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Clinics in Integrated Care最新文献

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Communicating with profoundly deaf patients 与重度失聪患者交流
Clinics in Integrated Care Pub Date : 2021-04-01 DOI: 10.1016/j.intcar.2021.100044
Naomi J. Berry
{"title":"Communicating with profoundly deaf patients","authors":"Naomi J. Berry","doi":"10.1016/j.intcar.2021.100044","DOIUrl":"https://doi.org/10.1016/j.intcar.2021.100044","url":null,"abstract":"<div><p>This article aims to highlight the areas of care that need improving to support those who are profoundly deaf when attending their appointments. The author has also highlighted suggestions of what could be improved to allow the patient to feel valued but also for them to remain independent.</p><p>It became more apparent during the first initial lockdown that there were areas of care missing for these patients and work had been done to try and communicate effectively throughout but that was not always available.</p><p>The author has emphasized how communication can be provided effectively while maintaining PPE<span> and social distancing, they have also acknowledged that it can be hard to have confidence in communication and also understanding what is required.</span></p><p>There is discussion around the need for family members and what role they play during the pandemic to help support professionals.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"5 ","pages":"Article 100044"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92078407","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
Integrated care and diabetes: challenges, principles and opportunities 综合护理与糖尿病:挑战、原则和机遇
Clinics in Integrated Care Pub Date : 2021-02-01 DOI: 10.1016/j.intcar.2021.100037
G.D. Tan, O. Kozlowska, R.D. Rea
{"title":"Integrated care and diabetes: challenges, principles and opportunities","authors":"G.D. Tan,&nbsp;O. Kozlowska,&nbsp;R.D. Rea","doi":"10.1016/j.intcar.2021.100037","DOIUrl":"10.1016/j.intcar.2021.100037","url":null,"abstract":"<div><p>The delivery of care for people with diabetes is a growing challenge with rapid growth in the numbers of people affected and increases in complexity of the management of the disease with more money being spent on diabetes than ever.</p><p>The system by which diabetes care is delivered in the UK is often fragmented and involves multiple providers across primary, community and specialist services which are managed by separate organizations, driven by different priorities, outcome measures and budgets, and supported by incompatible IT systems.</p><p>To improve the fragmentation of diabetes services, integrated care has been proposed as a solution. In essence, diabetes integration is the whole health community joining in partnership to own the health outcomes of patients with diabetes in their local area. This article examines what integration means to diabetes care, ranging from generalist to specialist diabetes care, describes the five key pillars of the integration of diabetes care and summarises key data sets which can be used.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"4 ","pages":"Article 100037"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"111720418","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: 1
The roles of a psychiatrist in the COVID-19 pandemic 精神科医生在COVID-19大流行中的作用
Clinics in Integrated Care Pub Date : 2021-02-01 DOI: 10.1016/j.intcar.2021.100036
David S. Baldwin, Robert Gordon, Karl Marlowe
{"title":"The roles of a psychiatrist in the COVID-19 pandemic","authors":"David S. Baldwin,&nbsp;Robert Gordon,&nbsp;Karl Marlowe","doi":"10.1016/j.intcar.2021.100036","DOIUrl":"10.1016/j.intcar.2021.100036","url":null,"abstract":"<div><p>The COVID-19 pandemic and its restrictions have strained personal psychological resilience, tested family relationships, fragmented local communities, disrupted schools and other educational institutions, exhausted health and social services, and drained national economies. Initial concerns necessarily focused on the ability of primary care services and general hospitals to cope with a potentially overwhelming wave of physically unwell patients. Attention is now being drawn to adverse effects of the pandemic on individual and societal mental health. Mental health services have important roles in mitigating the adverse effects of the pandemic and associated measures such as enforced isolation and regional lockdown on individual mental health, in supporting the recovery of psychologically affected individuals and an exhausted health workforce, and in fostering community resilience and cohesiveness.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"4 ","pages":"Article 100036"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73951616","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}
引用次数: 3
Management of pain in the terminally ill 对绝症患者疼痛的管理
Clinics in Integrated Care Pub Date : 2021-02-01 DOI: 10.1016/j.intcar.2021.100035
Hemkumar Pushparaj, Manohar Lal Sharma
{"title":"Management of pain in the terminally ill","authors":"Hemkumar Pushparaj,&nbsp;Manohar Lal Sharma","doi":"10.1016/j.intcar.2021.100035","DOIUrl":"10.1016/j.intcar.2021.100035","url":null,"abstract":"<div><p><span><span>Improved diagnosis and advances in cancer treatment options has resulted in an increased demand for enhanced </span>cancer pain management<span>. An assortment of pharmacotherapy, especially opioids, helps to achieve significant pain relief in the terminally ill<span> by following the established WHO analgesic ladder algorithm. Advanced and invasive interventions within appropriate multidisciplinary set up further helps to attain analgesia with low morbidity and better </span></span></span>quality of life. This article lays out an overview of potential treatment options available for terminally ill cancer patients.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"4 ","pages":"Article 100035"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2021.100035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77577087","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
