesia (GA) only or neuraxial and GA (n = 9442)...
June 20, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29933147/i-care-randomized-clinical-trial-integrating-depression-and-acute-coronary-syndrome-care-in-low-resource-hospitals-in-china-design-and-rationale
#7
Shenshen Li, James A Blumenthal, Chuan Shi, Danielle Millican, Xian Li, Xin Du, Anushka Patel, Pei Gao, Elizabeth Delong, Pallab K Maulik, Runlin Gao, Xin Yu, Yangfeng Wu
Depression and acute coronary syndromes (ACS) are both common public health challenges. Patients with ACS often develop depression, which in turn adversely affects prognosis. Low-cost, sustainable, and effective service models that integrate depression care into the management of ACS patients to reduce depression and improve ACS outcomes are critically needed. Integrating Depression Care in ACS patients in Low Resource Hospitals in China (I-CARE) is a multicenter, randomized controlled trial to evaluate the efficacy of an 11-month integrated care (IC) intervention compared to usual care (UC) in management of ACS patients...
May 21, 2018: American Heart Journal
https://www.readbyqxmd.com/read/29932849/problems-in-continuity-of-medication-management-upon-transition-between-primary-and-secondary-care-patients-and-professionals-experiences
#8
Veerle Foulon, Joke Wuyts, Franciska Desplenter, Anne Spinewine, Valérie Lacour, Dominique Paulus, Jan De Lepeleire
Background and objectives Patients often experience drug-related problems at admission or after discharge from hospital. The objective of this study was to identify the main problems in medication management at transition between settings of care, as experienced by health care professionals (HCPs) and patients. Methods Focus group discussions were organised between December 2009 and February 2010; nine focus groups with primary and secondary care HCPs and patients and two with stakeholders. Focus group discussions were audiotaped and observation files were constructed...
June 22, 2018: Acta Clinica Belgica
https://www.readbyqxmd.com/read/29932735/internet-versus-virtual-reality-settings-for-genomics-information-provision
#9
Susan Persky, William D Kistler, William M P Klein, Rebecca A Ferrer
Current models of genomic information provision will be unable to handle large-scale clinical integration of genomic information, as may occur in primary care settings. Therefore, adoption of digital tools for genetic and genomic information provision is anticipated, primarily using Internet-based, distributed approaches. The emerging consumer communication platform of virtual reality (VR) is another potential intermediate approach between face-to-face and distributed Internet platforms to engage in genomics education and information provision...
June 22, 2018: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/29932569/health-coaching-strategy-to-improve-glycemic-control-in-african-american-adults-with-type-2-diabetes-an-integrative-review
#10
Larider Ruffin
Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies for appropriate glycemic control. Type 2 diabetes remains a global epidemic secondary to increases in physical inactivity and obesity. While many populations are at risk, African-Americans bear a disproportionate burden from diabetes and its complications. Diabetes self-management education (DSME) is essential to successful diabetes treatment and complication prevention. However, diabetes management requires daily patient involvement and skills...
July 2017: Journal of National Black Nurses' Association: JNBNA
https://www.readbyqxmd.com/read/29932350/genomics-informed-weight-management-in-primary-care-anticipated-public-interest
#11
Susan Persky, Megan R Goldring, Rachel W Cohen
AIM: An exploratory survey assessed the influence of current and potential future genomic applications for weight management on individuals' desires to address weight management within primary care. Materials & methods: A convenience sample of 714 US adults aged 18-70 completed an online survey that presented three scenarios: no genomic information; current genomic capabilities; and potential future applications of genomics for weight management. RESULTS: Participants had increased interest in weight management assistance through primary care when considering genomic applications in weight management, p (1,1...
June 22, 2018: Personalized Medicine
https://www.readbyqxmd.com/read/29931714/a-reflective-qualitative-appreciative-inquiry-approach-to-restoring-compassionate-care-deficits-at-one-united-kingdom-health-care-site
#12
Robert McSherry, Fiona Timmins, Jan M A de Vries, Wilfred McSherry
BACKGROUND: Following declining health care practices at one UK health care site the subsequent and much publicized Francis Report made several far-reaching recommendations aimed at recovering optimal levels of care including stringent monitoring of practice. The aftermath of these deliberations have had resounding consequences for quality care both nationally and internationally. DESIGN: A reflective qualitative appreciative qualitative inquiry using a hybrid approach combining case study and thematic analysis outlines the development and analysis of a solution-focused intervention aimed at restoring staff confidence and optimal care levels at one key UK hospital site...
June 22, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29931490/the-impact-of-automated-screening-with-edmonton-symptom-assessment-system-esas-on-health-related-quality-of-life-supportive-care-needs-and-patient-satisfaction-with-care-in-268-ambulatory-cancer-patients
#13
Benjamin D Diplock, Kaitlin M C McGarragle, Willem A Mueller, Sana Haddad, Rachel Ehrlich, Dong-Hyun A Yoon, Xingshan Cao, Yaseen Al-Allaq, Paul Karanicolas, Margaret I Fitch, Jeff Myers, Alex J Mitchell, Janet W M Ellis
PURPOSE: We aimed to assess the impact of implementing Edmonton Symptom Assessment System (ESAS) screening on health-related quality of life (HRQoL) and patient satisfaction with care (PSC) in ambulatory oncology patients. ESAS is now a standard of care in Ontario cancer centers, with the goal of improving symptom management in cancer patients, yet few studies examine impact of ESAS on patient outcomes. METHODS: We compared ambulatory oncology patients who were not screened prior to ESAS site implementation (2011-2012), to a similar group who were screened using ESAS after site implementation (2012-2013), to examine between-group differences in patient HRQoL, PSC outcomes, and supportive care needs (Supportive Care Service Survey)...
