"The Impact of Self-Management Education on Outcomes for Patients with COPD Attending Pulmonary Rehabilitation": Joy Gana-Inatimi's presentation from the conference.
This webinar will discuss the prevalence of pre-diabetes and it’s contributing factors and the initial efforts to translate the National Diabetes Prevention Program to public health. We will also look at new approaches to providing interventions.
Learning objectives:
Scope and scale of pre-diabetes and what factors contribute to it.
Review initial efforts to translate the DPP to public health.
New approaches to providing interventions.
About The Presenter
Dr. Marrero received a B.A. (1974), M.A. (1978) and Ph.D. (1982) in Social Ecology from the University of California, Irvine. He joined the IU School of Medicine in 1984 and became the J.O. Ritchey Professor of Medicine in 2004. He was a member of the Diabetes Research & Training Center and served as Director of the Diabetes Prevention and Control Division. He is currently the Director of the Diabetes Translational Research Center. Dr. Marrero is an expert in the field of clinical trails in diabetes and translation research which moves scientific advances obtained in clinical trails into the public health sector. He helped design the Diabetes Prevention Program and the TRIAD study, which evaluated strategies to improve diabetes care delivery in managed care settings. His research interests include strategies for promoting diabetes prevention, care settings, improving diabetes care practices used by primary care providers, and the use of technology to facilitate care and education. Dr. Marrero was twice awarded the Allene Von Son Award for Diabetes Patient Education Tools by the American Association of Diabetes Educators, nominated to Who’s Who in Medicine and Health care in 2000, served as Associate Editor for Diabetes Care (1997-2002) and is currently the Associate Editor for Diabetes Forecast. He was selected as Alumni of the Year for University of California Irvine in 2006 and The Outstanding Educator in Diabetes in 2008 by the American Diabetes Association. He is the current President of the American Diabetes Association.
1) The study assessed the effectiveness of a self-efficacy intervention on self-care activities and quality of life among diabetics.
2) It found that self-care activities and quality of life scores improved significantly from pre-test to post-test following the intervention, as assessed by various statistical analyses.
3) The study concluded that the self-efficacy intervention was effective in improving self-care activities and quality of life for diabetics.
This document provides an overview of community nutrition. It begins by defining community nutrition as applying nutritional knowledge to identify and solve population groups' nutritional problems. Community nutrition and health are interrelated, as nutritional and health problems coexist and influence each other within communities. The document then discusses methods of assessing nutritional status, including anthropometry, biochemical tests, clinical exams, and dietary surveys. Key conditions related to protein-energy malnutrition like kwashiorkor, marasmus, and marasmic kwashiorkor are also described. The treatment of protein-energy malnutrition involves resolving life-threatening conditions through hospital care and providing a calorie- and protein-rich diet.
The document discusses perioperative nursing care across three phases: preoperative, intraoperative, and postoperative.
In the preoperative phase, nurses focus on assessment, education, and safety measures. Key aspects include informed consent, patient evaluation, teaching, and pre-op checklists.
During surgery, nurses maintain safety, monitor the patient physiologically, and provide support. Potential complications include anesthesia awareness and hypothermia.
In recovery, nurses closely assess airway, circulation, and comfort before discharge. The goal is stability on measures like vital signs and orientation before leaving the post-anesthesia care unit.
The document discusses a study exploring the role of dietitians in multidisciplinary treatment of polycystic ovary syndrome (PCOS). The study involved a two-phase mixed methods design, beginning with an online survey of 261 healthcare providers, followed by focus groups with 9 providers. Survey results found that multidisciplinary clinics could improve access and outcomes for PCOS patients. Focus groups revealed that while dietitians play an important role in PCOS treatment, they face challenges like lack of referrals and insurance barriers. Providers felt more awareness and education are still needed on nutrition interventions for PCOS.
Obesity- Tipping Back the Scales of the Nation 19th April, 2017mckenln
This document summarizes strategies for inspiring behavioral change. It discusses the COM-B model of behavior as an interaction between capability, motivation, and opportunity. Successful behavior change techniques include self-monitoring and goal-setting. Commercial weight loss programs that incorporate cognitive behavioral therapy principles and habit formation show promise. Health professionals can play an important role by providing advice during "teachable moments". Nudging in appropriate contexts can also promote healthy choices. Overall, a multifaceted approach is needed to inspire lasting behavioral changes at both the individual and societal level.
