In deze presentatie leest u over de volgende onderwerpen:
• Navigation through EPR
• Mapping to UMLS High Level Concepts
• Data Mining with DeepSee Advanced Analytics
Knowledge Management In The Health Care Industry Antenatal Care From The Pa...jessica
This document outlines the agenda for a PhD research confirmation on knowledge management in the health care industry from the patient's perspective on antenatal care. The background discusses how health care enterprises generate large amounts of data but suffer from data overload, and how electronic health records were intended to help manage this data but are missing the patient's perspective, as the data is ultimately about the patients themselves. The aim of the research is to study antenatal care from the patient's perspective and how patient-driven electronic health records could help engage patients in managing their own health information and care.
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
Undiagnosed hypertension, also known as "HIPS", is a significant problem. This document discusses strategies for health centers to address undiagnosed hypertension through quality improvement projects. It recommends benchmarking hypertension prevalence, establishing criteria to identify potentially undiagnosed patients, using EHR data to find these patients, and implementing plans like standardized protocols and expanded care teams to diagnose and treat them. It describes NACHC's Million Hearts project which successfully tested algorithms for identifying undiagnosed hypertensive patients across several health centers.
Jehovah's Witnesses believe they must abstain from blood transfusions based on biblical references. They will accept alternatives to transfusions like autologous blood transfusions and volume expanders. The patient is a Jehovah's Witness with a hematocrit below 25 who refuses a blood transfusion. Non-blood alternatives and strategies to aid recovery without a transfusion should be considered.
This document summarizes Nick van Terheyden's presentation on AMDIS documentation panel. It discusses challenges with current documentation methods and how voice recognition and natural language processing can help address these challenges by capturing structured and unstructured data from physician dictations. This can generate detailed patient records to fuel clinical applications and improve patient care by facilitating coding, quality reporting and clinical decision support directly from narrative notes. However, the focus should remain on the patient by showing empathy and addressing their needs rather than focusing solely on technology.
Knowledge Management In The Health Care Industry Antenatal Care From The Pa...jessica
This document outlines the agenda for a PhD research confirmation on knowledge management in the health care industry from the patient's perspective on antenatal care. The background discusses how health care enterprises generate large amounts of data but suffer from data overload, and how electronic health records were intended to help manage this data but are missing the patient's perspective, as the data is ultimately about the patients themselves. The aim of the research is to study antenatal care from the patient's perspective and how patient-driven electronic health records could help engage patients in managing their own health information and care.
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
This document discusses how telehealth and real-time analytics can help critical care achieve better health outcomes, better care, and lower costs. It describes how monitoring patients and gaining situation awareness is important for critical care. Real-time data analytics can help clinicians understand a patient's current physiological status and trajectory. Pattern recognition in patient data may help identify issues earlier. The challenges of big data in healthcare including volume, velocity, variety and veracity are discussed. Technologies that provide real-time situation awareness and predictive analytics could help improve patient care and outcomes in the ICU.
Undiagnosed hypertension, also known as "HIPS", is a significant problem. This document discusses strategies for health centers to address undiagnosed hypertension through quality improvement projects. It recommends benchmarking hypertension prevalence, establishing criteria to identify potentially undiagnosed patients, using EHR data to find these patients, and implementing plans like standardized protocols and expanded care teams to diagnose and treat them. It describes NACHC's Million Hearts project which successfully tested algorithms for identifying undiagnosed hypertensive patients across several health centers.
Jehovah's Witnesses believe they must abstain from blood transfusions based on biblical references. They will accept alternatives to transfusions like autologous blood transfusions and volume expanders. The patient is a Jehovah's Witness with a hematocrit below 25 who refuses a blood transfusion. Non-blood alternatives and strategies to aid recovery without a transfusion should be considered.
This document summarizes Nick van Terheyden's presentation on AMDIS documentation panel. It discusses challenges with current documentation methods and how voice recognition and natural language processing can help address these challenges by capturing structured and unstructured data from physician dictations. This can generate detailed patient records to fuel clinical applications and improve patient care by facilitating coding, quality reporting and clinical decision support directly from narrative notes. However, the focus should remain on the patient by showing empathy and addressing their needs rather than focusing solely on technology.
This one-day workshop is designed for clinicians and medical assistants to work as a team to overcome barriers to diabetes care. The workshop will provide information on diabetes treatment goals and medication options, address challenging issues in diabetes care, and present case studies for clinicians and tips for medical assistants to help motivate patients. CME credits are available for clinicians, with attendance limited and early registration suggested.
How to Think Straight- Cognitive Debiasing Pat CroskerrySMACC Conference
"How to think straight: Cognitive de-biasing by Pat Croskerry
The number of preventable deaths of hospitalized patients in the US each year is estimated at 40,000- 80,000. The figure for the ICU alone is estimated at 40,000 so the death rate must be in the higher end of the range. When settings outside the hospital are taken into account (ED, primary care), the overall number must be considerably higher.
