Correction: Measuring peak flow at home (October 28, page 88)

1991 ◽  
Vol 29 (23) ◽  
pp. 92.1-92
Keyword(s):  
Patient Education ◽  
Peak Flow ◽  
Production Error ◽  
Final Sentence ◽  
At Home

Due to a production error, the last words of the conclusion were lost. The final sentence of the conclusion should read ‘When combined with adequate tuition and patient education, their use may help improve the management of asthma.’

Patient education, self management plans and peak flow measurement

1992 ◽  
Vol 86 (4) ◽  
pp. 358-359
Author(s):  
J.M. Fitzgerald ◽  
D Swan ◽  
M.O. Turner
Keyword(s):  
Patient Education ◽  
Flow Measurement ◽  
Peak Flow ◽  
Self Management ◽  
Management Plans

Frequency of unsafe storage, use, and disposal practices of opioids among cancer patients presenting to the emergency department

2016 ◽  
Vol 15 (6) ◽  
pp. 638-643 ◽  
Author(s):  
Julio Silvestre ◽  
Akhila Reddy ◽  
Maxine de la Cruz ◽  
Jimin Wu ◽  
Diane Liu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Education ◽  
Cancer Patients ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Pain Medications ◽  
The Impact ◽  
At Home

AbstractObjective:Approximately 75% of prescription opioid abusers obtain the drug from an acquaintance, which may be a consequence of improper opioid storage, use, disposal, and lack of patient education. We aimed to determine the opioid storage, use, and disposal patterns in patients presenting to the emergency department (ED) of a comprehensive cancer center.Method:We surveyed 113 patients receiving opioids for at least 2 months upon presenting to the ED and collected information regarding opioid use, storage, and disposal. Unsafe storage was defined as storing opioids in plain sight, and unsafe use was defined as sharing or losing opioids.Results:The median age was 53 years, 55% were female, 64% were white, and 86% had advanced cancer. Of those surveyed, 36% stored opioids in plain sight, 53% kept them hidden but unlocked, and only 15% locked their opioids. However, 73% agreed that they would use a lockbox if given one. Patients who reported that others had asked them for their pain medications (p = 0.004) and those who would use a lockbox if given one (p = 0.019) were more likely to keep them locked. Some 13 patients (12%) used opioids unsafely by either sharing (5%) or losing (8%) them. Patients who reported being prescribed more pain pills than required (p = 0.032) were more likely to practice unsafe use. Most (78%) were unaware of proper opioid disposal methods, 6% believed they were prescribed more medication than required, and 67% had unused opioids at home. Only 13% previously received education about safe disposal of opioids. Overall, 77% (87) of patients reported unsafe storage, unsafe use, or possessed unused opioids at home.Significance of Results:Many cancer patients presenting to the ED improperly and unsafely store, use, or dispose of opioids, thus highlighting a need to investigate the impact of patient education on such practices.

scholarly journals Importance of Patient Education for At-home Yoga Practice in Women With Hormonal Therapy-induced Pain During Adjuvant Breast Cancer Treatment: A Feasibility Study

2021 ◽  
Vol 20 ◽  
pp. 153473542110637
Author(s):  
Kerstin Faravel ◽  
Marie-Eve Huteau ◽  
Marta Jarlier ◽  
Hélène de Forges ◽  
Laetitia Meignant ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Patient Education ◽  
Hormonal Therapy ◽  
Patient Adherence ◽  
Adherence Rate ◽  
Yoga Practice ◽  
Therapy Discontinuation ◽  
Adjuvant Breast Cancer ◽  
Articular Pain ◽  
At Home

Background Osteo-articular pain (OAP) is experienced by approximately 50% of women under hormonal therapy (HT) for breast cancer (BC), which increases the risk for therapy discontinuation. This study was aimed to assess benefits of yoga practice combined with patient education (PE) for at-home practice by evaluating feasibility among BC patients under HT and measuring OAP, flexibility and satisfaction. Methods Feasibility was evaluated by patient adherence as accomplishment of at least 4 out of 6 supervised yoga-PE sessions along with 70% or more at-home yoga sessions. Intervention (12 weeks) included two 6-weeks periods: P1 comprising one 90-minutes supervised yoga-PE session/week and 15-minutes daily at-home yoga and P2, daily autonomous at-home yoga sessions. Evaluations (at inclusion and by the end of each period) consisted in assessment of OAP on Visual Analog Scale (VAS), forward flexibility (cm) and patient satisfaction on Likert (0-10 points) scale. Results Between September 2018 and May 2019 we included 24 patients of median 53 years (range 36-72). Feasibility was validated by 83% successful adherence rate. Pain was significantly reduced from median VAS of 6 [range 4-10] to 4 [range 0-7] at the end of both P1 and P2 ( p < 0.01), albeit with no difference between P1 and P2. Forward flexibility improved by a median gain of 8 cm (end of P2) and median satisfaction score of 10/10 [range 8-10]. Conclusion Combined physiotherapy-yoga-PE intervention is a feasible strategy to increase at-home yoga practice with potential benefit on pain, flexibility, and satisfaction, thus prompting further evaluations in larger randomized multicenter trials. ClinicalTrials.gov NCT04001751

