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anticipatory care

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https://www.readbyqxmd.com/read/29127099/individualised-advance-care-planning-in-children-with-life-limiting-conditions
#1
Erik A H Loeffen, Wim J E Tissing, Meggi A Schuiling-Otten, Chris C de Kruiff, Leontien C M Kremer, A A Eduard Verhagen
INTRODUCTION: In 2013, the Pediatric Association of the Netherlands launched an evidence-based guideline 'Palliative care for children'. To promote implementation in daily practice and hereby improve quality of paediatric palliative care, we aimed to develop a functional individualised paediatric palliative care plan (IPPCP) that covers physical, psychological, spiritual and social functioning, with great emphasis on the guideline's recommendations, advance care planning and patients' and parents' preferences and desires...
November 10, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29094863/effectiveness-of-a-clinic-based-early-literacy-program-in-changing-parent-child-early-literacy-habits
#2
Jonathan Fricke, Dipesh Navsaria, Karin Mahony
BACKGROUND: Reach Out and Read (ROR) improves children's development and kindergarten readiness by encouraging parents to routinely share books with their children. Primary care providers give age-appropriate books and anticipatory guidance on reading at each well-child visit. This study evaluated parent attitudes and behaviors of early literacy related to ROR participation in Wisconsin clinics. METHODS: A survey of early literacy attitudes and behaviors was administered to parents of children ages 6 months to 5 years in 36 Wisconsin clinics...
December 2016: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29091501/effective-change-management-within-an-australian-community-palliative-care-service
#3
Angie Dredge, Lyle Oates, Heidi Gregory, Scott King
This article attempts to examine and explore the change management process that was undertaken by the community palliative care service at Calvary Health Care Bethlehem, Australia, to challenge the historical practice of prescribing 'emergency subcutaneous medications' for all patients admitted to the service. It discusses how, using a team approach, change management was effectively facilitated to ultimately enhance service provision and consumer satisfaction. Literature (both national and international) was examined to identify the use of emergency medications in the community palliative care setting...
November 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29068755/caregiver-self-esteem-as-a-predictor-of-patient-relationship-satisfaction-a-longitudinal-study
#4
Emily L Mroz, Michael J Poulin, Pei C Grant, Rachel M Depner, Jennifer Breier, David J Byrwa, Scott T Wright
OBJECTIVE: Longitudinal assessment of patient-caregiver relationships will determine whether caregiver self-esteem determines patient relationship satisfaction at end of life. BACKGROUND: Research on close relationships and caregiving supports the idea that informal caregivers' self-esteem may influence their relationships with their terminally ill loved ones. However, this connection has not yet been investigated longitudinally, nor has it been applied specifically to care recipients' relationship satisfaction...
October 25, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29017263/progress-in-the-fight-against-multidrug-resistant-bacteria-2005-2016-modern-noninferiority-trial-designs-enable-antibiotic-development-in-advance-of-epidemic-bacterial-resistance
#5
John H Rex, George H Talbot, Mark J Goldberger, Barry I Eisenstein, Roger M Echols, John F Tomayko, Michael N Dudley, Aaron Dane
From a public health perspective, new antibacterial agents should be evaluated and approved for use before widespread resistance to existing agents emerges. However, for multidrug-resistant pathogens, demonstration of superior efficacy of a new agent over a current standard-of-care agent is routinely feasible only when epidemic spread of these dangerous organisms has already occurred. One solution to enable proactive drug development is to evaluate new antibiotics with improved in vitro activity against MDR pathogens using recently updated guidelines for active control, noninferiority trials of selected severe infections caused by more susceptible pathogens...
July 1, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28984406/early-death-and-causes-of-death-of-people-with-intellectual-disabilities-a-systematic-review
#6
Lisa O'Leary, Sally-Ann Cooper, Laura Hughes-McCormack
BACKGROUND: Death of people with intellectual disabilities is considered to be earlier than for the general population. METHODS: Databases were searched for key words on intellectual disabilities and death. Strict inclusion/exclusion criteria were used. Information was extracted from selected papers, tabulated and synthesized. Prospero registration number: CRD42015020161. RESULTS: Of 19,111 retrieved articles, 27 met criteria. Death was earlier by 20 years...
October 6, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28976481/family-members-and-intensive-care-unit-nurses-response-to-the-ecg-memento%C3%A2-during-the-bereavement-period
#7
Mary Beiermann, Peggy Kalowes, Melissa Dyo, Amanda Mondor
BACKGROUND: In the United States, 20% of patients die in the intensive care unit (ICU), yet little is known about bereavement strategies to aid grieving families. OBJECTIVE: The primary aim was to study the bereavement experience for families in the ICU; secondary aim was to measure nurses' perception of end-of-life care, and a third was to evaluate the impact of the ECG Memento by families and nurses. METHODS: A prospective, descriptive study design was used, with a postsurvey methodology...