While many factors contribute to diagnostic failure, a variety of sources suggest that physician’s thinking has a lot to do with it. Dual Process Theory describes how the brain makes decisions in one of two modes: through fast, unconscious, intuitive processes (System 1) or through slower, conscious, analytical processes (System 2). Mental short-cuts (heuristics) and biases are predominantly located in the intuitive mode where we spend most of our conscious time, and this is where the majority of decision failures occur. Thinking straight essentially means achieving a good balance between System 1 and System 2 decision making, and much of our cognitive effort needs to go into monitoring what our unconscious brains are doing in System 1. This is referred to by a variety of terms: metacognition, reflection, mindfulness, and others. They all involve cognitive de-coupling from System 1 and characterize the process of cognitive de-biasing. This is not easily accomplished in the ED or any environment where decision density is often high, throughput pressure exists, resources may be limited, and where decision makers may be fatigued and/or sleep deprived.
While medicine has acquired a variety of strategies over the years for de-biasing clinicians, added benefits can be obtained by developing specific mindware to tackle particular biases. Clinicians need to be aware of the operating characteristics of the dual process model of decision making, of the prevalence and nature of biases, and of how to apply and sustain de-biasing mindware in their decision making.
"
MEDINFO 2013 Panel on Personalized Healthcare and Adherence: Issues and Chall...Pei-Yun Sabrina Hsueh
Venue: The 14th World Congress on Medical and Health Informatics will take place in Copenhagen, Denmark.
http://medinfo2013.dk
Moderator: Dr. Marion Ball (IBM Research/JHU); Panelists: Dr. Vimla Patel (NYAM), Dr. Bern Shen (Healthcrowd), Dr. Pei-Yun Sabrina Hsueh (IBM Research)
Organizer: Dr. Pei-Yun Sabrina Hsueh (phsueh@us.ibm.com)
Personalization is key to the delivery of wellness care including preventive measures and disease management regimes, where patients take on increased responsibility for
their own health. While personalized care has already taken a giant leap through genomics, it remains a challenge to understand how individual differences play a role in patient adherence and manage recommended changes accordingly.
Practical methods of creating and evaluating personalized
systems have not been fully established. In particular, the role of data-driven analytics in producing actionable insights for practitioners is unclear, and the use of behavioral data has created additional challenges to the understanding of patient adherence for effective care delivery.
The panel will discuss the challenges that face many countries around personalized care from various perspectives. These range from behavioral aspects such as maintaining good practices, cognitive aspects such as how do individuals make decisions in the lights of good evidence, social aspects such as how to engage patients in sustaining adherence behavior, to technological aspects such as how to evaluate individual applicability of data-driven analytics and personalized technological systems.
The panel is expected to contribute to the global community by presenting lessons learned from
existing pilot designs and a collective list of recommendations for pilot design of personalized services at the conclusion of this panel.
Caring Conversations: Talking about goals of care with patients and familiesAndi Chatburn, DO, MA
The document discusses goals of care and advance directives, providing evidence-based guidance on discussing end-of-life wishes and preferences with patients. It outlines tools and resources for starting conversations about advance care planning, including living wills, durable powers of attorney, and forms tailored for pediatric patients. The presentation also addresses barriers to discussing code status and provides suggestions for conducting effective family meetings on goals of care.
This document provides practice guidelines for the management of heart failure in children from the International Society for Heart and Lung Transplantation. It defines heart failure, discusses various classification systems used in pediatrics, and outlines recommendations for the pharmacologic treatment of left ventricular systolic dysfunction. The guidelines are based on evidence from both adult and limited pediatric studies and aim to standardize care for this population with a high burden of disease and differing etiologies from adults.
1. The document presents 12 graphs and diagrams that depict important issues in population health.
2. The graphs show how lifestyle and health behaviors are the dominant influences on health outcomes, and how gaps in care lead to disappointing results.
3. Additional graphs illustrate challenges such as low medication adherence, clinical inertia, the slow adoption of new medical knowledge, and the impact of health literacy on population health.
Cognitive behavioral therapy can help treat depression in patients with congestive heart failure. Up to 60% of heart failure patients experience some level of depression. An interdisciplinary team approach is needed to properly treat both the physical and mental health aspects of patients. This includes cardiologists, psychiatrists, psychologists, nurses, and others. Cognitive behavioral therapy focuses on changing negative thoughts and behaviors to improve coping skills and reduce depression symptoms. Studies show this therapy can be effective for heart failure patients with depression, improving quality of life and reducing hospitalizations.
Addressing Myths and Misconceptions About Heart Transplants.pdfparmilshah
If there's one medical procedure that continues to stir curiosity and misunderstanding, it's heart transplantation. This life-saving procedure has made remarkable strides in the medical field, yet it remains shrouded in myths and misconceptions. In this article, we'll dive deep into debunking these myths, providing you with accurate insights into heart transplants, from the procedure itself to recovery and long-term outcomes. Let's separate fact from fiction and gain a clearer understanding of this remarkable medical advancement.
Smart Data in Health – How we will exploit personal, clinical, and social “Bi...Amit Sheth
The document discusses using big health data from personal, clinical, and social sources to better understand health outcomes through tools like the Kno.e.sis research center, which analyzes data from sensors, medical records, and social media to provide personalized health information and recommendations to improve care. It also describes specific projects like kHealth, which monitors asthma patients using mobile and sensor data, and PREDOSE, which tracks prescription drug abuse using information extracted from social media.
Demystifying Text Analytics and NLP in HealthcareHealth Catalyst
Leading the discussion, we have two exceptional thinkers in this space, Mike Dow, a former CIO and current Health Catalyst product manager and software developer, and Dr. Carolyn Simpkins, Health Catalyst’s Chief Medical Informatics Officer.
