Provision of the Continuum of Care to Noncommunicable Diseases Post-Floods in Kerala, India 2018

2021 ◽  
pp. 1-4
Author(s):  
Parasuraman Ganeshkumar ◽  
Rontgen Saigal ◽  
Bipin Gopal ◽  
Hari Shankar ◽  
Prabhdeep Kaur
Keyword(s):  
Disaster Response ◽  
Care Delivery ◽  
Treatment Protocol ◽  
Continuum Of Care ◽  
The State ◽  
Noncommunicable Disease ◽  
World Health ◽  
Guidance Document ◽  
Care Providers ◽  
The Continuum

Abstract Integrating noncommunicable disease (NCD) in health care delivery during emergency response posed a major challenge post-floods in Kerala. Kerala experienced an abnormally high rainfall during mid-2018 where more than 400 people lost their lives. State health officials and the Disaster Response Team were sensitized about the importance of including NCDs in the response action. More than 80% of patients with hypertension and diabetes were not under control in Kerala. Under the state NCD cell, an NCD expert group was consulted for drafting the treatment and referral strategies. Steps to tackle NCDs during the disaster response were formulated. The state NCD cell decided to integrate NCDs in the response measures. The technical guidance document by the World Health Organization South-East Asia Region was consulted to formulate actions. The activities were implemented in 6 steps: prioritizing of major NCDS, patient estimation and drug stock preparation, standard treatment protocol, mapping of referral facilities, public engagement, and daily reporting of NCD consultations. Prioritizing the continuum of care of NCDs during floods among the program managers and care providers was crucial. The health education and communication campaign was done to sensitize the known NCD patients to seek early care. Daily reporting of consultations was established.

scholarly journals Islamic-based Disaster Response Competencies: Perceptions, Roles and Barriers Perceived by Nurses in Aceh, Indonesia

2021 ◽  
Vol 15 (1) ◽  
pp. 18-28
Author(s):  
Cut Husna ◽  
Mustanir Yahya ◽  
Hajjul Kamil ◽  
Teuku Tahlil
Keyword(s):  
Disaster Response ◽  
Care Delivery ◽  
Group Discussion ◽  
Family Engagement ◽  
Care Providers ◽  
The Pacific ◽  
Referral Hospitals ◽  
Spiritual Problems ◽  
Islamic Values ◽  
Banda Aceh

Introduction: Indonesia, being a part of the Pacific “ring of fire,” is prone to disasters. Several disasters occurred from 2004 to 2019, which resulted in the loss of many lives. These disasters impacted the physical, psychological, psychosocial, and spiritual conditions of survivors. Nurses are the frontline care providers who need adequate competencies to respond to disasters. Objective: This study aimed to explore the nurses’ perception of disaster, roles, barriers, and Islamic-based nurses’ competencies in managing psychological, psychosocial, and spiritual problems due to disasters in hospital settings. Methods: This is a qualitative study conducted in three large referral hospitals in Banda Aceh, Indonesia. Focus group discussion was conducted on 24 nurses from three hospitals using the discussion guide consisting of five open-ended questions. The data was analyzed through inductive content analysis. Results: The study found four themes of Islamic nurses’ competencies in disaster response: 1) perception about the disaster is influenced by religiosity, belief, and values, 2) communication skills, 3) nurses’ roles in disaster response consisted of disaster competencies (the use of Islamic values in managing patients’ conditions, and family engagement, 4) competency barriers consisted of inadequate training, insufficient Islamic-based services, and inadequate involvement of policymakers. This study explored Islamic nurses’ competencies in disaster response related perceptions about the disaster, nurses’ roles, and barriers. The limitation and future of the study were also discussed. Conclusion: Perceptions, roles, and barriers in disaster response might influence the development of the Islamic-based nurses’ competencies in care delivery.

scholarly journals COVID-19 preparedness—a survey among neonatal care providers in low- and middle-income countries

2021 ◽  
Author(s):  
Claus Klingenberg ◽  
◽  
Sahil K. Tembulkar ◽  
Anna Lavizzari ◽  
Charles C. Roehr ◽  
...  
Keyword(s):  
Low Income ◽  
Care Delivery ◽  
Neonatal Care ◽  
Sub Saharan Africa ◽  
World Health ◽  
Care Providers ◽  
Clinical Practices ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Objective To evaluate COVID-19 pandemic preparedness, available resources, and guidelines for neonatal care delivery among neonatal health care providers in low- and middle-income countries (LMICs) across all continents. Study design Cross-sectional, web-based survey administered between May and June, 2020. Results Of 189 invited participants in 69 LMICs, we received 145 (77%) responses from 58 (84%) countries. The pandemic provides significant challenges to neonatal care, particularly in low-income countries. Respondents noted exacerbations of preexisting shortages in staffing, equipment, and isolation capabilities. In Sub-Saharan Africa, 9/35 (26%) respondents noted increased mortality in non-COVID-19-infected infants. Clinical practices on cord clamping, isolation, and breastfeeding varied widely, often not in line with World Health Organization guidelines. Most respondents noted family access restrictions, and limited shared decision-making. Conclusions Many LMICs face an exacerbation of preexisting resource challenges for neonatal care during the pandemic. Variable approaches to care delivery and deviations from guidelines provide opportunities for international collaborative improvement.