scholarly journals Patient education in the hospital-at-home care context

2020 ◽  
Vol 7 (1) ◽  
pp. 65-74
Author(s):  
Heli Vaartio-Rajalin ◽  
Linda Nyholm ◽  
Lisbeth Fagerström
Keyword(s):  
Patient Education ◽  
Home Care ◽  
Hospital At Home ◽  
At Home

Patterns of storage, use, and disposal of opioids among cancer patients presenting to the emergency center.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 184-184
Author(s):  
Akhila Sunkepally Reddy ◽  
Julio Silvestre ◽  
Maxine Grace De la Cruz ◽  
Jimin Wu ◽  
Diane D Liu ◽  
...  
Keyword(s):  
Patient Education ◽  
Cancer Patients ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Prescription Opioid ◽  
Opioid Use ◽  
Emergency Center ◽  
Pain Medications ◽  
History Of ◽  
At Home

184 Background: Approximately 75% of prescription opioid abusers obtain the drug from an acquaintance. Improper opioid storage, use, and disposal along with lack of patient education may lead to increased availability of the drug for abuse by others. Our aim was to determine the opioid storage, use, and disposal patterns in patients presenting to the emergency center (EC) of a comprehensive cancer center. Methods: We surveyed 113 cancer patients receiving opioids for at least 2 months and collected information regarding opioid use, storage, and disposal. Unsafe storage was defined as storing the opioids in plain sight and sharing or losing their opioids was defined as unsafe use. Results: The median age was 53 years, 55% were female, and 64% were white and 86% had advanced cancer. 19% of the patients had history of illicit drug use and 24% reported that drug abuse is prevalent in their neighborhood. 59% obtained the opioid from their oncologist and 6% believed they were prescribed more medication than required. Of the 113 respondents, 36% stored opioids in plain sight, 53% kept them hidden but unlocked, and only 15% locked their opioids. 73% agreed that they would use a lockbox to store their opioids if given one, 78% were unaware of proper opioid disposal methods, and 67% had unused opioids at home. Only 13% previously received education about safe disposal of opioids. Patients who reported that others have asked them for their pain medications (P = .004) and those who would use a lockbox if given one (P = .019) were more likely to keep them locked. 13 patients (12%) used opioids unsafely by either sharing (5%) or losing (8%) them. Patients who reported to being prescribed more pain pills than required (P = .032), others having asked them for their pain pills (P = .06), being unemployed (P = .07), and those who were unaware of drug take-back programs (P = .06) were more likely to participate in unsafe use. Overall, 77% (87) of the patients reported unsafe storage, unsafe use, or possessed unused opioids at home. Conclusions: A large number of cancer patients improperly and unsafely store, use, or dispose of opioids. More research is needed to determine whether patient education has an effect on minimizing prescription opioid abuse.

scholarly journals The Needs of Older Patients for Peritoneal Dialysis: Training and Support at Home

2015 ◽  
Vol 35 (6) ◽  
pp. 625-629 ◽  
Author(s):  
Helen Hurst ◽  
Ana E. Figueiredo
Keyword(s):  
Chronic Kidney Disease ◽  
Peritoneal Dialysis ◽  
Patient Education ◽  
Kidney Disease ◽  
Nursing Homes ◽  
Residential Care ◽  
Older Patients ◽  
Training And Support ◽  
At Home

Chronic kidney disease (CKD) in all its stages has become an important problem for older patients, stage 3 – 5 is expected to happen in 25 to 30% of the population, and a higher prevalence can be found in residential care and nursing homes, affecting the demand for patient education. Although older patients are able and keen to learn, there are specific needs that must be addressed. The focus of this paper is to review the demands to train and maintain older patients on peritoneal dialysis (PD) at home.

