Comprehensive and Continuous Care

1983 ◽  
pp. 122-125
Author(s):  
Philip D. Sloane
Keyword(s):  
Continuous Care

889-P: Early Engagement in a Continuous Care Intervention Predicts One-Year Improvements in Weight and HbA1c among Adults with T2D

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 889-P
Author(s):  
REBECCA N. ADAMS ◽  
AMY MCKENZIE ◽  
SHAMINIE J. ATHINARAYANAN ◽  
SARAH HALLBERG ◽  
JAMES P. MCCARTER ◽  
...  
Keyword(s):  
Continuous Care ◽  
Care Intervention ◽  
One Year

scholarly journals Improvement of transitional care from hospital to home for older patients, the TIGER study: protocol of a randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e037999
Author(s):  
Martina Rimmele ◽  
Jenny Wirth ◽  
Sabine Britting ◽  
Thomas Gehr ◽  
Margit Hermann ◽  
...  
Keyword(s):  
Older Patients ◽  
Transitional Care ◽  
Intervention Group ◽  
Care Quality ◽  
Care Plan ◽  
Control Group ◽  
Care Services ◽  
Continuous Care ◽  
Hospital To Home ◽  
Randomised Controlled

IntroductionIn Germany, an efficient and feasible transition from hospital to home for older patients, ensuring continuous care across healthcare settings, has not yet been applied and evaluated. Based on the transitional care model (TCM), this study aims to reduce preventable readmissions of patients ≥75 years of age with a transitional care intervention performed by geriatric-experienced care professionals. The study investigates whether the intervention ensures continuous care during transition and stabilises the care situation of patients at home.Methods and analysesRandomised controlled clinical trial, recruiting between 25 April 2018 and 31 December 2019 in one German hospital in the city of Regensburg. The intervention group is supported by care professionals in the transition process from hospital to home for up to 12 months. Based on TCM, the intervention includes an individual care plan according to a patient’s symptoms, risks, needs and values. The plan is advanced in the domestic situation via personal visits and telephone contacts. All necessary care actions regarding, for example, mobility, residence adjustments, or nutrition, are initiated to be executed by ambulant care services, and are monitored, evaluated and adapted if necessary. In supervising the care plan, the care professionals do not administer active care services themselves but coordinate them. Patients and their caregivers are actively engaged in the care planning and execution. In contrast, the control group receives only usual discharge planning in the hospital and usual ambulatory care.The primary outcome is the all-cause readmission rate assessed using health insurance data within a follow-up of up to 12 months after hospital discharge. Secondary outcomes include care quality, mobility, nutritional and wound situation, and health-related quality of life. They are assessed at baseline, after 1 month, 3 months, 6 months, and at the end of study visit. Additionally, the economic efficiency of the intervention will be evaluated.Ethics and disseminationEthics approval for the trial was obtained from the Ethics Committee of the Friedrich-Alexander-Universität Erlangen-Nürnberg. Results will be published in peer-reviewed, open-access scientific journals and disseminated at national and international research conferences and through public presentations in the geriatric and healthcare community.Trial registrationClinicalTrials.gov identifier: NCT03513159.

scholarly journals Sacral neuromodulation implanted patients: Patient concerns during the COVID-19 pandemic and practical modifications

2021 ◽  
Vol 13 ◽  
pp. 175628722199813
Author(s):  
Mai Ahmed Banakhar
Keyword(s):  
Sacral Neuromodulation ◽  
Arabic Language ◽  
Web Based ◽  
Economic Changes ◽  
Continuous Care ◽  
Urinary Tract Symptoms ◽  
Great Solution ◽  
Telephone Calls ◽  
Patient Concerns

Objective: To study the effect of the COVID-19 pandemic on sacral neuromodulation (SNM) implanted patients and examine patient concerns. Methodology: A web-based survey was sent to all SNM patients, including those with implants and who had a cancelled operation because of the pandemic. The survey consisted of 15 questions in Arabic language, which sought to evaluate outcomes, as well as patient concerns and preferences during the COVID-19 pandemic. Results: A total of 66 patients were contacted, and of which, 62 replied. Most of the patients ( n = 51; 82.3%) had the device implanted, and 11 (17.7%) patients had a postponed operation secondary to the pandemic. There were 20 males and 42 females. The mean age was 34 years ± SD 16.5 (9–62 years). Indications for sacral neuromodulation therapy were refractory overactive bladder OAB 35 (56.5%), retention 17 (27.4%), OAB + retention 3 (4.8%). When questioning the effect of the lockdown on patients, most reported no effect (43.5%), while 14.5% had some programming difficulties. The patients preferred telephone calls for device emergencies and clinic follow-up with 88.7% and 98.4%, respectively. Most patients had no concerns regarding their Interstim device during the pandemic and found it manageable; 8.1% had insurance concerns due to the economic changes. Conclusion: Patients with implanted SNM for lower urinary tract symptoms were mainly concerned with device programming. Telemedicine is a great solution for continuous care in this group.

scholarly journals Recommendations for Increasing Physician Provision of Pre-Exposure Prophylaxis: Implications for Medical Student Training

