Présentation d'un outil de télésurveillance médicale à domicile de patients atteints de broncho-pneumopathie chronique obstructive (COPD Briefcase)
Anne DICHMANN-SORKNAES, Universitaire d’Odense au Danemark - COPD Briefcase
Présentation du système de téléconsultation neurologique et de téléradiologie chez des patients atteints d’accident vasculaire cérébral, mis en place par le réseau interhospitalier TEMPiS (Telemedical Project for Integrative Stroke Care)
Docteur MÜLLER-BARNA, Klinikum Harlaching de Munich - TEMPiS
2011-10-21 ASIP Santé Conférence Télémédecine "Présentation du système norvég...ASIP Santé
Présentation du système de téléassistance de séances de dialyse dans des centres à distance de l’unité centrale, réalisé en partenariat avec le Centre Norvégien pour la Télémédecine et les Soins Intégrés (NST)
Randi LAUKLI, représentant le département de télémédecine de l’Hôpital Universitaire de Tromsø, en Norvège
The study prospectively validated the NEXUS II decision rule for predicting intracranial injury in children with blunt head trauma. It found:
1) The NEXUS II rule had high sensitivity (98.9%) and low specificity (9.8%) for detecting intracranial injuries, similar to previous studies.
2) Applying the NEXUS II criteria would significantly increase the CT scan rate from the current 10.4% to over 50% due to a large number of low-risk children meeting criteria.
3) The NEXUS II rule requires further validation in minor head trauma patients to determine its ability to safely reduce unnecessary CT scans in this population.
This document outlines a proposal for an Emergency Radiology Fellowship program. It notes the increasing subspecialization in medicine and complexity of technologies. An Emergency Radiology Fellowship would train radiologists in emergency settings through a competency-based curriculum involving practical skills. Selecting institutions with adequate emergency infrastructure and qualified faculty is important. While subspecialization provides expertise, the approach also needs to be multidisciplinary to avoid issues like fragmentation or conflicts of interest. The fellowship aims to address future imaging needs through specialized emergency training.
Being invited to Florence, Italy to address an international medical meeting about our work for
head and neck tumors was a great honor. The symposium – organized under the auspices of
the President of Italy was held in a once-ancient hospital that is now a museum in the historic
city of Tuscany.
Project ECHO (Extension for Community Health Outcomes)icornpresentations
Sanjeev Arora MD, Distinguished Professor of Medicine (Gastroenterology/Hepatology); Director of Project ECHO®
Department of Medicine, University of New Mexico Health Sciences Center
This document provides descriptions of the various departments within a hospital. It discusses departments such as casualty, cardiology, critical care, general surgery, maternity/neonatal/paediatrics, gynaecology, anaesthetics, ears nose and throat, neurology, ophthalmology, orthopaedics, psychiatry, outpatient, inpatient, diagnostic imaging, nutrition and dietetics, medical social work, housekeeping, catering, administration, medical records, maintenance, IT, human resources, and finance. The document aims to give an overview of the functions and services provided by each department within a hospital.
Présentation du système de téléconsultation neurologique et de téléradiologie chez des patients atteints d’accident vasculaire cérébral, mis en place par le réseau interhospitalier TEMPiS (Telemedical Project for Integrative Stroke Care)
Docteur MÜLLER-BARNA, Klinikum Harlaching de Munich - TEMPiS
2011-10-21 ASIP Santé Conférence Télémédecine "Présentation du système norvég...ASIP Santé
Présentation du système de téléassistance de séances de dialyse dans des centres à distance de l’unité centrale, réalisé en partenariat avec le Centre Norvégien pour la Télémédecine et les Soins Intégrés (NST)
Randi LAUKLI, représentant le département de télémédecine de l’Hôpital Universitaire de Tromsø, en Norvège
The study prospectively validated the NEXUS II decision rule for predicting intracranial injury in children with blunt head trauma. It found:
1) The NEXUS II rule had high sensitivity (98.9%) and low specificity (9.8%) for detecting intracranial injuries, similar to previous studies.
2) Applying the NEXUS II criteria would significantly increase the CT scan rate from the current 10.4% to over 50% due to a large number of low-risk children meeting criteria.
3) The NEXUS II rule requires further validation in minor head trauma patients to determine its ability to safely reduce unnecessary CT scans in this population.
