Download or read book Evaluation of Attendance Patient Satisfaction Knowledge and Clinical Outcomes Following Participation in a Group Diabetes Self management Eduction and Support Program in a Primary Care Clinical Setting written by Jordan LeCour Rauh and published by . This book was released on 2020 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction: Although group Diabetes Self-Management Education and Support (DSMES) programs have been attempted throughout Community Health Network, no evaluation of the programs had been conducted. Introduction: Although group Diabetes Self-Management Education and Support (DSMES) programs have been attempted throughout Community Health Network, no evaluation of the programs had been conducted. Objectives: The primary objectives of this study were to evaluate attendance, patient satisfaction and change in disease state knowledge following participation in six sessions of a group DSMES program led by a multidisciplinary team. The secondary objective was to evaluate clinical outcomes. Methods: This retrospective, observational study focused on process improvement evaluating a standardized approach to a group DSMES program beginning in August 2017 within Community Health Network. Eleven courses ran six sessions lasting approximately 1.5 hours that occurred weekly or every other week. Patients with a history of Type 2 diabetes who had a primary care provider within Community Health Network were invited to participate. Attendance and clinical outcomes were evaluated by a retrospective chart review of the electronic medical record. Evaluation of the program, both patient satisfaction and knowledge, occurred through the voluntary completion of various paper surveys throughout the program. Results: To date, eleven clinic sites have completed a group DSMES program totaling 89 patient participants. Program attendance was evaluated to determine what topics, days, times, and clinic sites would allow future programs to reach the most patients. 47 patients (52.8%) were able to attend four or more of the six sessions; 14 patients (15.7%) attended all six sessions. Responses from the patient satisfaction surveys indicated that patients approved of the speakers well over 90 percent of the time, patients "Strongly Agree" in favor of the sessions at a rate of 88.5% (3.54/4), and patients favored topics focusing on nutrition. Knowledge-based surveys showed an average score increase of 8.3%. Frequently missed topics included goal fasting and fed blood sugar levels. Patients showed mastery of concepts related to the definition of diabetes as well as frequency of immunizations, eye exams, and hemoglobin A1c monitoring. The average reduction of hemoglobin A1c was 0.58% overall. Patients that attended all six sessions saw an average decrease of 0.96%. Patients lost an average of 0.9 kilograms. Systolic blood pressure average dropped by 2mmHg. Conclusion: Following participation in the group DSMES program patients were satisfied with their care while increasing their disease state knowledge leading to an improvement in hemoglobin A1c. The results observed from the review of this DSMES program supports its continued use and expansion throughout Community Health Network" --Unnumbered leaf 1.
Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.
Download or read book Journal of the American Dietetic Association written by and published by . This book was released on 1999 with total page 1188 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Textbook of Diabetes written by Richard I. G. Holt and published by John Wiley & Sons. This book was released on 2016-12-06 with total page 1108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its fifth edition, the Textbook of Diabetes has established itself as the modern, well-illustrated, international guide to diabetes. Sensibly organized and easy to navigate, with exceptional illustrations, the Textbook hosts an unrivalled blend of clinical and scientific content. Highly-experienced editors from across the globe assemble an outstanding set of international contributors who provide insight on new developments in diabetes care and information on the latest treatment modalities used around the world. The fifth edition features an array of brand new chapters, on topics including: Ischaemic Heart Disease Glucagon in Islet Regulation Microbiome and Diabetes Diabetes and Non-Alcoholic Fatty Liver Disease Diabetes and Cancer End of Life Care in Diabetes as well as a new section on Psychosocial aspects of diabetes. In addition, all existing chapters are fully revised with the very latest developments, including the most recent guidelines from the ADA, EASD, DUK and NICE. Includes free access to the Wiley Digital Edition providing search across the book, the full reference list with web links, illustrations and photographs, and post-publication updates Via the companion website, readers can access a host of additional online materials such as: 200 interactive MCQ's to allow readers to self-assess their clinical knowledge every figure from the book, available to download into presentations fully searchable chapter pdfs Once again, Textbook of Diabetes provides endocrinologists and diabetologists with a fresh, comprehensive and multi-media clinical resource to consult time and time again.
