Download or read book Implementing a Clinical Practice Guideline on Human Papillomavirus Immunization in a Family Practice Clinic written by Debbie Sue Tomlinson and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Human papillomavirus (HPV) is a common virus. There are more than 100 types of HPV. About 70% of cervical cancers cases are caused by only 2 of the 15 cancer-causing types of HPV these two are called HPV 16 and HPV 18. Approximately 1 in 4 females between the ages of 14 and 59 has HPV. Over a lifetime, about 8 in 10 women will have at least one HPV infection. The availability of an HPV vaccine has positioned primary care providers (PCPS) to play an active role in ensuring its successful implementation. However, there needs to be a systematic approach to increasing HPV vaccination rates during the clinical encounter. Furthermore, providers must be aware of common knowledge, attitudes and belief barriers associated with HPV and the vaccine that are often encountered during clinical visits. Foreground: Primary care providers are uniquely positioned to deliver an HPV vaccination strategy to their communities since most preventive care service occur in the outpatient setting. In 2006, the United States Food and Drug Administration approved the first HPV vaccine for females between the ages of 9 and 26 to protect them against the 6, 11,16, 18 HPV strains. Phase I and III clinical trials have shown the vaccine to be efficacious in preventing cytologic abnormalities, genital warts, and vulvar or vaginal neoplasia. Prevention rates were high in these studies, ranging 89-100%. The availability of the HPV has positioned primary care providers (PCPs) to play an active role in ensuring its successful implementation. However, there needs to be a systematic approach to increasing HPV vaccination rates during the clinical encounter. Several clinical practice guidelines (CPGs) released by guideline developers allow the PCP to systematically by develop statements to assist practitioners and patient decisions about appropriate health care for specific circumstances. Prior to this project, none has been adopted by the providers at the clinic where this project took place. Methods: The objective of this project was to establish a system in which females could receive the HPV vaccine series. A needs assessment was done to determine the number of females in the practice that met the criteris for vaccination using the billing code from the electronic medical record (EMR) system. Next, a meeting to discuss the project with the stakeholders to assure everyone was vested in the project occured. Third, the clinic staff was educated about the project to guarantee integrity and consistency. Fourth, a timeframe was developed to implement the CPG. Lastly, a reminder system was devised for the second and third injection to assure females completed the series. Framework: The theoretical foundation for this project is the Health Belief Model (HBM). The evidenced-based practice model utilized for this project was the Rosswurm and Larrabee's model. Additionally, the mnemonic utilized for motivating interviewing of female patients was the 5 A's. The 5 A's stand for awareness, assess, address, acceptability and activate. Findings/Results: When visiting with the stakeholders, patients and caregivers, it was very apparent that they were unaware of the prevalence of the HPV infection and the development of the HPV vaccine. All groups were eager to learn about the HPV infection and vaccine, as well as prevention. Additionally, during interviews with females that were sexually active, most were agreeable to be immuized against the HPV infection. Although in visiting with parents or legal guardians about immunizing young females there was more hesitation. Post the implementation of the CPG, there was a notable increase in the percentage of females receiving the HPV vaccine. However, the most concerning finding was that the family practice clinic was not enrolled in the state immunization program requiring the females to go to the local health department for the vaccine. Conclusion/Recommendation: If health care providers endorsed the immunization females wanted to know more about HPV and many got immunized. Although educating patients about the negative effects of HPV and steps to take for prevention were paramount, immunization was essential. In addition, it was recommended that the clinic be enrolled in the state immunization program to reduce the number of missed opportunities to immunize females against this disease.
Download or read book Getting to the Point written by Meryia D. Throop and published by . This book was released on 2012 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Successful implimentation of a human papillomavirus (HPV) vaccine has the potential to eliminate 70% of all cervical cancers, 18% of head and necks cancers, and 90% of genital warts in the United States. However, although cancers associated with HPV, which include cervical cancer in women and tonsiliar in males, are overrepresented in the military population, few Military Healthcare System beneficiaries eligible for the vaccine (i.e., between the ages of 9 and 26 years of age) have started the HPV series. The purpose of this evidence-based practice (EBP) project was to initiate and evaluate a HPV vaccination program within a military family practice clinic. Guided by the Rosswurm and Larrabee Model (1999), a two prong approach with deliberate organizational and individual strategies was utilized to promote HPV vaccination. Organizational strategies include identifying and engaging key stakeholders and ensuring the vaccine was available in the the clinic. Individual strategies include synthesizing the literature, presenting a formal staff education program regarding HPV and current clinical practice guidelines for adminstration of the vaccine, and providing updates via posters and short presentations, as needed. The primary process indicator for successful implimentation of this project was measuring the change in patient vaccination over a three month period after the implimentation of the formal educationprogram. At the end of the three month period a small increase in the number of HPV immunizations was noted at the clinic (increasing from 59 the month before the interventio to 70 for three months following the intervention), and an increase from 25% to 38% in males receiving the vaccine. Although modest, this increase over the three month period was nearly equal to half of the total number of HPV vaccinations given in the previous year (210 in three months following the intervention, 409 in the previous year). In addition, this EBP effort generated several new research questions for the investigator, gave this clinic and overwhelming desire to develop future nurse-ld EBP programs, and motivated staff to continue to monitor and promote HPV vaccination among men and women.