November 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28969717/the-role-of-the-physician-in-israel-s-maternal-child-health-clinics-surveys-of-professional-and-parental-perceptions
#8
Chen Stein-Zamir, Hannah Shoob, Deena R Zimmerman
BACKGROUND: Preventative health services are a pediatric health care cornerstone, which strives to promote health and prevent illness and injury. In Israel, Maternal Child Health Clinics (MCHC) provide these well child services for ages 0-6 years. MCHC care includes physician visits; however, the physician's role is not well defined. The study purpose was to provide a basis for setting policies that determine the role of physicians in the provision of MCHC services. To get broad input we included MCHC stakeholders - parents, MCHC physicians, non-MCHC physicians and MCHC nurses, specifically to obtain insights regarding the MCHC physician role and to characterize the stakeholder demographics, service utilization, and practice patterns...
October 2, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28959783/improving-access-to-the-kis-in-secondary-care
#9
Charlie Christopher Hall, Carey Lunan, Anne Finucane, Juliet Anne Spiller
BackgroundEffective communication of anticipatory care planning (ACP) discussions between patients and general practitioners across different healthcare settings is vital. In Scotland, the Key Information Summary (KIS) is a new piece of software that allows clinical data for selected patients to be shared electronically across the wider National Health Service from the primary care record. This can include details of ACP discussions and decisions. The KIS is now routinely accessible in secondary care and is available through the hospital electronic record in two formats (abbreviated and full versions)...
2017: BMJ Open Qual
https://www.readbyqxmd.com/read/28940657/futurism-in-nursing-technology-robotics-and-the-fundamentals-of-care
#10
Mandy M Archibald, Alan Barnard
AIMS: To explore the concept of futurism and the emergence of robotics in relation to the fundamentals of care, highlighting how nurses need a more anticipatory and contemporary position towards technology to maintain relevance in the future. BACKGROUND: The future of nursing in Western countries will soon be linked with the emergence of robotics for efficient and cost effective provision of fundamental care. Their emergence and roles with care of the body and more broadly assisting people with their daily living activities has enormous implications for the profession and health care...
September 21, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28939661/health-education-intervention-promoting-infant-safe-sleep-in-paediatric-primary-care-randomised-controlled-trial
#11
Eileen M McDonald, Amanda Davani, Akisha Price, Patricia Mahoney, Wendy Shields, Rashelle J Musci, Barry S Solomon, Elizabeth A Stuart, Andrea C Gielen
BACKGROUND: Few randomised controlled trials (RCTs) have been conducted to improve infant sleep practices. There is limited research on how best to integrate safe sleep information into routine paediatric anticipatory guidance delivered at well child visits (WCVs). This protocol paper describes the design of the Safe Start Study, which aims to evaluate the impact of safe sleep interventions on parents' knowledge, beliefs and behaviours related to creating and maintaining a safe sleep environment for their infants...
September 22, 2017: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/28939446/next-generation-terminology-infrastructure-to-support-interprofessional-care-planning
#12
Sarah Collins, Stephanie Klinkenberg-Ramirez, Kira Tsivkin, Perry L Mar, Dina Iskhakova, Hari Nandigam, Lipika Samal, Roberto A Rocha
OBJECTIVE: Develop a prototype of an interprofessional terminology and information model infrastructure that can enable care planning applications to facilitate patient-centered care, learn care plan linkages and associations, provide decision support, and enable automated, prospective analytics. DESIGN: The study steps included a 3 step approach: 1) Process model and clinical scenario development, and 2) Requirements analysis, and 3) Development and validation of information and terminology models...
September 19, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28891715/-where-it-falls-apart-barriers-to-retention-in-hiv-care-in-latino-immigrants-and-migrants
#13
Julie H Levison, Laura M Bogart, Iman F Khan, Dianna Mejia, Hortensia Amaro, Margarita Alegría, Steven Safren
Latino immigrants in the United States are disproportionately affected by HIV. Barriers to consistent attendance (retention) in HIV primary care constrain opportunities for HIV treatment success, but have not been specifically assessed in this population. We conducted semistructured interviews with 37 HIV-infected Latinos (aged ≥18 years and born in Puerto Rico or a Latin American Spanish-speaking country) and 14 HIV providers in metropolitan Boston (total n = 51). The Andersen Model of Healthcare Utilization informed a semistructured interview guide, which bilingual research staff used to explore barriers to HIV care...
September 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28890620/prevalence-and-associated-risk-factors-of-severe-early-childhood-caries-in-12-to-36-month-old-children-of-sirmaur-district-himachal-pradesh-india
#14
Ritu G Mangla, Raman Kapur, Abhishek Dhindsa, Manish Madan
AIM: To assess the prevalence, distribution, and associated risk factors of severe early childhood caries (S-ECC) among 12- to 36-month-old children of district Sirmaur, Himachal Pradesh, India. MATERIALS AND METHODS: The present study was conducted on a random sample of 510 children, both boys and girls, between 12 and 36 months of age randomly selected from various government-sponsored day-care centers, private day-care centers, and vaccination centers. Caries was recorded using World Health Organization criteria...
