The document discusses using mind mapping as an improved method for creating patient discharge instructions. It notes that current methods using only text often result in patients not understanding or adhering to the instructions. Mind maps allow inclusion of all needed information in a visual format that is easier for patients to understand and remember. The document provides examples of how mind maps could include different media like images, videos and links to better convey discharge instructions to patients.
Deep learning in healthcare: Oppotunities and challenges with Electronic Medi...Thien Q. Tran
Interested in deep learning for healthcare has grown strongly recent years besides with the successes in other domains such as Computer Vision, Natural Language Processing, Speech Recognition and so forth. This talk will try to give a brief look into the recent effort of research in deep learning for healthcare. Especially, this talk focuses on the opportunities and challenges in using electronic health records (EHR) data, which is one of the most important data sources in healthcare domain.
Fall-related injuries can be some of the most common, disabling, and expensive health conditions encountered by adults, especially older adults. According to researcher Janice Morse, approximately 14% of all falls in hospitals are accidental, another 8% are unanticipated and 78% are anticipated falls. Guideline to prevent falls in the hospital has helped to bring down the numbers and improve patient safety.
Para mayor información comuníquese por:
SKYPE : rocio.tu.multiespacio
WhatsApp 5493512855118
Llamadas CLARO 3517556773
ENVÍOS A TODO EL PAÍS
www.rociomultiespacio.com.ar
#RocioDistribuidora
Introducing Comprehensive, Concurrent Patient Safety Surveillance for Hospita...Health Catalyst
Health Catalyst is excited to announce the Patient Safety Monitor™ Suite: Surveillance Module, the industry’s first comprehensive patient safety application to use predictive and text analytics combined with concurrent clinician review of data to help monitor, detect, predict and prevent threats to patients before harm can occur.
The Patient Safety Monitor Suite leverages AI and machine learning to quickly identify patterns of harm, learn from those patterns, and suggest strategies to eliminate patient safety risks and hazards. This potent combination of AI, machine learning, text analytics and near real-time data from multiple IT systems enables the Patient Safety Monitor Suite to predict harm events and guide clinical interventions while the patient is still in the hospital.
In this webinar you will learn how the Surveillance Module can provide:
* Greater clarity to the types, numbers, and causes of adverse events, enabling leaders to quickly prioritize improvement efforts.
* Improved patient outcomes such as reduced morbidity, mortality, and length-of-stay, and increased quality-of-life and satisfaction.
* Bottom-line cost savings and improved brand recognition related to unnecessary or preventable high-cost care and reduced/eliminated penalties.
* The ability for clinicians and infection preventionists to focus on patient care instead of burdensome manual data extraction, aggregation, and reporting.
Robust Low-rank and Sparse Decomposition for Moving Object DetectionActiveEon
Presentation summary:
* Moving object detection by background modeling and subtraction.
* Solved and unsolved challenges.
* Framework for low-rank and sparse decomposition.
* Some applications of RPCA on:
* * Background modeling and foreground separation.
* * Very dynamic background.
* * Multidimensional and streaming data.
* LRSLibrary1 + demo.
Deep learning in healthcare: Oppotunities and challenges with Electronic Medi...Thien Q. Tran
Interested in deep learning for healthcare has grown strongly recent years besides with the successes in other domains such as Computer Vision, Natural Language Processing, Speech Recognition and so forth. This talk will try to give a brief look into the recent effort of research in deep learning for healthcare. Especially, this talk focuses on the opportunities and challenges in using electronic health records (EHR) data, which is one of the most important data sources in healthcare domain.
Fall-related injuries can be some of the most common, disabling, and expensive health conditions encountered by adults, especially older adults. According to researcher Janice Morse, approximately 14% of all falls in hospitals are accidental, another 8% are unanticipated and 78% are anticipated falls. Guideline to prevent falls in the hospital has helped to bring down the numbers and improve patient safety.
Para mayor información comuníquese por:
SKYPE : rocio.tu.multiespacio
WhatsApp 5493512855118
Llamadas CLARO 3517556773
ENVÍOS A TODO EL PAÍS
www.rociomultiespacio.com.ar
#RocioDistribuidora
Introducing Comprehensive, Concurrent Patient Safety Surveillance for Hospita...Health Catalyst
Health Catalyst is excited to announce the Patient Safety Monitor™ Suite: Surveillance Module, the industry’s first comprehensive patient safety application to use predictive and text analytics combined with concurrent clinician review of data to help monitor, detect, predict and prevent threats to patients before harm can occur.
