Download or read book Evaluation of Implemented Group Visits with a Self management Tool for Patients with Pre diabetes written by Kathryn Doyle and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the global emerging epidemics of non-communicable diseases is Type 2 Diabetes Mellitus (T2DM). The adverse consequences of T2DM are a lowered life expectancy of up to fifteen years and an increased risk of heart disease. T2DM is the leading cause of kidney failure lower limb amputations, and adult-onset blindness. As of 2010, eight percent of the United States population, or 24 million Americans, have T2DM and an estimated 57 million people have 'pre-diabetes'. In California, a University of California Los Angeles (UCLA) study found that T2DM has increased nearly 26 percent between 2001 and 2007. Orange county, California has an increase in the number of persons with T2DM from five percent in 2001 to seven percent in 2003. A solution in addressing the increase in T2DM cases is through and evidence-based system change implementing group visits led by a Certified Diabetic Educator (CDE) with a self-management tool for patients with pre-diabetes. The intended goal of such a program in a community clinic setting was a reduction or delay in conversion rates of pre-diabetics becoming T2DM. The Capstone system change took place in a North Orange County, California community health clinic. The Capstone system change involved the evaluation of implemented group visits with a self-management tool for patients with pre-diabetes. The classes were once a week, one hour in length, and taught over a four week period. The goal is to refer and provide timely, evidence-based, culturally appropriate, preventative health care for the pre-diabetic patients to delay the progression to T2DM. A six step framework developed by Larrabee was used to guide the development of the Capstone system change. The theoretical perspective of the Health Promotion Model designed by Pender was also used to emphasize the preventive health aspect throughout the Capstone system change. Researchers have shown educational group visits for T2DM and pre-diabetes can lead to improved clinical outcomes, is cost effective, improves patient satisfaction, and leads to greater self-efficacy for the patient. Incorporating a system change to include evidence-based group visits for T2DM and pre-diabetes is a recommended, feasible and affordable method in delaying the onset of T2DM for community clinics. For this Capstone system change, the group visits were an effective, culturally appropriate, efficient, and cost effective method of delivering preventive health care.
Download or read book Evaluation of Group Medical Visits in Improvement of Diabetes Self management written by Victoria M. Dobbins and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Implementation of Group Office Visits for the Management of Diabetes Mellitus written by Teresa A. McDonald and published by . This book was released on 2011 with total page 90 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 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 Privatization and the New Medical Pluralism written by Anita Chary and published by Lexington Books. This book was released on 2015-09-17 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Privatization and the New Medical Pluralism is the first collection of its kind to explore the contemporary terrain of healthcare in Guatemala through reflective ethnography. This volume offers a nuanced portrait of the effects of healthcare privatization for indigenous Maya people, who have historically endured numerous disparities in health and healthcare access. The collection provides an updated understanding of medical pluralism, which concerns not only the tensions and exchanges between ethnomedicine and biomedicine that have historically shaped Maya people’s experiences of health, but also the multiple competing biomedical institutions that have emerged in a highly privatized, market-driven environment of care. The contributors examine the macro-structural and micro-level implications of the proliferation of non-governmental organizations, private fee-for-service clinics, and new pharmaceuticals against the backdrop of a deteriorating public health system. In this environment, health seekers encounter new challenges and opportunities, relationships between the public, private, and civil sectors transform, and new forms of inequality in access to healthcare abound. This volume connects these themes to critical studies of global and public health, exposing the strictures and apertures of healthcare privatization for marginalized populations in Guatemala.
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 Findings from Provider Organizations Using Patient Registries written by Barry Leonard and published by DIANE Publishing. This book was released on 2009-02 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides info. on patient registries used by various med. groups around the U.S., including a description of the group; registry; workflow; results; and future plans: Bellin Medical Group in WI; Cambridge Health Alliance in the Boston metro. area; Central Jersey Physician Network; Deer Lakes Med. Assoc., Pittsburgh, PA; Family Practice Center, Sutter Med. Center, Santa Rosa, CA.; Greenfield Health System, Portland, OR; Ideal Health of Brighton, Rochester, NY; Intermountain Health Care, UT and ID; Luther Midelfort, WI; Peace Health, AL, WA., and OR; Physicians Med. Group of Santa Cruz, CA.; Prairie Community Health, SD; Primary Care Networks, Dayton, OH; Quello Clinic, MN; Redwood Community Health Coalition, CA; Thedacare, WI. Illus.
Download or read book Development and Testing of the Diabetes Self management Instrument written by Chiu-Chu Lin and published by . This book was released on 2005 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Pharmacist Services written by Jon Schommer and published by MDPI. This book was released on 2019-11-04 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: The overall goal of this book is to give the reader a state-of-the-art synopsis of the pharmacist services domain. To accomplish this goal, the authors have addressed the social, psychosocial, political, legal, historic, clinical, and economic factors that are associated with pharmacist services. In this book, you will gain cutting-edge insights from learning about the research of experts throughout the world. The findings have relevance for enhancing pharmacist professionalism, pharmacist practice, and the progression of pharmacist services in the future.