This document outlines a proposal for an Emergency Radiology Fellowship program. It notes the increasing subspecialization in medicine and complexity of technologies. An Emergency Radiology Fellowship would train radiologists in emergency settings through a competency-based curriculum involving practical skills. Selecting institutions with adequate emergency infrastructure and qualified faculty is important. While subspecialization provides expertise, the approach also needs to be multidisciplinary to avoid issues like fragmentation or conflicts of interest. The fellowship aims to address future imaging needs through specialized emergency training.
Being invited to Florence, Italy to address an international medical meeting about our work for
head and neck tumors was a great honor. The symposium – organized under the auspices of
the President of Italy was held in a once-ancient hospital that is now a museum in the historic
city of Tuscany.
Project ECHO (Extension for Community Health Outcomes)icornpresentations
Sanjeev Arora MD, Distinguished Professor of Medicine (Gastroenterology/Hepatology); Director of Project ECHO®
Department of Medicine, University of New Mexico Health Sciences Center
This document provides descriptions of the various departments within a hospital. It discusses departments such as casualty, cardiology, critical care, general surgery, maternity/neonatal/paediatrics, gynaecology, anaesthetics, ears nose and throat, neurology, ophthalmology, orthopaedics, psychiatry, outpatient, inpatient, diagnostic imaging, nutrition and dietetics, medical social work, housekeeping, catering, administration, medical records, maintenance, IT, human resources, and finance. The document aims to give an overview of the functions and services provided by each department within a hospital.
The document discusses chronic obstructive pulmonary disease (COPD), including its definition as a progressive lung disease characterized by limited airflow; causes such as smoking, air pollution, and genetic factors; symptoms like breathlessness, cough, and sputum production; diagnostic tests and medical management including bronchodilators, antibiotics, and oxygen therapy; preventive measures like smoking cessation and flu vaccines; and nursing interventions focused on assessment, education, and managing complications. COPD encompasses chronic bronchitis and emphysema and is a serious lung condition caused primarily by smoking.
Breakout 1.3 Improving COPD Care in the West Midlands - Colin GelderNHS Improvement
Breakout 1.3 Improving COPD Care in the West Midlands - Colin Gelder
Clinical Lead Respiratory Midlands Region, NHS Midlands & EastMidlands East
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme
This document provides information about reading and interpreting electrocardiograms (EKGs), including the following key points:
1. When reading an EKG, one should examine the rhythm, rate, axis, signs of chamber enlargement, evidence of ischemia or injury, intervals between waves, and provide an overall conclusion.
2. A normal EKG has a regular rhythm with each P wave followed by a QRS complex. It also has normal amplitudes and durations for the various waves as well as normal axes determined by the leads.
3. Abnormalities that can be identified on EKG include signs of right or left atrial and ventricular enlargement as well as conditions like ischemia, injury, and arrhythm
This document outlines the steps for systematically reading a 12-lead ECG:
1. Calculate the heart rate
2. Determine the rhythm
3. Determine if the QRS axis is normal or shows left/right axis deviation
4. Calculate intervals between waves
5. Assess for signs of cardiac hypertrophy
6. Look for evidence of a myocardial infarction
It provides guidance on analyzing each component, such as how to identify normal vs. abnormal QRS axis using leads I and II.
Dr Denis Wat of Liverpool Heart & Chest Hospital and Kevin Auton of Aseptika present their feasibility study on self care with COPD patients at ECO9 event on 13th September 2016
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by difficulty breathing. It is caused by long-term exposure to irritating gases and particulate matter, primarily from cigarette smoking. Symptoms include a productive cough, breathlessness, and chest infections. The disease is diagnosed through pulmonary function tests and imaging. Treatment focuses on reducing symptoms through bronchodilators and antibiotics for infections. Nursing care involves assessing symptoms, monitoring diagnostic tests, and teaching patients about prevention, treatment, and managing exacerbations.
Nurses don't have to work at the bedside. Many nurses work as consultants. This presentation was given at the National Nurses in Business Associations Annual Conference and explains different roles a nurse can use to begin a business.
The document discusses a critical assessment for stroke patients at a nursing simulating learning center. The learning center aims to provide nursing students hands-on experience assessing and caring for stroke patients through realistic simulations. Students practice performing vital sign checks, neurological assessments, and communicating with simulated stroke patients to develop their clinical skills in a safe environment before treating real patients.
This document outlines nursing implications for hypertension. It begins with an introduction and defines hypertension. It then discusses causes and symptoms of hypertension. The remainder of the document focuses on the nurse's role, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. It describes methods for assessment including observation, lifestyle evaluation, and physical exams. Goals of nursing care are to control blood pressure, prevent complications, educate patients, and ensure understanding of treatment plans. Evaluation includes checking for reductions in blood pressure before and after nursing interventions.