This document describes Taiwan's experience with the train-the-trainer model for evidence-based practice based on the Joanna Briggs Institute model from Australia. It discusses how Taiwan has established four evidence-based nursing centers since 2005 that collaborate with the Joanna Briggs Institute. The centers work to promote evidence-based nursing through developing clinical guidelines, cultivating talents, and supporting clinical implementation. Specific initiatives discussed include developing over 80 clinical guidelines from 2010-2013 and establishing five evidence-based integrated care models for preventing dysfunction in aging people since 2017.
Kinergetix Movement Therapies is an exercise modality developed by David Labuschagne that integrates Eastern movement practices like Tai Chi with Western exercise science. Long-term trials of over 470 participants found that the weekly 90-minute sessions, consisting of 60 minutes of exercise and 30 minutes of health lectures, significantly improved chronic conditions like arthritis and depression. Compliance was over 90% and participants reported increased mobility and functionality with no adverse effects. The modality shows potential for widespread chronic disease management given its safety, effectiveness, and ability to be delivered in groups with minimal resources.
This webinar will discuss the prevalence of pre-diabetes and it’s contributing factors and the initial efforts to translate the National Diabetes Prevention Program to public health. We will also look at new approaches to providing interventions.
Learning objectives:
Scope and scale of pre-diabetes and what factors contribute to it.
Review initial efforts to translate the DPP to public health.
New approaches to providing interventions.
About The Presenter
Dr. Marrero received a B.A. (1974), M.A. (1978) and Ph.D. (1982) in Social Ecology from the University of California, Irvine. He joined the IU School of Medicine in 1984 and became the J.O. Ritchey Professor of Medicine in 2004. He was a member of the Diabetes Research & Training Center and served as Director of the Diabetes Prevention and Control Division. He is currently the Director of the Diabetes Translational Research Center. Dr. Marrero is an expert in the field of clinical trails in diabetes and translation research which moves scientific advances obtained in clinical trails into the public health sector. He helped design the Diabetes Prevention Program and the TRIAD study, which evaluated strategies to improve diabetes care delivery in managed care settings. His research interests include strategies for promoting diabetes prevention, care settings, improving diabetes care practices used by primary care providers, and the use of technology to facilitate care and education. Dr. Marrero was twice awarded the Allene Von Son Award for Diabetes Patient Education Tools by the American Association of Diabetes Educators, nominated to Who’s Who in Medicine and Health care in 2000, served as Associate Editor for Diabetes Care (1997-2002) and is currently the Associate Editor for Diabetes Forecast. He was selected as Alumni of the Year for University of California Irvine in 2006 and The Outstanding Educator in Diabetes in 2008 by the American Diabetes Association. He is the current President of the American Diabetes Association.
1) The study assessed the effectiveness of a self-efficacy intervention on self-care activities and quality of life among diabetics.
2) It found that self-care activities and quality of life scores improved significantly from pre-test to post-test following the intervention, as assessed by various statistical analyses.
3) The study concluded that the self-efficacy intervention was effective in improving self-care activities and quality of life for diabetics.
This document provides an overview of community nutrition. It begins by defining community nutrition as applying nutritional knowledge to identify and solve population groups' nutritional problems. Community nutrition and health are interrelated, as nutritional and health problems coexist and influence each other within communities. The document then discusses methods of assessing nutritional status, including anthropometry, biochemical tests, clinical exams, and dietary surveys. Key conditions related to protein-energy malnutrition like kwashiorkor, marasmus, and marasmic kwashiorkor are also described. The treatment of protein-energy malnutrition involves resolving life-threatening conditions through hospital care and providing a calorie- and protein-rich diet.
The document discusses perioperative nursing care across three phases: preoperative, intraoperative, and postoperative.
In the preoperative phase, nurses focus on assessment, education, and safety measures. Key aspects include informed consent, patient evaluation, teaching, and pre-op checklists.
During surgery, nurses maintain safety, monitor the patient physiologically, and provide support. Potential complications include anesthesia awareness and hypothermia.
