keyword
https://read.qxmd.com/read/38492257/hereditary-hemorrhagic-telangiectasia-diagnosis-a-case-report
#21
JOURNAL ARTICLE
Lynne Sekarski, Andrew J White, Katheryne Tifuh Amba
This case report presents a 13-year-old patient with a lung nodule identified on a chest radiograph in the emergency department during an evaluation of knee and side pain after a fall. The patient had nosebleeds, family history of hereditary hemorrhagic telangiectasia (HHT) and after chest computed tomography with angiography, the nodule was defined as a single pulmonary arteriovenous malformation (PAVM). Neither parent nor patient had been evaluated for HHT, an autosomal dominant disease, despite the family history...
March 15, 2024: Journal of Pediatric Nursing
https://read.qxmd.com/read/38490262/enhancing-current-guidance-for-psoriatic-arthritis-and-its-comorbidities-recommendations-from-an-expert-consensus-panel
#22
JOURNAL ARTICLE
Laura C Coates, Marwan Bukhari, Antoni Chan, Ernest Choy, James Galloway, Nicola Gullick, Alison Kent, Laura Savage, Stefan Siebert, William Tillett, Natasha Wood, Philip G Conaghan
OBJECTIVES: Existing guidelines for psoriatic arthritis (PsA) cover many aspects of management. Some gaps remain relating to routine practice application. An expert group aimed to enhance current guidance and develop recommendations for clinical practice that are complementary to existing guidelines. METHODS: A steering committee comprising experienced, research-active clinicians in rheumatology, dermatology and primary care agreed on themes and relevant questions...
March 15, 2024: Rheumatology
https://read.qxmd.com/read/38486673/novel-nurse-led-early-postdischarge-clinic-is-associated-with-fewer-readmissions-and-lower-mortality-following-hospitalisation-with-decompensated-cirrhosis
#23
JOURNAL ARTICLE
Benjamin Giles, Kirsty Fancey, Karen Gamble, Zeshan Riaz, Joanna K Dowman, Andrew J Fowell, Richard J Aspinall
OBJECTIVE: Patients hospitalised with decompensated cirrhosis have high rates of early unplanned readmission. Many readmissions are avoidable with secondary preventative strategies, but patients are often readmitted prior to outpatient review. To address this, we established a novel, nurse-led early postdischarge (EPD) clinic delivering goal-directed care for cirrhosis complications and evaluated the impact. METHODS: Retrospective cohort study comparing outcomes in 78 patients seen in the EPD clinic with 91 phenotypically matched controls receiving standard, consultant hepatologist care...
March 2024: Frontline Gastroenterology
https://read.qxmd.com/read/38485484/heart-failure-clinic-inclusion-and-exclusion-criteria-cross-sectional-study-of-clinic-s-and-referring-provider-s-perspectives
#24
JOURNAL ARTICLE
Taslima Mamataz, Sean A Virani, Michael McDonald, Heather Edgell, Sherry L Grace
OBJECTIVES: There are substantial variations in entry criteria for heart failure (HF) clinics, leading to variations in whom providers refer for these life-saving services. This study investigated actual versus ideal HF clinic inclusion or exclusion criteria and how that related to referring providers' perspectives of ideal criteria. DESIGN, SETTING AND PARTICIPANTS: Two cross-sectional surveys were administered via research electronic data capture to clinic providers and referrers (eg, cardiologists, family physicians and nurse practitioners) across Canada...
March 14, 2024: BMJ Open
https://read.qxmd.com/read/38473013/exploration-of-preliminary-objective-triage-by-menopause-score-and-ca-125-result-prior-to-accelerating-fast-track-booking-for-suspected-ovarian-cancer-a-role-for-the-pathway-navigator
#25
JOURNAL ARTICLE
Robert Woolas, Lisa Young, Dirk Brinkmann, Francis Gardner, Richard Hadwin, Thomas Woolas, Natalia Povolotskaya
The 28-days-to-diagnosis pathway is the current expected standard of care for women with symptoms of ovarian cancer in the UK. However, the anticipated conversion rate of symptoms to cancer is only 3%, and use of the pathway is increasing. A rapid triage at the moment of receipt of the referral might allow resources to be allocated more appropriately. In secondary care, multidisciplinary teams (MDTs) use the risk of malignancy index (RMI) score, (multiply menopausal status pre = 1 or post = 3 × ultrasound score = 0 - 3 × the CA 125 level), using a score of >200, to triage urgency and management in possible ovarian cancer cases...