A stroke occurs when the blood supply to the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. There are two main types of stroke: ischemic, caused by a blockage in an artery, and hemorrhagic, caused by a ruptured blood vessel in the brain. Symptoms vary depending on the affected area of the brain and can include paralysis, confusion, vision changes, and headaches. Treatment depends on the type of stroke, but may involve clot-busting drugs, surgery, or lifestyle changes to prevent future strokes such as controlling risk factors like high blood pressure, smoking, diabetes, and obesity. Prognosis depends on the severity and location of damage to the brain.
Approach to patients with upper gi bleedingRajesh S
This document provides an overview of a seminar on gastrointestinal bleeding. It begins with an introduction and outline. It then covers topics like the anatomy of the GI tract and sources of bleeding. Diagnostic assessments including history, exams, and tests are reviewed. Approaches to resuscitation, classification of shock, and fluid management are outlined. Etiologies of upper and lower GI bleeding like ulcers, varices, and tumors are summarized. Endoscopic and surgical management strategies are also discussed. Risk factors for poor prognosis with GI bleeding are listed. The document concludes with a risk score to predict need for intervention in GI bleeding cases.
COPD is a chronic lung disease characterized by obstructed airflow caused by conditions like emphysema and chronic bronchitis. Risk factors include cigarette smoking, genetics, and air pollution. Symptoms include excessive cough, shortness of breath, wheezing, and fatigue. Diagnosis involves assessing symptoms, examining lungs, and tests like chest X-rays, pulmonary function tests, and blood gas analysis. Treatment focuses on preventing further lung damage by quitting smoking, using bronchodilators and steroids, antibiotics for infections, and exercises to clear airways and strengthen breathing. Complications can be respiratory failure, pneumonia, and depression if not properly managed.
Chronic obstructive pulmonary disease (COPD) refers to two lung diseases, chronic bronchitis and emphysema, that are typically caused by smoking. In COPD, airflow to the lungs is limited by inflammation and damage to airways and lung tissue. Symptoms include cough, sputum production, wheezing, shortness of breath, and weight loss. Treatment focuses on smoking cessation, bronchodilators, oxygen therapy, and managing exacerbations. Nursing care aims to improve ventilation and gas exchange, manage anxiety, and promote effective airway clearance and activity tolerance.
Nurses play a pivotal role in all phases of stroke care, from the emergency phase to acute care. In the emergency phase, nurses focus on rapid assessment, treatment, and minimizing time to thrombolytic therapy. In acute care, nurses monitor for bleeding complications, manage blood pressure and fever, and provide mobility exercises to prevent complications. Throughout stroke care, nurses work to improve patient outcomes by preventing issues like contractures, deep vein thrombosis, and caregiver burden.
The document outlines objectives and an agenda for a session on acute inpatient stroke care, which includes presentations and activities to enhance learning about best nursing practices across the acute stroke continuum. The focus is on collaborating with colleagues to identify optimal ways of applying assessment tools and clinical recommendations in different care settings. Participants are encouraged to actively engage in discussions and exercises to facilitate knowledge sharing.
Hypertension, or high blood pressure, is defined as a systolic blood pressure above 140 mmHg or a diastolic blood pressure above 90 mmHg. It can be caused by primary or secondary factors. Primary hypertension accounts for 90-95% of cases and its cause is unknown. Secondary hypertension is caused by an underlying condition such as kidney disease. Treatment involves lifestyle modifications and medication to prevent target organ damage from severely high blood pressure.
This document discusses the assessment and management of neck trauma, including penetrating trauma, blunt trauma, and strangulation injuries. It covers the pathophysiology, classification, clinical features, diagnostic evaluation and definitive treatment for various types of neck injuries. The management involves a structured approach to stabilize the patient, assess airway and vascular integrity, perform diagnostic studies as needed, and determine whether surgical intervention is required to address injuries from penetrating trauma or signs of injury from blunt trauma.
This document discusses hypertension, including its definition, classification, causes, types (primary and secondary), diagnosis, management through lifestyle changes and medications, complications, and heart failure. Hypertension is defined as blood pressure over 140/90 mmHg. Its causes include lifestyle factors like stress, diet, obesity, and genetics. Treatment involves lifestyle modifications like diet changes and exercise, as well as medications that lower blood pressure such as diuretics, ACE inhibitors, and calcium channel blockers. Complications of uncontrolled hypertension include heart disease, stroke, kidney disease, and cognitive impairment.
