Download or read book Severe Asthma written by Kian Fan Chung and published by European Respiratory Society. This book was released on 2019-06-01 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Severe asthma is a form of asthma that responds poorly to currently available medication, and its patients represent those with greatest unmet needs. In the last 10 years, substantial progress has been made in terms of understanding some of the mechanisms that drive severe asthma; there have also been concomitant advances in the recognition of specific molecular phenotypes. This ERS Monograph covers all aspects of severe asthma – epidemiology, diagnosis, mechanisms, treatment and management – but has a particular focus on recent understanding of mechanistic heterogeneity based on an analytic approach using various ‘omics platforms applied to clinically well-defined asthma cohorts. How these advances have led to improved management targets is also emphasised. This book brings together the clinical and scientific expertise of those from around the world who are collaborating to solve the problem of severe asthma.

Download or read book Implementation of the Asthma Practice Guideline in the Army Medical Department written by Donna O. Farley and published by Rand Corporation. This book was released on 2005-12-01 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: In partnership with the Army Medical Department, RAND worked to implement clinical practice guidelines. This report evaluates the asthma guideline demonstration. It documents the actions, assesses effects, and measures the quality and limitations of data for monitoring outcomes. The authors found that the implementation scored successes but resource limitations and organizational barriers curbed progress. They conclude that flexibility, monitoring, and training are the keys to implementing the guidelines. They also found that patient education needed improvement.

Download or read book Clinical Practice Guidelines We Can Trust written by Institute of Medicine and published by National Academies Press. This book was released on 2011-06-16 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.

Download or read book National Asthma Guidelines Implementation by Primary Care Providers written by Nancy M. Partos and published by ProQuest. This book was released on 2007 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is a potentially fatal chronic disease responsible for over 1.8 million emergency room visits annually, and over five thousand deaths per year. The most rapid increase in asthma cases occurred in children under five years of age, with rates of disease increasing over 160 percent between 1980 and 1994. This quantitative, descriptive study utilized a retrospective medical chart review to determine if primary care providers adhered to aspects of the 2002 National Education Prevention Program Expert Panel Report: Guidelines for the Diagnosis and Management of Asthma. Data from 245 medical charts of nineteen primary care providers was collected and analyzed using simple and descriptive statistics. The results of this study showed that 97% of patients were not assigned an asthma severity/classification. There was no appreciable difference in the practice patterns between types of providers.

Download or read book Implementation of Asthma Treatment Guidelines written by Patience O. Ekeocha and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is a chronic respiratory disease that affects adults, children, and the elderly. Asthma has taken a toll on the economy of its sufferers, families, and health care providers. In the United States, approximately 23 million people have asthma. More than half of these individuals had at least one asthma attack in the previous year. This translates into an average of four days missed from school each year per asmthmatic child and two and a half days missed for work per asthmatic adult; 11 million outpatient medical visits; 2 million emergency room visits; nearly 400,000 hospitalizations; and approximately 4,000 deaths annually. In Maryland, approximately 12.9% of adults and 13.6% of children have a history of asthma. In 2007, asthma accounted for 9,800 hospitalizations and roughly 38,000 emergency department (ED) visits. Foreground: Students with asthma at a historically Black university were more likely to use the hospital ED than students with other chronic illnesses. A quality improvement (QI) needs assessment project conducted in the University Health Clinic (UHC) from February 2010 to April 2010 showed than 935 students with asthma visited the ED comapred to the 351 students with asthma that attended the clinic. The purpose of this project was to develop a Clinical Practice Guidelines (CPG) and a protocol for Evidence-Based Practice (EBP) for clinicians in the UHC. Goal: The short-term goal for this capstone project was to ensure that clinicians adhere to the Guidelines for the Diagnosis and Management of Asmthma CPG in the UHC for the treatment and management of asthma. The long-term goal is to decrease the frequent ED visits by students with asthma. Plan: The Change Theory, "unfreezing, movement, and refreezing" in Marquis and Houston was used as a theoretical foundation to accomplish the plan project. Rosswurm and Larrabee's EBP Model was used to guide the implementation of the capstone project. The plan included a pre- and post-test and a self-education package based on the CPG. The pretest assessed the clinician's base knowledge.

Download or read book Implementation of Asthma Guidelines in a Rural Community written by Charlotte Lea Graham and published by . This book was released on 1998 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Patient Assessment in Clinical Pharmacy written by Sherif Hanafy Mahmoud and published by Springer. This book was released on 2019-03-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, first-of-its kind title is an indispensable resource for pharmacists looking to learn or improve crucial patient assessment skills relevant to all pharmacy practice settings. Pharmacists’ role as health care practitioners is evolving as they are taking a more active part in primary patient care -- helping patients manage their medications and diseases, providing patient education, and, in some jurisdictions, prescribing and adapting medications. To perform their day-to-day duties, pharmacists are best-served using a framework called the patient care process. This framework involves three steps: patient assessment; care plan development and implementation; and monitoring and follow up. Organized in four parts, this practical book begins with introductory chapters regarding the basics of patient assessment and the patient care process. Part II includes a detailed assessment of common symptoms encountered by pharmacists. Part III discusses assessment of patients with various chronic illnesses. Part IV addresses select specialized topics and assessment considerations. An invaluable contribution to the literature, Patient Assessment in Clinical Pharmacy: A Comprehensive Guide will be of great benefit to pharmacists, regardless of their practice setting, and to pharmacy students as well.

