Download or read book La probl matique de la prise en charge du patient asthmatique et l apport d Internet written by Maud Jaumouillé and published by . This book was released on 2004 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Int r t d internet dans l ducation th rapeutique des adolescents asthmatiques written by Lucie Goffic Dolley and published by . This book was released on 2018 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'asthme est une maladie fréquente et un problème majeur de santé publique. C'est la première maladie chronique chez les enfants et notamment les adolescents. L'éducation thérapeutique fait partie intégrante du traitement et de la stratégie de prise en charge du patient asthmatique. En 2018, la population des 12-18 ans fait partie de la génération "Internet", ils consacrent quotidiennement un temps significatif à la recherche d'informations en ligne. De ce fait, ils sont prédisposés à s'orienter vers ce moyen de communication devenu universel. Actuellement plusieurs sites Internet sont disponibles comme aide à l'éducation thérapeutique des asthmatiques mais sont peu connus et utilisés par les médecins généralistes. Ils peuvent être un bon lien avec les adolescents et une aide précieuse pour personnaliser leur prise en charge. Nous avons réalisé une étude cas-témoin prospective chez des patients âgés de 12 à 18 ans au sein des consultations de pédiatrie de l'hôpital Gonesse. Une première consultation a lieu avec remplissage d'un questionnaire sur la connaissance de leur pathologie et sur leur qualité de vie. Nous proposons à ce moment-là plusieurs sites Internet sur lesquels ils pourront compléter l'éducation dispensée par le médecin pendant la consultation. Une seconde consultation sera réalisée à 3 mois avec un questionnaire post test sur la qualité de vie et la connaissance de la maladie. Nous avons recueilli au total 43 questionnaires avec 23 patients témoins et 20 patients tests. Notre étude ne montre pas d'impact significatif du soutien d'Internet comme aide à l'éducation thérapeutique des adolescents asthmatiques notamment sur le contrôle de la maladie. En revanche, on note un impact réellement positif sur le ressenti de l'expérience pour ces adolescents avec 85% déclarant que les informations recueillies leur ont été utiles pour mieux comprendre et appréhender leur asthme. Il semble ainsi intéressant de proposer des visites sur les sites médicaux bien documentés aux adolescents afin de les sensibiliser à leur pathologie et essayer de trouver une autre forme d'information encore plus adaptée à leur mode de vie notamment des applications mobiles.
Download or read book Le suivi et prise en charge des patients asthmatiques written by Florent Samson and published by . This book was released on 2018 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : l'asthme est une maladie dont la prévalence augmente au cours des années, entraînant un surcoût pour la société, directement lié à son bon suivi. Malheureusement, d'après plusieurs études, celui-ci est souvent incomplet. L'objectif était de mettre en évidence ces obstacles empêchant les bonnes pratiques de suivi d'un patient asthmatique par un médecin généraliste Méthode : il s'agit d'une étude qualitative par théorisation ancrée menée auprès de médecins généralistes des Côtes-d'Armor par entretiens semi-dirigés Résultats : la saturation des données fut obtenue au bout de 10 entretiens auprès de médecins avec des profils différents. Parmi les multiples obstacles, étaient retenus surtout le manque de temps, présent à tous les stades du suivi, le défaut d'éducation thérapeutique et la difficulté d'acceptation des patients. L'asthme était souvent banalisée par les patients et médecins et était fréquemment un motif de consultation secondaire, évoqué rapidement en fin de consultation. Un défaut de formation était évoqués avec d'anciens schémas décisionnels et de trop nombreuses spécialités médicamenteuses. La pollution atmosphérique n'avait été que peu mentionnée, dû à la patientèle rurale et semi-rurale. Discussion : les techniques de prise médicamenteuse étaient souvent mal comprises de leurs patients et beaucoup se reposaient sur les pharmaciens pour l'enseignement. Une mauvaise éducation initiale compliquait la suite de l'ensemble de la prise en charge. Chez aucun des médecins, les plans d'action écrits n'étaient utilisés chez l'adulte. Les services ambulatoires d'éducation thérapeutique étaient soit absents de la région soit méconnus des médecins.
Download or read book Prise en charge de la maladie asthmatique chez l adulte et l adolescent en m decine g n rale written by Nathalie Wajnapel-Menasce and published by . This book was released on 2004 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cette thèse a pour objectif principal d'améliorer la prise en charge globale du patient asthmatique par le médecin généraliste. Au cours de ce travail, plusieurs sujets sont abordés : - l'impact épidémiologique de l'asthme ; - l'évaluation clinique et spirométrique de la maladie asthmatique ; - le traitement médicamenteux ; - les facteurs environnementaux ; - l'éducation du malade asthmatique. Pour essayer de comprendre certaines lacunes dans la prise en charge du patient asthmatique, cette thèse s'appuie sur certains travaux et études, dont l'étude URCAM réalisée en juin 2001, auprès d'un échantillon de la population francilienne de 10 à 44 ans. Cette étude permet de montrer certains problèmes dans la prise en charge de cette maladie respiratoire, comme : - une attitude face à la crise d'asthme parfois inadaptée ; - la réalisation des examens complémentaires qui parfois fait défaut ; - l'importance d'un traitement médicamenteux couplé à une bonne éducation du patient asthmatique ; - une prise en charge adaptée des facteurs environnementaux, en particulier le tabac. En conclusion, ce travail montre qu'un nombre important de patients asthmatiques restent gênés dans leur quotidien malgré un traitement thérapeutique adapté, d'où l'importance de l'éducation de l'asthmatique et de la formation médicale continue du médecin.
