Download or read book Pratique th rapeutique et suivi du patient insuffisant cardiaque written by Thibaut Ludmann and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'objectif était d'identifier les habitudes de pratique dans la prise en charge et le suivi des patients IC. 103 médecins y ont participé. 59% des praticiens, et jusqu'à 73% des hospitaliers n'ont pas connaissance des recommandations de la HAS. 42,5% estiment l'information insuffisante; 41,7% se sentent limités dans la PEC. Seuls 39% des libéraux réalisant la consultation post-hospitalisation pratiquent une titration des traitements. Une inertie dans l'optimisation et la titration des traitements s'observe. 33% des interrogés ne connaissaient pas l'UTIC (défaut du lien ville-hôpital). L'étude confirme que l'amélioration des campagnes de d'information des professionnels médicaux paraît nécessaire dans le secteur, comme l'optimisation thérapeutique. Les filières de soins organisées peuvent être une réponse hospitalière. Une prise en charge ambulatoire pluridisciplinaire locale, organisée semble également être bénéfique, utilisant la télémédecine comme socle de fonctionnement.

Download or read book Int r ts et difficult s de l ducation th rapeutique de l insuffisant cardiaque en m decine g n rale written by Stéphanie Feitor and published by . This book was released on 2011 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'éducation thérapeutique est devenue un des fondements du traitement de toute maladie chronique, notamment de l'insuffisance cardiaque. En effet, il s'agit d'une pathologie fréquente et responsable de nombreuses hospitalisations pouvant être évitées pour certaines. L'éducation thérapeutique a pour but d'autonomiser le patient dans la gestion de sa maladie (traitement, signes de décompensation cardiaque, régime hyposodé, activité physique). Mais pour cela, sont requises certaines compétences propres à l'éducation thérapeutique : une formation adéquate du personnel, des outils de support, du temps à consacrer, et éventuellement un lieu dédié. Notre travail a consisté à suivre pendant 6 mois une cohorte de 40 patients : 20 patients éduqués à l'insuffisance cardiaque et 20 patients non éduqués. Après avoir comparé les connaissances des 2 groupes concernant leur maladie, nous avons étudié différents paramètres tels que, entre autres, le nombre de consultations chez le médecin traitant, chez le cardiologue, le nombre d'hospitalisations, les motifs de consultations et d'hospitalisations, les modifications de traitement. Notre étude a permis, outre de montrer l'intérêt évident de l'éducation thérapeutique, de définir les difficultés rencontrées dans ce projet à tous les niveaux (patients, professionnels de santé, financements, matériel, etc) dans la pratique quotidienne médicale de l'éducation thérapeutique.

Download or read book Le r le du pharmacien dans l ducation th rapeutique de l insuffisant cardiaque written by Elodie Chauvelot and published by . This book was released on 2009 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'insuffisance cardiaque est une pathologie chronique et lourde, touchant de plus en plus de patients. Chaque année, des centaines de milliers d'hospitalisations pour décompensation sont observées, à l'origine d'un coût important pour la société. L'éducation thérapeutique, processus centré sur le patient, est une discipline récente destinée à aider le patient à acquérir et maintenir les compétences dont il a besoin pour gérer au mieux sa vie avec sa maladie chronique. Son application en cardiologie en est à ses débuts et déjà ses bénéfices en terme de réduction du nombre d'hospitalisations pour décompensation, d'amélioration de l'observance et de la qualité de vie, ont été démontrés dans de nombreuses études françaises ou étrangères. Cependant, ces études n'impliquent que rarement le pharmacien et encore moins l'officinal, les piliers actuels de l'éducation thérapeutique étant les médecins et infirmières. Les études disponibles montrent l'intérêt de la participation du pharmacien aux projets d'éducation thérapeutique notamment au travers de la pharmacie clinique mais aussi grâce à la mise en valeur de l'observance, le conseil téléphonique et les visites à domicile. Le rôle du pharmacien est malgré tout mal défini et pourrait également s'étendre à d'autres domaines tels que les règles hygiéno-diététiques et à l'information sur l'OTC. Pour appréhender le rôle de l'officinal dans la prise en charge thérapeutique du patient insuffisant cardiaque en Franche-Comté et son éventuel rôle dans l'éducation thérapeutique, une étude basée sur des questionnaires distribués aux pharmaciens d'officine d'une part, et aux patients adhérents à une association de malades d'autre part, a été réalisée. Les taux de participation ont été respectivement 37 % et 48 % pour les pharmaciens et les patients. Les résultats émanant des pharmaciens ont montré une implication déjà importante dans l'éducation thérapeutique (37 %) surtout dans l'éducation au traitement et à la maladie et l'aide à l'observance. L'éducation thérapeutique à l'officine est déjà une réalité. Il existe cependant des difficultés face aux patients à cause d'une formation universitaire sur l'insuffisance cardiaque jugée plutôt insatisfaisante (57 %) et une formation continue délaissée sur ce thème (37 % de participation), malgré un niveau de connaissance relativement bon. Les résultats concernant les patients, population âgée à prédominance masculine, traduisent leurs attentes vis à vis de leur pharmacien. Ils le considèrent sans conteste comme le spécialiste du médicament mais éprouvent des difficultés à voir en lui un référent concernant le suivi et la surveillance médicale. Une petite majorité méconnaît l'éducation thérapeutique démontrant les efforts restant à fournir pour promouvoir la discipline. Malgré les obstacles, les patients font confiance au pharmacien pour la réaliser et certains seraient même prêts à tenter l'expérience. L'éducation thérapeutique à l'officine est appelée à se développer devant le nombre croissant de patients, constituant un nouveau défi pour le pharmacien. Le décloisonnement ville/hôpital ou l'appartenance à un réseau seraient des éléments favorables à cette pratique de même que la formation à l'éducation thérapeutique dans la formation initiale des pharmaciens.