The Patient Safety Monitor Suite leverages AI and machine learning to quickly identify patterns of harm, learn from those patterns, and suggest strategies to eliminate patient safety risks and hazards. This potent combination of AI, machine learning, text analytics and near real-time data from multiple IT systems enables the Patient Safety Monitor Suite to predict harm events and guide clinical interventions while the patient is still in the hospital.
In this webinar you will learn how the Surveillance Module can provide:
* Greater clarity to the types, numbers, and causes of adverse events, enabling leaders to quickly prioritize improvement efforts.
* Improved patient outcomes such as reduced morbidity, mortality, and length-of-stay, and increased quality-of-life and satisfaction.
* Bottom-line cost savings and improved brand recognition related to unnecessary or preventable high-cost care and reduced/eliminated penalties.
* The ability for clinicians and infection preventionists to focus on patient care instead of burdensome manual data extraction, aggregation, and reporting.
Robust Low-rank and Sparse Decomposition for Moving Object DetectionActiveEon
Presentation summary:
* Moving object detection by background modeling and subtraction.
* Solved and unsolved challenges.
* Framework for low-rank and sparse decomposition.
* Some applications of RPCA on:
* * Background modeling and foreground separation.
* * Very dynamic background.
* * Multidimensional and streaming data.
* LRSLibrary1 + demo.
Adam Cochran, Marketing Analyst at Quarry Integrated Communications, explores the powerful marketing messages behind TED presentations by great business minds like Malcom Gladwell, Seth Godin and others.
Refine your inbound marketing strategy and brand positioning message with our expert review and favourite takeaways from the TED Marketing Series.
Mind Mapping:how to maximize your brain’s potential
Let your creative energy radiate from both sides of your brain, from the kernel of your Mind Map
By presenting ideas in a radial, graphical, nonlinear manner, mind maps encourage a brainstorming approach to planning and organizing tasks.
* Millions of people are using mind maps for brainstorming, note taking, document drafting, project planning and other tasks that require hierarchical structuring of information.
A Mind Map is a powerful graphic technique which harnesses the full range of cortical skills in a single, powerful manner skills manner
Marketing Automation Platforms are complex, with many features and functionality. We've created this Mind Map, which breaks down the four main components of the platforms - Managing Contacts, Managing Campaigns, Managing Leads and Measuring Impact.
Adam Cochran, Marketing Analyst at Quarry Integrated Communications, explores the powerful marketing messages behind TED presentations by great business minds like Malcom Gladwell, Seth Godin and others.
Refine your inbound marketing strategy and brand positioning message with our expert review and favourite takeaways from the TED Marketing Series.
Mind Mapping:how to maximize your brain’s potential
Let your creative energy radiate from both sides of your brain, from the kernel of your Mind Map
By presenting ideas in a radial, graphical, nonlinear manner, mind maps encourage a brainstorming approach to planning and organizing tasks.
* Millions of people are using mind maps for brainstorming, note taking, document drafting, project planning and other tasks that require hierarchical structuring of information.
A Mind Map is a powerful graphic technique which harnesses the full range of cortical skills in a single, powerful manner skills manner
Marketing Automation Platforms are complex, with many features and functionality. We've created this Mind Map, which breaks down the four main components of the platforms - Managing Contacts, Managing Campaigns, Managing Leads and Measuring Impact.
This webinar on evidence-informed decision-making, delivered jointly by NCCMT and NCCID, draws on the National Collaborating Centre for Methods and Tools (NCCMT) seven-step process, with reference to how methods and tools for each step can apply to infectious disease prevention.
The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.
NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.
Big data in the real world opportunities and challenges facing healthcare -...Leo Barella
The Healthcare system will be target of major disruption more than any other industry in the next 10 years.