Nfhk2011 anne soerknaes_finland-uddeling-110825NFHK2011
This document summarizes a study on the effects of telemedical nursing consultations for patients with chronic obstructive pulmonary disease (COPD). The study found that patients who received telemedical nursing consultations through a "COPD briefcase" device had lower readmission rates and fewer total readmission days compared to controls. Patients were satisfied with the virtual consultations and felt more safe at home. Nurses could guide and educate patients remotely through the telemedical system. The document discusses the advantages and some implementation considerations of telemedical nursing consultations for COPD patients.
Evaluation of patient and clinician experience in the Lothian Telehealth trial. Alex Tarling
Evaluation of patient and clinician experience in the Lothian Telehealth trial. Presentation delivered at the World Congress for IT conference, Amsterdam, June 2010.
The document discusses chronic obstructive pulmonary disease (COPD), including its definition as a progressive lung disease characterized by limited airflow; causes such as smoking, air pollution, and genetic factors; symptoms like breathlessness, cough, and sputum production; diagnostic tests and medical management including bronchodilators, antibiotics, and oxygen therapy; preventive measures like smoking cessation and flu vaccines; and nursing interventions focused on assessment, education, and managing complications. COPD encompasses chronic bronchitis and emphysema and is a serious lung condition caused primarily by smoking.
Breakout 1.3 Improving COPD Care in the West Midlands - Colin GelderNHS Improvement
Breakout 1.3 Improving COPD Care in the West Midlands - Colin Gelder
Clinical Lead Respiratory Midlands Region, NHS Midlands & EastMidlands East
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme
This document provides information about reading and interpreting electrocardiograms (EKGs), including the following key points:
1. When reading an EKG, one should examine the rhythm, rate, axis, signs of chamber enlargement, evidence of ischemia or injury, intervals between waves, and provide an overall conclusion.
2. A normal EKG has a regular rhythm with each P wave followed by a QRS complex. It also has normal amplitudes and durations for the various waves as well as normal axes determined by the leads.
3. Abnormalities that can be identified on EKG include signs of right or left atrial and ventricular enlargement as well as conditions like ischemia, injury, and arrhythm
This document outlines the steps for systematically reading a 12-lead ECG:
1. Calculate the heart rate
2. Determine the rhythm
3. Determine if the QRS axis is normal or shows left/right axis deviation
4. Calculate intervals between waves
5. Assess for signs of cardiac hypertrophy
6. Look for evidence of a myocardial infarction
It provides guidance on analyzing each component, such as how to identify normal vs. abnormal QRS axis using leads I and II.
Dr Denis Wat of Liverpool Heart & Chest Hospital and Kevin Auton of Aseptika present their feasibility study on self care with COPD patients at ECO9 event on 13th September 2016
Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by difficulty breathing. It is caused by long-term exposure to irritating gases and particulate matter, primarily from cigarette smoking. Symptoms include a productive cough, breathlessness, and chest infections. The disease is diagnosed through pulmonary function tests and imaging. Treatment focuses on reducing symptoms through bronchodilators and antibiotics for infections. Nursing care involves assessing symptoms, monitoring diagnostic tests, and teaching patients about prevention, treatment, and managing exacerbations.
Nurses don't have to work at the bedside. Many nurses work as consultants. This presentation was given at the National Nurses in Business Associations Annual Conference and explains different roles a nurse can use to begin a business.
The document discusses a critical assessment for stroke patients at a nursing simulating learning center. The learning center aims to provide nursing students hands-on experience assessing and caring for stroke patients through realistic simulations. Students practice performing vital sign checks, neurological assessments, and communicating with simulated stroke patients to develop their clinical skills in a safe environment before treating real patients.
This document outlines nursing implications for hypertension. It begins with an introduction and defines hypertension. It then discusses causes and symptoms of hypertension. The remainder of the document focuses on the nurse's role, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. It describes methods for assessment including observation, lifestyle evaluation, and physical exams. Goals of nursing care are to control blood pressure, prevent complications, educate patients, and ensure understanding of treatment plans. Evaluation includes checking for reductions in blood pressure before and after nursing interventions.
A stroke occurs when the blood supply to the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. There are two main types of stroke: ischemic, caused by a blockage in an artery, and hemorrhagic, caused by a ruptured blood vessel in the brain. Symptoms vary depending on the affected area of the brain and can include paralysis, confusion, vision changes, and headaches. Treatment depends on the type of stroke, but may involve clot-busting drugs, surgery, or lifestyle changes to prevent future strokes such as controlling risk factors like high blood pressure, smoking, diabetes, and obesity. Prognosis depends on the severity and location of damage to the brain.
