Clinics in Integrated Care最新文献_第5页

Integrated care for older adults living with frailty 为身体虚弱的老年人提供综合护理

Clinics in Integrated Care Pub Date : 2021-12-01 DOI: 10.1016/j.intcar.2021.100078

Jini Mathew, Harnish P. Patel

{"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}

引用次数: 2

Easing the mental fog by building resilience and reaping the benefits 通过建立弹性和收获收益来缓解心理迷雾

Clinics in Integrated Care Pub Date : 2021-12-01 DOI: 10.1016/j.intcar.2021.100079

Audrey Tang

引用次数: 0

How do we sustain compassionate healthcare? Compassionate leadership in the time of the COVID-19 pandemic 我们如何维持慈悲医疗?在2019冠状病毒病大流行期间，富有同情心的领导

Clinics in Integrated Care Pub Date : 2021-10-01 DOI: 10.1016/j.intcar.2021.100071

Paquita de Zulueta

引用次数: 11

Nursing: polypharmacy and medication management in older adults 护理:老年人的综合用药和用药管理

Clinics in Integrated Care Pub Date : 2021-10-01 DOI: 10.1016/j.intcar.2021.100070

Jennifer Kim, Abby Luck Parish

引用次数: 2

Adverse childhood experiences 童年不良经历

Clinics in Integrated Care Pub Date : 2021-08-01 DOI: 10.1016/j.intcar.2021.100062

Ríoghnach S. O'Neill, Mary Boullier, Mitch Blair

{"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}

引用次数: 0

Caring for the agitated patient: a tiered approach 照顾焦虑不安的病人:分层方法

Clinics in Integrated Care Pub Date : 2021-08-01 DOI: 10.1016/j.intcar.2021.100063

Caroline J. Burke, James Hardy, Eric D. Isaacs

引用次数: 0

Definitions and core competencies for interprofessional education in telehealth practice 远程医疗实践中跨专业教育的定义和核心能力

Clinics in Integrated Care Pub Date : 2021-06-01 DOI: 10.1016/j.intcar.2021.100054

Yuri Tertilus Jadotte, Kimberly Noel

引用次数: 4

Integrated respiratory care 综合呼吸护理

Clinics in Integrated Care Pub Date : 2021-06-01 DOI: 10.1016/j.intcar.2021.100053

Irem Patel

引用次数: 3

What is bullying? 什么是欺凌?

Clinics in Integrated Care Pub Date : 2021-04-01 DOI: 10.1016/j.intcar.2021.100046

Joshua Kallman, Jennifer Han, Douglas L. Vanderbilt

引用次数: 0

Managing patients with multimorbidity 管理多病患者

Clinics in Integrated Care Pub Date : 2021-04-01 DOI: 10.1016/j.intcar.2021.100045

Iain Wilkinson, Joanna Preston

{"title":"Managing patients with multimorbidity","authors":"Iain Wilkinson, Joanna Preston","doi":"10.1016/j.intcar.2021.100045","DOIUrl":"10.1016/j.intcar.2021.100045","url":null,"abstract":"<div><p><span>Multimorbidity is associated with advancing age and </span>frailty<span> states. Those with multimorbidity are more likely to have increased morbidity and mortality as well as care needs. Polypharmacy<span> can be problematic in this group with attention required to determine what is appropriate and what is problematic. A distinct approach is necessary to manage multi-morbidity, compared with single organ management. Awareness is required of the relative paucity of evidence-based medicine in this area due to the heterogeneity of combinations of conditions and individual circumstances. Decisions should be made in partnership with the patient living with these conditions and include a dialogue regarding likely benefits and risks of existing management strategies alongside their goals. This article suggests a five step approach to this in the clinic setting. 1) Discussing the purpose of taking multimorbidity specific approach, 2) Establishing disease and treatment burdens, 3) Establishing goals, values and priorities, 4) Review of medications and other treatment and finally 5) Agree an individualized management plan.</span></span></p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"5 ","pages":"Article 100045"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76319042","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}

引用次数: 0