The Digital economics and increasing demand by consumers for more real time information in order to make better decisions on who they want to "hire" to perform services for them or in their behalf will be the driver of this disruption. Analytics, Big Data and Machine Learning will lay the foundation for the next generation of healthcare yet there are still many challenges to truly revolutionize the healthcare system end to end (Providers, Pharma, Payers)
APPLICATION OF COMPUTERS IN EPIDEMIOLOGY AND PUBLIC HEALTH - ANJALI MAM.pptxAnjali Singh
This lecture describes the uses of Computers in Epidemiology and Health. The topic has been made considering the basics for the undergraduate, and third-year students.
HI 201: Week 4 Health Information Systems in Developing CountriesIris Thiele Isip-Tan
HI 201 is a graduate course under the MS Health Informatics program of the University of the Philippines College of Medicine. This slide deck is the static version of this screencast video http://youtu.be/UeXTfxBY4uA
Presented at The Fifth National Conference on Medical Informatics and The Annual Meeting of The Thai Medical informatics Association (TMI-NCMedInfo 2017) on November 24, 2017.
Recent discovered technologies have exposed many new theories and possibilities to improve our standard of living. Medical assistance has been a major research topic in the past, many efforts were put in to simplify the process of following treatment prescriptions. This paper summarizes the work done in developing LoRa driven medical adherence system in order to improve medicine adherence for elderlies. The designed system is composed of two sections; embedded hardware device for the use of patients at home and Web application to manage all patients along with their medicines and keep track of their medicine intake history. LoRa wireless communication technology is used for connecting all embedded devices with a central gateway that manages the network. Hardware and software tests have been conducted and showed great performance in terms of LoRa network range and latency. In short, the proposed system shows promising method of improving medicine adherence.
Oncology Big Data: A Mirage or Oasis of Clinical Value? Michael Peters
The title of the presentation, Oncology Big Data: A Mirage or Oasis of Clinical Value, reflects what I believe the field of Oncology is challenged with on a growing basis, from a clinical and business side perspective.
Similar to Hospital Discharge Instructions using Mind Mapping (20)
NLU-MAP. IBM Watson NLU with Mind Mapping automationJosé M. Guerrero
NLU-MAP . An application for the visualization of the results of the semantic analysis of text using IBM Watson Natural Language Understanding through mind mapping automation.
Book "Introduction to the Applications of Mind Mapping in Medicine"José M. Guerrero
Do you want…
• to understand Mind Mapping?
• a concise introduction to the possible applications of Mind Mapping in the field of Health Sciences?
• to understand the possibilities of Mind Mapping automation?
• more information on the scientific evidence supporting Mind Mapping?
• to have a clear-cut opinion about the quality of a Mind Mapping article or book you are reading?
If your answer to any of the above questions is yes, then this book is for you. It is a simple introduction to the field of Mind Mapping, and it also provide an overview of advanced techniques that are just beginning to be explored.
It does not presuppose any previous knowledge of Mind Mapping and can be used by nurses, administrative and IT personnel, doctors, researchers and administrators of hospitals and clinics. In a nutshell, it’s for anyone in health-related fields.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Hospital Discharge Instructions using Mind Mapping
1. HOSPITAL DISCHARGE INSTRUCTIONS USING MIND MAPPING
Image courtesy of cooldesign at FreeDigitalPhotos.net
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 1
2. Vulnerability of Patients after Hospital Discharge
Image courtesy of Stuart Miles at FreeDigitalPhotos.net
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 2
3. Vulnerability of Patients after Hospital Discharge [1]
• About half of the adult patients, experience at least
one medical error after a hospital discharge. [2]
• Between a 19 and a 23% suffer an adverse effect
after discharge, most of the times related to
medication. [3-5]
• When there are adverse effects, 66% are related to
medication, 17% to procedures. [4]
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 3
4. Adherence of Patients to Discharge Instructions
Image courtesy of dan at FreeDigitalPhotos.net
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 4
5. Factors that influence conformity and satisfaction of
the patient with the post-discharge plan [6,7]
• Amount of information
• Quality of the information
• Capacity of the patient to understand the
information
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 5
6. Study investigating patient perceptions of the quality
of discharge instruction 1997-2001 [8]
• Patient satisfaction decreased significantly every year.
• Patients gave lower ratings to the quality of discharge
instruction than to the overall quality of their hospital stay.
