{"title":"Clinical history taking","authors":"Priscilla Peart","doi":"10.1016/j.intcar.2021.100088","DOIUrl":"https://doi.org/10.1016/j.intcar.2021.100088","url":null,"abstract":"","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86855822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical history taking","authors":"Priscilla Peart","doi":"10.1016/j.intcar.2021.100088","DOIUrl":"https://doi.org/10.1016/j.intcar.2021.100088","url":null,"abstract":"<div><p><span>Non-medical staff are often required from their role to take a medical history from patients. The skills to do this to the level of a doctor are not taught in other fields and can lead to a limited ability to collect the knowledge required. The systematic sequence of </span>history taking can increase any clinician's ability to make critical judgements and clinical decisions to safely treat the patient. The sequence of taking a clinical history has been established for generations of doctors but not often communicated to the wider health network. By understanding the basics and the structure will enable a non-medical clinician to take a concise history from a patient to aid in further diagnostic assessments.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"10 ","pages":"Article 100088"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91719437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Leadership in healthcare","authors":"Robin DC. Kumar","doi":"10.1016/j.intcar.2021.100080","DOIUrl":"https://doi.org/10.1016/j.intcar.2021.100080","url":null,"abstract":"<div><p>Effective leadership by healthcare professionals is vital in modern healthcare settings. The major factor underpinning this is the drive to improve the quality of healthcare provision. There are many reasons why quality improvement programmes fail, however the lack of engagement of clinicians and their resistance to change are amongst the most important factors. Clinicians who assume leadership roles need to overcome these barriers and adopt a style of leadership that is inclusive and meets the needs of healthcare professionals.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"10 ","pages":"Article 100080"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137221369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrated care for older adults living with frailty","authors":"Jini Mathew, Harnish P. Patel","doi":"10.1016/j.intcar.2021.100078","DOIUrl":"https://doi.org/10.1016/j.intcar.2021.100078","url":null,"abstract":"<div><p><span><span>Provision of health and social care to our ageing population is one of the biggest challenges faced by health care systems today. Older adults living with </span>frailty<span> have complex care needs secondary to multimorbidity<span>, polypharmacy<span>, physical dysfunction as well as social and psychological factors. Consequently, they are often subject to disjointed and fragmented care that carries a high predisposition to lower treatment and care plan adherence as well as more </span></span></span></span>adverse drug reactions<span>. The main principle for delivering effective integrated care is through a patient-centred approach, with improved co-ordination amongst health care professionals. By minimising variation in the approach to care delivery, patient care and experience can improve. Favourable outcomes from integrated care models depends on the application of multicomponent strategies with vertical and horizontal integration of objectives identified by shared decision making and Comprehensive Geriatric Assessment. In this brief review, we describe frailty; the methods used for screening and discuss successful models of integrated care.</span></p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"9 ","pages":"Article 100078"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91958483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Easing the mental fog by building resilience and reaping the benefits","authors":"Audrey Tang","doi":"10.1016/j.intcar.2021.100079","DOIUrl":"https://doi.org/10.1016/j.intcar.2021.100079","url":null,"abstract":"<div><p>Resilience is defined by the OED as ‘The capacity to recover quickly from difficulties; toughness.’ but recent literature reviews are now linking it with both ‘growth’ and ‘thriving’. Rather than just bouncing back, it is believed that facing, and overcoming, crisis can create the conditions to spring forwards. This article 1. highlights a model of resilience which includes an outcome of flourishing; 2. identifies 3 key areas in which building resilience supports continued wellbeing; 3. offers practical ways in which it is possible to continue to flex, stretch and build inner strength without the need for the catalyst of crisis; concluding that when we build and commit to exercising mental and emotional fortitude reguarly, not only is it possible to overcome any adversity, but thrive beyond it.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"9 ","pages":"Article 100079"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91958484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How do we sustain compassionate healthcare? Compassionate leadership in the time of the COVID-19 pandemic","authors":"Paquita de Zulueta","doi":"10.1016/j.intcar.2021.100071","DOIUrl":"10.1016/j.intcar.2021.100071","url":null,"abstract":"<div><p>Compassion is central to human wellbeing, benefiting those who give and those who receive it. Compassionate cultures in healthcare enhance staff wellbeing, learning and innovation, and reduce stress, absenteeism and errors, leading to improved patient outcomes. Compassionate cultures need collective, inclusive, compassionate leadership, good teamwork, compassionate design, and a shift from the model of the organisation as machine to one of the organisation as a living, complex system. Developing and sustaining leadership and cultures of compassion are key to the ability for healthcare organisations to provide safe, high quality, patient centred care, even at times of crisis. This is particularly relevant during the COVID-19 pandemic which has created added strains to already-burdened healthcare systems in many countries.