They will share thoughts on the challenges of text in clinical analytics as well as demonstrate:
Why text is an important part of clinical analytics
Why a text search is not enough
How clinical text search can be refined with NLP techniques
This document outlines an agenda and content for a cupping therapy training session. The session will discuss moving the practice of cupping therapy towards a more standardized, evidence-based, and professionally regulated approach. Speakers will address the current inconsistent practices in cupping therapy and the need to establish standardized protocols for patient safety. They will introduce the British Cupping Society's approach, which focuses on practitioners obtaining proper clinical knowledge and skills, managing treatments appropriately, and engaging in ongoing professional development. The document provides example cases and questions to illustrate key discussion points around professionalization, treatment management, and developing cupping therapy as a safe, effective treatment approach.
Running Head Homework 2 Homework 2 Homework 2.docxwlynn1
Running Head: Homework 2
Homework 2
Homework 2
Care plan for MI
NUR3125
Fall 2017
This patient is presenting to the emergency with symptoms that indicate a Myocardial Infarction. The patient, who is a 48-year-old man, is stating a 3-day history of sub sternal chest pain that is radiating to his back. The symptoms started up while he was mowing his lawn. He stated the pain has eased up over time. He also reported mild trouble with breathing and some nausea but no vomiting. He exercises daily, but does report that he eats a lot of fast food. His last total cholesterol was 232 mg/dL. He also has a 15-year history of tobacco use and family history of myocardial infarction (MI), specifically his father had an MI at age 54 and his grandfather at age 58. His current blood pressure is elevated at 158/98 and heartrate of 102 bpm, his respiratory rate is currently high at 26 breaths/min and noted mild use of accessory muscles upon examination. Lungs are noted to have slight inspiratory crackles at both lung bases. Jugular venous distention is noted at less than 2cm bilaterally. His lab work reveals an elevated Troponin at 2.9 ng/ml, elevated Creatinine phosphokinase at 141 units/L, and an elevated CK-MB/CK isoenzyme at 2%. Elevated troponin indicates damage to the heart muscle, and the elevated Creatinine phosphokinase and CK-MB/CK isoenzyme along with all these other symptoms and labs indicate a heart attack. ECG is done and shows ST elevation and T wave inversion, also noted with premature ventricular contractions. The lab values and ST elevation point to a Myocardial Infarction and Transmural ischemia that will require immediate attention.
I have chosen three NANDA nursing diagnoses for this patient, with the first one being the priority. The three I choose are:
· Decreased Cardiac Output related to altered heart rate and ischemia as evidenced by ECG showing an ST elevation, elevated Troponin, and patient stating he has had chest pain for three days.
· Acute Pain related to tissue damage in the myocardium from inadequate blood supply as evidenced by elevated troponin labs and patient reporting chest pain that radiates to back for three days.
· Ineffective Health Maintenance related to deficient knowledge about self-care and treatment as evidenced by patient stating he eats fast food often and has had elevated blood pressure and cholesterol at past appointments, and patient admitting to smoking ½ pack of cigarettes daily despite family history of MI.
Care Plan Diagnosis #1 Myocardial Infarction
NANDA Diagnosis 1: Decreased Cardiac Output related to altered heart rate and ischemia as evidenced by ECG showing an ST elevation, elevated Troponin, and patient stating he has had chest pain for three days.
NOC (Nursing Outcome Classification) Label: Tissue Perfusion
Expected Client Outcomes:
1. Patient will demonstrate adequate cardiac output evidenced by blood pressure, heart rate, and heart rhythm within normal pa.
The document discusses integrating palliative care in the emergency department. It begins with an outline of topics to be discussed, including how early identification of end-of-life state can reduce low-value emergency care, how to integrate discussions of goals of care and advance care planning with families of resuscitation patients, and how to optimize treatment planning to reduce inappropriate CPR attempts. It then summarizes a study which found that among patients who underwent emergency resuscitation, palliative care was associated with fewer life-sustaining treatments and less medical expenses and utilization compared to standard care. The document discusses recognizing when a patient is actively dying, common reasons palliative care patients present to the emergency department, and palliative care skills relevant
The ed as gatekeeper in transitions of care james hoekstra md 1jgillmd
This document discusses the role of the emergency department (ED) as a gatekeeper in transitions of care. It covers several key points:
1) The ED plays an important role in determining whether patients are observed, admitted, or discharged. Risk stratification tools help guide these decisions for conditions like chest pain.
2) The ED communicates patient acuity levels and makes recommendations about observation, medical-surgical floors, intensive care, etc. Information on condition, interventions, and risk scores are important to transmit.
3) Protocol-driven care that begins in the ED can continue on hospital floors, improving outcomes. Guidelines help with conditions like heart attacks and pneumonia.
4) The ED can help
The document discusses how data can help patients and clinicians by analyzing large amounts of health data to identify who needs help, their medical conditions and preferences, and how to match needs with resources to improve access to care. It notes barriers include a lack of healthcare awareness of data tools, clinicians and consumers not trained to make decisions from big data, and issues with data accessibility, interoperability, and privacy. The presentation aims to explain how analyzing various health data sources can help target care across settings like hospitals, clinics, and homes.
The document discusses the transition from traditional medicine to smart health. Key points include:
- The shift from reactive, hospital-centric care to proactive, preventative, patient-centric care based at home.
