Patient care in chronic diseases: The need for a holistic approach

1978 ◽  
Vol 1 (1) ◽  
pp. 43
2021 ◽  
Author(s):  
Elisa Perego

Successful, patient-driven advocacy and research in Long Covid is contributing to change our understanding of SARS-CoV-2 infection, viral-onset diseases, and knowledge building in medicine and beyond. Events and epistemic shifts surrounding the rise of Long Covid represent a massive opportunity for empowering the patient voice. Strategies that have proven key to grassroots Long Covid advocacy in our digital era could be further explored and expanded across different patient communities. It is my hope that patient-centred expertise will be further incorporated into the biomedical community. This would contribute to critical changes in medical awareness of chronic diseases and patient care.


2014 ◽  
Vol 4 (3) ◽  
pp. 98-99
Author(s):  
Tiffany-Jade Kreys

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Blackwell-Green ◽  
C Sargeant ◽  
P Paudyal

Abstract Background Homelessness has increased dramatically in the last decade, with an estimated 165% increase in rough sleeping alone in England since 2010. People experiencing homelessness can often have what is referred to as the tri-morbidity; mental health, substance and or alcohol misuse and physical health problems. Hospital admission presents a potential point of intervention to address the health problems people have been experiencing, to link them in with services and as a bridge to housing. This service evaluation explored the role of a Hospital In-reach Service team for safer hospital discharge. Methods A qualitative in-depth interview study was conducted with six participants related to a Hospital In-reach Service team in South England. The interviews were transcribed, and analysed following Burnard's fourteen stage method. The ethical approval was obtained from Brighton and Sussex Medical School Research Governance and Ethics Committee (ER/BSMS4284/2). Results Three key themes were identified; the role of the Hospital In-reach Service team, barriers to, and facilitators for advocating patients' needs. The results indicate that the service team works incredibly well, building strong and trusting relationships with patients, community and hospital teams, taking a holistic approach to patient care. However, the structural discrimination against this patient group is reiterated in this study. Despite progress, there are still problems with non-specialist staff understanding this patient group's needs. Conclusions There is a need for clarification within Adult Social Care regarding the distribution of responsibility between hospital and community social work teams. There also appears to be a need for expansion of training for non-specialist service staff, including ward staff, discharge teams and social workers. In-reach housing services and expansion of the service team would be invaluable Key messages Hospital In-reach Service team in South England works incredibly well taking a holistic approach to patient care. Clarification in role of hospital and community social work teams is required for better management of this issue.


PEDIATRICS ◽  
1973 ◽  
Vol 51 (4) ◽  
pp. 722-730
Author(s):  
Barton D. Schmitt

The comprehensive management of chronic diseases can be very taxing on the pediatrician. One of the more difficult aspects is how to locate the pertinent data, both past and current, necessary for making medical decisions. The chronic disease flow sheet provides a system for easier monitoring of the multiple interacting variables present in chronic diseases. General recommendations are offered for designing new flow sheets. Sample flow sheets are included as working models for 19 common chronic conditions. The value of chronic disease flow sheets in patient care, teaching, and clinical research is discussed.


2020 ◽  
Vol 27 (8) ◽  
pp. 1694-1702
Author(s):  
Mary Linton ◽  
Jamie Koonmen

As members of the largest and most trusted healthcare profession, nurses are role models and critical partners in the ongoing quest for the health of their patients. Findings from the American Nurses Association Health Risk Appraisal suggested that nurses give the best patient care when they are operating at the peak of their own wellness. They also revealed that 68% of the surveyed nurses place their patients’ health, safety, and wellness before their own. Globally, several nursing codes of ethics include the requirement of self-care. Often, these codes embed the responsibility to protect and promote one’s own health within the clearly described obligation to provide safe patient care. The American Nurses Association Code of Ethics for Nurses is unique in that it states explicitly that nurses must adopt self-care as a duty to self in addition to their duty to provide care to patients. One of the basic assumptions of Watson’s Philosophy and Science of Caring is that caring science is the essence of nursing and the foundational disciplinary core of the profession. Watson’s theory of human caring provides support for the engagement in self-care. Two important value assumptions of Watson’s Caritas are that “we have to learn how to offer caring, love, forgiveness, compassion, and mercy to ourselves before we can offer authentic caring and love to others” and we also must “treat ourselves with loving-kindness and equanimity, gentleness, and dignity before we can accept, respect, and care for others within a professional caring-healing model.” Embedded within several caritas processes is an outline for a holistic approach to caring for self and others that can guide nurses to improve their mental, physical, emotional, and spiritual health.


2016 ◽  
Vol 40 (4) ◽  
pp. 217-219 ◽  
Author(s):  
Patricia M. Hughes

SummaryBoth psychologists and psychiatrists are trained to write formulations of their patients' illnesses, with some differences in how they do this. Psychologists focus on psychological understanding, while psychiatrists' formulation brings together aetiology, functioning and a management plan. Mohtashemi et al's study records how some psychiatrists understand formulation and its usefulness. Time pressure was an important barrier to making a full formulation, and some believed the medical role of the psychiatrist was a priority. The study illustrates some of the challenges facing psychiatrists working in the NHS in terms of maintaining high clinical standards and a holistic approach to patient care.


2020 ◽  
Vol 9 (10) ◽  
pp. 5423
Author(s):  
VedPrakash Meena ◽  
Rohit Kumar ◽  
SauravSekhar Paul ◽  
Pavan Tiwari ◽  
Sushma Bhatnagar ◽  
...  

1979 ◽  
Vol 79 (10) ◽  
pp. 1720-1721
Author(s):  
Ann David Strohminger

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