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"8 ","pages":"Article 100071"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91479824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nursing: polypharmacy and medication management in older adults","authors":"Jennifer Kim, Abby Luck Parish","doi":"10.1016/j.intcar.2021.100070","DOIUrl":"10.1016/j.intcar.2021.100070","url":null,"abstract":"<div><p><span><span>Polypharmacy is a common clinical issue that affects half of all older adults living in the United States, and it is associated with </span>adverse drug events (ADEs), poor outcomes, unplanned healthcare utilization, and increased healthcare costs. Older adults have a high risk of both polypharmacy and inappropriate medication use given normal changes of aging that influence </span>pharmacokinetics<span> and pharmacodynamics<span>, the presence of multiple medical conditions, and complex treatment regimens used to treat them. Nurses play a key role in reducing polypharmacy and inappropriate medication use in older adults through identification of adverse drug events, promoting the use of nonpharmacological interventions in place of medications, and providing essential patient education to older adults about medications and their side effects.</span></span></p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"8 ","pages":"Article 100070"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109615186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adverse childhood experiences","authors":"Ríoghnach S. O'Neill, Mary Boullier, Mitch Blair","doi":"10.1016/j.intcar.2021.100062","DOIUrl":"https://doi.org/10.1016/j.intcar.2021.100062","url":null,"abstract":"<div><p>The long term poor health outcomes in those who have experienced multiple adverse events in childhood have been well documented since the late 1990's. People who have experienced four or more adverse childhood experiences (ACE) are at significantly increased risk of chronic disease as well as mental illness and health risk behaviours. There is growing evidence of the ways in which adversity and toxic stress, cause these poor outcomes. Exposure to adversity has been shown to alter the molecular and genetic makeup of a child as well as changing the way the neurological, immune and endocrine systems develop and function. ACEs are of great public health<span> concern given their long term impact on an individual's health along with the impact on society through economic factors such as loss of productivity and increasing pressure on the healthcare system. Intergenerational and environmental factors have been implicated in perpetuating the cycle of ACEs. Thus, both primary and secondary preventive intervention programmes need to be considered in firstly preventing the occurrence of ACEs and secondly striving to mitigate their ill effects. This article describes the background scientific studies, prevalence and types of risk factors and their effects on human biology and goes on to outline how ACEs contribute to later adult health status and how we might mitigate these through improved primary and secondary prevention.</span></p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"7 ","pages":"Article 100062"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136974497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Caring for the agitated patient: a tiered approach","authors":"Caroline J. Burke, James Hardy, Eric D. Isaacs","doi":"10.1016/j.intcar.2021.100063","DOIUrl":"10.1016/j.intcar.2021.100063","url":null,"abstract":"<div><p>Management of agitated patients presents a challenge with regard to balancing appropriate diagnostic plans and treatment aimed at controlling symptoms with an interest in prioritizing patient and staff safety and preserving patient dignity. This article will discuss a tiered approach to caring for the agitated patient, including early recognition of escalating behavior, verbal de-escalation techniques, the use and choice of medication and route for symptom control, and concepts related to physical restraint, special populations, and bias.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"7 ","pages":"Article 100063"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74317563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Definitions and core competencies for interprofessional education in telehealth practice","authors":"Yuri Tertilus Jadotte, Kimberly Noel","doi":"10.1016/j.intcar.2021.100054","DOIUrl":"https://doi.org/10.1016/j.intcar.2021.100054","url":null,"abstract":"<div><p><span>Interprofessional education interventions are effective at improving the ability of health professionals to work well in teams, to communicate effectively with patients and their families, to respect and appreciate each other's unique and complementary roles in healthcare, and to develop shared values that help sustain collaboration. Yet the definitions and implications of these competencies for </span>telehealth practice need to be clarified. This article reviews and presents the evidence on the development of interprofessional competencies and the implications of these competencies for health professional education. This article also proposes ways in which interprofessional competencies can be incorporated into telehealth practice.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"6 ","pages":"Article 100054"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136816742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