Approach to patients with upper gi bleedingRajesh S
This document provides an overview of a seminar on gastrointestinal bleeding. It begins with an introduction and outline. It then covers topics like the anatomy of the GI tract and sources of bleeding. Diagnostic assessments including history, exams, and tests are reviewed. Approaches to resuscitation, classification of shock, and fluid management are outlined. Etiologies of upper and lower GI bleeding like ulcers, varices, and tumors are summarized. Endoscopic and surgical management strategies are also discussed. Risk factors for poor prognosis with GI bleeding are listed. The document concludes with a risk score to predict need for intervention in GI bleeding cases.
COPD is a chronic lung disease characterized by obstructed airflow caused by conditions like emphysema and chronic bronchitis. Risk factors include cigarette smoking, genetics, and air pollution. Symptoms include excessive cough, shortness of breath, wheezing, and fatigue. Diagnosis involves assessing symptoms, examining lungs, and tests like chest X-rays, pulmonary function tests, and blood gas analysis. Treatment focuses on preventing further lung damage by quitting smoking, using bronchodilators and steroids, antibiotics for infections, and exercises to clear airways and strengthen breathing. Complications can be respiratory failure, pneumonia, and depression if not properly managed.
Chronic obstructive pulmonary disease (COPD) refers to two lung diseases, chronic bronchitis and emphysema, that are typically caused by smoking. In COPD, airflow to the lungs is limited by inflammation and damage to airways and lung tissue. Symptoms include cough, sputum production, wheezing, shortness of breath, and weight loss. Treatment focuses on smoking cessation, bronchodilators, oxygen therapy, and managing exacerbations. Nursing care aims to improve ventilation and gas exchange, manage anxiety, and promote effective airway clearance and activity tolerance.
Nurses play a pivotal role in all phases of stroke care, from the emergency phase to acute care. In the emergency phase, nurses focus on rapid assessment, treatment, and minimizing time to thrombolytic therapy. In acute care, nurses monitor for bleeding complications, manage blood pressure and fever, and provide mobility exercises to prevent complications. Throughout stroke care, nurses work to improve patient outcomes by preventing issues like contractures, deep vein thrombosis, and caregiver burden.
The document outlines objectives and an agenda for a session on acute inpatient stroke care, which includes presentations and activities to enhance learning about best nursing practices across the acute stroke continuum. The focus is on collaborating with colleagues to identify optimal ways of applying assessment tools and clinical recommendations in different care settings. Participants are encouraged to actively engage in discussions and exercises to facilitate knowledge sharing.
Hypertension, or high blood pressure, is defined as a systolic blood pressure above 140 mmHg or a diastolic blood pressure above 90 mmHg. It can be caused by primary or secondary factors. Primary hypertension accounts for 90-95% of cases and its cause is unknown. Secondary hypertension is caused by an underlying condition such as kidney disease. Treatment involves lifestyle modifications and medication to prevent target organ damage from severely high blood pressure.
This document discusses the assessment and management of neck trauma, including penetrating trauma, blunt trauma, and strangulation injuries. It covers the pathophysiology, classification, clinical features, diagnostic evaluation and definitive treatment for various types of neck injuries. The management involves a structured approach to stabilize the patient, assess airway and vascular integrity, perform diagnostic studies as needed, and determine whether surgical intervention is required to address injuries from penetrating trauma or signs of injury from blunt trauma.
This document discusses hypertension, including its definition, classification, causes, types (primary and secondary), diagnosis, management through lifestyle changes and medications, complications, and heart failure. Hypertension is defined as blood pressure over 140/90 mmHg. Its causes include lifestyle factors like stress, diet, obesity, and genetics. Treatment involves lifestyle modifications like diet changes and exercise, as well as medications that lower blood pressure such as diuretics, ACE inhibitors, and calcium channel blockers. Complications of uncontrolled hypertension include heart disease, stroke, kidney disease, and cognitive impairment.
Nfhk2011 anne soerknaes_finland-uddeling-110825NFHK2011
This document summarizes a study on the effects of telemedical nursing consultations for patients with chronic obstructive pulmonary disease (COPD). The study found that patients who received telemedical nursing consultations through a "COPD briefcase" device had lower readmission rates and fewer total readmission days compared to controls. Patients were satisfied with the virtual consultations and felt more safe at home. Nurses could guide and educate patients remotely through the telemedical system. The document discusses the advantages and some implementation considerations of telemedical nursing consultations for COPD patients.