- The move from fragmented, local data to interconnected electronic health records available anywhere.
- Empowering engaged, informed patients through participation and evidence-based decision support.
- Creating smart homes, communities and an ecosystem to support patient wellness, quality of life and care coordination.
EWMA 2013 - Ep496 - Diabetes Café - GROUP HEALTH EDUCATIONEWMAConference
The document describes a diabetes education program called "Diabetes Café" which uses group discussions to address practical problems with self-care, lifestyle issues, and misunderstandings about diabetes and foot ulcers. A multidisciplinary team facilitates groups of 8-12 patients and relatives to provide knowledge on diabetes and offloading treatment, with the aims of patients accepting their disease and having realistic expectations. Examples are given of common myths and misconceptions that can be counterproductive to self-care and treatment.
EWMA 2013 - Ep496 - Diabetes Café - GROUP HEALTH EDUCATIONEWMA
The document describes a diabetes education program called "Diabetes Café" which uses group discussions to address practical problems with self-care, lifestyle issues, and misunderstandings about diabetes and foot ulcers. A multidisciplinary team facilitates groups of 8-12 patients and relatives to provide knowledge on diabetes and offloading treatment, with the aims of patients accepting their disease and having realistic expectations. Examples are given of common myths and misconceptions that can be counterproductive to self-care and treatment.
Epic, GE Healthcare, 3M Health Vernieuwende Information Systems, Philips Healthcare en Infor Libraries en vele andere maken gebruik van de technologieën van InterSystems om zelf baanbrekende applicaties te ontwikkelen, te implementeren en te beheren.
This one-day workshop is designed for clinicians and medical assistants to work as a team to overcome barriers to diabetes care. The workshop will provide information on diabetes treatment goals and medication options, address challenging issues in diabetes care, and present case studies for clinicians and tips for medical assistants to help motivate patients. CME credits are available for clinicians, with attendance limited and early registration suggested.
How to Think Straight- Cognitive Debiasing Pat CroskerrySMACC Conference
"How to think straight: Cognitive de-biasing by Pat Croskerry
The number of preventable deaths of hospitalized patients in the US each year is estimated at 40,000- 80,000. The figure for the ICU alone is estimated at 40,000 so the death rate must be in the higher end of the range. When settings outside the hospital are taken into account (ED, primary care), the overall number must be considerably higher.
While many factors contribute to diagnostic failure, a variety of sources suggest that physician’s thinking has a lot to do with it. Dual Process Theory describes how the brain makes decisions in one of two modes: through fast, unconscious, intuitive processes (System 1) or through slower, conscious, analytical processes (System 2). Mental short-cuts (heuristics) and biases are predominantly located in the intuitive mode where we spend most of our conscious time, and this is where the majority of decision failures occur. Thinking straight essentially means achieving a good balance between System 1 and System 2 decision making, and much of our cognitive effort needs to go into monitoring what our unconscious brains are doing in System 1. This is referred to by a variety of terms: metacognition, reflection, mindfulness, and others. They all involve cognitive de-coupling from System 1 and characterize the process of cognitive de-biasing. This is not easily accomplished in the ED or any environment where decision density is often high, throughput pressure exists, resources may be limited, and where decision makers may be fatigued and/or sleep deprived.
While medicine has acquired a variety of strategies over the years for de-biasing clinicians, added benefits can be obtained by developing specific mindware to tackle particular biases. Clinicians need to be aware of the operating characteristics of the dual process model of decision making, of the prevalence and nature of biases, and of how to apply and sustain de-biasing mindware in their decision making.
"
MEDINFO 2013 Panel on Personalized Healthcare and Adherence: Issues and Chall...Pei-Yun Sabrina Hsueh
Venue: The 14th World Congress on Medical and Health Informatics will take place in Copenhagen, Denmark.
http://medinfo2013.dk
Moderator: Dr. Marion Ball (IBM Research/JHU); Panelists: Dr. Vimla Patel (NYAM), Dr. Bern Shen (Healthcrowd), Dr. Pei-Yun Sabrina Hsueh (IBM Research)
Organizer: Dr. Pei-Yun Sabrina Hsueh (phsueh@us.ibm.com)
Personalization is key to the delivery of wellness care including preventive measures and disease management regimes, where patients take on increased responsibility for
their own health. While personalized care has already taken a giant leap through genomics, it remains a challenge to understand how individual differences play a role in patient adherence and manage recommended changes accordingly.
Practical methods of creating and evaluating personalized
systems have not been fully established. In particular, the role of data-driven analytics in producing actionable insights for practitioners is unclear, and the use of behavioral data has created additional challenges to the understanding of patient adherence for effective care delivery.
The panel will discuss the challenges that face many countries around personalized care from various perspectives. These range from behavioral aspects such as maintaining good practices, cognitive aspects such as how do individuals make decisions in the lights of good evidence, social aspects such as how to engage patients in sustaining adherence behavior, to technological aspects such as how to evaluate individual applicability of data-driven analytics and personalized technological systems.
The panel is expected to contribute to the global community by presenting lessons learned from
existing pilot designs and a collective list of recommendations for pilot design of personalized services at the conclusion of this panel.
