The role of the health professional

2018 ◽  
pp. 293-297
Author(s):  
Robert Zarr ◽  
William Bird
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Healthcare Professionals ◽  
Medical Model ◽  
Holistic Approach ◽  
Rapid Rise ◽  
Long Term Conditions ◽  
Prevention And Health Promotion

There is a shift in healthcare from treatment of diseases based on the medical model, to a more holistic approach based on prevention and health promotion, using social and environmental factors that impact on an individual to improve their health and prevent disease. This shift is in response to the rapid rise in long-term conditions such as obesity, diabetes, dementia, and mental illness. Healthcare professionals are only slowly adjusting to this shift of healthcare and in this chapter we will look at how the healthcare professional can connect patients with green space to help them increase physical activity and reduce stress. Four initiatives have been used to illustrate how healthcare professionals can engage patients with nature to help tackle the main disease burden.

Working with healthcare professionals to promote physical activity

2021 ◽  
pp. 175791392097825
Author(s):  
D Vishnubala ◽  
A Pringle
Keyword(s):  
Physical Activity ◽  
Physical Inactivity ◽  
Healthcare Professionals ◽  
Medical Officer ◽  
Convincing Evidence ◽  
Long Term Conditions ◽  
Physical Activity Advice ◽  
The Uk

The UK Chief Medical Officer guidelines provide convincing evidence of the role of physical activity (PA) in the prevention and management of a number of long-term conditions. Yet physical inactivity remains an important public health priority. Healthcare professionals (HCP) have been identified as being very important for the promotion of PA to their patients. Yet a number of barriers are faced by HCP in this respect including awareness, knowledge, self-efficacy, perceived competence, and time. This paper aims to share current projects and practices and reflect on the challenges of changing the behaviour of HCP to provide physical activity advice.

scholarly journals Targeting exertional breathlessness to improve physical activity: the role of primary care

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Miguel Román-Rodríguez ◽  
Janwillem W. H. Kocks
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Holistic Approach ◽  
Pharmacological Therapy ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Downward Spiral

AbstractPrimary care physicians (PCPs) play a crucial role in the diagnosis and management of chronic obstructive pulmonary disease (COPD). By working together with patients to target exertional breathlessness and increase physical activity, PCPs have an important role to play, early in the disease course, in improving patient outcomes in both the short and long term. In this article, we consider how physical activity affects disease progression from the PCP perspective. We discuss the role of pharmacological therapy, the importance of an holistic approach and the role of PCPs in assessing and promoting physical activity. The complexity and heterogeneity of COPD make it a challenging disease to treat. Patients’ avoidance of activity, and subsequent decline in capacity to perform it, further impacts the management of the disease. Improving patient tolerance of physical activity, increasing participation in daily activities and helping patients to remain active are clear goals of COPD management. These may require an holistic approach to management, including pulmonary rehabilitation and psychological programmes in parallel with bronchodilation therapy, in order to address both physiological and behavioural factors. PCPs have an important role to optimise therapy, set goals and communicate the importance of maintaining physical activity to their patients. In addition, optimal treatment that addresses activity-related breathlessness can help prevent the downward spiral of inactivity and get patients moving again, to improve their overall health and long-term prognosis.

scholarly journals Benefits outweigh the risks: a consensus statement on the risks of physical activity for people living with long-term conditions

2021 ◽  
pp. bjsports-2021-104281
Author(s):  
Hamish Reid ◽  
Ashley Jane Ridout ◽  
Simone Annabella Tomaz ◽  
Paul Kelly ◽  
Natasha Jones
Keyword(s):  
Physical Activity ◽  
Adverse Events ◽  
Perceived Risk ◽  
Healthcare Professionals ◽  
Medical Attention ◽  
Activity Levels ◽  
Long Term Conditions ◽  
Starting Point ◽  
Physical Activity Levels

