Patient Recall of Diagnosis and Treatment Information Improves with use of Pain Explanation and Treatment Diagram in Chronic Pain Outpatient Clinic

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S305-S305
Author(s):  
Hillel M. Finestone ◽  
Matthew M. Yanni ◽  
Catherine J. Dalzell
Keyword(s):  
Chronic Pain ◽  
Outpatient Clinic ◽  
Diagnosis And Treatment ◽  
Treatment Information ◽  
Patient Recall

scholarly journals Patients’ Recall of Diagnostic and Treatment Information Improves with Use of the Pain Explanation and Treatment Diagram in an Outpatient Chronic Pain Clinic

2015 ◽  
Vol 20 (3) ◽  
pp. 145-151 ◽  
Author(s):  
Hillel M Finestone ◽  
Matthew M Yanni ◽  
Catherine J Dalzell
Keyword(s):  
Risk Factors ◽  
Chronic Pain ◽  
Telephone Interview ◽  
Treatment Plan ◽  
Action Plan ◽  
Lifestyle Changes ◽  
Pain Clinic ◽  
Study Patient ◽  
Treatment Information ◽  
Patient Recall

Educating patients about their condition and treatment plan is an essential component of successful treatment. Patients need to understand their condition, recall treatment suggestions and comply with the treatment protocol. Unfortunately, the method of patient education most commonly used by physicians is verbal teaching and discussion, which leads to poor patient recall. The authors of this article developed the Pain Explanation and Treatment Diagram, a worksheet that the clinician completes with the patient during their first consultation to function as a record of their diagnosis, pain risk factors and an action plan for when pain occurs. In this study, patient recall, among other variables, was assessed as a function of time since first appointment.BACKGROUND: To maximize the benefit of therapies, patients must understand their condition, recall treatment suggestions and comply with treatments. The Pain Explanation and Treatment Diagram (PETD) is a one-page worksheet that identifies risk factors (health-related habits, sleep, exercise, ergonomics and psychosocial factors) involved in chronic pain. Clinician and patient complete the PETD together, and the clinician notes recommended treatments and lifestyle changes.OBJECTIVES: To examine the effect of use of the PETD on patient recall of diagnostic and treatment information on the sheet.METHODS: The present study was a cross-sectional analysis. Patients with chronic musculoskeletal pain seen by one physiatrist at an outpatient pain clinic in a university-affiliated hospital between 2009 and 2012 (all of whom received the PETD) were eligible. A structured telephone interview lasting approximately 1 h was used to determine recall of PETD diagnostic and treatment information.RESULTS: Of the 84 eligible patients, 46 were contacted and 29 completed the telephone interview. Participants recalled an average of 12.2% (95% CI 7.8% to 17.4%) of items without prompting and 48.5% (95% CI 42.0% to 53.5%) when prompted. Participants who referred to the PETD at home (n=13) recalled significantly more items than those who did not (n=15) (17.6% [95% CI 11.1% to 23.9%] versus 5.2% [95% CI 3.0% to 14.5%], P=0.004); when prompted, the rates increased to 54.3% (95% CI 48.3% to 61.2%) and 41.2% (95% CI 34.7% to 50.7%), respectively (P=0.032).CONCLUSIONS: The PETD is a promising, feasible and inexpensive tool that can improve patients’ recall of diagnostic- and treatment-related information.

Risk factors for the delayed diagnosis of extrapulmonary TB

2021 ◽  
Vol 25 (3) ◽  
pp. 191-198
Author(s):  
M. K. Lee ◽  
C. Moon ◽  
M. J. Lee ◽  
Y. G. Kwak ◽  
E. Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Outpatient Clinic ◽  
Diagnostic Testing ◽  
Delayed Diagnosis ◽  
Clinical Manifestations ◽  
Diagnosis And Treatment ◽  
Delay In Diagnosis ◽  
Microbiological Characteristics ◽  
Significant Difference ◽  
Basic Characteristics

BACKGROUND: Extrapulmonary TB (EPTB) is more difficult to diagnose than pulmonary TB. The delayed management of EPTB can lead to complications and increase the socio-economic burden.METHODS: Patients newly diagnosed with EPTB were retrospectively enrolled from 11 general hospitals in South Korea from January 2017 to December 2018. The basic characteristics of patients were described. Univariable and multivariable analyses were performed between early and delayed diagnosis groups to identify risk factors for delayed diagnosis and treatment in EPTB.RESULTS: In total, 594 patients were enrolled. Lymph node TB (28.3%) was the predominant form, followed by abdominal (18.4%) and disseminated TB (14.5%). Concurrent lung involvement was 17.8%. The positivity of diagnostic tests showed no significant difference between the two groups. Acute clinical manifestations in disseminated, pericardial and meningeal TB, and immunosuppression were associated with early diagnosis. Delayed diagnosis was associated with outpatient clinic visits, delayed sample acquisition and diagnostic departments other than infection or pulmonology.CONCLUSION: The delay in diagnosis and treatment of EPTB was not related to differences in microbiological characteristics of Mycobacterium tuberculosis itself; rather, it was due to the indolent clinical manifestations that cause referral to non-TB-specialised departments in the outpatient clinic and delay the suspicion of TB and diagnostic testing.