March 4, 2024: Diagnostics
https://read.qxmd.com/read/38472627/the-implication-of-diabetes-specialized-nurses-in-aiming-for-the-better-treatment-and-management-of-patients-with-diabetes-mellitus-a-brief-narrative-review
#26
REVIEW
Yefang Zhu, Hongmei Zhang, Ying Xi, Hongli Zhu, Yan Lu, Xue Luo, Zhangui Tang, Hong Lei
Diabetes mellitus (DM) is regarded as one of the most critical public health challenges of the 21st century. It has evolved into a burgeoning epidemic since the last century, and today ranks among the major causes of mortality worldwide. Diabetes specialist nurses (DSNs) are central to good patient care and outcomes including confident self-care management. Evidence shows that DSNs are cost-effective, improve clinical outcomes, and reduce length of stay in hospital. In this brief narrative review, we aim to describe the roles of DSNs and their contribution in the treatment and management of patients with DM...
March 12, 2024: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://read.qxmd.com/read/38469156/differences-in-management-approaches-for-lupus-nephritis-within-the-uk
#27
JOURNAL ARTICLE
Sara T Ibrahim, Christopher J Edwards, Michael R Ehrenstein, Bridget Griffiths, Caroline Gordon, Peter Hewins, David Jayne, Liz Lightstone, Zoe McLaren, Benjamin Rhodes, Edward M Vital, John A Reynolds
OBJECTIVES: Outcomes of therapy for LN are often suboptimal. Guidelines offer varied options for treatment of LN and treatment strategies may differ between clinicians and regions. We aimed to assess variations in the usual practice of UK physicians who treat LN. METHODS: We conducted an online survey of simulated LN cases for UK rheumatologists and nephrologists to identify treatment preferences for class IV and class V LN. RESULTS: Of 77 respondents, 48 (62...
2024: Rheumatology Advances in Practice
https://read.qxmd.com/read/38467081/survey-of-european-blood-and-marrow-transplant-ebmt-nurses-to-explore-the-current-topical-skin-management-of-chronic-cutaneous-graft-versus-host-disease-in-the-real-world-clinical-environment
#28
JOURNAL ARTICLE
John Murray, Sarah Liptrott, Marta Canesi, Jarl Mooyaart, Annika Kisch, Brian Piepenbroek, Jacqui Stringer
PURPOSE: To understand the current practice in relation to the management of topical therapy for cutaneous chronic Graft versus Host Disease (ccGvHD) and access to extracorporeal photopheresis (ECP) within European allogeneic haematopoietic cell transplantation centres by a survey of nurses. METHOD: This was a multicentre cross-national study at eligible European Blood and Marrow Transplant centres. Eligibility required more than 30% of treated patients having allogeneic haematopoietic cell transplant...
March 5, 2024: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://read.qxmd.com/read/38466992/assessment-and-management-of-sleep-disturbance-in-palliative-care-settings
#29
JOURNAL ARTICLE
Megan S Jeon, Peter Allcroft, Linda Ruth Brown, David Currow, Slavica Kochovska, Anu Krishnan, Andrew Webster, Rachel Campbell
Background: Sleep disturbances, including insomnia, sleep-disordered breathing, and circadian rhythm disorders with potential consequences including excessive daytime somnolence and worsening fatigue, are prevalent yet largely under-measured and therefore under-managed problems in people receiving palliative care. This has the potential to negatively affect the person's functioning and quality of life. Objectives: We aimed to review the current practice of assessment and management of sleep disturbances in people with life-limiting illnesses in Australian and New Zealand palliative care settings, and to define areas for improvement in assessment and management of sleep disturbances and further research...
March 12, 2024: Journal of Palliative Medicine
https://read.qxmd.com/read/38466388/trauma-informed-care-in-acute-adult-public-mental-health-settings-a-scoping-study-examining-implementation
#30
REVIEW
Nicole Graham, Louise Whitaker, Gregory Smith, John Hurley
Trauma-informed care (TIC) is not a new concept. Despite TIC being at the forefront of international acute public mental health services policy, and researched since 2006, implementation has been hampered. This paper reports findings from a scoping study examining clinical and lived experience workers experience of TIC in Acute Adult Public Mental Health Services. In this scoping study five databases and grey literature were scanned in 2021 and updated in 2023, to address the question: What is known about TIC concerning the clinical and mental health lived experience workforce in the acute adult public mental health service? Forty-six papers met the inclusion criteria...