Download or read book The Patient Will See You Now written by Eric Topol and published by Basic Books. This book was released on 2016-10-25 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.
Download or read book HIV related TB written by and published by . This book was released on 1993 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book HIV in Prisons written by and published by . This book was released on 1999 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The NHS Improvement Plan written by Great Britain. Department of Health and published by The Stationery Office. This book was released on 2004 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: This document sets out the priorities for the NHS up to 2008 based on the process of reform set out in the NHS Plan (Cm. 4818-I ISBN 0101481829). It is in three sections. The first 'Laying the foundations' looks at the progress so far in NHS reform. The second section 'Offering a better service' sets out the objectives of the policy under the headings of personalised care, supporting people with long-term conditions, and a healthier and fitter population. One of the aims is to change the NHS from a sickness service to a service that gives a higher priority to the prevention of disease and a reduction of health inequalities. The third section is called 'Making it happen' and it covers investment and diversity of provision, staff and working practices and information systems.
Download or read book Health for all Children written by David M B Hall and published by OUP Oxford. This book was released on 2006-09-07 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the fourth edition of this highly successful book, there have been a number of Government initiatives, reports and policies on how the health of children can best be protected and promoted. This revised fourth edition incorporates recent material on the National Service Framework, 'Every Child Matters', the public health report 'Choosing Health', and the Children Act. It has also been informed by new research on a variety of topics including Sure Start, obesity, Sudden Infant Death Syndrome (SIDS) and language acquisition. Health for all Children 4/e (revised) continues the themes of previous editions, in particular highlighting the growing evidence that behavioural problems and educational failure are not inevitable, and can be prevented. Thus the role of screening for developmental problems, while not ignored, is set in the context of what can be done to promote language development, reading, and enthusiasm for learning. Changes made to the fourth edition, and continued in this revised edition, include dealing with the health care needs of children of school age as well as pre-school children. It also outlines the needs of special groups of children, including those who are vulnerable or disabled and those living in unusual circumstances. The legislative framework is outlined and hallmarks of good practice described. Promoting children's health is a key focus, with updated information on nutrition and injury prevention, and emphasis on the importance of parent education and support, language, and literacy skills, with a review of behavioural management programmes for parents. It also describes the duties laid on PCTs with regard to education and social services support. This established and successful book continues to be essential reading for all health professionals who work with children, whether in the community or at the receiving end of referrals. It will also provide vital background knowledge for those charged with the responsibility of planning, commissioning and monitoring. This revised fourth edition provides the most up to date evidence in a rapidly changing field.
Download or read book Scoring the Rorschach written by Robert F. Bornstein and published by Routledge. This book was released on 2005-03-23 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exner's Comprehensive System has attracted so much attention in recent years that many clinicians and personality researchers are unaware that alternative Rorschach scoring systems exist. This is unfortunate, because some of these systems have tremendous clinical value. Scoring the Rorschach: Seven Validated Systems provides detailed reviews of the best-validated alternative approaches, and points to promising new paths towards the continued growth and refinement of Rorschach interpretation. The editors set the stage with an extended introduction to historical controversies and cutting-edge empirical methods for Rorschach validation. Each chapter presents a different Rorschach scoring system. A brief history is followed by detailed information on scoring and interpretation, a comprehensive summary of evidence bearing on construct validity, and discussion of clinical applications, empirical limitations, and future directions. A user-friendly scoring "manual" for each system offers readers practical guidance. The systems tap a broad array of content areas including ego defenses, thought disorder, mental representations of self and others, implicit motives, personality traits, and potential for psychotherapy. All psychologists seriously engaged in the work of personality assessment will find in this book welcome additions to their professional toolkits.
Download or read book Introduction to the Rorschach Method written by Samuel Jacob Beck and published by . This book was released on 1937 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Subjectivity in Motion written by Naamah Akavia and published by Routledge. This book was released on 2013 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: Naamah Akavia delves deep into the history and life story of Hermann Rorschach, the Swiss psychiatrist known today for his inkblot test, and examines how the motif of movement figured into his psychological theory and psychiatric practice.
Download or read book Rorschach s Test written by Alvin George Burstein and published by Taylor & Francis. This book was released on 1989 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Rorschach Introduction written by Edward Aronow and published by Grune & Stratton, Incorporated. This book was released on 1983 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Elements of Rorschach Interpretation written by Robert M. Allen and published by . This book was released on 1954 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Rorschach Test Exemplified in Classics of Drama and Fiction written by Samuel Jacob Beck and published by . This book was released on 1976 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Rorschach Basic Foundations and Principles of Interpretation written by John E. Exner and published by John Wiley & Sons. This book was released on 2003 with total page 704 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book serves as a basic introduction to the Rorschach inkblot test. This new edition reflects the new approaches to the administration, scoring, and interpretation of the Rorschach according to the Comprehensive System. (Midwest).