Caring Conversations: Talking about goals of care with patients and familiesAndi Chatburn, DO, MA
The document discusses goals of care and advance directives, providing evidence-based guidance on discussing end-of-life wishes and preferences with patients. It outlines tools and resources for starting conversations about advance care planning, including living wills, durable powers of attorney, and forms tailored for pediatric patients. The presentation also addresses barriers to discussing code status and provides suggestions for conducting effective family meetings on goals of care.
This document provides practice guidelines for the management of heart failure in children from the International Society for Heart and Lung Transplantation. It defines heart failure, discusses various classification systems used in pediatrics, and outlines recommendations for the pharmacologic treatment of left ventricular systolic dysfunction. The guidelines are based on evidence from both adult and limited pediatric studies and aim to standardize care for this population with a high burden of disease and differing etiologies from adults.
1. The document presents 12 graphs and diagrams that depict important issues in population health.
2. The graphs show how lifestyle and health behaviors are the dominant influences on health outcomes, and how gaps in care lead to disappointing results.
3. Additional graphs illustrate challenges such as low medication adherence, clinical inertia, the slow adoption of new medical knowledge, and the impact of health literacy on population health.
Cognitive behavioral therapy can help treat depression in patients with congestive heart failure. Up to 60% of heart failure patients experience some level of depression. An interdisciplinary team approach is needed to properly treat both the physical and mental health aspects of patients. This includes cardiologists, psychiatrists, psychologists, nurses, and others. Cognitive behavioral therapy focuses on changing negative thoughts and behaviors to improve coping skills and reduce depression symptoms. Studies show this therapy can be effective for heart failure patients with depression, improving quality of life and reducing hospitalizations.
Addressing Myths and Misconceptions About Heart Transplants.pdfparmilshah
If there's one medical procedure that continues to stir curiosity and misunderstanding, it's heart transplantation. This life-saving procedure has made remarkable strides in the medical field, yet it remains shrouded in myths and misconceptions. In this article, we'll dive deep into debunking these myths, providing you with accurate insights into heart transplants, from the procedure itself to recovery and long-term outcomes. Let's separate fact from fiction and gain a clearer understanding of this remarkable medical advancement.
Smart Data in Health – How we will exploit personal, clinical, and social “Bi...Amit Sheth
The document discusses using big health data from personal, clinical, and social sources to better understand health outcomes through tools like the Kno.e.sis research center, which analyzes data from sensors, medical records, and social media to provide personalized health information and recommendations to improve care. It also describes specific projects like kHealth, which monitors asthma patients using mobile and sensor data, and PREDOSE, which tracks prescription drug abuse using information extracted from social media.
Demystifying Text Analytics and NLP in HealthcareHealth Catalyst
Leading the discussion, we have two exceptional thinkers in this space, Mike Dow, a former CIO and current Health Catalyst product manager and software developer, and Dr. Carolyn Simpkins, Health Catalyst’s Chief Medical Informatics Officer.
They will share thoughts on the challenges of text in clinical analytics as well as demonstrate:
Why text is an important part of clinical analytics
Why a text search is not enough
How clinical text search can be refined with NLP techniques
This document outlines an agenda and content for a cupping therapy training session. The session will discuss moving the practice of cupping therapy towards a more standardized, evidence-based, and professionally regulated approach. Speakers will address the current inconsistent practices in cupping therapy and the need to establish standardized protocols for patient safety. They will introduce the British Cupping Society's approach, which focuses on practitioners obtaining proper clinical knowledge and skills, managing treatments appropriately, and engaging in ongoing professional development. The document provides example cases and questions to illustrate key discussion points around professionalization, treatment management, and developing cupping therapy as a safe, effective treatment approach.
Running Head Homework 2 Homework 2 Homework 2.docxwlynn1
Running Head: Homework 2
Homework 2
Homework 2
Care plan for MI
NUR3125
Fall 2017
This patient is presenting to the emergency with symptoms that indicate a Myocardial Infarction. The patient, who is a 48-year-old man, is stating a 3-day history of sub sternal chest pain that is radiating to his back. The symptoms started up while he was mowing his lawn. He stated the pain has eased up over time. He also reported mild trouble with breathing and some nausea but no vomiting. He exercises daily, but does report that he eats a lot of fast food. His last total cholesterol was 232 mg/dL. He also has a 15-year history of tobacco use and family history of myocardial infarction (MI), specifically his father had an MI at age 54 and his grandfather at age 58. His current blood pressure is elevated at 158/98 and heartrate of 102 bpm, his respiratory rate is currently high at 26 breaths/min and noted mild use of accessory muscles upon examination. Lungs are noted to have slight inspiratory crackles at both lung bases. Jugular venous distention is noted at less than 2cm bilaterally. His lab work reveals an elevated Troponin at 2.9 ng/ml, elevated Creatinine phosphokinase at 141 units/L, and an elevated CK-MB/CK isoenzyme at 2%. Elevated troponin indicates damage to the heart muscle, and the elevated Creatinine phosphokinase and CK-MB/CK isoenzyme along with all these other symptoms and labs indicate a heart attack. ECG is done and shows ST elevation and T wave inversion, also noted with premature ventricular contractions. The lab values and ST elevation point to a Myocardial Infarction and Transmural ischemia that will require immediate attention.
I have chosen three NANDA nursing diagnoses for this patient, with the first one being the priority. The three I choose are:
· Decreased Cardiac Output related to altered heart rate and ischemia as evidenced by ECG showing an ST elevation, elevated Troponin, and patient stating he has had chest pain for three days.