Risk of opioid abuse in non-oncologic chronic pain outpatient clinic

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Allan Guilherme Santana da Costa ◽  
Maria Luíza Souza Rates ◽  
Vera Maria Silveira de Azevedo
Keyword(s):  
Chronic Pain ◽  
Outpatient Clinic ◽  
Opioid Abuse

Variables associated with the risk of suicide in patients with chronic pain seen in a hospital outpatient clinic in Bogotá☆

2013 ◽  
Vol 41 (4) ◽  
pp. 267-273
Author(s):  
Ana Carolina Amaya Arias ◽  
Angie Bruce ◽  
Deisy Herrán ◽  
Angie Martín Arango ◽  
Katherine Muñoz ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Outpatient Clinic ◽  
Hospital Outpatient ◽  
Hospital Outpatient Clinic

scholarly journals Impact of outpatient clinic ultrasound imaging in the diagnosis and treatment for shoulder impingement: a randomized prospective study

2013 ◽  
Vol 34 (4) ◽  
pp. 503-509 ◽  
Author(s):  
Aamir Saeed ◽  
Mumtaz Khan ◽  
Siobhan Morrissey ◽  
David Kane ◽  
Alexander Duncan Fraser
Keyword(s):  
Prospective Study ◽  
Ultrasound Imaging ◽  
Outpatient Clinic ◽  
Diagnosis And Treatment ◽  
Shoulder Impingement

scholarly journals Application and Preliminary Outcomes of Remote Diagnosis and Treatment During the COVID-19 Outbreak: Retrospective Cohort Study

10.2196/19417 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e19417 ◽  
Author(s):  
Luwen Liu ◽  
Jianqin Gu ◽  
Fengmin Shao ◽  
Xinliang Liang ◽  
Lixia Yue ◽  
...  
Keyword(s):  
Drug Delivery ◽  
Outpatient Clinic ◽  
Clinical Symptoms ◽  
Diagnosis And Treatment ◽  
Steady Increase ◽  
Remote Diagnosis ◽  
Daily Number ◽  
Outpatient Visits ◽  
Epidemiological Features ◽  
Number Of Patients

Background The coronavirus disease (COVID-19) pandemic, caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has resulted in the self-quarantine of countless people due to possible infection. This situation makes telemedicine necessary as it can overcome geographical barriers, increase the number of people served, and provide online clinical support for patients. However, the outcomes of telemedicine have not yet been evaluated. Objective The aim of our study is to describe the epidemiological features and clinical symptoms of patients receiving remote diagnosis and treatment at the online outpatient clinic of our hospital, as well as to analyze the outcomes and advantages of telemedicine, during the COVID-19 pandemic. Methods Data from patients receiving remote diagnosis and treatment via consultation services for COVID-19 concerns at the online outpatient clinic of Henan Provincial People's Hospital from January 24 to February 17, 2020, were collected. A retrospective analysis was performed on epidemiological features, clinical symptoms, and preliminary outcomes. Results Online inquiry, consultation, and suggestions were provided for patient concerns related to COVID-19. Our hospital also offered offline noncontact drug delivery services following online ordering and payment. A total of 4589 patients receiving remote diagnosis and treatment were recruited. The daily number of online outpatient visits initially increased and then decreased, reaching its peak on January 28 when the daily number of online outpatient visits totaled 612. Of 4589 patients, 1940 (42.3%) were males and 2649 (57.7%) were females (age range: 78 days to 85 years). Most patients were aged 20-39 years (n=3714, 80.9%) and came from Henan Province (n=3898, 84.9%). The number of patients from other provinces was 691 (15.1%). During the online consultations, patients discussed the following symptoms: fever (n=2383), cough (n=1740), nasal obstruction (n=794), fatigue (n=503), and diarrhea (n=276). A total of 873 orders of noncontact drug delivery following online payment was completed. The daily number of such orders gradually stabilized after the initial, steady increase. For offline drug delivery orders, the median (IQR) was 36 (58). An online satisfaction survey was filled out postconsultation by patients; of the 985 responses received, 98.1% (n=966) of respondents were satisfied with the service they received. Conclusions Remote diagnosis and treatment offered via online outpatient consultations effectively reduced the burden on hospitals, prevented overcrowding, reduced the risk of cross-infection, and relieved patients' anxiety during the COVID-19 outbreak. This plays an essential role in pandemic management.

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