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Epilepsia Aug 2014Transition is a purposeful, planned process that addresses the medical, psychosocial, educational, and vocational needs of adolescents and young adults with chronic... (Review)
Review
Transition is a purposeful, planned process that addresses the medical, psychosocial, educational, and vocational needs of adolescents and young adults with chronic medical conditions, as they advance from a pediatric and family-centered to an adult, individual focused health care provider. This article describes some of the models for transition clinics or services for epilepsy in five countries (Canada, France, Colombia, Germany, and the United Kingdom). These models include joint adult and pediatric clinics, algorithm-driven service, and a check list system in the context of pediatric care. Evaluation of these models is limited, and it is not possible to choose an optimal program. The attitude and motivation of health care providers may be the most important elements.
Topics: Continuity of Patient Care; Health Personnel; Patient Care Team; Pediatrics; Transition to Adult Care
PubMed: 25209087
DOI: 10.1111/epi.12716 -
Seminars in Neurology Oct 2018Neuropalliative care is a new and growing field within neurology that focuses on improving the quality of life of patients with serious neurologic illnesses. While... (Review)
Review
Neuropalliative care is a new and growing field within neurology that focuses on improving the quality of life of patients with serious neurologic illnesses. While specialty-level palliative care training is available to interested neurologists, all neurologists can strive to provide primary palliative care for their patients. In this review, we will describe the scope of neuropalliative care, define patient populations who may benefit from palliative care, and explore the communication and symptom management skills essential to palliative care delivery.
Topics: Humans; Neurologists; Neurology; Palliative Care; Patient Care; Practice Guidelines as Topic; Quality of Life
PubMed: 30321896
DOI: 10.1055/s-0038-1668074 -
Congenital Heart Disease Mar 2018Pediatric cardiovascular services are responding to the dynamic changes in the medical environment, including the business of medicine. The opportunity to advance our... (Review)
Review
Pediatric cardiovascular services are responding to the dynamic changes in the medical environment, including the business of medicine. The opportunity to advance our pediatric cardiology field through collaboration is now realized, permitting us to define meaningful quality metrics and establish national benchmarks through multicenter efforts. In March 2016, the American College of Cardiology hosted the first Adult Congenital/Pediatric Cardiology Section Congenital Heart Community Day. This was an open participation meeting for clinicians, administrators, patients/parents to propose metrics that optimize patient care and outcomes for a state-of-the-art congenital heart center of the 21st century. Care center collaboration helps overcome the barrier of relative small volumes at any given program. Patients and families have become active collaborative partners with care centers in the definition of acute and longitudinal outcomes and our quality metrics. Understanding programmatic metrics that create an environment to provide outstanding congenital heart care will allow centers to improve their structure, processes and ultimately outcomes, leading to an increasing number of centers that provide excellent care. This manuscript provides background, as well listing of proposed specialty domain quality metrics for centers, and thus serves as an updated baseline for the ongoing dynamic process of optimizing care and realizing patient value.
Topics: Cardiology; Child; Congresses as Topic; Heart Defects, Congenital; Humans; Patient Care; Registries; United States
PubMed: 29400005
DOI: 10.1111/chd.12575 -
American Journal of Pharmaceutical... May 2016Empathy can have strong positive effects on patient outcomes, increase patient satisfaction, and reduce malpractice litigation. With modern advances in technology,... (Review)
Review
Empathy can have strong positive effects on patient outcomes, increase patient satisfaction, and reduce malpractice litigation. With modern advances in technology, however, the appropriate expression of empathy in today's age is being threatened, largely as a result of psychological processes that form online disinhibition. The digitization of health care and the corresponding decrease in the expression of empathy may be cause for concern. Because empathy is strongly correlated to positive health outcomes and is an important part of health professions in general, the construct of digital empathy should be considered for integration into health professions curricula.
Topics: Communication; Education, Pharmacy; Empathy; Humans; Patient Care; Social Media
PubMed: 27293225
DOI: 10.5688/ajpe80458 -
Research in Gerontological Nursing Jan 2017Although palliative care consultation teams are common in U.S. hospitals, follow up and outcomes of consultations for frail older adults discharged to nursing facilities... (Review)
Review
Although palliative care consultation teams are common in U.S. hospitals, follow up and outcomes of consultations for frail older adults discharged to nursing facilities are unclear. To summarize and critique research on the care of patients discharged to nursing facilities following a hospital-based palliative care consult, a systematic search of PubMed, CINAHL, Ageline, and PsycINFO was conducted in February 2016. Data from the articles (N = 12) were abstracted and analyzed. The results of 12 articles reflecting research conducted in five countries are presented in narrative form. Two studies focused on nurse perceptions only, three described patient/family/caregiver experiences and needs, and seven described patient-focused outcomes. Collectively, these articles demonstrate that disruption in palliative care service on hospital discharge and nursing facility admission may result in high symptom burden, poor communication, and inadequate coordination of care. High mortality was also noted. [Res Gerontol Nurs. 2017; 10(1):25-34.].