Download or read book Chronic Obstructive Pulmonary Disease Exacerbations written by Jadwiga A. Wedzicha and published by CRC Press. This book was released on 2008-09-22 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic Obstructive Pulmonary Disease Exacerbations covers the definition, diagnosis, epidemiology, mechanisms, and treatment associated with COPD exacerbations. This text also addresses imaging and how it plays a pivotal role in the diagnosis and study of exacerbations.Written by today's top experts, Chronic Obstructive Pulmonary Disease Exacerbat

Download or read book Asthma Clinical Practice Guideline Implementation and Evaluation in a Military Treatment Facility Pediatric Clinic written by Jane E. Jacknewitz-Woolard and published by . This book was released on 2012 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is a common chronic disease of childhood, affecting more than six million children (NHLBI, 2007). Several national guidelines regarding asthma diagnosis and treatment are available. Two of the most accepted are the National Heart, Lung, Blood Institute (2007) and the Department of Defense and Veteran's Affairs (DoD/VA, 2009) clinical practice guideline (CPG). These guidelines assist Health Care Providers (HCP's) in delivering the most current and accepted standards of practice for patients with asthma. However, compliance is often difficult for HCPs as well as patients. The purpose of this evidence-based project was to implement the DoD/VA asthma CPG at a Military Treatment Facility pediatric clinic. Compliance with the asthma CPG was evaluated in 5 specific areas: emergency department visits, acute care visits, hospitalization rate, use of a written asthma action plan and prescription of inhaled corticosteroid for any severity of persistent asthma. The Stetler Model of Research Utilization (2001) was used to facilitate this project. After literature review and an organizational assessment, this author utilized a combined approach of provider education and extrinsic tools to implement the CPG. A 3-month retrospective chart review was completed prior to and three months after CPG implementation. The two groups had similar ages, sex, and sponsor status. Following implementation of the CPG, there was a 6% decrease in the percentage of ED visits. However, there was a slight increase in rates of acute care visits and hospitalizations (2% and 6%, respectively). A small (2%) increase was also noted in the use of ICS. Unfortunately, post-CPG implementation data collection coincided with the winter months, which may have been a confounder. There was a larger increase in use of written asthma action plan post-CPG implementation (14 to 44%). Using the z-test of proportions, only the increase in the use of asthma action plan was statistically significant. Although there was not significant improvement in the majority of outcomes measured, the primary goal of this project was implementation of the asthma CPG. No one method of CPG implementation has been proven to be more successful than another method according to the literature. Through the process of this evidence-based practice project, Providers have voiced an increased awareness of the DoD/VA CPG. Although not formally measured, this provides a basis for future in depth study and analysis. This project will be sustained via ongoing process improvement monitoring and reporting.

Download or read book Manual of Asthma Management written by Paul M. O'Byrne and published by Bailliere Tindall Limited. This book was released on 1995 with total page 851 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook provides advice on the diagnosis and management of asthmas in both paediatric and adult patients. It offers assistance with implementation of the International Asthma Guidelines of Diagnosis and Treatment of Asthma and discusses areas of controversy and treatment strategies.

Download or read book The Implementation of New Treatment Guidelines in Asthma in a Social System by Health Care Providers written by Rajesh Revachand Mehta and published by . This book was released on 2002 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study evaluates the implementation stage of the innovation-decision process by observing the adoption of asthma treatment guidelines in a social system, the Idaho Medicaid program.

Download or read book Design and Implementation of a Computerized Asthma Management System in the Pediatric Emergency Department written by Judith Wehling Dexheimer and published by . This book was released on 2011 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Improving Childhood Asthma Outcomes in the United States written by Marielena Lara and published by Rand Corporation. This book was released on 2002-05-07 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: One-liner: A set of policy recommendations to promote the development and maintenance of communities in which children with asthma can be swiftly diagnosed, effectively treated, and protected from exposure to harmful environmental factors. An estimated 5 million U.S. children have asthma. Too many of these children are unnecessarily impaired. Much of the money spent on asthma is for high-cost health care services to treat acute periods of illness. Many asthma attacks could be avoided--and much suffering prevented and many medical costs saved--if more children received good-quality, ongoing asthma care and if the 11 policy recommendations presented in this report were implemented in a oordinated fashion. A national call to action, the policy recommendations span public and private interests and compel integration of public health activities across local, state, and federal levels. This report summarizes the findings of an effort funded by the Robert Wood Johnson Foundation as part of the Pediatric Asthma Initiative, whose purpose is to address current gaps in national childhood asthma care. It is the first national initiative that simultaneously addresses treatment, policy, and financing issues for children with asthma at the patient, provider, and institutional levels. The purpose of RAND's effort was to:--identify a range of policy actions in both the public and private sectors that could improve childhood asthma outcomes nationwide--select a subset of policies to create a blueprint for national policy in this area--outline alternatives to implement these policies that build on prior efforts.The effort developed a comprehensive policy framework that maps the identified strategies to one overall policy objective: to promote the development and maintenance of asthma-friendly communities--communities in which children with asthma are swiftly diagnosed, receive appropriate and ongoing treatment, and are not exposed to environmental factors that exacerbate their condition. This report is intended as a working guide for coordinating the activities of both public and private organizations at the federal, state, and local community levels.