March 11, 2024: Issues in Mental Health Nursing
https://read.qxmd.com/read/38464555/heart-failure-nurses-within-the-primary-care-setting
#31
REVIEW
Loreena Hill, Anne McNulty, James McMahon, Gary Mitchell, Cathy Farrell, Izabella Uchmanowicz, Teresa Castiello
Cardiology services within primary care often focus on disease prevention, early identification of illness and prompt referral for diagnosis and specialist treatment. Due to advances in pharmaceuticals, implantable cardiac devices and surgical interventions, individuals with heart failure are living longer, which can place a significant strain on global healthcare resources. Heart failure nurses in a primary care setting offer a wealth of clinical knowledge and expertise across all phases of the heart failure trajectory and are able to support patients, family members and other community services, including general practitioners...
2024: Cardiac Failure Review
https://read.qxmd.com/read/38457046/parental-engagement-in-identifying-information-needs-after-newborn-screening-for-families-of-infants-with-suspected-athymia
#32
JOURNAL ARTICLE
Evey Howley, Maarja Soomann, Alexandra Y Kreins
Congenital athymia is a rare T-lymphocytopaenic condition, which requires early corrective treatment with thymus transplantation (TT). Athymic patients are increasingly identified through newborn screening (NBS) for severe combined immunodeficiency (SCID). Lack of relatable information resources contributes to challenging patient and family journeys during the diagnostic period following abnormal NBS results. Patient and Public Involvement and Engagement (PPIE) activities, including parental involvement in paediatrics, are valuable initiatives to improve clinical communication and parental information strategies...
March 8, 2024: Journal of Clinical Immunology
https://read.qxmd.com/read/38452315/health-care-contact-days-among-older-cancer-survivors
#33
JOURNAL ARTICLE
Arjun Gupta, Emma D Chant, Supriya Mohile, Rachel I Vogel, Helen M Parsons, Anne H Blaes, Christopher M Booth, Gabrielle B Rocque, Stacie B Dusetzina, Ishani Ganguli
PURPOSE: Health care contact days-days spent receiving health care outside the home-represent an intuitive, practical, and person-centered measure of time consumed by health care. METHODS: We linked 2019 Medicare Current Beneficiary Survey and traditional Medicare claims data for community-dwelling older adults with a history of cancer. We identified contact days (ie, spent in a hospital, emergency department, skilled nursing facility, or inpatient hospice or receiving ambulatory care including an office visit, procedure, treatment, imaging, or test) and described patterns of total and ambulatory contact days...
March 7, 2024: JCO oncology practice
https://read.qxmd.com/read/38451029/perspectives-of-healthcare-workers-on-integrated-management-of-childhood-illness-in-pakistan-a-phenomenological-approach
#34
JOURNAL ARTICLE
Saidul Abrar, Asad Hafeez, Muhammad Naseem Khan, Muhammad Imran Marwat
In 2019, an estimated 5.2 million deaths were reported among children less than 5 years of age. At primary healthcare level, healthcare workers (HCWs) mostly rely on history and clinical findings and less on inadequate diagnostic facilities. To enhance case management skills of HCWs, World Health Organization devised an integrated management of childhood illnesses (IMCI) strategy in 1995, modified to distance learning IMCI in 2014. A qualitative phenomenological study was conducted to explore perceptions of HCWs about standard and distance IMCI...
March 7, 2024: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://read.qxmd.com/read/38450783/clinical-decision-making-processes-among-graduate-nurses-specialist-nurses-and-nurse-practitioners-a-collaborative-international-study
#35
JOURNAL ARTICLE
Rika Levy-Malmberg, Erika Boman, Daniela Lehwaldt, Lisbeth Fagerström, Emily B Lockwood
AIM: To explore clinical decision-making by comparing the processes used by three groups of nurses in the emergency departments of three hospitals: in Norway, Finland and Ireland. BACKGROUND: Clinical decision-making in an emergency department environment is a complex process often occurring in times of crisis. It is an important aspect contributing to the quality of care. However, empirical research is limited regarding the decision-making process in different nursing roles...
