scholarly journals Patient and Caregiver Perspectives on Managing Multiple Health Conditions

2018 ◽  
Vol 66 (10) ◽  
pp. 1992-1997 ◽  
Author(s):  
Catherine Riffin ◽  
Peter H. Van Ness ◽  
Lynne Iannone ◽  
Terri Fried
2019 ◽  
Vol 8 (7) ◽  
pp. 922
Author(s):  
Daisy J.A. Janssen ◽  
Simon Rechberger ◽  
Emiel F.M. Wouters ◽  
Jos M.G.A. Schols ◽  
Miriam J. Johnson ◽  
...  

Background: Insight into health conditions associated with death can inform healthcare policy. We aimed to cluster 27,525,663 deceased people based on the health conditions associated with death to study the associations between the health condition clusters, demographics, the recorded underlying cause and place of death. Methods: Data from all deaths in the United States registered between 2006 and 2016 from the National Vital Statistics System of the National Center for Health Statistics were analyzed. A self-organizing map (SOM) was used to create an ordered representation of the mortality data. Results: 16 clusters based on the health conditions associated with death were found showing significant differences in socio-demographics, place, and cause of death. Most people died at old age (73.1 (18.0) years) and had multiple health conditions. Chronic ischemic heart disease was the main cause of death. Most people died in the hospital or at home. Conclusions: The prevalence of multiple health conditions at death requires a shift from disease-oriented towards person-centred palliative care at the end of life, including timely advance care planning. Understanding differences in population-based patterns and clusters of end-of-life experiences is an important step toward developing a strategy for implementing population-based palliative care.


Author(s):  
Chineme Enyioha ◽  
Graham W. Warren ◽  
Glen D. Morgan ◽  
Adam O. Goldstein

Tobacco use is causally associated with the risk of developing multiple health conditions, including over a dozen types of cancer, and is responsible for 30% of cancer deaths in the U [...]


2005 ◽  
Vol 26 (8) ◽  
pp. 672-692 ◽  
Author(s):  
Karen A. Roberto ◽  
Christina M. Gigliotti ◽  
Erica K. Husser

2017 ◽  
Vol 46 (Suppl_3) ◽  
pp. iii13-iii59
Author(s):  
Emma Murphy ◽  
Julie Doyle ◽  
Caoimhe Hannigan ◽  
Suzanne Smith ◽  
John Dinsmore

2018 ◽  
Vol 24 (1) ◽  
pp. 82 ◽  
Author(s):  
Jeromey B. Temple ◽  
Ruth Williams

Accompanying population ageing is an increase in the number of older Australians living with multiple health conditions and disabilities (Australian Institute of Health and Welfare 2014). This study sought to examine the barriers to accessing healthcare faced by older Australians. Utilising the 2014 Australian Bureau of Statistics General Social Survey, it was found that 6% of respondents aged 50 years and over reported experiencing a barrier to accessing healthcare within the previous 12 months. Those with multiple health conditions are at a considerably higher risk of experiencing a barrier to healthcare (21% with four or more disabilities) compared with people with no or fewer health conditions, and this risk persists once wide-ranging control variables are included. Long waiting times or unavailability of appointments (43%) were the main type of barriers to accessing healthcare, followed by cost (23%). Points-of-care barriers experienced included accessing GPs, specialists and hospital sector care. Respondents who experienced a barrier were more likely to have low levels of trust in the healthcare system compared with people who had no experience of barriers to healthcare, and were more likely to have a perception of experiencing discrimination or unfair treatment in a healthcare setting.


2010 ◽  
Vol 52 (12) ◽  
pp. 1206-1211 ◽  
Author(s):  
Don Iverson ◽  
Kate L. Lewis ◽  
Peter Caputi ◽  
Sascha Knospe

2011 ◽  
Vol 83 (2) ◽  
pp. 278-282 ◽  
Author(s):  
Terri R. Fried ◽  
Mary Tinetti ◽  
Joe Agostini ◽  
Lynne Iannone ◽  
Virginia Towle

2021 ◽  
Vol 8 (4) ◽  
pp. 682-690
Author(s):  
Maryam Tabrizi ◽  
◽  
Wei-Chen Lee ◽  