IntroductionThe benefits of physical activity for people living with long-term conditions (LTCs) are well established. However, the risks of physical activity are less well documented. The fear of exacerbating symptoms and causing adverse events is a persuasive barrier to physical activity in this population.This work aimed to agree clear statements for use by healthcare professionals about medical risks of physical activity for people living with LTCs through expert consensus. These statements addressed the following questions: (1) Is increasing physical activity safe for people living with one or more LTC? (2) Are the symptoms and clinical syndromes associated with common LTCs aggravated in the short or long term by increasing physical activity levels? (3) What specific risks should healthcare professionals consider when advising symptomatic people with one or more LTCs to increase their physical activity levels?MethodsStatements were developed in a multistage process, guided by the Appraisal of Guidelines for Research and Evaluation tool. A patient and clinician involvement process, a rapid literature review and a steering group workshop informed the development of draft symptom and syndrome-based statements. We then tested and refined the draft statements and supporting evidence using a three-stage modified online Delphi study, incorporating a multidisciplinary expert panel with a broad range of clinical specialties.ResultsTwenty-eight experts completed the Delphi process. All statements achieved consensus with a final agreement between 88.5%–96.5%. Five ‘impact statements’ conclude that (1) for people living with LTCs, the benefits of physical activity far outweigh the risks, (2) despite the risks being very low, perceived risk is high, (3) person-centred conversations are essential for addressing perceived risk, (4) everybody has their own starting point and (5) people should stop and seek medical attention if they experience a dramatic increase in symptoms. In addition, eight symptom/syndrome-based statements discuss specific risks for musculoskeletal pain, fatigue, shortness of breath, cardiac chest pain, palpitations, dysglycaemia, cognitive impairment and falls and frailty.ConclusionClear, consistent messaging on risk across healthcare will improve people living with LTCs confidence to be physically active. Addressing the fear of adverse events on an individual level will help healthcare professionals affect meaningful behavioural change in day-to-day practice. Evidence does not support routine preparticipation medical clearance for people with stable LTCs if they build up gradually from their current level. The need for medical guidance, as opposed to clearance, should be determined by individuals with specific concerns about active symptoms. As part of a system-wide approach, consistent messaging from healthcare professionals around risk will also help reduce cross-sector barriers to engagement for this population.

scholarly journals Transferring, translating and transforming knowledge: the role of brokering in healthcare networks

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sharon J. Williams ◽  
Zoe Radnor ◽  
James Aitken ◽  
Ann Esain ◽  
Olga Matthias
Keyword(s):  
Conceptual Framework ◽  
Information Exchange ◽  
Healthcare Professionals ◽  
Participant Observation ◽  
Knowledge Exchange ◽  
Long Term Conditions ◽  
Content Type ◽  
The Uk

PurposeThis research examines how knowledge and information are managed within two care networks. We develop a conceptual framework drawing on the notion of brokering and the 3T framework, which is used to describe the relative complexity of boundaries (referred to in the framework as syntactic, semantic and pragmatic) as well as capabilities and processes required to exchange information within the network. Previous research on brokering has focused on healthcare managers and professionals, but this research extends to patients and caregivers. Understanding knowledge exchange and brokering practices in healthcare is critical to the delivery of effective services.Design/methodology/approachFor this case research, non-participant observation and experienced-based interviews were undertaken with healthcare professionals, patients and caregivers within two care networks.FindingsThe findings reveal brokering roles occupied by healthcare professionals, patients and caregivers support the transfer, translation and transformation of knowledge and information across functional and organisational boundaries. Enablers and disablers to brokering and the exchange of knowledge and information are also identified.Research limitations/implicationsThe study is limited to two care networks for long-term conditions within the UK. Further research opportunities exist to examine similar care networks that extend across professional and organisational boundaries.Practical implicationsThis research informs healthcare professionals of the brokering capabilities that occur within networks and the enabling and disabling factors to managing knowledge across boundaries.Originality/valueThis paper provides a conceptual framework that categorises how increased levels of knowledge and information exchange and brokering practices are managed within care networks.

Physical activity promotion in primary health care in Slovenia

2014 ◽  
Vol 62 (2) ◽  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Health Promotion ◽  
Health Professionals ◽  
Healthy Lifestyle ◽  
Graduate Nurses ◽  
Primary Health ◽  
The Family ◽  
Prevention Of Cardiovascular Disease