In recovery, nurses closely assess airway, circulation, and comfort before discharge. The goal is stability on measures like vital signs and orientation before leaving the post-anesthesia care unit.
The document discusses a study exploring the role of dietitians in multidisciplinary treatment of polycystic ovary syndrome (PCOS). The study involved a two-phase mixed methods design, beginning with an online survey of 261 healthcare providers, followed by focus groups with 9 providers. Survey results found that multidisciplinary clinics could improve access and outcomes for PCOS patients. Focus groups revealed that while dietitians play an important role in PCOS treatment, they face challenges like lack of referrals and insurance barriers. Providers felt more awareness and education are still needed on nutrition interventions for PCOS.
Obesity- Tipping Back the Scales of the Nation 19th April, 2017mckenln
This document summarizes strategies for inspiring behavioral change. It discusses the COM-B model of behavior as an interaction between capability, motivation, and opportunity. Successful behavior change techniques include self-monitoring and goal-setting. Commercial weight loss programs that incorporate cognitive behavioral therapy principles and habit formation show promise. Health professionals can play an important role by providing advice during "teachable moments". Nudging in appropriate contexts can also promote healthy choices. Overall, a multifaceted approach is needed to inspire lasting behavioral changes at both the individual and societal level.
This document describes Taiwan's experience with the train-the-trainer model for evidence-based practice based on the Joanna Briggs Institute model from Australia. It discusses how Taiwan has established four evidence-based nursing centers since 2005 that collaborate with the Joanna Briggs Institute. The centers work to promote evidence-based nursing through developing clinical guidelines, cultivating talents, and supporting clinical implementation. Specific initiatives discussed include developing over 80 clinical guidelines from 2010-2013 and establishing five evidence-based integrated care models for preventing dysfunction in aging people since 2017.
Kinergetix Movement Therapies is an exercise modality developed by David Labuschagne that integrates Eastern movement practices like Tai Chi with Western exercise science. Long-term trials of over 470 participants found that the weekly 90-minute sessions, consisting of 60 minutes of exercise and 30 minutes of health lectures, significantly improved chronic conditions like arthritis and depression. Compliance was over 90% and participants reported increased mobility and functionality with no adverse effects. The modality shows potential for widespread chronic disease management given its safety, effectiveness, and ability to be delivered in groups with minimal resources.
Using ExamSoft Codings to Identify Gaps and Strengths with the NCLEX-RN Test ...ExamSoft
Presented by Tommie L. Norris, Associate Dean Evaluation & Effectiveness, The University of TN Health Science Center, Memphis, TN-College of Nursing
Ensuring nursing students are successful on their licensure exams is a priority for all nursing education programs. The University of Tennessee Health Science Center College of Nursing has used the NCLEX-RN Test Plan provided by NCSBN and mapped it by coding questions in ExamSoft into the Client Needs Categories and Integrated Processes. Mapping to Bloom's Taxonomy provides a pre-assessment of the level of difficulty for each exam, and analysis of the exam can be tracked over the course and the length of the program. A gap analysis can then be used to quickly identify areas of strengths and areas for improvement to ensure students are prepared for all areas of the licensure exam. This webinar will present the benefits of using ExamSoft coding to identify student preparation and curriculum needs, and how this process has assisted UTHSC College of Nursing in consistently obtaining a 100% NCLEX pass rate over the last several years.
This document provides a summary of the revised and updated Clinical Practice Guidelines (CPG) on the Management of Type 2 Diabetes Mellitus (T2DM) in Malaysia published in 2009. The CPG was developed by a task force consisting of various medical experts to provide evidence-based recommendations for the identification, diagnosis and treatment of T2DM. The CPG aims to improve glycemic control and reduce complications from T2DM. It provides guidance for healthcare professionals and seeks to standardize the management of T2DM across Malaysia.
The National Center on Response to Intervention and Implementation Science (NCRTI) aims to build state capacity to implement Response to Intervention (RTI) frameworks in schools. The NCRTI provides technical assistance and disseminates information on RTI, which is an instructional framework that uses universal screening, progress monitoring, and increasingly intensive interventions to improve outcomes for all students. The NCRTI promotes the use of implementation science to successfully integrate new initiatives like RTI by addressing barriers, evaluating infrastructure needs, and structuring support systems.