· Acute Pain related to tissue damage in the myocardium from inadequate blood supply as evidenced by elevated troponin labs and patient reporting chest pain that radiates to back for three days.
· Ineffective Health Maintenance related to deficient knowledge about self-care and treatment as evidenced by patient stating he eats fast food often and has had elevated blood pressure and cholesterol at past appointments, and patient admitting to smoking ½ pack of cigarettes daily despite family history of MI.
Care Plan Diagnosis #1 Myocardial Infarction
NANDA Diagnosis 1: Decreased Cardiac Output related to altered heart rate and ischemia as evidenced by ECG showing an ST elevation, elevated Troponin, and patient stating he has had chest pain for three days.
NOC (Nursing Outcome Classification) Label: Tissue Perfusion
Expected Client Outcomes:
1. Patient will demonstrate adequate cardiac output evidenced by blood pressure, heart rate, and heart rhythm within normal pa.
The document discusses integrating palliative care in the emergency department. It begins with an outline of topics to be discussed, including how early identification of end-of-life state can reduce low-value emergency care, how to integrate discussions of goals of care and advance care planning with families of resuscitation patients, and how to optimize treatment planning to reduce inappropriate CPR attempts. It then summarizes a study which found that among patients who underwent emergency resuscitation, palliative care was associated with fewer life-sustaining treatments and less medical expenses and utilization compared to standard care. The document discusses recognizing when a patient is actively dying, common reasons palliative care patients present to the emergency department, and palliative care skills relevant
The ed as gatekeeper in transitions of care james hoekstra md 1jgillmd
This document discusses the role of the emergency department (ED) as a gatekeeper in transitions of care. It covers several key points:
1) The ED plays an important role in determining whether patients are observed, admitted, or discharged. Risk stratification tools help guide these decisions for conditions like chest pain.
2) The ED communicates patient acuity levels and makes recommendations about observation, medical-surgical floors, intensive care, etc. Information on condition, interventions, and risk scores are important to transmit.
3) Protocol-driven care that begins in the ED can continue on hospital floors, improving outcomes. Guidelines help with conditions like heart attacks and pneumonia.
4) The ED can help
The document discusses how data can help patients and clinicians by analyzing large amounts of health data to identify who needs help, their medical conditions and preferences, and how to match needs with resources to improve access to care. It notes barriers include a lack of healthcare awareness of data tools, clinicians and consumers not trained to make decisions from big data, and issues with data accessibility, interoperability, and privacy. The presentation aims to explain how analyzing various health data sources can help target care across settings like hospitals, clinics, and homes.
The document discusses the transition from traditional medicine to smart health. Key points include:
- The shift from reactive, hospital-centric care to proactive, preventative, patient-centric care based at home.
- The move from fragmented, local data to interconnected electronic health records available anywhere.
- Empowering engaged, informed patients through participation and evidence-based decision support.
- Creating smart homes, communities and an ecosystem to support patient wellness, quality of life and care coordination.
EWMA 2013 - Ep496 - Diabetes Café - GROUP HEALTH EDUCATIONEWMAConference
The document describes a diabetes education program called "Diabetes Café" which uses group discussions to address practical problems with self-care, lifestyle issues, and misunderstandings about diabetes and foot ulcers. A multidisciplinary team facilitates groups of 8-12 patients and relatives to provide knowledge on diabetes and offloading treatment, with the aims of patients accepting their disease and having realistic expectations. Examples are given of common myths and misconceptions that can be counterproductive to self-care and treatment.
EWMA 2013 - Ep496 - Diabetes Café - GROUP HEALTH EDUCATIONEWMA
The document describes a diabetes education program called "Diabetes Café" which uses group discussions to address practical problems with self-care, lifestyle issues, and misunderstandings about diabetes and foot ulcers. A multidisciplinary team facilitates groups of 8-12 patients and relatives to provide knowledge on diabetes and offloading treatment, with the aims of patients accepting their disease and having realistic expectations. Examples are given of common myths and misconceptions that can be counterproductive to self-care and treatment.
Similar to InterSystems presentatie: Making sense of non-structured data in the medical world (20)
Epic, GE Healthcare, 3M Health Vernieuwende Information Systems, Philips Healthcare en Infor Libraries en vele andere maken gebruik van de technologieën van InterSystems om zelf baanbrekende applicaties te ontwikkelen, te implementeren en te beheren.
Big data breakthroughs in healthcare: from re-active to pro-active careInterSystems Benelux
1. The document discusses how analyzing unstructured healthcare data through techniques like iKnow text analysis can help drive more proactive care by enabling early detection of conditions like hepatitis C, sepsis, and delirium from nursing notes.
2. Results show the approach achieved AUC scores of 0.801-0.823 for detecting delirium and 0.809-0.823 for detecting sudden patient deterioration using nursing notes, outperforming traditional bag-of-words methods.
3. Further research opportunities include analyzing more data, reducing the number of features through techniques like latent semantic indexing and autoencoders, and combining structured data with current prediction methods to improve early detection of conditions from clinical notes.
The document discusses how analyzing social media data can provide actionable insights. It provides examples of how the company's social media analysis helped clients like Nespresso, Budweiser, and Nedbank understand consumer sentiment and make informed marketing decisions. The document also discusses how the company is able to generate these insights by analyzing big social media data in real-time using InterSystems technology to understand language. This allows them to produce business value from big data through actionable insights.