2021 ◽  
Vol 58 ◽  
pp. 004695802110176
Author(s):  
Robert L. Cooper ◽  
Paul D. Juarez ◽  
Matthew C. Morris ◽  
Aramandla Ramesh ◽  
Ryan Edgerton ◽  
...  
Keyword(s):  
Care Management ◽  
Financial Constraints ◽  
Standard Of Care ◽  
The United States ◽  
Risk Compensation ◽  
Continuous Care ◽  
Student Training ◽  
Hiv Acquisition ◽  
Hiv Risk Assessment ◽  
Exposure Prophylaxis

There is growing evidence that pre-exposure prophylaxis (PrEP) prevents HIV acquisition. However, in the United States, approximately only 4% of people who could benefit from PrEP are currently receiving it, and it is estimated only 1 in 5 physicians has ever prescribed PrEP. We conducted a scoping review to gain an understanding of physician-identified barriers to PrEP provision. Four overarching barriers presented in the literature: Purview Paradox, Patient Financial Constraints, Risk Compensation, and Concern for ART Resistance. Considering the physician-identified barriers, we make recommendations for how physicians and students may work to increase PrEP knowledge and competence along each stage of the PrEP cascade. We recommend adopting HIV risk assessment as a standard of care, improving physician ability to identify PrEP candidates, improving physician interest and ability in encouraging PrEP uptake, and increasing utilization of continuous care management to ensure retention and adherence to PrEP.

scholarly journals Dukungan Keluarga dan Perilaku Pengaturan Diet pada Penderita Diabetes Melitus

2019 ◽  
Vol 1 (1) ◽  
pp. 1-6
Author(s):  
Margareta H. Nurti ◽  
Engelina Nabuasa ◽  
Helga J. N. Ndun
Keyword(s):  
Health Center ◽  
Family Support ◽  
Sampling Technique ◽  
Dietary Management ◽  
Chronic Complications ◽  
Cross Sectional ◽  
Continuous Care ◽  
Health Promotion Programs ◽  
The Family ◽  
The Relationship

Diabetes mellitus (DM) is a chronic disease requiring continuous care and sustainable self-management. It also needs adequate family support to prevent acute complications and reduce chronic complications. The purpose of this study was to analyze the relationship between family support with the dietary management of DM patients in the working area of Pasir Panjang Health Center Kupang City Year 2017. The research method was an analytical survey with a cross-sectional approach. The population in this study was all new cases of diabetes collected from January to July 2017 of which a sample of 53 people selected using a random sampling technique. The results showed that the appreciation support p = 0,000 < p = 0,05, instrumental support p = 0,000 < p = 0,05, informational support p = 0,000 < p = 0,05 and emotional support p = 0,000 < p = 0,05 were associated with the dietary rules behavior of the diet of DM patients. Health center needs to involve the family in health promotion programs related to dietary management for DM patients.

scholarly journals Professional Care Experiences of Persons With Suicidal Ideation and Behavior: Model Development Based on a Qualitative Meta-Synthesis (Preprint)

2021 ◽  
Author(s):  
Mareike Hechinger ◽  
André Fringer
Keyword(s):  
Suicidal Ideation ◽  
Conceptual Model ◽  
Health Care Professionals ◽  
Outpatient Care ◽  
Model Development ◽  
Eligibility Criteria ◽  
Term Care ◽  
Continuous Care ◽  
Professional Care ◽  
Axial Coding

BACKGROUND Health care professionals (HCPs) are challenged in caring for persons with suicidal ideation or behavior. For affected persons, professional care is essential, and being interviewed about their experiences can be stressful. The experiences of persons ideating or attempting suicide are essential to designing eHealth products to support them in crises and provide continuous care. OBJECTIVE This study aimed to synthesize published qualitative research about how persons with suicidal thoughts or behavior experience inpatient or outpatient care. A model will be derived from the meta-synthesis to guide HCPs in their work with affected persons and provide a thorough needs assessment for eHealth development. METHODS A qualitative meta-synthesis was conducted using an inductive approach, as proposed by Sandelowski and Barroso. The inclusion criteria were studies in English and German that dealt with persons who ideated or attempted suicide. Relevant articles were identified by searching the PubMed and Cinahl databases and by hand searching relevant journals and reference lists. The findings of each study were analyzed using initial and axial coding, followed by selective coding. Finally, a conceptual model was derived. RESULTS In total, 3170 articles were identified in the systematic literature search. Articles were screened independently by 2 researchers based on the eligibility criteria. Finally, 12 studies were included. The central phenomenon observed among persons ideating or attempting suicide is their process from feeling unanchored to feeling anchored in life again. During inpatient and outpatient care, they experience being dependent on the skills and attitudes of HCPs. While helpful skills and attitudes support persons ideating or attempting suicide to reach their feeling of being anchored in life again, adverse interactions are experienced negatively and might lead to prolonging or maintaining the feeling of being unanchored in life. CONCLUSIONS The study promotes a differentiated view of the experiences of persons ideating or attempting suicide. The derived conceptual model can guide HCPs in their work with affected persons to support affected persons during their recovery. Moreover, the conceptual model is useable as a springboard to develop eHealth solutions for crisis situations and long-term care.

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