June 21, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29931391/pain-in-older-adults-with-dementia-a-survey-across-europe-on-current-practices-use-of-assessment-tools-guidelines-and-policies
#14
REVIEW
S Zwakhalen, R E Docking, I Gnass, E Sirsch, C Stewart, N Allcock, P Schofield
BACKGROUND: We aimed to explore the existing use of pain assessment tools and guidelines, and develop understanding of the practical considerations required to facilitate their use within the nursing home, hospital and community settings. METHODS: A self-administered web-based survey was conducted with nurses, health and social care workers with an interest in the assessment of pain in older adults with cognitive impairment. The survey was distributed to participants in Austria, Belgium, Denmark, Germany, The Netherlands, Switzerland and United Kingdom...
June 21, 2018: Der Schmerz
https://www.readbyqxmd.com/read/29931147/the-self-care-needs-and-behaviors-of-dementia-informal-caregivers-a-systematic-review
#15
Kyra J Waligora, Mona N Bahouth, Hae-Ra Han
Background: More than 5.4 million informal caregivers (ICGs) in the United States care for persons with dementia (PWD). Failure of ICGs to incorporate self-care into their routine may lead to adverse health consequences. Caregivers and researchers need to understand the evidence around dementia ICGs' self-care practices. Purpose: To synthesize evidence on the self-care needs and behaviors of Alzheimer's and dementia ICGs and its research implications. Methods: PubMed, CINAHL, Scopus, and Web of Science were searched to conduct a systematic review of research...
June 21, 2018: Gerontologist
https://www.readbyqxmd.com/read/29931081/clinical-referral-laboratories-in-rwanda-the-status-of-quality-improvement-after-7-years-of-the-slmta-program
#16
Vincent Rusanganwa, Jean Bosco Gahutu, Innocent Nzabahimana, Jean Marie Vianney Ngendakabaniga, Anna-Karin Hurtig, Magnus Evander
Objectives: We investigated the quality system performance in Rwandan referral laboratories to determine their progress toward accreditation. Methods: We conducted audits across five laboratories in 2017, using the Stepwise Laboratory Quality Improvement Process Towards Accreditation checklist. Laboratories were scored based on the World Health Organization grading scale (0-5 stars scale) and compared with earlier audits. Results: Between 2012 and 2017, only one laboratory progressed (from four to five stars)...
June 19, 2018: American Journal of Clinical Pathology
https://www.readbyqxmd.com/read/29931071/impact-of-prehospital-hypothermia-on-the-outcomes-of-severely-burned-patients
#17
Denis Ehrl, Paul I Heidekrueger, Johannes Rubenbauger, Milomir Ninkovic, P Niclas Broer
When treating burn injuries, to date, there still remains significant disagreement whether presence of hypothermia (HT) on burn centers' intensive care unit (BICU) admission improves or worsens outcomes. The presented single burn center experiences set out to further evaluate the incidence, cause, and potential effects of HT on outcomes in severely burned patients. Between January 2015 and February 2017, 142 severely burned patients were admitted to a BICU. Temperature at BICU admission of <36.0°C was defined as HT and ≥36...
February 2, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29930962/utilizing-standard-data-transactions-and-public-private-partnerships-to-support-healthy-weight-within-the-community
#18
Sean P Mikles, Jennifer L Wiltz, Lori Reed-Fourquet, Ian S Painter, William B Lober
Context: Obesity is a significant health issue in the United States that both clinical and public health systems struggle to address. Electronic health record data could help support multi-sectoral interventions to address obesity. Standards have been identified and created to support the electronic exchange of weight-related data across many stakeholder groups. Case Description: The Centers for Disease Control and Prevention initiated a public-private partnership including government, industry, and academic technology partners to develop workflow scenarios and supporting systems to exchange weight-related data through standard transactions...
December 6, 2017: EGEMS
https://www.readbyqxmd.com/read/29930935/holistic-management-of-schizophrenia-symptoms-using-pharmacological-and-non-pharmacological-treatment
#19
REVIEW
Pronab Ganguly, Abdrabo Soliman, Ahmed A Moustafa
Individuals with schizophrenia lead a poor quality of life, due to poor medical attention, homelessness, unemployment, financial constraints, lack of education, and poor social skills. Thus, a review of factors associated with the holistic management of schizophrenia is of paramount importance. The objective of this review is to improve the quality of life of individuals with schizophrenia, by addressing the factors related to the needs of the patients and present them in a unified manner. Although medications play a role, other factors that lead to a successful holistic management of schizophrenia include addressing the following: financial management, independent community living, independent living skill, relationship, friendship, entertainment, regular exercise for weight gained due to medication administration, co-morbid health issues, and day-care programmes for independent living...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29929865/mapping-the-gaps-gender-differences-in-preventive-cardiovascular-care-among-managed-care-members-in-four-metropolitan-areas
#20
Chloe E Bird, Michael Manocchia, Brooke Tomblin, Peggy Payne, Mahesh Kulakodlu, Emily Iacolo, Allen M Fremont
BACKGROUND: Prior research documents gender gaps in cardiovascular risk management, with women receiving poorer quality routine care on average, even in managed care systems. Although population health management tools and quality improvement efforts have led to better overall care quality and narrowing of racial/ethnic gaps for a variety of measures, we sought to quantify persistent gender gaps in cardiovascular risk management and to assess the performance of routinely used commercial population health management tools in helping systems narrow gender gaps...
June 1, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
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