In deze presentatie leest u over de volgende onderwerpen:
• Attributes of Breakthrough Applications
• Some Examples of Breakthrough Applications
• Platform for Breakthrough Applications
• Breakthroughs in Information
• Free the Data: iKnow
InterSystems Presentatie: Breakthrough BI: analyzing all the dataInterSystems Benelux
In deze presentatie leest u over de volgende onderwerpen:
• Introduction: “All the Data”
• What is iKnow?
• iKnow and DeepSee
• Added value
• Feature overview
• Demo
In deze presentatie leest u over de volgende onderwerpen:
• Big Data in Real Life
• How to approach Big Data in general
• Why is the Unstructured part of Big Data important
• Typical scenario’s for the Unstructured Part of Big Data
• Different approaches for different scenarios
• Conclusion
Pushing the limits of ePRTC: 100ns holdover for 100 daysAdtran
At WSTS 2024, Alon Stern explored the topic of parametric holdover and explained how recent research findings can be implemented in real-world PNT networks to achieve 100 nanoseconds of accuracy for up to 100 days.
Dr. Sean Tan, Head of Data Science, Changi Airport Group
Discover how Changi Airport Group (CAG) leverages graph technologies and generative AI to revolutionize their search capabilities. This session delves into the unique search needs of CAG’s diverse passengers and customers, showcasing how graph data structures enhance the accuracy and relevance of AI-generated search results, mitigating the risk of “hallucinations” and improving the overall customer journey.
In the rapidly evolving landscape of technologies, XML continues to play a vital role in structuring, storing, and transporting data across diverse systems. The recent advancements in artificial intelligence (AI) present new methodologies for enhancing XML development workflows, introducing efficiency, automation, and intelligent capabilities. This presentation will outline the scope and perspective of utilizing AI in XML development. The potential benefits and the possible pitfalls will be highlighted, providing a balanced view of the subject.
We will explore the capabilities of AI in understanding XML markup languages and autonomously creating structured XML content. Additionally, we will examine the capacity of AI to enrich plain text with appropriate XML markup. Practical examples and methodological guidelines will be provided to elucidate how AI can be effectively prompted to interpret and generate accurate XML markup.
Further emphasis will be placed on the role of AI in developing XSLT, or schemas such as XSD and Schematron. We will address the techniques and strategies adopted to create prompts for generating code, explaining code, or refactoring the code, and the results achieved.
The discussion will extend to how AI can be used to transform XML content. In particular, the focus will be on the use of AI XPath extension functions in XSLT, Schematron, Schematron Quick Fixes, or for XML content refactoring.
The presentation aims to deliver a comprehensive overview of AI usage in XML development, providing attendees with the necessary knowledge to make informed decisions. Whether you’re at the early stages of adopting AI or considering integrating it in advanced XML development, this presentation will cover all levels of expertise.
By highlighting the potential advantages and challenges of integrating AI with XML development tools and languages, the presentation seeks to inspire thoughtful conversation around the future of XML development. We’ll not only delve into the technical aspects of AI-powered XML development but also discuss practical implications and possible future directions.
Essentials of Automations: The Art of Triggers and Actions in FMESafe Software
In this second installment of our Essentials of Automations webinar series, we’ll explore the landscape of triggers and actions, guiding you through the nuances of authoring and adapting workspaces for seamless automations. Gain an understanding of the full spectrum of triggers and actions available in FME, empowering you to enhance your workspaces for efficient automation.
We’ll kick things off by showcasing the most commonly used event-based triggers, introducing you to various automation workflows like manual triggers, schedules, directory watchers, and more. Plus, see how these elements play out in real scenarios.
Whether you’re tweaking your current setup or building from the ground up, this session will arm you with the tools and insights needed to transform your FME usage into a powerhouse of productivity. Join us to discover effective strategies that simplify complex processes, enhancing your productivity and transforming your data management practices with FME. Let’s turn complexity into clarity and make your workspaces work wonders!
Best 20 SEO Techniques To Improve Website Visibility In SERPPixlogix Infotech
Boost your website's visibility with proven SEO techniques! Our latest blog dives into essential strategies to enhance your online presence, increase traffic, and rank higher on search engines. From keyword optimization to quality content creation, learn how to make your site stand out in the crowded digital landscape. Discover actionable tips and expert insights to elevate your SEO game.
Sudheer Mechineni, Head of Application Frameworks, Standard Chartered Bank
Discover how Standard Chartered Bank harnessed the power of Neo4j to transform complex data access challenges into a dynamic, scalable graph database solution. This keynote will cover their journey from initial adoption to deploying a fully automated, enterprise-grade causal cluster, highlighting key strategies for modelling organisational changes and ensuring robust disaster recovery. Learn how these innovations have not only enhanced Standard Chartered Bank’s data infrastructure but also positioned them as pioneers in the banking sector’s adoption of graph technology.
GraphSummit Singapore | The Art of the Possible with Graph - Q2 2024Neo4j
Neha Bajwa, Vice President of Product Marketing, Neo4j
Join us as we explore breakthrough innovations enabled by interconnected data and AI. Discover firsthand how organizations use relationships in data to uncover contextual insights and solve our most pressing challenges – from optimizing supply chains, detecting fraud, and improving customer experiences to accelerating drug discoveries.