Download or read book Vaccine Science and Immunization Guideline written by Pamela G. Rockwell, DO and published by Springer. This book was released on 2017-11-03 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a comprehensive resource on vaccines and immunizations for primary care physicians, advanced practice providers, and trainees. We are now seeing a rise in measles and the potential for rises in other previously rare infectious diseases, significantly due to public and physician misconceptions and misinformation about vaccines. The text addresses this issue by consolidating historical and current advances in vaccine science from how vaccines are developed to CDC recommendations on how and when to administer them. Expert authors also address barriers to improving vaccination rates in the U.S. and offer evidence-based recommendations on overcoming those barriers. This is an essential guide for primary care physicians, family physicians, pediatricians, internists, residents, medical students, mid-level providers, and learners for understanding vaccines and improving preventative care for their patients.
Download or read book Canadian Immunization Guide written by Canada. Comité consultatif national de l'immunisation and published by . This book was released on 2006 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: The seventh edition of the Canadian Immunization Guide was developed by the National Advisory Committee on Immunization (NACI), with the support ofthe Immunization and Respiratory Infections Division, Public Health Agency of Canada, to provide updated information and recommendations on the use of vaccines in Canada. The Public Health Agency of Canada conducted a survey in 2004, which confi rmed that the Canadian Immunization Guide is a very useful and reliable resource of information on immunization.
Download or read book Immunization in Practice written by and published by World Health Organization. This book was released on 2015 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical guide contains seven modules targeted at district and health facility staff. It intends to meet the demands to improve immunization services so as to reach more infants in a sustainable way, building upon the experiences of polio eradication. It includes materials adapted from polio on planning, monitoring and use of data to improve the service, that can be used at any level. Revising the manual has been a team exercise. There are contributions from a large number of experts, organizations and institutions. This new edition has seven modules. Several new vaccines that have become more readily available and used in recent years have been added. Also the section on integration with other health interventions has been expanded as exciting opportunities and experiences have become evident in the years following the previous edition. Module 1: Target diseases and vaccines Module 2: The vaccine cold chain Module 3: Ensuring safe injections Module 4: Microplanning for reaching every community Module 5: Managing an immunization session Module 6: Monitoring and surveillance Module 7: Partnering with communities.
Download or read book Comprehensive Cervical Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Download or read book CDC Yellow Book 2018 Health Information for International Travel written by Centers for Disease Control and Prevention CDC and published by Oxford University Press. This book was released on 2017-04-17 with total page 705 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE ESSENTIAL WORK IN TRAVEL MEDICINE -- NOW COMPLETELY UPDATED FOR 2018 As unprecedented numbers of travelers cross international borders each day, the need for up-to-date, practical information about the health challenges posed by travel has never been greater. For both international travelers and the health professionals who care for them, the CDC Yellow Book 2018: Health Information for International Travel is the definitive guide to staying safe and healthy anywhere in the world. The fully revised and updated 2018 edition codifies the U.S. government's most current health guidelines and information for international travelers, including pretravel vaccine recommendations, destination-specific health advice, and easy-to-reference maps, tables, and charts. The 2018 Yellow Book also addresses the needs of specific types of travelers, with dedicated sections on: · Precautions for pregnant travelers, immunocompromised travelers, and travelers with disabilities · Special considerations for newly arrived adoptees, immigrants, and refugees · Practical tips for last-minute or resource-limited travelers · Advice for air crews, humanitarian workers, missionaries, and others who provide care and support overseas Authored by a team of the world's most esteemed travel medicine experts, the Yellow Book is an essential resource for travelers -- and the clinicians overseeing their care -- at home and abroad.
Download or read book General Recommendations on Immunization written by and published by . This book was released on 1983 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Guide to Introducing HPV Vaccine Into National Immunization Programmes written by World Health Organization and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This document is intended for use by national immunization programme managers and immunization partners to inform the policy discussions and operational aspects for the introduction of HPV vaccine into national immunization programmes and to provide upto-date references on the global policy, as well as the technical and strategic issues related to the introduction of HPV vaccine."--Publisher's description.