Download or read book Case Study and Evaluation of a Pre diabetes Self management Education Program written by Stacey L. Ruholl and published by . This book was released on 2012 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary purpose of this research study was to provide an in-depth analysis of a pre-diabetes self-management education program located in a Midwest health care center and to evaluate the effectiveness of the program. The study was designed to answer the following research questions: (1) How was the DSME program developed and how is it being implemented? (2) To what extent do the program's elements align with the National Standards for Diabetes Self-Management Education? (3) What factors affect completion of the entire program by participants? (4) What factors affect non-completion of the entire program by participants? (5) How do participants perceive their experience in the program? (6) What are the immediate effects of the program in terms of weight loss and exercise adoption? (7) What are the long-term effects of the program in terms of maintenance of weight loss, maintenance of physical activity, and prevention of T2D? (8) To what extent are the AADE Standards for Outcome Measurement of DSME being met? Effective DSME programs are typically those that meet nationally recognized guidelines and outcomes measures. Data were collected to determine the effectiveness of this program using the following methods: interviews, document reviews, observations, and a survey. Descriptive statistics in the form of frequencies and percentages were used to describe the results. Analysis of the qualitative data was conducted and themes emerged. Recommendations were provided as to how the program can be improved upon to make it more effective.
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 Nutrition for the Older Adult written by Melissa Bernstein and published by Jones & Bartlett Learning. This book was released on 2019-01-02 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated to the latest data and expert information, the Third Edition of Nutrition for the Older Adult introduces students to the unique nutritional needs of this growing population. Designed for the undergraduate, the text begins by covering the basics, including the demographics of aging, physiology of aging, and vitamin and mineral requirements for older adults. It then delves into clinical considerations, including the nutritional implications of diseases and conditions common among older adult. Additional coverage includes: nutritional assessment, pharmacology, nutritional support, and much more. With new pedagogical features along with revamped end-of-chapter activities and questions, Nutrition for the Older Adult is an essential resource for students in the fields of nutrition, nursing, public health and gerontology.
Download or read book Primary Care E Book written by Terry Mahan Buttaro and published by Elsevier Health Sciences. This book was released on 2012-03-01 with total page 1428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by and for Nurse Practitioners from a unique collaborative perspective, Primary Care: A Collaborative Practice, 4th Edition, prepares you to provide care for all of the major disorders of adults seen in the outpatient setting. Evidence-based content reflects the latest guidelines for primary care of hundreds of conditions, including hypertension, diabetes, and sexually transmitted infections. Now in full color, the 4th Edition includes chapters on emerging topics such as genetics, obesity, lifestyle management, and emergency preparedness. Combining a special blend of academic and clinical expertise, the author team provides a practical text/reference that promotes a truly collaborative primary care practice. Comprehensive, evidence-based content incorporates the latest standardized guidelines for primary care in today's fast-paced, collaborative environment. Unique! A collaborative perspective, reflecting the key roles of NPs, MDs, PAs, PharmDs, and others, promotes seamless continuity of care. A consistent format from chapter to chapters facilitates learning and clinical reference value. Diagnostics and Differential Diagnosis boxes provide a quick reference for diagnosing disorders and helping to develop effective management plans. Physician Consultation icons highlight situations or conditions in which consultation is either recommended or necessary. Emergency Referral icons identify signs and symptoms that indicate the need for immediate referral to an emergency facility. Co-management with Specialists discussions help you provide truly collaborative care in the outpatient setting. Complementary and alternative therapies are addressed where supported by solid research evidence.
Download or read book Applied Interdisciplinary Theory in Health Informatics written by P. Scott and published by IOS Press. This book was released on 2019-08-09 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Medical Informatics Association (AMIA) defines the term biomedical informatics (BMI) as: The interdisciplinary field that studies and pursues the effective uses of biomedical data, information, and knowledge for scientific inquiry, problem solving and decision making, motivated by efforts to improve human health. This book: Applied Interdisciplinary Theory in Health Informatics: A Knowledge Base for Practitioners, explores the theories that have been applied in health informatics and the differences they have made. The editors, all proponents of evidence-based health informatics, came together within the European Federation of Medical Informatics (EFMI) Working Group on Health IT Evaluation and the International Medical Informatics Association (IMIA) Working Group on Technology Assessment and Quality Development. The purpose of the book, which has a foreword by Charles Friedman, is to move forward the agenda of evidence-based health informatics by emphasizing theory-informed work aimed at enriching the understanding of this uniquely complex field. The book takes the AMIA definition as particularly helpful in its articulation of the three foundational domains of health informatics: health science, information science, and social science and their various overlaps, and this model has been used to structure the content of the book around the major subject areas. The book discusses some of the most important and commonly used theories relevant to health informatics, and constitutes a first iteration of a consolidated knowledge base that will advance the science of the field.
Download or read book The Diabetes Textbook written by Joel Rodriguez-Saldana and published by Springer. This book was released on 2019-06-27 with total page 1040 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes has become a worldwide health problem, the global estimated prevalence approaches ten percent and the burden of this disease in terms of morbidity and mortality is unprecedented. The advances acquired through the knowledge of the mechanisms of the disease and the variety of therapeutic approaches contrast with the inability of private and public health systems in underdeveloped and even developed countries to achieve the goals of treatment. This paradox has been described in many sources: the surge of scientific advances contrast with an unprecedented amount of human suffering. Thus, a patient centered and an evidence based approach with the capacity to produce measurable clinical and economic outcomes is required. The purpose of this textbook is multiple: to offer a comprehensive resource covering all aspects of outpatient management; to address diabetes as a health problem from an epidemiological, economic and clinical perspective; to discuss the role of social determinants of health on the worldwide increase in diabetes; to highlight the challenges and obstacles in providing adequate care; and to outline a multidisciplinary approach to management in which medical visits retain their importance as part of a team comprising the patient, his or her family and a multidisciplinary group of health professionals who are able to move beyond the traditional approach of diabetes as a disease and greatly improve outcomes.