Download or read book The Carnivore Diet written by Shawn Baker and published by Victory Belt Publishing. This book was released on 2019-11-19 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Shawn Baker’s Carnivore Diet is a revolutionary, paradigm-breaking nutritional strategy that takes contemporary dietary theory and dumps it on its head. It breaks just about all the “rules” and delivers outstanding results. At its heart is a focus on simplicity rather than complexity, subtraction rather than addition, making this an incredibly effective diet that is also easy to follow. The Carnivore Diet reviews some of the supporting evolutionary, historical, and nutritional science that gives us clues as to why so many people are having great success with this meat-focused way of eating. It highlights dramatic real-world transformations experienced by people of all types. Common disease conditions that are often thought to be lifelong and progressive are often reversed on this diet, and in this book, Baker discusses some of the theory behind that phenomenon as well. It outlines a comprehensive strategy for incorporating the Carnivore Diet as a tool or a lifelong eating style, and Baker offers a thorough discussion of the most common misconceptions about this diet and the problems people have when transitioning to it.

Download or read book Implementation of the Asthma Practice Guideline in the Army Medical Department written by and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Army Medical Department (AMEDD) has made a commitment to establishing a structure and process to support its military treatment facilities (MTFs) in implementing evidence-based practice guidelines with the goal of achieving best practices that reduce variation and enhance quality of medical care. The Quality Management Directorate of the Army Medical Command (MEDCOM) contracted with RAND to work as a partner in the development and testing of guideline implementation methods for ultimate application to an Army-wide guideline program. Three practice guideline demonstrations were fielded over a two-year period, in each of which participating Army MTFs implemented a different clinical practice guideline. All the demonstrations worked with practice guidelines that were established collaboratively by the Department of Veterans Affairs (VA) and Department of Defense (DoD).

Download or read book Initiation of Evidence based Guidelines for the Treatment of Exacerbation of Asthma in a Rural Convenient Care Setting written by Terry Keene and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Convenient care clinics are becoming part of the landscape of the healthcare system throughout the country. Clinics owned and operated by Nurse Practitioners are becoming more prevalent in states where the practice laws allow for independence in practice. One such practice was started in 2006 by a Nurse Practitioner (NP) in a rural area of Washington State. there were few options for access to care within this small town except for using the local emergency department of the hospital. The traditional medical offices had no same day appointments and obtaining care for common illnesses in a timely manner was challenging. The clinic was created to address the healthcare needs of the community. This NP owned and operated clinic is open for extended hours during the week and is open on weekends. The NPs working at this clinic provide episodic care for all walk in patients. The services are paid by either insurance or out of pocket expense by the patient. The owner of this clinic understands and embraces the benefits of using evidence-based guidelines for the care of the patients. Although there have been no formal guidelines for treatment of acute issues such as exacerbation of asthma used in this clinic since it opened, the clinic has the equipment needed to care for patients in an urgent setting. The owner has purchased spirometer and nebulizers for the assessment and treatment of acute exacerbations of asthma. One of the more common diagnoses seen at this clinic is acute exacerbation of allergies and asthma. When the owner of the clinic was approached about using evidence-based clinical practice guidelines for the treatment of asthma, she was immediately enthusiastic. The electronic medical record, is use at this clinic would facilitate the capture of data. The purpose of this capstone project was to initiate and evidence-based clinical practice guideline and to measure outcomes in the treatment of asthma exacerbations in a convenient care setting. This project intends to answer the question: what are the clinical outcomes for patients treated for exacerbation of asthma using evidence-based clinical guidelines in a convenient care setting? The theoretical foundation for this outcome project is the Johns Hopkins Nursing Model. This model provides a framework for measurement of nursing outcomes. The model describes three major elements: identification of the practice question, gather evidence relating to the practice question and translation of the findings. Under translation, there are four elements: plan the intervention, implement the intervention, evaluate the intervention and communicate the findings. The plan for this project will follow this framework. The Project Director hypothesized that the standard treatment of acute exacerbations of asthma using evidence-based clinical practice guidelines will enhance the patient experience and become integrated into the everyday practice of the clinic. It is further theorized that the successful implementation of this clinical practice guideline would facilitate the use of clinical practice guidelines for other diagnoses. The overall arching goal is to improve patient outcomes by the use of evidence-based clinical practice guidelines in everyday practice.

Download or read book Control Asthma Through the Implementation of the National Asthma Guidelines written by and published by . This book was released on 2011 with total page 1 pages. Available in PDF, EPUB and Kindle. Book excerpt: