scholarly journals Diabetes care needs evidence based interventions to reduce risk of vascular disease

BMJ ◽  
2000 ◽  
Vol 320 (7249) ◽  
pp. 1554-1555 ◽  
Author(s):  
C. D Byrne
Keyword(s):  
Vascular Disease ◽  
Diabetes Care ◽  
Evidence Based ◽  
Care Needs ◽  
Reduce Risk

scholarly journals The COVID-19 Pandemic as an Opportunity for Operational Innovation at 2 Student-Run Free Clinics

2021 ◽  
Vol 12 ◽  
pp. 215013272199363
Author(s):  
Gabriela D.M. Ruiz Colón ◽  
Bianca Mulaney ◽  
Ruby E. Reed ◽  
Sierra K. Ha ◽  
Victoria Yuan ◽  
...  
Keyword(s):  
Social Needs ◽  
Evidence Based ◽  
Free Clinics ◽  
Training Module ◽  
Care Needs ◽  
Medical Needs ◽  
Student Management ◽  
Student Volunteers ◽  
Operational Innovation ◽  
Key Innovations

The onset of the COVID-19 pandemic and subsequent county shelter-in-place order forced the Cardinal Free Clinics (CFCs), Stanford University’s 2 student-run free clinics, to close in March 2020. As student-run free clinics adhering to university-guided COVID policies, we have not been able to see patients in person since March of 2020. However, the closure of our in-person operations provided our student management team with an opportunity to innovate. In consultation with Stanford’s Telehealth team and educators, we rapidly developed a telehealth clinic model for our patients. We adapted available telehealth guidelines to meet our patient care needs and educational objectives, which manifested in 3 key innovations: reconfigured clinic operations, an evidence-based social needs screen to more effectively assess and address social needs alongside medical needs, and a new telehealth training module for student volunteers. After 6 months of piloting our telehealth services, we believe that these changes have made our services and operations more robust and provided benefit to both our patients and volunteers. Despite an uncertain and evolving public health landscape, we are confident that these developments will strengthen the future operations of the CFCs.

Clinical practice guidelines for comprehensive patient assessment in emergency care: A quality evaluation study

2021 ◽  
pp. 205715852110069
Author(s):  
Åsa Falchenberg ◽  
Ulf Andersson ◽  
Birgitta Wireklint Sundström ◽  
Anders Bremer ◽  
Henrik Andersson
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Emergency Care ◽  
Quality Evaluation ◽  
Evaluation Study ◽  
Evidence Based ◽  
Patient Assessment ◽  
Care Needs ◽  
Home Based

Emergency care nurses (ECNs) face several challenges when they assess patients with different symptoms, signs, and conditions to determine patients’ care needs. Patients’ care needs do not always originate from physical or biomedical dysfunctions. To provide effective patient-centred care, ECNs must be sensitive to patients’ unique medical, physical, psychological, social, and existential needs. Clinical practice guidelines (CPGs) provide guidance for ECNs in such assessments. The aim of this study was to evaluate the quality of CPGs for comprehensive patient assessments in emergency care. A quality evaluation study was conducted in Sweden in 2017. Managers from 97 organizations (25 emergency medical services and 72 emergency departments) were contacted, covering all 20 Swedish county councils. Fifteen guidelines were appraised using the validated Appraisal of Guidelines for Research & Evaluation II (AGREE II) tool. The results revealed that various CPGs are used in emergency care, but none of the CPGs support ECNs in performing a comprehensive patient assessment; rather, the CPGs address parts of the assessment primarily related to biomedical needs. The results also demonstrate that the foundation for evidence-based CPGs is weak and cannot confirm that an ECN has the prerequisites to assess patients and refer them to treatment, such as home-based self-care. This may indicate that Swedish emergency care services utilize non-evidence-based guidelines. This implies that ECN managers and educators should actively seek more effective ways of highlighting and safeguarding patients’ various care needs using more comprehensive guidelines.

Introduction to Palliative Care

2019 ◽  
pp. 3-4
Author(s):  
Betty Rolling Ferrell
Keyword(s):  
Palliative Care ◽  
Healthcare Costs ◽  
Payment System ◽  
Chronic Illnesses ◽  
Evidence Based ◽  
Care Needs ◽  
The Real ◽  
Practical Information ◽  
Palliative Care Needs ◽  
Seriously Ill

This chapter serves as an introduction to the 5th edition of the Oxford Textbook of Palliative Care, designed to be an evidence-based resource for nurses to assist with the real challenges they face at the patient’s bedside. At a time when our population is aging, the healthcare payment system is uncertain, healthcare costs are escalating, and more people are faced with chronic illnesses, there is a pressing need to extend palliative care into an increasing range of settings. It is the intent of the authors and the editors to provide concise and practical information to assist nurses as they address the palliative care needs of the seriously ill and the dying and their families.

Deflighting zoo birds and its welfare considerations

2020 ◽  
Vol 29 (1) ◽  
pp. 69-80 ◽  
Author(s):  
L Reese ◽  
M Ladwig-Wiegard ◽  
L von Fersen ◽  
G Haase ◽  
H Will ◽  
...  
Keyword(s):  
Public Interest ◽  
Surgical Techniques ◽  
Bird Species ◽  
Scientific Data ◽  
Evidence Based ◽  
Specific Level ◽  
Welfare Implications ◽  
Reduce Risk ◽  
Species Specific ◽  
Over Time

For over a century the practice of deflighting has taken place in zoological collections in order to ensure birds remain in open-topped enclosures. Over time, efforts have been made to improve or develop new (surgical) techniques, reduce risk of complications during deflighting and minimise stress and pain during the procedure. However, increased public interest in issues of animal welfare has coincided with a questioning of the practice of removing a birds ability to fly. The ensuing debate, which continues to progress among a variety of differing stakeholders, has led to various legislative adjustments across a number of countries. Despite significant legislation, the dialogue has been both subjective and highly emotive. A plethora of opinions exist as to why deflighting should be outlawed, why it is necessary, or how it has the potential to improve a birds living conditions. However, most are based on assumption or issues unrelated to welfare. To the authors knowledge, to date, no scientific data have been published on the welfare implications of deflighting for the commonly deflighted bird species, such as waterfowl, flamingos (Phoenicopteridae), pelicans (Pelecanidae), storks (Ciconiidae), cranes (Gruidae) and herons (Ardeidae). The aim of this study is to present an overview of the relevance of deflighting to zoo husbandry, the species primarily affected, the techniques currently in use, the legality in differing countries and the extent of scientific knowledge as regards potential ethological and welfare concerns. An urgent need for evidence-based studies is highlighted, to further inform this practice at a species-specific level.

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