Treatment of childhood obesity: a multidisciplinary approach 儿童肥胖的治疗:多学科方法
Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100026
Julie Lanigan, Natasha Sauven
{"title":"Treatment of childhood obesity: a multidisciplinary approach","authors":"Julie Lanigan,&nbsp;Natasha Sauven","doi":"10.1016/j.intcar.2020.100026","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100026","url":null,"abstract":"<div><p><span><span>Childhood obesity is a serious global </span>health problem<span> associated with increased risk of disease in the short- and long-term. Excess weight gain begins early, during the preschool years, and many children remain overweight throughout childhood and adult life. Once established, obesity is difficult to reverse and costly to manage. In the UK, direct treatment costs the NHS £4.2 billion a year and without fast action, this could rise to £10 billion by 2050. Treatment options in childhood are limited. Lifestyle intervention is the first line treatment recommended by the National Institute for Care excellence (NICE) in the UK. In younger children (&lt;6 years) this is the only management option. In older children, pharmacological intervention is possible under specialist medical supervision. Evidence for the safety and success of </span></span>bariatric surgery in children is limited. However, there is enough evidence to consider making the treatment available for a small number of highly selected children, with severe and complex obesity. Prevention is the best strategy. Lifestyle interventions are feasible and effective in both the prevention and treatment of childhood obesity. These require evaluation in rigorous trials and if successful should be integrated into healthcare and widely available.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"3 ","pages":"Article 100026"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91609071","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
COVID-19 disease: Resuscitation COVID-19疾病:复苏
Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100023
Daniel Paschoud, Chris Carter, Joy Notter
{"title":"COVID-19 disease: Resuscitation","authors":"Daniel Paschoud,&nbsp;Chris Carter,&nbsp;Joy Notter","doi":"10.1016/j.intcar.2020.100023","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100023","url":null,"abstract":"<div><p>COVID-19 is a complex disease which has challenged the way in which care is provided. Cardiopulmonary resuscitation (CPR) is recognized as a potential aerosol-generating procedure, in consequence, a modified advanced life support approach needs to be followed. This article describes the actions for an adult in cardiac arrest with suspected of confirmed COVID-19 disease in a hospital setting.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"3 ","pages":"Article 100023"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91609073","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}
引用次数: 1
COVID-19 disease: Acute respiratory distress syndrome and prone position COVID-19疾病:急性呼吸窘迫综合征和俯卧位
Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100024
Rosie Reece-Anthony, Grace Lao, Chris Carter, Joy Notter
{"title":"COVID-19 disease: Acute respiratory distress syndrome and prone position","authors":"Rosie Reece-Anthony,&nbsp;Grace Lao,&nbsp;Chris Carter,&nbsp;Joy Notter","doi":"10.1016/j.intcar.2020.100024","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100024","url":null,"abstract":"<div><p>Patients who develop severe COVID-19 disease can develop respiratory failure and subsequently Acute Respiratory Distress Syndrome (ARDS). However, it has to be noted that these patients may not follow the typical ARDS disease trajectory. The causes of this paradox are complex and not yet fully understood, with the result that varying pathophysiological hypotheses have been proposed. This article describes ARDS in COVID-19 patients and the use of the conscious and unconscious prone position as an intervention to improve oxygenation.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"3 ","pages":"Article 100024"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91609072","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}
引用次数: 2
Management of chronic pain 慢性疼痛的处理
Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100025
Jody V. Phillips, Paul A. Cameron
{"title":"Management of chronic pain","authors":"Jody V. Phillips,&nbsp;Paul A. Cameron","doi":"10.1016/j.intcar.2020.100025","DOIUrl":"10.1016/j.intcar.2020.100025","url":null,"abstract":"","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85176087","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
COVID-19 disease: Acute respiratory distress syndrome and prone position COVID-19疾病:急性呼吸窘迫综合征和俯卧位
Clinics in Integrated Care Pub Date : 2020-10-16 DOI: 10.1016/j.intcar.2020.100024
R. Reece-Anthony, Grace Lao, C. Carter, J. Notter
{"title":"COVID-19 disease: Acute respiratory distress syndrome and prone position","authors":"R. Reece-Anthony, Grace Lao, C. Carter, J. Notter","doi":"10.1016/j.intcar.2020.100024","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100024","url":null,"abstract":"","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"16 1","pages":"100024 - 100024"},"PeriodicalIF":0.0,"publicationDate":"2020-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87767890","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
COVID-19 disease: Resuscitation COVID-19疾病:复苏
Clinics in Integrated Care Pub Date : 2020-10-16 DOI: 10.1016/j.intcar.2020.100023
Daniel Paschoud, C. Carter, J. Notter
{"title":"COVID-19 disease: Resuscitation","authors":"Daniel Paschoud, C. Carter, J. Notter","doi":"10.1016/j.intcar.2020.100023","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100023","url":null,"abstract":"","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"53 1","pages":"100023 - 100023"},"PeriodicalIF":0.0,"publicationDate":"2020-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85585308","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: 1
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