• Patient assessments of discharge instruction quality varied
systematically among conditions
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 6
7. Main areas of non-compliance with discharge instructions
• Medication
• Cures
• Medical appointments
• Diet
• Exercise
• Habitual behaviors
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 7
8. Quantification of Patient’s Adherence to Medical Recommendations [9]
• Average: 75%
• Minimum: less than 50%
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 8
9. Consequences of non-adherence to medical recommendations
• Unnecessary phone calls
• Unnecessary visits
• Delay in rehabilitation
• Unnecessary readmissions
• Unnecessary relapses
• Superfluous medical costs Image courtesy of ddpavumba at FreeDigitalPhotos.net
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 9
10. Problems when discharge
instructions are too simple
or incomplete
Image courtesy of Mister GC at FreeDigitalPhotos.net
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 10
11. If discharge instructions are too simple or incomplete, patients
look for complementary information through
• Relatives
• Friends
• Newspapers and
magazines
• Internet
Image courtesy of franky242 at FreeDigitalPhotos.net
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 11
12. The Toronto Consensus [10]
• “Effective communication between doctor and
patient is a central clinical function that cannot be
delegated.”
If the patient has to look for the information she needs
through relatives, friends, internet or any other non
reliable source, effective commnication is interrupted.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 12
13. Shortcomings of Health Information on the Internet [11]
• Uneven quality of medical information available.
• Difficulties in finding, understanding and using this
information.
• Lack of access for the unconnected population.
• The potential for harm and risks of overconsumption.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 13
14. Image courtesy of Stuart Miles at FreeDigitalPhotos.net
Problems when discharge instructions are complex
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 14
15. Main problems when discharge instructions are complex [12]
• Inadequate health literacy of patients and relatives.
• Unrecognized cognitive impairment of patients.
• Linear text is very difficult to understand when it is
extensive, even for people not affected by any of the
two previous problems.
• Difficulty in memorizing the combination of verbal and
written instructions. [13]
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 15
16. IMPROVEMENT OF THE DISCHARGE
INSTRUCTIONS
Image courtesy of renjith krishnan at FreeDigitalPhotos.net
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 16
17. Use of images. Study 1. [14]
• The patients given cartoon instructions were more likely to
have read the instructions (98% versus 79%)
• More likely to answer all wound care questions correctly (46%
versus 6%)
• More compliant with daily wound care (77% versus 54%)
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 17
18. Use of images. Study 2 [15]
50% improvement in the comprehension of
instructions.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 18
19. Standardized Electronic Discharge Instructions [16]
• Implementation of standardized electronic discharge
instructions was not associated with reduction in post-
discharge hospital utilization.
• More studies are needed but simply using electronic
discharge instructions does not solve the fundamental
problems.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 19
20. The main problem
• If the discharge instructions are short and simple,
they cannot include all needed information.
• If the discharge instructions are complex and
extensive, patients cannot assimilate all the
information due to the limitations of linear text.
• The consequence is that patients cannot be
empowered.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 20
21. The biopsychosocial model and the discharge instructions [17]
• Discharge instructions have to be adapted to the new
biopsychosocial model.
• This is needed in order to empower the patient.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 21
22. Mind mapping in the
biopsychosocial model as a tool
to empower the patient
Image courtesy of Salvatore Vuono at FreeDigitalPhotos.net
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 22
23. The Mind Mapping technique [18]
It is a graphical technique for the
vualization of hierarchical connections
beween several elements of information.
Each element of information is linked
with other elements through lines,
creating a network of relations. They are
always organized around a single central
idea or information.
A mind map is a diagram created using
this technique.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 23
24. Most important characteristics of mind maps
Fast processing of images in the brain
+ Hierarchical organization
+ Chunking of information
+ Whole picture and detail views at the same time
+ Visible relationship between the parts
+ Collapse / Expansion of the branches
+ Use of color (facilitating grouping)
+ Multimedia (text, images, documents, videos, sound)
+ 1 single compressed file, easy to send by email or FTP
+ Collaboration (online and presential)
+ Autoformatting
+ No need to change from one screen to another (no context loss)
+ Less mental fatigue
+ Easy to create, visualize and edit
+ The most important information is at the center (better vision)
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 24
25. (c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 25
Prototype of discharge instructions mind map
26. (c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 26
A mind map is a single compressed file
that can include the following elements:
• Shoft texts
• Free text Notes
• Icons
• Images
• Spreadsheets
• Charts
• Internet hyperlinks
• Hyperlinks to other mind maps
• Attached files of any type:
• Images
• PDF
• Word
• Excel
• Videos
27. Mind maps only need a free viewer (MindManager)
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 27
28. or a browser (HTML5)
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 28
29. (c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 29
Environments
Mac
Windows iPad, iPod, iPhone Android
Web
30. (c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 30
Attached PDF containing the detail of the instructions as linear text
39. Advantages of mind maps as discharge instructions
• Visual.