<abstract><sec> <title>Background</title> <p>Geriatrics as an educational topic has been a high priority in current health care. The innovative Age-Friendly health system with the 4Ms structure (what Matters most, Medication, Mentation, Mobility) needs to be integrated into oral health and dental services training. The purpose of this study is to respond to one question: are the graduating general dentists trained and prepared to treat medically vulnerable elderly in communities?</p> </sec><sec> <title>Methods</title> <p>All pre-doctorate dental students from first year to fourth year were invited to voluntarily respond to an online survey provided on Qualtrics. The survey provided examples of two broken molar teeth that need extraction. First, students were asked how comfortable they felt extracting the two molars based on the x-rays. Then, the question was repeated to evaluate if they felt comfortable with extracting the teeth in a patient with one chronic condition and related medication(s). Finally, the students were again questioned whether they feel comfortable to provide the same service to medically vulnerable patients with multiple health conditions and polypharmacy.</p> </sec><sec> <title>Results</title> <p>The majority of students who participated in this study said they were comfortable with extracting the teeth of patients without any chronic condition. However, many more chose to refer medically vulnerable patients with multiple chronic conditions and polypharmacy to a specialist.</p> </sec><sec> <title>Conclusions</title> <p>Dental education in many U.S. dental schools may provide adequate education and create competent general dentists. Yet, the competency and confidence required for dentists to be able to treat older adults with multiple health conditions and using prescribed or over-the-counter medication is insufficient.</p> </sec></abstract>


2020 ◽  
Author(s):  
Ngugi Mwenda ◽  
Ruth Nduati ◽  
Mathew Kosgey ◽  
Gregory Kerich

Abstract Infant morbidity and mortality are indicators used globally as measures of a country’s health status. Among the 8 millennium development goals (MDGs), this study aimed to address goal four (MDG 4) on the reduction of child mortality and six (MDG 6) on combating HIV and other diseases. We assessed different health conditions caused by bacterial vaginosis (BV) that could have life-long effects among infants. We aimed to address the time effects of BV on the long-term cause of infants' morbidities when asymmetry is assumed. We analyzed infant data from HIV-positive mothers with known BV status from a randomized controlled trial study conducted in Nairobi, Kenya. We aimed to investigate the effect of BV on infant morbidity with time from birth up to the age of 6 months. We derived a score for morbidity incidences depending on illnesses reported in the register during scheduled visits only. By adjusting for the mother’s BV status, child’s HIV status, sex, feeding status, and weight for age, we used two approaches for analysis. We considered and fitted the traditional generalized estimating (GEE) equations and our proposed skewed generalized estimating equations (SGEE). Overall, we included information on 327 infants. One thousand nine hundred sixty-two repeated measurements were available for analysis. Among the 327 mothers, 148 (45%) tested positive for BV, while 179 (55%) tested negative. We found that BV, gender, and time were associated with multiple health conditions in infants. Infants of women who tested positive for BV, at month 1, had 4.46 higher odds of various health conditions compared to infants of mothers who tested negative. The effects of BV tended to decrease with time, and at 5 months of age, children in the BV group had 1.10 times the odds of experiencing morbidity incidence. In the SGEE model, BV was statistically significant at the 0.05 level with a positive coefficient, indicating that children in the BV group had a higher probability of experiencing multiple morbidities. BV is a significant predictor of infant morbidity because its effects on exposed infants could persist over time. In contrast, the traditional GEE results showed an insignificant positive coefficient. The results indicate the need to factor in the skewness during analysis in case of data transformation, especially when converting from continuous to binary data for parsimony and straightforward interpretation of the effects of covariates. Maternal BV status was positively associated with morbidity incidences, which highlights the need for early intervention for infected women. Accelerated programs promoting access to BV treatment with proper infant handling practices that better deal with emerging multiple health conditions in infants may prove useful in reducing the incidence of infant morbidity in Kenya. Emphasis on care to promote better health for infants during growth is necessary to achieve the MDGs.


Author(s):  
Firoj A Tamboli ◽  
Sajid A Mulani ◽  
Yogesh S Kolekar ◽  
Harinath N More ◽  
Pradnya K Mane ◽  
...  

Hand hygiene is now creating more awareness in the people due to pandemic COVID -19. It plays important role in the prevention, control and reduction of any acquired infection. This can stop the chain of transmission of microorganism and other bacteria from hand to different parts of our body. Herbal medicines have been extensively utilized as effectual remedies for the prevention and management of multiple health conditions. The present research was carried out to formulate and evaluate the poly herbal hand sanitizer using extract and Clove oil. The formulation was evaluated for its physical parameters. It is sure that the combination of ingredients behaves as an effective hand sanitizer.


Sign in / Sign up

Export Citation Format

Share Document