April 2017: International Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28890000/maternal-drd2-slc6a3-and-oxtr-genotypes-as-potential-moderators-of-the-relation-between-maternal-history-of-care-and-maternal-cortisol-secretion-in-the-context-of-mother-infant-separation
#15
Jaclyn A Ludmer, Brittany Jamieson, Andrea Gonzalez, Robert Levitan, James Kennedy, Vanessa Villani, Mario Masellis, Vincenzo S Basile, Leslie Atkinson
A mother's cortisol secretion is importantly associated with her own mental health and her infant's cortisol secretion. This study investigated the influences of maternal history of care and maternal DRD2, SLC6A3, and OXTR genotypes on maternal cortisol in the context of infant stress. A community sample of 296 mother-infant dyads completed a maternal separation at infant age 17 months. Maternal salivary cortisol, buccal cells, and self-reported history of care were collected. Multilevel models revealed that history of care had a greater influence on maternal baseline cortisol (but not cortisol trajectory) for mothers with more plasticity alleles of SLC6A3 (10R) and OXTR (G), relative to mothers with fewer or no plasticity alleles...
September 7, 2017: Biological Psychology
https://www.readbyqxmd.com/read/28866891/integration-of-hypnosis-into-pediatric-palliative-care
#16
Stefan J Friedrichsdorf, Daniel P Kohen
At least 8 million children would need specialized pediatric palliative care (PPC) services annually worldwide, and of the more than 42,000 children and teenagers dying annually in the United States, at least 15,000 children would require PPC. Unfortunately, even in resource-rich countries the majority of children dying from serious advanced illnesses are suffering from unrelieved, distressing symptoms such as pain, dyspnea, nausea, vomiting, and anxiety. State of the art treatment and prevention of those symptoms requires employing multi-modal therapies, commonly including pharmacology, rehabilitation, procedural intervention, psychology, and integrative modalities...
June 27, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28856134/interprofessional-oral-health-education-improves-knowledge-confidence-and-practice-for-pediatric-healthcare-providers
#17
REVIEW
Devon Cooper, JungSoo Kim, Karen Duderstadt, Ray Stewart, Brent Lin, Abbey Alkon
Dental caries is the most prevalent chronic childhood disease in the United States. Dental caries affects the health of 60-90% of school-aged children worldwide. The prevalence of untreated early childhood dental caries is 19% for children 2-5 years of age in the U.S. Some factors that contribute to the progression of dental caries include socioeconomic status, access to dental care, and lack of anticipatory guidance. The prevalence of dental caries remains highest for children from specific ethnic or racial groups, especially those living in underserved areas where there may be limited access to a dentist...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28833811/sustained-participation-in-annual-continuous-quality-improvement-activities-improves-quality-of-care-for-aboriginal-and-torres-strait-islander-children
#18
Daniel McAullay, Kimberley McAuley, Ross Bailie, Veronica Mathews, Peter Jacoby, Karen Gardner, Beverly Sibthorpe, Natalie Strobel, Karen Edmond
AIM: To determine whether participation in the continuous quality improvement (CQI) Audit and Best Practice for Chronic Disease programme improved care and outcomes for Indigenous children. METHODS: Data were collected from 59 Australian primary health-care centres providing services to Indigenous people and participating in the programme (February 2008 and December 2013). Indigenous children aged less than 2 years and centres that completed three or more consecutive annual audits within the 6-year study period were included...
August 22, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28833511/detection-and-care-practices-for-postpartum-depressive-symptoms-in-public-sector-obstetric-units-in-mexico-qualitative-results-from-a-resource-constrained-setting
#19
Jean Marie S Place, Betania Allen-Leigh, Deborah L Billings, Kiya M Dues, Filipa de Castro
BACKGROUND: Postpartum depression (PPD) is amenable to detection and treatment, but effectively addressing it is contingent on policies, practices, and health care providers working together to address the issue. The aim of this study is to describe a sample of health care providers' existing practices in public-sector obstetric units in Mexico related to detecting and offering care to women with depressive symptomology. METHODS: Semi-structured interviews with 40 health care providers (16 physicians, 13 nurses, three social workers, and eight psychologists) from one tertiary-level and two secondary-level, public-sector obstetric units, were conducted by members of a trained research team from May to July 2012...
August 22, 2017: Birth
https://www.readbyqxmd.com/read/28816915/physician-awareness-of-developmental-screening-and-referral-in-the-state-of-kuwait
#20
Hollie Hix-Small, Khaled Alkherainej
OBJECTIVE: In the State of Kuwait, family physicians and pediatricians are responsible for identifying and referring children at risk of disability. The aims of this study were to better understand physician (1) use of developmental screening instruments, (2) referral practices for children at risk of developmental disability, (3) interpretation of screening results, and (4) anticipatory guidance topics prioritized over child screening. METHODS: A nonprobability volunteer, self-selection sample of family physicians, general practitioners, and pediatricians (n = 398) completed a 60-item paper questionnaire...
August 9, 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
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