Evaluation of patient and clinician experience in the Lothian Telehealth trial. Alex Tarling
Evaluation of patient and clinician experience in the Lothian Telehealth trial. Presentation delivered at the World Congress for IT conference, Amsterdam, June 2010.
This document discusses strategies to prevent and manage delirium in critically ill patients. It outlines the ABCDEF bundle which includes assessing, preventing, and managing pain, both spontaneous awakening and breathing trials, minimizing sedation, assessing and preventing delirium, early mobility and exercise, and engaging family members. Screening for delirium using the CAM-ICU tool and implementing non-pharmacological interventions can reduce length of hospital stay, duration of mechanical ventilation, and mortality. Widespread use of protocols and bundles that incorporate these strategies may help address the high cost and poor outcomes associated with delirium.
Ellen bolch & max stachura advanced telehomecareSamantha Haas
RightHealth provides remote patient monitoring and chronic disease management using technologies like remote monitoring devices, video visits, electronic health records, and clinical decision support. Their population health model focuses on chronic disease management through risk stratification, physician-led care teams, and care coordination across settings. Studies show their program reduces hospital readmissions and Medicare charges. They propose a bundled payment program to further monitor and prevent rehospitalizations for certain conditions over 90 days post-discharge. Background literature supports telehealth tools for caregiver support, independent living for elders, and positive quality perceptions of telehomecare. Video conferencing can allow inspection for signs like edema or depression and detect changes from a baseline. Some patients feel video is better for openness while
Telehealth uses telecommunications technologies to deliver health services and information remotely. It aims to improve access to care while reducing costs. Telehealth modalities include videoconferencing, remote monitoring, and store-and-forward technologies. It benefits patients through improved access to specialists, providers through reduced travel, and payers through lower costs. Challenges include regulatory issues, costs, and lack of acceptance or reimbursement. As technologies advance and demand increases, telehealth is expected to become more mainstream and expand the definition of healthcare.
Evaluation the outcomes of partial laryngectomy .pptxssuserbc95ff
This document evaluates the outcomes of open partial laryngectomy in treating early glottic cancer. 32 patients underwent anterior frontolateral vertical partial laryngectomy between 2019-2022. Post-operative complications were generally minor, with no deaths. At 6-month follow-up, patients reported good voice quality and airway/swallowing function. While recurrence occurred in a few cases, open partial laryngectomy provided effective local control and voice preservation for early glottic cancer. However, the study had a small sample size and longer follow-up is needed.
Presentation by Janet Davies, Healthy Lancashire and South Cumbria: Can technology help to reduce emergency and unplanned admissions in respiratory?, at ECO 21 event at Haydock Park Racecourse on Thursday 12 December 2019.
My top 5 papers of 2015-2017 about telehealth in copd managementFrancis Thien
Frank Thien reviewed the top 5 papers from 2015-2017 on the role of telehealth in COPD management. The papers included a review finding variable telehealth models for COPD but more evidence is needed. A large Danish RCT found telehealth did not significantly improve quality of life. A Northern Ireland RCT found telemonitoring improved quality of life but was not cost-effective. A Taiwanese RCT found telemonitoring reduced hospital readmissions. A small Norwegian pilot study found telerehabilitation improved outcomes and was feasible for long-term exercise maintenance. Further research is still needed, particularly on cost-benefit analyses and replicating successful studies.
Acute hospitals end of life care best practiceNHSRobBenson
Delivering reliable best practice in an acute hospital setting for patients whose recovery is uncertain. Including details of the AMBER care bundle. Presentation from Anita Hayes and colleagues from England's National End of Life Care Programme as part of the Department of Health's QIPP end of life care workstream seminar series at Healthcare Innovation Expo 2011
The document discusses the implementation of telemedicine and telehealth services in Yorkshire, England. It provides examples of:
- Telemedicine pilot programs for diabetes patients and nursing home residents that allowed remote consultations.
- A telehealth hub opened in 2011 that provides 24/7 telemedicine services including avoiding nearly 200 hospital admissions.
- High levels of satisfaction reported by both patients and clinicians with the telemedicine services, especially the ability to communicate issues remotely.
- Data showing reductions in hospital admissions of 31-46% for nursing home residents using telemedicine versus traditional care.
So in summary, the document outlines the development and positive outcomes of telemedicine programs in Yorkshire that have improved access and reduced hospital
Mobile and Telehealth Programs Evidence and Emerging TechnologiesP. Kenyon Crowley
Review of current evidence on telehealth and mobile health interventions effectiveness, and emerging innovations in this space, presented at executive education session.