Download or read book Red Book 2015 written by David W. Kimberlin and published by . This book was released on 2015-05 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The AAP's authoritative guide to the manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood conditions." -- Provided by publisher.
Download or read book The Childhood Immunization Schedule and Safety written by Institute of Medicine and published by National Academies Press. This book was released on 2013-04-27 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vaccines are among the most safe and effective public health interventions to prevent serious disease and death. Because of the success of vaccines, most Americans today have no firsthand experience with such devastating illnesses as polio or diphtheria. Health care providers who vaccinate young children follow a schedule prepared by the U.S. Advisory Committee on Immunization Practices. Under the current schedule, children younger than six may receive as many as 24 immunizations by their second birthday. New vaccines undergo rigorous testing prior to receiving FDA approval; however, like all medicines and medical interventions, vaccines carry some risk. Driven largely by concerns about potential side effects, there has been a shift in some parents' attitudes toward the child immunization schedule. The Childhood Immunization Schedule and Safety identifies research approaches, methodologies, and study designs that could address questions about the safety of the current schedule. This report is the most comprehensive examination of the immunization schedule to date. The IOM authoring committee uncovered no evidence of major safety concerns associated with adherence to the childhood immunization schedule. Should signals arise that there may be need for investigation, however, the report offers a framework for conducting safety research using existing or new data collection systems.
Download or read book Clinical Gynecology written by Eric J. Bieber and published by Cambridge University Press. This book was released on 2015-04-23 with total page 1127 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.
Download or read book EBMT HANDBOOK written by and published by . This book was released on 2025 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Meta Ethnography written by George W. Noblit and published by SAGE. This book was released on 1988-02 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can ethnographic studies be generalized, in contrast to concentrating on the individual case? Noblit and Hare propose a new method for synthesizing from qualitative studies: meta-ethnography. After citing the criteria to be used in comparing qualitative research projects, the authors define the ways these can then be aggregated to create more cogent syntheses of research. Using examples from numerous studies ranging from ethnographic work in educational settings to the Mead-Freeman controversy over Samoan youth, Meta-Ethnography offers useful procedural advice from both comparative and cumulative analyses of qualitative data. This provocative volume will be read with interest by researchers and students in qualitative research methods, ethnography, education, sociology, and anthropology. "After defining metaphor and synthesis, these authors provide a step-by-step program that will allow the researcher to show similarity (reciprocal translation), difference (refutation), or similarity at a higher level (lines or argument synthesis) among sample studies....Contain(s) valuable strategies at a seldom-used level of analysis." --Contemporary Sociology "The authors made an important contribution by reframing how we think of ethnography comparison in a way that is compatible with the new developments in interpretive ethnography. Meta-Ethnography is well worth consulting for the problem definition it offers." --The Journal of Nervous and Mental Disease "This book had to be written and I am pleased it was. Someone needed to break the ice and offer a strategy for summarizing multiple ethnographic studies. Noblit and Hare have done a commendable job of giving the research community one approach for doing so. Further, no one else can now venture into this area of synthesizing qualitative studies without making references to and positioning themselves vis-a-vis this volume." -Educational Studies
Download or read book Red Book written by Larry K. Pickering and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developed by the AAP (American Academy of Pediatrics) Committee on Infectious Diseases in conjunction with the CDC (Centers for disease control), the FDA (Food and drug administration), and other leading institutions with contributions from hundreds of physicians nationwide, the newly revised and updated 2012 Red Book continues the tradition of excellence with the latest findings and clinical recommendations on the manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood conditions. [Ed.].
Download or read book Principles and Practice of College Health written by John A. Vaughn and published by Springer Nature. This book was released on 2020-12-04 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique and comprehensive title offers state-of-the-art guidance on all of the clinical principles and practices needed in providing optimal health and well-being services for college students. Designed for college health professionals and administrators, this highly practical title is comprised of 24 chapters organized in three sections: Common Clinical Problems in College Health, Organizational and Administrative Considerations for College Health, and Population and Public Health Management on a College Campus. Section I topics include travel health services, tuberculosis, eating disorders in college health, and attention deficit hyperactivity disorder among college students, along with several other chapters. Subsequent chapters in Section II then delve into topics such as supporting the health and well-being of a diverse student population, student veterans, health science students, student safety in the clinical setting, and campus management of infectious disease outbreaks, among other topics. The book concludes with organizational considerations such as unique issues in the practice of medicine in the institutional context, situating healthcare within the broader context of wellness on campus, organizational structures of student health, funding student health services, and delivery of innovative healthcare services in college health. Developed by a renowned, multidisciplinary authorship of leaders in college health theory and practice, and coinciding with the founding of the American College Health Association 100 years ago, Principles and Practice of College Health will be of great interest to college health and well-being professionals as well as college administrators.
Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.