Download or read book Index Medicus written by and published by . This book was released on 2004 with total page 1876 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Download or read book ADA The Complete Nurse s Guide to Diabetes Second Edition written by Belinda Childs and published by American Diabetes Association. This book was released on 2009-05-27 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: What every nurse must know about diabetes Complete Nurse’s Guide to Diabetes Care is a comprehensive resource for all nurses who work with diabetes patients. Extensively revised, it offers expert advice on the fundamentals of diabetes care and related nursing issues.
Download or read book Medical Management of Vulnerable and Underserved Patients Principles Practice Populations Second Edition written by Talmadge E. King and published by McGraw Hill Professional. This book was released on 2016-06-17 with total page 577 pages. Available in PDF, EPUB and Kindle. Book excerpt: The leading reference and text on the increasingly relevant and important topic of caring for underserved patients and those with highly unique health requirements A Doody’s Core Title for 2019! The timely publication of Medical Management of Vulnerable and Underserved Patients: Principles, Practice and Populations, Second Edition is designed to clarify current issues and instruct you in best practices and compliance with legislation, such as the Affordable Care Act, when caring for patients living with chronic diseases in poor and minority populations. How do these laws affect you, your practice, and patient care? Medical Management of Vulnerable and Underserved Patients is ideally suited for clinical and educational programs and policy-oriented institutions concerned with addressing health disparities and caring for the underserved and vulnerable patient. Comprehensive in scope and authored by many of the leading names in the field, the book takes complex concepts and issues and helps you understand them, resulting in a “roadmap” to guide real-world applications and compliance with the terms of the law. Each chapter integrates key concepts, core competencies, and common pitfalls and concludes with useful lists of web resources and stimulating discussion questions. From the reviews of the First Edition: "This book is an ambitious and important contribution to the care of our most wounded patients. For those of us who regularly care for vulnerable patients, it provides an excellent resource and supportive guide. However, it should also become part of the standard library for all medical students and practicing physicians. All physicians have much to learn from the practical, evidence-based approaches to the societal issues we all face in practice. Ultimately, this is a book that could help all clinicians take better care of all patients, especially those who may need extra help and support as they navigate our complex health care system." -- New England Journal of Medicine The Second Edition features: Fully revised to reflect passage and impact of the Affordable Care Act on care of underserved patients Expanded with major new chapters, from Health Quality to Rural Healthcare, and additional content relevant to nursing Focused on evidence-based practice with a patient-centered approach Full color format Boxed main points and Practical "Pearls,” such as how to write a disability letter PowerPoint slides and question sets, exercises, and cases to aid instruction
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Download or read book Evidence Helping people help themselves written by Debra de Silva and published by The Health Foundation. This book was released on 2011 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The American Diabetes Association JDRF Type 1 Diabetes Sourcebook written by Anne L. Peters and published by American Diabetes Association. This book was released on 2013-03-29 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.
Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.
Download or read book Cumulated Index Medicus written by and published by . This book was released on 2000 with total page 1836 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Influence of Group Medical Visits on Patients Behavioral Intentions Self management Behaviors and Clinical Outcomes written by Ruth Zuniga and published by . This book was released on 2013 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes is linked to behavior and requires patients to engage in complex self management practices to attain glycemic control and prevent complications. Group medical visits (GMVs)--which are shared medical appointments used in primary care provide a model of care to help patients adhere to self-management behaviors. Developing, implementing, and translating this model of care in a clinical setting has proven challenging, and the underlying mechanisms related to improved outcomes found in participants of GMVs are undetermined. The purpose of this study was to implement and evaluate GMVs for diabetes care in a primary-care and residency-training facility and explore changes in behavioral intentions, self-management behaviors, and blood HbA1c levels. The study also explored whether behavioral intentions and self-management behaviors functioned as mediators of changes in HbA1c levels. A repeated measures design with 37 participants examined the behavioral intentions to diet, to exercise, and to adhere to medication; self-management behaviors (i.e., diet, exercise, and adherence to medication); and HbA1c levels of participants with Type 2 diabetes during and after the GMVs. Behavioral intentions and self-management behaviors were measured through self-report instruments at baseline, posttreatment, and 3-month follow-up; HbA1c values were measured at baseline and 3-month follow-up. Self-reported adherence to diet changed significantly from baseline to posttreatment and remained at 3-month follow-up. Self-reported exercise changed significantly from baseline to posttreatment; changes were not sustained at 3-month follow-up. Clinical and statically significant changes in HbA1c levels were seen at 3- month follow-up. A reduction of 0.7% in blood glucose levels was observed; the majority of the participants (59.5%) attained diabetes control at 3-month follow-up. No mediation relationship was found between behavioral intentions, self-management behaviors, and HbA1c levels. This study is the first reported examination of GMVs that found significance in biophysical outcomes without research-based funding. GMVs focused on health-behavior change can be executed and sustained in primary-care and residency-training facilities. This program modality is a promising model of care for motivated patients and may help patients reach self-care goals and diabetes control. Future research with a larger sample size and a control group is needed to enhance the current findings.
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Download or read book Knowledge Translation in Health Care written by Sharon E. Straus and published by John Wiley & Sons. This book was released on 2011-08-24 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care systems worldwide are faced with the challenge of improving the quality of care. Providing evidence from health research is necessary but not sufficient for the provision of optimal care and so knowledge translation (KT), the scientific study of methods for closing the knowledge-to-action gap and of the barriers and facilitators inherent in the process, is gaining significance. Knowledge Translation in Health Care explains how to use research findings to improve health care in real life, everyday situations. The authors define and describe knowledge translation, and outline strategies for successful knowledge translation in practice and policy making. The book is full of examples of how knowledge translation models work in closing the gap between evidence and action. Written by a team of authors closely involved in the development of knowledge translation this unique book aims to extend understanding and implementation worldwide. It is an introductory guide to an emerging hot topic in evidence-based care and essential for health policy makers, researchers, managers, clinicians and trainees.
Download or read book Occupational Therapy Practice Framework Domain and Process written by Aota and published by AOTA Press. This book was released on 2014 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt: As occupational therapy celebrates its centennial in 2017, attention returns to the profession's founding belief in the value of therapeutic occupations as a way to remediate illness and maintain health. The founders emphasized the importance of establishing a therapeutic relationship with each client and designing an intervention plan based on the knowledge about a client's context and environment, values, goals, and needs. Using today's lexicon, the profession's founders proposed a vision for the profession that was occupation based, client centered, and evidence based--the vision articulated in the third edition of the Occupational Therapy Practice Framework: Domain and Process. The Framework is a must-have official document from the American Occupational Therapy Association. Intended for occupational therapy practitioners and students, other health care professionals, educators, researchers, payers, and consumers, the Framework summarizes the interrelated constructs that describe occupational therapy practice. In addition to the creation of a new preface to set the tone for the work, this new edition includes the following highlights: a redefinition of the overarching statement describing occupational therapy's domain; a new definition of clients that includes persons, groups, and populations; further delineation of the profession's relationship to organizations; inclusion of activity demands as part of the process; and even more up-to-date analysis and guidance for today's occupational therapy practitioners. Achieving health, well-being, and participation in life through engagement in occupation is the overarching statement that describes the domain and process of occupational therapy in the fullest sense. The Framework can provide the structure and guidance that practitioners can use to meet this important goal.
Download or read book TIP 35 Enhancing Motivation for Change in Substance Use Disorder Treatment Updated 2019 written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2019-11-19 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.