Improving Disaster Response Efforts Through the Development of a Disaster Health Care Response System

2017 ◽  
Vol 11 (5) ◽  
pp. 600-604 ◽  
Author(s):  
Jonathan A. Wilson ◽  
L. Kendall McKenzie ◽  
W. Terry McLeod ◽  
Damon A. Darsey ◽  
Jim Craig
Keyword(s):  
Health Care ◽  
Hurricane Katrina ◽  
Disaster Response ◽  
Health Care Services ◽  
Care Delivery ◽  
The State ◽  
Response System ◽  
Care Services ◽  
Medical Response ◽  
Care Response

AbstractWe review the development of a disaster health care response system in Mississippi aimed at improving disaster response efforts. Large-scale disasters generate many injured and ill patients, which causes a significant utilization of emergency health care services and often requires external support to meet clinical needs. Disaster health care services require a solid infrastructure of coordination and collaboration to be effective. Following Hurricane Katrina, the state of Mississippi implemented best practices from around the nation to establish a disaster health care response system. The State Medical Response System of Mississippi provides an all-hazards system designed to support local response efforts at the time, scope, and scale required to successfully manage the incident. Components of this disaster health care response system can be replicated or adapted to meet the dynamic landscape of health care delivery following disasters. (Disaster Med Public Health Preparedness. 2017;11:600–604)

scholarly journals Continuum of Care for Older Adults With Concurrent Hearing and Vision Impairment: A Systematic Review Protocol

2020 ◽  
Author(s):  
Atul Jaiswal ◽  
Shikha Gupta ◽  
Patrice Dupont ◽  
Walter Wittich
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Care Home ◽  
Continuum Of Care ◽  
Cochrane Library ◽  
Future Research ◽  
World Population ◽  
Care Providers ◽  
Term Care ◽  
The Continuum

Abstract Background: A recent global report estimates around 2% of the world population (~150 million people) to have concurrent hearing and vision difficulties (referred to as dual sensory impairment/DSI). Older adults with DSI often experience poorer levels of health and barriers to accessing health services in long-term care, home care and hospitals. Yet, the evidence is limited to inform the healthcare planning for this vulnerable population. Understanding the current state of the continuum of care for older adults with DSI is paramount to determine ways to promote healthy ageing. Hence, the objective of this systematic review is to summarize the information available on the continuum of care and synthesize evidence on existing and emergent strategies of screening, assessment and interventions to optimize care for older adults with DSI.Methods: The review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews (PRISMA). Electronic research databases (CINAHL, Embase, MEDLINE, PsycINFO, Cochrane Library, Global Health and Web of Science), clinical trial registries (ISRCTN Registry, WHO ICTRP, and ClinicalTrials.gov) will be searched. Editorials, conference publications, thesis/dissertations, books or letters will be excluded. There is no date and language restriction applied, and databases are searched since inception.Discussion: Healthcare professionals have little guidance on how to screen, assess, and provide best possible care to older adults with DSI while accommodating for their hearing and vision challenges; thus, the results of this review will be a relevant resource for policymakers, decision-makers, healthcare organizations, clinicians/professionals, and informal care providers of older adults with DSI. This review will document current practices, determine the evidence gaps, synthesize research findings, and make recommendations for future research priorities.Systematic Review Registration: PROSPERO registration # CRD42020180545

scholarly journals Helping Fill That Gap: Aging in Place After Disaster Through the Lens of Home-Based Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 248-248
Author(s):  
Sue Anne Bell ◽  
Lydia Krienke ◽  
Raymond DeVries ◽  
Theodore J Iwashyna
Keyword(s):  
Older Adults ◽  
Disaster Response ◽  
Care Delivery ◽  
Aging In Place ◽  
Community Support ◽  
Chronically Ill ◽  
Community Level ◽  
Care Providers ◽  
Home Based ◽  
Home Based Care