Download or read book Le suivi ambulatoire des patients insuffisants cardiaques chroniques written by Anne-Virginie Roblot Maquet and published by . This book was released on 2005 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: La prise en charge de l'insuffisance cardiaque chronique est un problème de santé publique. 80% des actes concernant cette pathologie sont réalisés en médecine générale. L'objectif de cette thèse était de décrire la prise en charge ambulatoire des patients insuffisants cardiaques chroniques et de vérifier son adéquation avec les données actuelles de la science. Après avoir rappelé les données épidémiologiques, quelques définitions et les étiologies de l'insuffisance cardiaque, les recommandations sur l'approche diagnostique et la stratégie thérapeutique actuelles sont exposées. Afin de connaître les pratiques des médecins généralistes concernant les patients insuffisants cardiaques chroniques, une enquête a été réalisée auprès des médecins généralistes des départements du Val de Marne et de Seine et Marne. L'hypothèse était que les patients ne bénéficiaient pas d'une échographie ou d'un avis cardiologique et que les traitements prescrits étaient décalés par rapport aux recommandations européennes (IEC, bêtabloquants et spironolactone en particulier). Les résultats ont montré que le suivi cardiologique était satisfaisant. En revanche, les traitements prescrits n'étaient pas en adéquation avec les recommandations en particulier pour la trithérapie IEC, diurétique et bêtabloquants. Il y a un réel manque d'information ou un déficit de pratique des médecins généralistes et des cardiologues qu'il faudrait compenser par un programme de formation continue adapté

Download or read book The Canadian Journal of Cardiology written by and published by . This book was released on 1984* with total page 616 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Psoriatic Arthritis and Psoriasis written by Adewale Adebajo and published by Springer. This book was released on 2016-01-11 with total page 315 pages. Available in PDF, EPUB and Kindle. Book excerpt: Educational advancement in the field of psoriatic arthritis which this book will provide is consistent with GRAPPA’s aims and objectives leading to a productive synergy. GRAPPA (Group for Research and Assessment of Psoriasis and Psoriatic Arthritis), is recognized world wide as the leading international society for the study and promotion of awareness of psoriatic arthritis. GRAPPA is an association of leading rheumatologists, dermatologists, representatives of patient service leagues and other stakeholders focused on psoriasis and PsA.​Psoriatic Arthritis (PsA) ranks with rheumatoid arthritis and axial spondyloarthritis as one of the most prevalent inflammatory arthropathies worldwide. There is now a significant global awareness among Rheumatologists, Dermatologists, Internal Medicine Specialists, Gastroenterologists, General Practitioners, Family Practitioners, Physiotherapists, Nurse Specialists, Immunogenetics and many other Health Care Professionals with regards to the importance of psoriatic arthritis.

Download or read book Strategies to Reduce Sodium Intake in the United States written by Institute of Medicine and published by National Academies Press. This book was released on 2010-11-14 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reducing the intake of sodium is an important public health goal for Americans. Since the 1970s, an array of public health interventions and national dietary guidelines has sought to reduce sodium intake. However, the U.S. population still consumes more sodium than is recommended, placing individuals at risk for diseases related to elevated blood pressure. Strategies to Reduce Sodium Intake in the United States evaluates and makes recommendations about strategies that could be implemented to reduce dietary sodium intake to levels recommended by the Dietary Guidelines for Americans. The book reviews past and ongoing efforts to reduce the sodium content of the food supply and to motivate consumers to change behavior. Based on past lessons learned, the book makes recommendations for future initiatives. It is an excellent resource for federal and state public health officials, the processed food and food service industries, health care professionals, consumer advocacy groups, and academic researchers.