March 7, 2024: International Nursing Review
https://read.qxmd.com/read/38446518/impact-of-unscheduled-nurse-led-virtual-care-for-people-with-diabetes-on-nursing-practices-and-patient-satisfaction
#36
JOURNAL ARTICLE
Catherine McCabe, Margaret McCann, David Connolly, Jackie McGrath, Joanne Begley, Jane C Ball, Elaine Harris
BACKGROUND: The COVID-19 pandemic and its social restrictions accelerated the expansion of virtual clinical care, and this has been reported to be safe, low cost and flexible. AIM: This study aimed to examine nursing practices and patient satisfaction with unscheduled nurse-led virtual care for people with diabetes. METHODS: A cross-sectional descriptive survey of clinical nurse specialists and patients was carried out, using an activities log for nursing practices and a satisfaction and enablement survey for callers...
March 7, 2024: British Journal of Nursing: BJN
https://read.qxmd.com/read/38441077/the-experiences-and-perspectives-of-older-adult-mental-health-professional-staff-teams-when-supporting-people-with-young-onset-dementia
#37
JOURNAL ARTICLE
Thomas Faulkner, Julie Dickinson, Stan Limbert, Clarissa Giebel
Background . The diagnosis of young-onset dementia presents significant challenges both for the person and their families, which often differ from the challenges faced with late-onset dementia. Evidence of the experience of service users and carers tends to reveal a negative appraisal of the care received, citing longer diagnosis times, poor clinician knowledge and lack of age-appropriate care. However, evidence looking into staff experiences of supporting someone with young-onset dementia is relatively scarce...
March 5, 2024: Dementia
https://read.qxmd.com/read/38433738/management-of-sleep-disordered-breathing-in-a-spinal-cord-injury-rehabilitation-center-model-of-care-adaptation-and-implementation
#38
JOURNAL ARTICLE
Marnie Graco, Gerard Weber, Krisha Saravanan, Jacqueline Curran, Nicole Whitehead, Jacqueline Ross, Charito DelaCruz, Samritti Sood, Roxana E Heriseanu, Ching Li Chai-Coetzer, David J Berlowitz, David Joffe
BACKGROUND: Obstructive sleep apnea (OSA) is highly prevalent and poorly managed in spinal cord injury (SCI). Alternative management models are urgently needed to improve access to care. We previously described the unique models of three SCI rehabilitation centers that independently manage uncomplicated OSA. OBJECTIVES: The primary objective was to adapt and implement a similar rehabilitation-led model of managing OSA in an SCI rehabilitation center in Australia...
2024: Topics in Spinal Cord Injury Rehabilitation
https://read.qxmd.com/read/38432927/difficulties-nurses-report-in-caring-for-patients-with-bone-metastases-and-their-expectations-after-participating-in-a-bone-metastasis-cancer-board-a-questionnaire-study
#39
JOURNAL ARTICLE
Tsunemi Kitagawa, Yasuyuki Kitagawa, Yoichiro Aoyagi, Tokifumi Majima
BACKGROUND: Patients with bone metastases often face physical, mental, and social challenges that require multidisciplinary management. To improve treatment and practice, we conducted a questionnaire survey to assess nurses' opinions of problems related to caring for patients with bone metastases. In addition, we investigated nurses' perceptions of bone metastases after participating in a Bone Metastasis Cancer Board (BMCB). METHODS: An anonymous questionnaire survey on problems in bone metastasis treatment and the BMCB was conducted...
March 2, 2024: Journal of Nippon Medical School
https://read.qxmd.com/read/38428833/antibiotic-prescribing-patterns-for-urinary-tract-infections-and-pneumonia-by-prescriber-type-and-specialty-in-nursing-home-care-2016-2018
#40
JOURNAL ARTICLE
Joe B B Silva, Melissa R Riester, Andrew R Zullo
OBJECTIVE: To identify whether differences in antibiotic prescribing practices by prescriber type and specialization in nursing home (NH) care exist for urinary tract infection (UTI) and pneumonia. DESIGN: Retrospective cohort. SETTING AND PARTICIPANTS: This national study included antibiotic dispensings to traditional Medicare beneficiaries aged ≥65 years with UTI or pneumonia infections residing long-term (≥100 days) in US NHs between 2016 and 2018...
February 27, 2024: Journal of the American Medical Directors Association
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