The ALS Patient CARE Program—North American Patient CARE Database

2005 ◽  
pp. 665-680
1972 ◽  
Vol 6 (11) ◽  
pp. 374-379
Author(s):  
Margaret C. Gebhardt ◽  
Stephen M. Caiola ◽  
Fred M. Eckel

The ostomate is often a forgotten patient with regards to proper psychological and emotional preparation for his surgery and proper continuing care of his ostomy. The pharmacist can play an important role in aiding the ostomy patient, especially in providing him adequate appliances and ostomy-care information. The development and implementation of the ostomy program of the N. C. Memorial Hospital Pharmacy is presented in detail. A brief explanation of why ostomy surgery is necessary, of the various types of ostomies and of the various appliances utilized is also presented. The following services of the program are described: Use of a patient profile card in order to have on record the patient's specific appliance and replacement parts; Fitting the new ostomate with the proper appliance and instructing him on its proper use; Interviewing patient on return clinic visits to determine if the patient is having ostomy-related problems or needs any replacement parts for his appliance; Providing patient's appliance needs through the mail or through communication with the patient's local community or hospital pharmacist, and Conducting a presurgical consultation with the future ostomate to briefly explain appliances and how their use will affect his life, plus answer questions which may be making him apprehensive.


PEDIATRICS ◽  
1969 ◽  
Vol 43 (3) ◽  
pp. 472-472
Author(s):  
Clement A. Smith

Letter to the Editor are often the most interesting thing in the daily mail. When they concern a teaching and patient-care program in a hospital so long and affectionately known to the recipient, he may perhaps be allowed to offer an answer. We would first thank Dr. Brazleton for writing. Then we would remark that the Editor finds much of the spirit—if not all the letter (in Biblical sense)—reminiscent of earlier and simpler times. Outstanding memories of houseofficership in the thirties are the participation of Miss Amy Greene as Head of Social Service on many of Dr. Blackfan's regular rounds, the regular attendance of the Nursing Supervisor, and the frequent, highly personal, assistance of Dr. Crothers (a pediatrician in search of mental hygiene) often with Miss Elizabeth Lord, his associate in psychology.


Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Jason J Sico ◽  
Laura Burrone ◽  
Brenda Fenton ◽  
Manali Phadke ◽  
Jan-Michael Ragunton ◽  
...  

Introduction: The CAre Transitions and Hypertension management (CATcH) program was developed using Lean Six Sigma methodology and is a bundled, multi-faceted, provider- and healthcare systems-level pilot-intervention designed to enhance care coordination. Components of the intervention included: education delivered during the hospitalization, increased utilization of clinical pharmacy and home telehealth for blood pressure (BP) monitoring, and a patient care navigator. Hypothesis: Recipients of CATcH will find the program valuable though engaging with additional care providers may be deemed onerous. Methods: Twenty-eight semi-structured qualitative interviews were conducted between June 2018 and June 2019 among CATcH recipients. Interviews were audio-recorded, transcribed, and entered into an ATLAS.ti. project file. Thematic Content Analysis was used to analyze coded data, generate, and validate findings. Themes related to the overall impression of CATcH and its individual components were investigated across all patients and stratified by age, race, sex, and when they were discharged in relation to beginning of CATcH implementation. Results: A total of 108 Veterans were the recipients of CATcH. All patients received education, patient care navigator services, and offered both clinical pharmacy and telehealth services, with 52/108 (48.1%) attending clinical pharmacy appointments and 37/108 (34.3%) utilizing telehealth services within 6-months post-discharge. Subjects interviewed were on average 68.6±8.2 years of age, predominantly male (26/28; 92.9%) and equally distributed among black and non-black races. Themes were largely positive with patients expressing they were unaware that they were the recipients of an enhanced care program, and that CATcH. Patients who received CATcH in the second half of the program reported better care collaboration and more useful educational materials that those enrolled earlier in the project. Conclusions: Patients found the CATcH program and its component parts useful in the ongoing management of post-stroke BP control. Continuous self-evaluation and refinement of the program throughout the intervention period likely contributed to improvements in care collaboration and education.


2019 ◽  
Vol 67 (4) ◽  
pp. 825-830 ◽  
Author(s):  
Timothy P. Daaleman ◽  
Natalie C. Ernecoff ◽  
Christine E. Kistler ◽  
Alfred Reid ◽  
David Reed ◽  
...  

2014 ◽  
Vol 55 (2) ◽  
pp. 523 ◽  
Author(s):  
Sang Mo Je ◽  
Hyun Jong Kim ◽  
Je Sung You ◽  
Sung Phil Chung ◽  
Junho Cho ◽  
...  

2015 ◽  
Vol 47 (1) ◽  
pp. E22-E30 ◽  
Author(s):  
Maria Luisa Sánchez Masid ◽  
Rosalía Horno Ocaña ◽  
María Jesús Díaz Gil ◽  
Maria Concepción Ramírez Ramos ◽  
Matilde Escutia Roig ◽  
...  

2018 ◽  
Vol 79 (S 01) ◽  
pp. S1-S188
Author(s):  
Fatmahalzahra Banaz ◽  
Fahad Alkherayf ◽  
Andrea Lasso ◽  
Sepideh Mohajeri ◽  
Pourya Masoudian ◽  
...  

2018 ◽  
Vol 35 (9) ◽  
pp. 896-902 ◽  
Author(s):  
Robert Arntfield ◽  
Vincent Lau ◽  
Yves Landry ◽  
Fran Priestap ◽  
Ian Ball

Objective: Critical care echocardiography has become an integral tool in the assessment and management of critically ill patients. Critical care transesophageal echocardiography (TEE) offers diagnostic reliability, superior image quality, and an expanded diagnostic scope to transthoracic echocardiography. Despite its favorable attributes, TEE use in North American intensive care units (ICUs) remains relatively undescribed. In this article, we seek to characterize the feasibility, indications, and clinical impact of a critical care TEE program. Design: Retrospective, observational study. Setting: Tertiary care, academic critical care program consisting of 2 hospitals in Ontario, Canada. Participants: Consecutive critical care TEE examinations on ICU patients performed between December 2012 and December 2016 Interventions: None. Measurements and Main Results: Consecutive critical care TEE studies on ICU patients from December 1, 2012, to December 31, 2016, were reviewed. The TEEs performed on cardiac surgery patients and those without reports were excluded. Examination details, including indications, complications, examination complexity (number of views, Doppler techniques), and clinical recommendations were aggregated and analyzed. Two hundred seventy-four TEE studies were performed by 38 operators. Common indications for TEE studies were hemodynamic instability (45.2%), assessment for infective endocarditis (22.2%), and cardiac arrest (20.1%). A change in patient management was proposed following 79.5% of TEE studies. Thirty-eight percent of TEE studies were performed during evening hours or on weekends. There were no mechanical complications. Conclusions: Our observational data support intensivist-performed TEE as being safe and therapeutically influential across a broad range of indications. Our program’s demonstrated feasibility and impact may act as a model for TEE adoption in other North American ICUs.


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