Topics: Aged; Aged, 80 and over; Delivery of Health Care; Female; Humans; Male; Middle Aged; Palliative Care; Patient Care Team; Skilled Nursing Facilities; Subacute Care; Transitional Care
PubMed: 28112355
DOI: 10.3928/19404921-20161209-02 -
Revista Brasileira de Enfermagem Nov 2019to identify evidence of scientific production on hospital transition care provided to the elderly. (Review)
Review
OBJECTIVE
to identify evidence of scientific production on hospital transition care provided to the elderly.
METHOD
an integrative review, with publications search in the MEDLINE, PubMed, LILACS, BDENF, Index Psychology and SciELO databases, with keywords and Mesh terms: elderly, hospitalization, patient discharge, health of the elderly, and transitional care, between 2013 and 2017 in English, Portuguese and Spanish. The 14 selected articles analysis was carried out through exploratory and critical reading of titles, abstracts and results of the researches.
RESULTS
transitional care can prevent re-hospitalizations as they enable rehabilitation, promotion and cure of illnesses in the elderly.
FINAL CONSIDERATIONS
transitional care implies the improvement of the quality of life of the elderly person, requiring skilled health professionals who involve the family through accessible communication.
Topics: Continuity of Patient Care; Geriatrics; Hospitalization; Humans; Quality of Life; Transitional Care
PubMed: 31826223
DOI: 10.1590/0034-7167-2018-0286 -
Chest Nov 2020
Topics: Aftercare; Critical Care; Critical Illness; Delirium; Health Services Needs and Demand; Humans; Intensive Care Units; Mental Health; Patient Care Team; Quality Improvement; Survivors
PubMed: 32599070
DOI: 10.1016/j.chest.2020.06.028 -
Annals of the Royal College of Surgeons... Sep 2017
Topics: Awards and Prizes; Biomedical Research; General Surgery; Humans; Patient Care; Publishing
PubMed: 28853607
DOI: 10.1308/rcsann.2017.0160 -
American Family Physician May 2021More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU...
More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for post-ICU complications. Risk factors for complications after ICU discharge include previous ICU admissions, preexisting mental illness, greater number of comorbidities, and prolonged mechanical ventilation or higher opioid exposure while in the ICU. Early nutritional support and mobilization in the ICU decrease the risk of complications. After ICU discharge, patients should be screened for depression, anxiety, insomnia, and cognitive impairment using standardized screening tools. Physicians should also inquire about weakness, fatigue, neuropathy, and functional impairment and perform a targeted physical examination and laboratory evaluation as indicated; treatment depends on the underlying cause. Exercise regimens are beneficial for reducing several post-ICU complications. Patients who were treated for COVID-19 in the ICU may require additional instruction on reducing the risk of virus transmission. Telemedicine and telerehabilitation allow patients with COVID-19 to receive effective care without increasing exposure risk in communities, hospitals, and medical offices.
Topics: Aftercare; Ambulatory Care; COVID-19; Cognitive Dysfunction; Continuity of Patient Care; Critical Care; Health Services Needs and Demand; Humans; Intensive Care Units; Patient Discharge; Physical Functional Performance; Quality Improvement; SARS-CoV-2; United States
PubMed: 33983005
DOI: No ID Found -
Cancer Control : Journal of the Moffitt... Oct 2015Despite growing recognition that psychosocial care is an essential component of comprehensive cancer care, evidence suggests many patients with cancer do not receive... (Review)
Review
BACKGROUND
Despite growing recognition that psychosocial care is an essential component of comprehensive cancer care, evidence suggests many patients with cancer do not receive needed psychosocial care.
METHODS
Four areas were identified as potentially increasing the number of patients with cancer who receive needed psychosocial care: (1) formulating care standards, (2) issuing clinical practice guidelines, (3) developing and using measurable indicators of quality of care, and (4) demonstrating projects designed to improve the delivery of care.
RESULTS
Standards for psychosocial care are identified, including a standard issued in 2015 by an accrediting organization. Three clinical practice guidelines for provisioning psychosocial care are also identified and reviewed. Methods for monitoring the quality of psychosocial care are characterized and the impact of monitoring changes in quality are evaluated in relation to existing evidence. Examples are provided of 2 large-scale efforts designed to improve the delivery of psychosocial care in community settings.
CONCLUSIONS
Although considerable progress has been made in integrating psychosocial care into routine cancer care, work must still be done. Additional progress will be fostered by continued efforts to promote adherence to clinical practice guidelines and care standards for psychosocial care and by the development and dissemination of models that demonstrate how practices can implement these guidelines and standards.
Topics: Delivery of Health Care; Humans; Neoplasms; Patient Care; Practice Guidelines as Topic
PubMed: 26678971
DOI: 10.1177/107327481502200410