Measuring peak flow at home

1991 ◽  
Vol 29 (22) ◽  
pp. 87-88
Keyword(s):  
Peak Flow ◽  
Objective Measure ◽  
Self Management ◽  
Asthmatic Patients ◽  
At Home

For the last year it has been possible to prescribe peak flow (PF) meters ‘to assist in the care of patients with asthma’.1 Patients can use them to provide an objective measure against which to adjust their treatment and a record to allow discussion of management with their doctor. Self-management is a central goal for asthmatic patients2 and a home PF meter can be used to achieve this.3,4

scholarly journals P08 The impact of patient’s compliance and delivery delays: a cost-saving audit on biologics

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Patra Pookarnjanamorakot ◽  
Resmy Suresh ◽  
Paul Webb
Keyword(s):  
Patient Education ◽  
Cost Saving ◽  
Liver Function Tests ◽  
Education Programme ◽  
University Hospital ◽  
Biologic Treatment ◽  
The Impact ◽  
Repeat Prescriptions ◽  
Number Of Injections ◽  
At Home

Abstract Background Inflammatory arthritis or ankylosing spondylitis patients who are qualified for biologics treatment will have their medications delivered to their homes by Healthcare at Home (HaH). HaH sends rheumatology department the requests for repeat prescriptions in which the drug delivery due date should be within two weeks of the faxed date on the prescription. Anti-TNF is costly and if the patient already has excess stocks of medications at home then future delivery should be postponed in order to reduce the economic impact on the Trust. This audit aims to investigate the amount of money that could be saved by checking patient’s available medications at home and delay future deliveries. Methods 168 patients were contacted at Croydon University Hospital between 1 - 19 November 2018 by telephone before signing the biologics repeat prescriptions. Patients were asked regarding the number of injections/tablets they have left and whether they had missed any and their reasons for non-adherence. Number of weeks the next prescriptions could be delayed due to the excess amount of injections/medications patients have was calculated and the amount of money saved by delaying the prescription was calculated. Results 133 out of 168 patients answered the phone. Among patients who answered the phone, 59 of them were on etanercept, 6 were on secukinumab, 13 were on etanercept, 24 were on adalimumab, 9 were on methotrexate, 17 were on baricitinib and 5 were on golimumab. Their drug stock at home varied between 0 to 12 weeks. There are various reasons for their excess drug stock in the last 2 months including previous delivery delays or double-delivery (3 patients), infection (20 patients), simply forgotten (7 patients), high liver function tests (1 patient), holiday (6 patients), underwent surgery (1 patient), and underwent a dental procedure (1 patient). By analysing the number of injections/tablets patients have left, we were able to delay repeat prescriptions in 62 patients by 1 to 8 weeks. Theoretically, by delaying sending prescription out to Healthcare at Home for all 62 patients, we would be able to save £13,546.585 for the Trust during the month of November. This made up 6.5% of the monthly cost of anti-TNF inflicted on the Trust in November 2018 (£208,099.94). Conclusion This is a cost-saving audit concerning patient’s adherence to biologics. By verifying the number of excess biologics at patients’ home prior to requesting the repeat prescription, we would be able to reduce the cost inflicted on the Trust greatly. This calls for an improvement in patient education and compliance monitoring. We have launched a biologic patient education programme at Croydon University Hospital which enhances patient’s understanding of biologic treatment. Patients are also encouraged to contact our biologic coordinator if they are non-compliant for any reasons. Disclosures P. Pookarnjanamorakot None. R. Suresh None. P. Webb None.

Asthma Patient Education

1992 ◽  
Vol 5 (4) ◽  
pp. 186-196 ◽  
Author(s):  
Tiffany M. Kelso ◽  
Rita R. Alloway ◽  
Timothy H. Self
Keyword(s):  
Patient Education ◽  
Peak Flow ◽  
Rescue Therapy ◽  
Asthma Patient ◽  
Mortality Rates ◽  
Inhaler Technique ◽  
Flow Meters ◽  
Education Of Patients ◽  
Asthma Patients ◽  
Exercise Induced

Patient education is a very important aspect of the treatment of asthma. Success of therapy is highly dependent upon patients' knowledge of asthma and the correct use of their medications. Over the last decade the morbidity and mortality rates due to asthma have increased. Education of patients is necessary to reduce these rates. Pharmacists can play a major role in the education of patients. Pharmacists are readily available and see most patients frequently for refills. Regular use of anti-inflammatory medications, use of β2-agonists for rescue therapy, and prevention of exercise induced asthma, and correct inhaler technique should be stressed. Spacer devices and peak flow meters should be routinely recommended by pharmacists. Educational aids such as handouts, pamphlets, and video tapes are available from many different organizations that can help make education more time efficient. Asthma education is a rewarding service to offer asthma patients and helps to develop loyalty as well as overall better health care for patients.

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