• Easy to use by the patient.
• No limit to the amount of information.
• All information on a single screen. No screen changes.
• All types of multimedia elements.
• Reduce / eliminate communication errors.
• Reduce / eliminate the problems of linear text o web
pages.
• Easy to send and visualize.
• Small size.
• Free viewer.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 39
40. How are mind maps created?
• By automation from information contained in data bases.
• Can be personalized for each patient from her Personal Health
Record.
• Software developed in C#.NET for Windows.
• After being created, the mind map can be sent as an attached
file by email or FTP’s to a web page to be downloaded by the
patient.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 40
41. References
[1] Kripalani S, Jackson AT, Schnipper JL, Coleman EA. Promoting effective transitions of care at hospital
discharge: a review of key issues for hospitalists. J Hosp Med. 2007;2:314–323.
[2] Moore C, et al., Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J
Gen Intern Med. 2003;18:646-651.
[3] Forster AJ, Clark HD, Menard A, et al. Adverse events among medical patients after discharge from hospital.
CMAJ. 2004;170:345-349.
[4] Forster AJ et al., The incidence and severity of adverse events affecting patients after discharge from the hospital.
Ann Intern Med. 2003;138:161-167.
[5] Forster AJ, et al., Adverse drug events occurring following hospital discharge. J Gen Intern Med. 2005;20:317-323
[6] Vukmir RB. Kremen R. Ellis GL, et al. Compliance with emergency department referral: the effect of
computerized discharge instructions. Ann Emerg Med. 1993; 22:819-23.
[7] Jolly BT, Scott JL, Feied CF, et al. Functional illiteracy among emergency department patients: a preliminary
study. Ann Emerg Med. 1993; 22:573-8
[8] Clark PA et al., Patient perceptions of quality in discharge instruction, Patient Education and Counseling 59 (2005) 56–68
[9] DiMatteo MR. Variations in patients’ adherence to medical recommendations: a quantitative review
of 50 years of research. Med Care 2004;42:200–209.
[10] Simpson M et al., Doctor-patient communication: the Toronto consensus statement, BMJ7 1991;303:1385-7
[11] Benigeri M, Pluye P., Shortcomings of health information on the Internet, Health Promotion International
Vol. 18. No. 4, 2003
[12] Chugh A et al., Better Transitions: Improving Comprehension of Discharge Instructions, Frontiers of Health
Services Management, 2009 Spring;25(3):11-32.
[13] Krohn DA, Discharge Instructions in the Outpatient Setting: Nursing Considerations, J Radiol Nurs 2008;27:29-33.
[14] Delp C, Jones J, Communicating Information to Patients: The Use of Cartoon Illustrations to Improve
Comprehension of Instructions, Academic Emergency Medicine Mar 1996 Vol 3/No 3
[15] Austin PE, Discharge Instructions: Do Illustrations Help Our Patients Understand Them?, Annals of Emergency Medicine , March 1995,
25:3.
[16] Showalter JW, Effect of Standardized Electronic Discharge Instructions on Post-Discharge Hospital Utilization.
J Gen Intern Med 26(7):718–23 (2011)
[17] Engel GJ, The Biopsychosocial Model and the Education of Health Professionals, Ann N Y Acad Sci. 1978 Jun 21;310:169-87.
[18] Guerrero JM, Ramos P, Introduction to the Applications of Mind Mapping in Medicine, International Medical Publishing, 2015.
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 41
42. Introduction to the Applications of Mind Mapping in Medicine
(c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 42
43. (c) Infoseg, S.A. 2016 http://bit.ly/1Eimh3k 43
Introducción a la Técnica de Mapas Mentales
Gestión Visual de Información Compleja con
MindManager 16
http://www.editorialuoc.cat/introduccion-a-la-tecnica-de-mapas-mentales