scholarly journals An Integrated Care Pathway for Self-Injurious Behavior for Individuals with IDD: Improving Practice through Training

2016 ◽  
Vol 1 (2) ◽  

This paper addresses the lack of knowledge and lack of standardization for treating individuals who engage in selfinjurious behavior (SIB) to the head. An evidence-based integrated care pathway is described that was created for health care professionals treating individuals with intellectual and developmental disability (IDD) who engage in frequent and/or significant SIB. It is anticipated that this pathway will increase treatment team knowledge of best practices, decrease clinical variation, standardize care, and improve clinical outcomes with this vulnerable population.

Author(s):  

This paper addresses the lack of knowledge and lack of standardization for treating individuals who engage in self-injurious behavior (SIB) to the head. An evidence-based integrated clinical care pathway is described that was created for health care professionals treating individuals with intellectual and developmental disability (IDD) who engage in frequent and/or significant SIB. It is anticipated that this pathway will increase treatment team knowledge of best practices, decrease clinical variation, standardize care, and improve clinical outcomes with this vulnerable population.


2005 ◽  
Vol 9 (1) ◽  
pp. 6-12 ◽  
Author(s):  
Michelle Croucher

An integrated care pathway (ICP) is an outline of planned care for a specific patient group. It highlights usual practice that is evidence-based, from which variations occur as health-care professionals use their professional judgement. The objectives of the study were to identify the key elements within an ICP, to formulate a checklist utilizing the ICP key elements, and to evaluate ICPs available from the UK National electronic Library for Health (NeLH) against the checklist. An ICP key elements checklist was produced from a review of ICP literature. In all, 90% of the ICPs evaluated contained a plan of anticipated care along some form of timeline, including processes and outcomes. Also, 70% of the ICPs evaluated did not contain a variance-recording framework. In addition, 70% of the ICPs evaluated did not contain any evidence of evidence-based best practice. This study shows that there is wide variability in the quality of the ICPs being developed in the UK National Health Service (NHS), and that the development of ICPs in many health-care organizations is inadequate. Variability of the ICPs being developed will have a direct impact on the quality of patient care, and improvements in care and service delivery may not be identified, implemented or reviewed. It is recommended that a tool be produced, which would provide a standard framework for NHS staff to follow when developing ICPs.


2005 ◽  
Vol 9 (3) ◽  
pp. 101-105
Author(s):  
Robert Grant ◽  
Julie Hall ◽  
Roger Pritlove

This is the second paper of two, which considers the development, use and evaluation of an integrated care pathway (ICP) for acute inpatient mental health care. This paper reports an evaluation that was carried out to measure the impact of an ICP (described in Part 1) on the interventions it was designed to guide. The methodology used was pre- and post-ICP comparison of activities/care recorded in health-care records using delineating measures. Data were gathered from the notes of 23 service-users who had two inpatient stays within a year, one pre-ICP and one post-ICP. The findings suggested an overall improved provision of interventions, although as the ICP progressed the likelihood of receiving interventions fell. Three specific aspects were not affected by the ICP, these were giving information about observation levels to service-users, care planning and medical interventions. These issues are discussed and the conclusion raise implications for further ICP development and implementation.


2020 ◽  
Vol 58 (2) ◽  
pp. 81-81
Author(s):  
P.W. Hellings

The April issue of Rhinology includes the Executive Summary of EPOS2020, highlighting the most important up-dates on disease definitions, treatment algorithms and integrated care pathway approaches of CRS. EPOS2020 (1) is the result of major efforts by a team of passionate rhinologists and associate health care providers coming from all corners of the world coordinated by Professors Wytske Fokkens and Valerie Lund. The Executive Summary presented here illustrates the most important graphs for use in daily practice and teaching purposes. In addition, the April issue of Rhinology also brings relevant CRS-related aspects to the attention of the readers of Rhinology.


2007 ◽  
Vol 70 (12) ◽  
pp. 527-533 ◽  
Author(s):  
Lindsay Rigby ◽  
Jeannette Hannah ◽  
Katharine Haworth ◽  
Lynn Molloy ◽  
Kerry Scutts

2020 ◽  
Vol 58 (2) ◽  
pp. 81-81
Author(s):  
P.W. Hellings

The April issue of Rhinology includes the Executive Summary of EPOS2020, highlighting the most important up-dates on disease definitions, treatment algorithms and integrated care pathway approaches of CRS. EPOS2020 (1) is the result of major efforts by a team of passionate rhinologists and associate health care providers coming from all corners of the world coordinated by Professors Wytske Fokkens and Valerie Lund. The Executive Summary presented here illustrates the most important graphs for use in daily practice and teaching purposes. In addition, the April issue of Rhinology also brings relevant CRS-related aspects to the attention of the readers of Rhinology.


2018 ◽  
Vol 18 (4) ◽  
Author(s):  
Francesca Bravi ◽  
Eugenio Di Ruscio ◽  
Antonio Frassoldati ◽  
Giorgio Narciso Cavallesco ◽  
Giorgia Valpiani ◽  
...  

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