Goodbye Windows 11: Make Way for Nitrux Linux 3.5.0!SOFTTECHHUB
As the digital landscape continually evolves, operating systems play a critical role in shaping user experiences and productivity. The launch of Nitrux Linux 3.5.0 marks a significant milestone, offering a robust alternative to traditional systems such as Windows 11. This article delves into the essence of Nitrux Linux 3.5.0, exploring its unique features, advantages, and how it stands as a compelling choice for both casual users and tech enthusiasts.
UiPath Test Automation using UiPath Test Suite series, part 6DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 6. In this session, we will cover Test Automation with generative AI and Open AI.
UiPath Test Automation with generative AI and Open AI webinar offers an in-depth exploration of leveraging cutting-edge technologies for test automation within the UiPath platform. Attendees will delve into the integration of generative AI, a test automation solution, with Open AI advanced natural language processing capabilities.
Throughout the session, participants will discover how this synergy empowers testers to automate repetitive tasks, enhance testing accuracy, and expedite the software testing life cycle. Topics covered include the seamless integration process, practical use cases, and the benefits of harnessing AI-driven automation for UiPath testing initiatives. By attending this webinar, testers, and automation professionals can gain valuable insights into harnessing the power of AI to optimize their test automation workflows within the UiPath ecosystem, ultimately driving efficiency and quality in software development processes.
What will you get from this session?
1. Insights into integrating generative AI.
2. Understanding how this integration enhances test automation within the UiPath platform
3. Practical demonstrations
4. Exploration of real-world use cases illustrating the benefits of AI-driven test automation for UiPath
Topics covered:
What is generative AI
Test Automation with generative AI and Open AI.
UiPath integration with generative AI
Speaker:
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
Maruthi Prithivirajan, Head of ASEAN & IN Solution Architecture, Neo4j
Get an inside look at the latest Neo4j innovations that enable relationship-driven intelligence at scale. Learn more about the newest cloud integrations and product enhancements that make Neo4j an essential choice for developers building apps with interconnected data and generative AI.
In his public lecture, Christian Timmerer provides insights into the fascinating history of video streaming, starting from its humble beginnings before YouTube to the groundbreaking technologies that now dominate platforms like Netflix and ORF ON. Timmerer also presents provocative contributions of his own that have significantly influenced the industry. He concludes by looking at future challenges and invites the audience to join in a discussion.
Cosa hanno in comune un mattoncino Lego e la backdoor XZ?Speck&Tech
ABSTRACT: A prima vista, un mattoncino Lego e la backdoor XZ potrebbero avere in comune il fatto di essere entrambi blocchi di costruzione, o dipendenze di progetti creativi e software. La realtà è che un mattoncino Lego e il caso della backdoor XZ hanno molto di più di tutto ciò in comune.
Partecipate alla presentazione per immergervi in una storia di interoperabilità, standard e formati aperti, per poi discutere del ruolo importante che i contributori hanno in una comunità open source sostenibile.
BIO: Sostenitrice del software libero e dei formati standard e aperti. È stata un membro attivo dei progetti Fedora e openSUSE e ha co-fondato l'Associazione LibreItalia dove è stata coinvolta in diversi eventi, migrazioni e formazione relativi a LibreOffice. In precedenza ha lavorato a migrazioni e corsi di formazione su LibreOffice per diverse amministrazioni pubbliche e privati. Da gennaio 2020 lavora in SUSE come Software Release Engineer per Uyuni e SUSE Manager e quando non segue la sua passione per i computer e per Geeko coltiva la sua curiosità per l'astronomia (da cui deriva il suo nickname deneb_alpha).
Unlocking Productivity: Leveraging the Potential of Copilot in Microsoft 365, a presentation by Christoforos Vlachos, Senior Solutions Manager – Modern Workplace, Uni Systems
Communications Mining Series - Zero to Hero - Session 1DianaGray10
This session provides introduction to UiPath Communication Mining, importance and platform overview. You will acquire a good understand of the phases in Communication Mining as we go over the platform with you. Topics covered:
• Communication Mining Overview
• Why is it important?
• How can it help today’s business and the benefits
• Phases in Communication Mining
• Demo on Platform overview
• Q/A
7. Smart Indexing
Two patients are suffering from congestive heart failure.
Smart Indexing (concepts and relations):
Two patients are suffering from congestive heart failure
Smart Index
relation
detection
concept
detection
Are suffering from
Two patients
Concep
t
Two patients
Concep
t
Relation
Congestive heart failure
Are suffering from
Congestive heart failure
THE KEYS TO BREAKTHROUGH HEALTHCARE
9. Examples
• Navigation through EPR
• Mapping to UMLS High Level Concepts
• Data Mining with DeepSee Advanced Analytics
THE KEYS TO BREAKTHROUGH HEALTHCARE
18. Mapping to UMLS HL Concepts
THE KEYS TO BREAKTHROUGH HEALTHCARE
19. Mapping to UMLS HL Concepts
THE KEYS TO BREAKTHROUGH HEALTHCARE
20. iKnow and Data Mining
• Is the data really unstructured or does it in fact
has a hidden structure?
• iKnow helps to discover hidden structure of the
data and subsequently present it in the standard
relational form
• Once the structure is imposed, DeepSee
Advanced Analytical tools can be used to mine for
the additional information
20
THE KEYS TO BREAKTHROUGH HEALTHCARE