Abstract During a disaster, home-based care is intended to continue to function using existing care delivery models. Home-based care providers (HBCP) are often the closest contact with their clients—even during a disaster, seeing them in non-traditional care settings including shelters and hotels. This closeness and commitment to clients, gives HBCP unique insights into strategies to promote aging in place. The purpose of this study was to identify the individual and community-level support needs of older adults after a disaster through the lens of home-based care. Five focus groups were conducted with HBCP (n=27) in two disaster-affected settings: 2017’s Hurricane Irma in Florida and Hurricane Harvey in Texas. Participants were identified by contacting home health agencies listed in an open-source database of agencies receiving Centers for Medicare and Medicaid Services funding. Data was manually coded using an inductive approach and themes were iteratively identified. Forty-nine codes were identified in the preliminary analysis, which were distilled into ten themes describing factors that influence care provision during and after disasters: patient autonomy/dependence, disaster-induced trauma, reluctance to evacuate, chronic disease exacerbation, unpreparedness, systemic inequality, provider preparedness actions, strong sense of community, mistrust of governmental authority, and the uniqueness of the patient and home-based care provider relationship. The perspective offered by HBCP illustrates the complexities of community-level preparedness and informal community support for chronically ill older adults surrounding disasters. Diverse groups involved in aging and disaster response can learn from strategies employed by HBCP during disasters to improve aging in place.

Developing Public Policy for Sectarian Providers: Accommodating Religious Beliefs and Obtaining Access to Care

1996 ◽  
Vol 24 (2) ◽  
pp. 90-98 ◽  
Author(s):  
Kathleen M. Boozang
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Health Care Providers ◽  
Religious Identity ◽  
Access To Health Care ◽  
Health Care Services ◽  
Religious Beliefs ◽  
Care Delivery ◽  
The State ◽  
Care Providers

The market changes sweeping the U.S. health care industry have a distinctive impact on communities that rely on religiously affiliated health care providers. When a sectarian sponsor subsumes multiple providers, its assertion of religious beliefs can preclude the provision of certain health care services to the entire community. In addition, the sectarian provider's refusal to offer certain services may violate state certificates of need, licensing, Medicaid managed care, or even professional liability law. This situation challenges both the provider and the state: the provider seeks adherence to religious law, and the state seeks compliance with its law and citizens access to health care.I propose that the state attempt to ameliorate tensions between civil and religious laws through negotiated accomodation. This concept encourages the sectarian institution to reassess its mission in the current market and to identify alternative avenues of health care delivery that will preserve patients' access to care without excessively diluting religious identity or beliefs.

scholarly journals COVD-04. REAL-WORLD PERSPECTIVES: TUMOR TREATING FIELDS (TTFIELDS) UTILITY TO OPTIMIZE TREATMENT OF PATIENTS WITH GLIOBLASTOMA (GBM) AMIDST COVID-19 PANDEMIC

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii21-ii22
Author(s):  
Peggy Frongillo ◽  
Melissa Shackelford ◽  
Lindsay Rain
Keyword(s):  
Electric Fields ◽  
Task Force ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Treatment Protocol ◽  
World Health ◽  
Treatment Access ◽  
Healthcare Teams ◽  
Tumor Treating Fields ◽  
The Impact

Abstract INTRODUCTION Due to the unprecedented, COVID-19 pandemic and resulting health/safety guidelines, rapid-adjustments to treatment plans for patients battling glioblastoma (GBM; debilitating, aggressive cancer) were critical. Tumor Treating Fields (TTFields; FDA-approved for GBM; antimitotic device) are alternating electric fields (200 kHz) delivered through scalp-placed transducer arrays to target rapidly dividing GBM cells. Visitor restrictions at cancer-centers and often overburdened healthcare teams provided obstacles to cancer therapy. Health and safety of patients/caregivers, healthcare providers (HCPs), and patient Device Support Specialists (DSS) were prioritized. We evaluated the impact of Novocure® (device manufacturer) implemented strategies on overcoming limitations/restrictions to treatment-access during COVID-19. TREATMENT/PROTOCOL TTFields (Optune) offers a viable noninvasive, built-in-care system for convenient at-home use. TTFields provides survival benefit with continuous, portable-usage and is tolerable (no-related systemic effects) without overall impact on quality-of-life (except itchy skin). Novocure adopted/amended protocols to meet health guidance/regulation (ie, World Health Organization, Centers for Disease Control and Prevention, local, hospital/clinic directives). PERSPECTIVES COVID-19 forced a change in treatment patterns imposed by quarantine limitations. This, coupled with the vulnerabilities of immunocompromised patients with GBM, necessitated new-access to TTFields. A COVID-19 task force was created to monitor developments, providing directives to minimize risks to patients/caregivers and employees. Hygiene-practices/full-personal protective equipment were applied for live patient-appointments with DSS. Virtual education appointments were executed to guide patients/caregivers through treatment-initiation. New, no-contact, monthly-usage data downloads were employed. Communication measures were implemented, informing HCPs of process changes impacting patients. To date, no observed differences were noted for virtual to non-virtual patient starts, demographics, time-to-start (42-days), treatment discontinuations, percentage continuing therapy (90%), and overall complaints. No new safety signals were observed utilizing new approaches. CONCLUSIONS TTFields care-delivery has been transformed during COVID-19 and preemptively in regards to other future access-limiting events, with adoption of virtual-platforms/protocols, resulting in enhanced access and education for patients/caregivers and healthcare teams.

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