Using Implementation Science to transform patient care (Knowledge to Action C...NEQOS
Master Class presentation and workshop materials from the NENC AHSN Collaborating for Better Care Partnership's Master Class, led by Professor Jeremy Grimshaw' on 1st September 2014
This document discusses the impact of respiratory masks on skin health in patients requiring long-term ventilation support. It notes that 14% of patients developed pressure ulcers from masks, most commonly in the first 90 days of use and on the face. Risk factors include immature skin, compromised blood flow, decreased mobility and medical devices. Custom-made masks may reduce pressure and improve seal, lowering skin damage risks. Developing methods to better measure skin pressures and impacts during mask wear could help improve interface design and patient comfort.
Telemonitoring involves the ongoing remote monitoring of a patient's condition through sensors that detect physiological indicators and wirelessly transmit data to healthcare providers. It allows for the remote assessment of conditions like heart failure without in-person visits. The document discusses different types of telehealth including telemedicine, which provides clinical care via telecommunications, and telemonitoring, which passively monitors health indicators. Telemonitoring has been used with older adults and can benefit access to care, but faces challenges with technology, privacy concerns, and replacing in-person interactions. Research shows telemonitoring may reduce mortality and hospital readmissions for heart failure patients.
The Whole System Demonstrator (WSD) Programme is a large, randomized controlled trial testing the effectiveness of telecare and telehealth technologies. It involves thousands of participants recruited across three UK sites who will receive telecare or telehealth equipment or usual care. The goal is to understand how these technologies can help people manage long-term conditions independently and to provide an evidence base on their costs and benefits. Eligible participants have conditions like diabetes, heart failure, or require social care. They will receive sensors and monitors to track health and activity at home.
This document summarizes the services provided by a telehealth hub operated by Airedale NHS Foundation Trust. The telehealth hub operates 24/7 and is staffed by experienced nurses and physicians. It provides remote care to over 3,000 patients, including those in their own homes and over 200 care homes. Services include telemonitoring, teleconsultations, and escalating cases to community healthcare teams as needed. The telehealth hub has reduced hospital admissions and emergency department visits. It allows for remote consultations and monitoring of patients with conditions like COPD and stroke. Feedback from patients and care homes has been very positive about the benefits and reassurance provided by the telehealth services.
An opportunity to hear how service redesign positively impacts on the patient experience and improves outcomes for both the patient and NHSScotland. Showcasing examples of changes to pathways of care in orthopaedics and community support for people with complex and chronic conditions.
ICN Victoria presents Dr Dashiell Gantner, research fellow at the Monash University in Melbourne. Here he talks about translating ICU research into clinical practice.
Similar to 2011-10-21 ASIP Santé Conférence Télémédecine "Présentation de COPD Briefcase" (20)
Colloque sur la sécurité des systèmes d’information ASIP Santé
Incident attaque – réactions ! Que déclarer, qui, quoi, qu’attendre ? Déclaration des incidents SSI - M. Emmanuel SOHIER - ASIP Santé; Service du HFDS - Pôle Cyber
Colloque sur la sécurité des systèmes d’information ASIP Santé
La Digitalisation et l’Intelligence Artificielle : incidences sur les parcours de vie, sur la coordination des écosystèmes de santé - M. Jean-François GOGLIN, FEHAP
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Présentation d'Arnaud Morel et Mathieu Crouzet dans le cadre de la Journée nationale des industriels - 21 décembre 2017 - Centre d'affaires Paris Victoire
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Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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2011-10-21 ASIP Santé Conférence Télémédecine "Présentation de COPD Briefcase"
1. The “COPD Briefcase”
The effects of telemedical nursing consultations
for patients with COPD
Background- The challenges
The aim of the Ph.D. Study
The intervention
The results
Paris, France October the 21th. 2011 The Patient Briefcase
1Sorknæs, AD; 1Hounsgaard,L; 2Olesen,F; 3Jest,P; 4Bech,M; 1Østergaard, B.
1 Institute of Clinical Research Nursing, Faculty of Health Sciences,
University of Southern Denmark
2 Department of Information and Media Studies, University of Aarhus, Denmark
3 OUH-Odense Universitetshospital & Svendborg Hospital, of Southern Denmark
4 Institute of Public Health, Health Economics, University of Southern Denmark
2. Background- The challenges
An increasing number of elderly patients with
chronic diseases - as COPD
In Denmark, COPD is the most common reason
for admission to the medical departments
COPD exacerbations constitute a heavy patient
and societal burden
Telemedicine nurse consultations might reduce
the burden of COPD, but the evidence is still week
3. The Aim of this PhD. Telemedicine study
The aim of this Ph.D. study is to investigate
the effects of
telemedicine nursing consultations
compared with conventional treatment
for patients with
Chronic Obstructive Pulmonary disease
with focus on readmission, mortality
and the users’ experience
with virtual nursing video consultations.