In Slovenia, the role of general practitioners in counselling physical activity for prevention of cardiovascular disease (CVD) is well recognized. The role of general practitioners in advising healthy lifestyle for individuals who are at risk of developing CVD is formally defined in the National Program for Primary Prevention of Cardiovascular Disease, which has been running since 2001. Part of the program is counselling on healthy lifestyle including physical activity, performed in all health centres across the country. First a screening and medical examination is performed. In case of higher risk for CVD (>20%) the physician should give advice on the particular risk factor and direct patients to health-education centres, where they can participate in healthy lifestyle workshops lead by health professionals. Physicians and other health professionals who are involved in the implementation of prevention activities within the program need knowledge and skills that are crucial for successful counselling on healthy lifestyle. The educational program “basic education in health promotion and prevention of chronic non-communicable diseases in primary health care/family medicine” consists of two parts. The first part of the training is open to all health professionals working within the program. The second part is intended for health professionals working in health-education workshops. In the last few years a new family practice model has been introduced and disseminated. Some duties of the family physician, including health promotion and counselling, are being transferred to graduate nurses who become part of the family practice team. This new division of work undoubtedly brings many advantages, both in terms of the work organization, and of high-quality patient care. Nevertheless preventive action cannot be fully passed on to graduate nurses. Careful planning and education are needed to ensure a comprehensive approach in healthy life style counselling.

Leptin Functioning in Eating Disorders

CNS Spectrums ◽  
2004 ◽  
Vol 9 (7) ◽  
pp. 523-529 ◽  
Author(s):  
Palmiero Monteleone ◽  
Antonio DiLieto ◽  
Eloisa Castaldo ◽  
Mario Maj
Keyword(s):  
Physical Activity ◽  
Eating Disorders ◽  
Body Weight ◽  
Eating Behaviors ◽  
Clinical Manifestations ◽  
Immune Functions ◽  
Abnormal Eating ◽  
The Brain

AbstractLeptin is an adipocyte-derived hormone, which is involved predominantly in the long-term regulation of body weight and energy balance by acting as a hunger suppressant signal to the brain. Leptin is also involved in the modulation of reproduction, immune function, physical activity, and some endogenous endocrine axes. Since anorexia nervosa (AN) and bulimia nervosa (BN) are characterized by abnormal eating behaviors, dysregulation of endogenous endocrine axes, alterations of reproductive and immune functions, and increased physical activity, extensive research has been carried out in the last decade in order to ascertain a role of this hormone in the pathophysiology of these syndromes. In this article, we review the available data on leptin physiology in patients with eating disorders. These data support the idea that leptin is not directly involved in the etiology of AN or BN. However, malnutrition-induced alterations in its physiology may contribute to the genesis and/or the maintenance of some clinical manifestations of AN and BN and may have an impact on the prognosis of AN.

scholarly journals Disease Phobia in Patients with Temporomandibular Joint Pain Assessed by the Illness Attitude Scale

2009 ◽  
Vol 52 (2) ◽  
pp. 73-75
Author(s):  
Christos Stavrianos ◽  
Panagiotis Kafas ◽  
Waseem Jerjes ◽  
Tahwinder Upile ◽  
Irene Stavrianou ◽  
...  
Keyword(s):  
Heart Disease ◽  
Healthcare Professionals ◽  
Attitude Scale ◽  
Psychological State ◽  
Chronic Group ◽  
Total Cohort ◽  
Acute Group ◽  
Real Challenge

Disease phobia refers to a psychological state when the person continuously thinks that he/she is sick and improvement from the condition is impossible. Disease phobia in patients suffering from pain, secondary to temporomandibular disorders (TMDs), is usually the consequence of long-term problems; diagnosis and treatment of this group is a real challenge for healthcare professionals. Aim: The purpose of this prospective study was to objectively evaluate the role of Illness Attitude Scale (Kellner or IAS) in measuring cancerophobia and heart disease phobia in patients suffering from pain, as a consequence of TMDs. Subjects and Methods: The cohort included 22 patients with TMDs who underwent evaluation of these phobias; pain was acute in 7 and chronic in 15. The patients were asked to complete the “Kellner” questionnaire, and this was followed by full clinical examination of the temporomandibular region. Results: When measuring the correlation between the cancerophobia and heart disease phobia patients, the outcome was found significant in the total cohort, p<0.01. Comparisons were carried out in the chronic group (n=15) and was significant (p=0.034 and r=0.549); while in the acute group no significance was identified. Conclusion: Cancerophobia and heart disease phobia in TMD patients are factors that need to be taken in consideration when managing chronic pain in this group.

Sign in / Sign up

Export Citation Format

Share Document