Download or read book Critical Care Ultrasonography written by Alexander Levitov and published by McGraw Hill Professional. This book was released on 2009-09-04 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete, hands-on guide to successful image acquisition and interpretation at the bedside Written by top practitioners in the field, this comprehensive book is filled with practical guidance that helps you master clinical ultrasonography in a critical care environment. Here, you’ll learn exactly how to utilize diagnostic ultrasound as part of the physical exam, as the book examines current evidence supporting its use in the critically ill adult and child. Organized by body system, Critical Care Ultrasonography features self-contained chapters that can be used as individual reference guides for a range of interventions, from transthoracic echocardiography to echocardiagraphic evaluation of cardiac trauma. Through this in-depth coverage, you’ll get a sense of how this essential technology supports the cross-disciplinary nature of critical care. The book’s authoritative content is reinforced throughout by a full-color presentation and hundreds of concept-clarifying illustrations, figures, and images. Features Comprehensive coverage of the fundamentals of ultrasound use in critical care Guidance on ultrasound procedures enables practitioners to use ultrasound for vascular and axial procedures, improving safety and ensuring that nationally recognized compliance standards are upheld Cardiac ultrasound chapters help you assess and monitor the patient’s cardiopulmonary status non-invasively Chapter on Neck and Upper Respiratory Ultrasound offers an overview of little-known techniques that have not been comprehensively described in any other source Full-color presentation, with 495 illustrations that emphasize the basic skills required to visualize anatomic structures and interpret findings

Download or read book Proceedings written by and published by . This book was released on 1960 with total page 656 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Sleep Disorders in Adolescents written by Sanjeev V. Kothare and published by Springer. This book was released on 2016-09-21 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This clinical casebook presents a comprehensive review of common sleep problems in adolescents in a concise, easy-to-read format. Each chapter thoroughly addresses a unique sleep disorder in teenagers through illustrative cases, reviews of relevant literature, and pearls of wisdom for both the practicing sleep specialist and other practitioners involved in the care of adolescents. Early chapters address various sleep disorders in detail: parasomnias, narcolepsy, obstructive sleep apnea, and delayed sleep-wake phase disorder, providing clear treatment considerations. Later chapters address sleep when complicated by issues of major depression, PTSD, epilepsy, and Traumatic Brain Injury. In-depth discussions and differential diagnosis engage the reader, and offer a multitude of research-based and clinically guided recommendations for the evaluation and treatment of sleep disorders in the adolescent. An ideal, practical resource for clinicians at all levels, Sleep Disorders In Adolescents provides a valuable contribution to adolescent care.

Download or read book Acta cardiologica written by and published by . This book was released on 1966 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Problem of Medical Knowledge written by Peter Wright and published by . This book was released on 1982 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Global Health Risks written by World Health Organization and published by World Health Organization. This book was released on 2009-10-28 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication is a comprehensive assessment of leading risks to global health. It provides detailed global and regional estimates of premature mortality, disability and loss of health attributable to 24 global risk factors.--Publisher's description.

Download or read book Your Mindful Compass written by Andrea Maloney Schara and published by . This book was released on 2013-12-01 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

Download or read book Bulletins Et M moires de la Soci t M dicale Des H pitaux de Paris written by and published by . This book was released on 1924 with total page 1868 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Biosocialities Genetics and the Social Sciences written by Sahra Gibbon and published by Routledge. This book was released on 2007-07-20 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: Biosocialities, Genetics and the Social Sciences explores the social, cultural and economic transformations that result from innovations in genomic knowledge and technology. This pioneering collection uses Paul Rabinow’s concept of biosociality to chart the shifts in social relations and ideas about nature, biology and identity brought about by developments in biomedicine. Based on new empirical research, it contains chapters on genomic research into embryonic stem cell therapy, breast cancer, autism, Parkinson’s and IVF treatment, as well as on the expectations and education surrounding genomic research. It covers four main themes: novel modes of identity and identification, such as genetic citizenship the role of institutions, ranging from disease advocacy organizations and voluntary organizations to the state the production of biological knowledge, novel life-forms, and technologies the generation of wealth and commercial interests in biology. Including an afterword by Paul Rabinow and case studies on the UK, US, Canada, Germany, India and Israel, this book is key reading for students and researchers of the new genetics and the social sciences – particularly medical sociologists, medical anthropologists and those involved with science and technology studies.

Download or read book Acute Stroke Treatment written by Julien Bogousslavsky and published by CRC Press. This book was released on 1997-09-04 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Owing to the increased interest in brain ischemia and the new therapeutic options from pharmaceutical companies for the treatment of acute stroke, Professor Julien Bogousslavsky, one of the world's stroke experts, has revised his best-selling book. It is the emergence of huge possibilities in the management of stroke - ultra-early diagnosis, intensive care, surgical and other interventional therapies, thrombolysis, anti-ischemic drugs and prevention of immediate recurrence - which necessiates this timely update.