4. Studies with the COPD-briefcase
At OUH-Odense University Hospital & Svendborg Hospital
2007-2009: A Controlled intervention study with 100
participants. Part of the EU study ”Better Breathing.
Published January 2011.
2010-2011: A qualitative technology philosophy
fieldwork study. Part of the EU study “Renewing Health”
2010-2012 A randomized controlled trial (266 patients).
Part of the partly-financed EU study “Renewing Health”
And now to the intervention
5. Intervention controlled study
• Patients admitted because of an E-COPD
• 50 intervention patients and 50 geographic
defined controlled patients
• Severe to very severe COPD
• Age: 74 years
• Pack year: 40 years
• Living in the county of Funen
6. Organisation of the set-up
The COPD- Telenurse 1 Telephone
Briefcase is Consultation follow-up
installed with mea- call within
wihin 24 surements one week
hours daily/ 7 days
Telehealth group
Outpatient State-
Discharge review ment 4
4 weeks weeks
Control group
7. The virtual nursing consultation
Observation
Measurements
Education
General talk
11. Results: Readmission
Telemedicine Control Difference
patients: patients: (Reduction)
(n: 50) (n: 50)
Total number of 8 (16 %) 15 (30%) 14% reduction
Readmission
Total number of 6 (12%) 11 (22%) (10% reduction)
Readmission
(exacerbation)
Total days of 37 (4,6) 116 (7,7) 79 (68%)
Readmission
Readmission days with 15 (2,5) 48 (4,4) 33(69%)
exac. (3 <1 day) (2<1day)
12. Patient satisfaction
Yes No ?
%
Because of the TVC the patients felt more safe or 76 7 17
safe with discharge
Used the equipment without help from anyone* 83 15 2
Could easily or with little difficulty make the 98 2
TVC measurements work
The measurements made the patients feel more 93 7
safe or no difference
Found the number of consultations suitable** 88 5 7
Will recommend that the TVC should be the 95 0 5
usual care
*5 % some times with help; **5 % wants more consultations; ***20 % preferred both telemedicine and telephone calls
13. Proximity and care
“-When she talks to me I know I am in
focus. And only me.
And that's probably what makes me feel
more safe. It must be that.
Sometimes I even forget the illness I have
and I just think we are two normal people
having a normal conversation”.
14. Advantages for the patient
Possible to create proximity and to care for
the patients (- make them feel safe)
Empower the patients
Close relationship to the nurses
Can stay at home
Uninterrupted consultation
The patients can (almost) decide the time for
the consultation
15. Nurse experience
Possible to:
Nurse and care for patients at long distance
Guide and educate the patients, the relatives
and the homecare system after discharge
Control how the patients administrate the
treatment and their illness after discharge
Create proximity
Timesaving compared to assisted homecare
16. Socio- cultural- etichal- legal - organisational
Changed the patient role
Not all patient can be offered telemedicine
Legal aspects - laws
Economy
Change the role for the staff – Specialist
knowledge (clinical and technical)
17. Another kind of nursing
“Sure, at first I was annoyed that I could
not use the normal observation methods,
but then I thought
'I have to do something different' so I
learned”.
18. Technology aspects
Safe and secure internet line is required
Media training and education is required
Telemedicine equipment must be easily
accessible
Patient:
“-It just works! I just press the button and
we are connected”.
19. Technology aspects
Need of (a little) technical knowledge
Equipment and the connection must be
reliably
Nurse:
”The worst thing is when it doesn't work. It is
very frustrating for both me and the patient
because we rely on the equipment
and it affects everything when it doesn't work.
It affects me so much that I cannot do my job.
My focus is forced away from the patient”.
20. Merci beaucoup
Questions?
• Thanks to: Supported by:
• Supervisors:
– Birte Østergaard Jensen lecturer Ph.D. Odense University Hospital
– Peder Jest director, doctor University of Sourthern
– Finn Olesen lecturer, Ph.D. Denmark
– Lise Hounsgaard lecturer, Ph.D.
– Michael Bech professor, Ph.D. European Union
• MedCom Helsefonden
• Telemedical nurses, The Danish Nurses'
• Doctors Organization
• Managers
• MTV and Science department OUH
• MedCom
• EU-commission and European colleagues
and partners
• GITS/Medisat