American Public Health Association- Annual Meeting 2014 Presentation scherala
Title: Using Quantitative Data to focus Medical Home Facilitation Interventions in the Massachusetts Patient Centered Medical Home Initiative (MA PCMHI)
There has been an increase in the number of neonates suffering from neonatal abstinence syndrome (NAS) due to rising opiate use among pregnant women. Implementing and improving clinical practice guidelines for treating NAS could help standardize care and improve outcomes for affected infants. A literature review found that utilizing non-pharmacological treatments, revising medication protocols, providing nursing education on NAS, and introducing standardized guidelines could reduce infant length of hospital stay, treatment costs, and severity of NAS withdrawal symptoms. Adopting improved, evidence-based clinical practice guidelines may help address the growing problem of NAS and optimize treatment for these infants.
The document describes the Nutrition Care Process, which is a standardized process for providing nutrition care. It involves 5 steps: nutrition screening, assessment, diagnosis, intervention, and monitoring and evaluation. Nutrition screening is used to quickly identify patients at nutritional risk and determine if a full assessment is needed. Hospitals are required to conduct nutrition screening within 24 hours of admission according to Joint Commission standards. Nutrition assessments gather comprehensive dietary, medical, and social data on patients to identify nutrition problems. This leads to developing a nutrition diagnosis, then creating and implementing a nutrition intervention plan to address the problem. Progress is monitored and outcomes are evaluated.
Construction of an Implementation Science for Scaling Out Interventions HopkinsCFAR
This document discusses the construction of implementation science for scaling out interventions. It begins by illustrating the use of team science and practice networks in implementation research. It then discusses adding the concept of scaling out to the traditional research pipeline for implementation, which involves transporting evidence-based interventions to new service delivery systems and contexts. Two options for research and practice involving scaling out are presented: a static model which focuses on strict adherence to programs, and a dynamic model which allows for planned adaptation. The document argues for the dynamic model and discusses approaches like ADAPT-ITT and the dynamic adaptation process for evaluating interventions during the scaling out process. It emphasizes the need to evaluate both implementation and effectiveness when scaling out.
This document presents the results of a study on the nutritional status of elderly female populations in Kathmandu, Nepal. The study assessed the daily dietary intake and body mass index (BMI) of 47 elderly women aged 60 and older. The findings showed that most women had normal BMI and consumed a diet of breakfast, lunch, tea, and dinner. However, many were illiterate and lacked access to kitchen gardens. The study concluded the overall nutritional status was normal but recommended improving healthcare, education, and economic support for elderly populations.
Day 2 panel 3 scaling up care for perinatal depression ng 108040ea-imcha
This document summarizes a study on perinatal depression in Nigeria. The study aims to improve detection and treatment of perinatal depression through training primary care providers. So far, the study has recruited over 2000 women and found a perinatal depression rate of 7-19%. The study is conducting interviews and assessments of primary care clinics. Challenges include low detection rates, lack of private screening spaces, and difficulties locating patients. The study is engaging with health officials and building capacity. Next steps include finalizing training materials and training trainers to scale the intervention. A related proposed study would adapt interventions for adolescent mothers, who are a high-risk group.
This document discusses various nutrition interventions including nutrition prescriptions, oral diets, modifications to regular diets, clear and full liquid diets, increasing nutrient density, supplements, feeding assistance, medication management, education, counseling, coordination of care, and monitoring and evaluation. The interventions are based on standards of practice and aim to best meet individual nutritional needs based on diagnoses and conditions. Counseling focuses on developing collaborative and individualized plans to help patients take responsibility for behaviors.
The document discusses the role of registered dietitians in the healthcare system. It describes dietitians as working in clinical settings like hospitals and long-term care facilities using the nutrition care process of assessment, diagnosis, intervention, and monitoring. Dietitians are part of interdisciplinary teams along with doctors, nurses, and other professionals. The document also outlines how dietitians must develop critical thinking skills through education, experience, and continuing education to provide medical nutrition therapy and work in the evolving U.S. healthcare system.
This document provides an overview of nutrition assessment as the foundation of the nutrition care process. It discusses collecting both subjective and objective data through tools, tests, and measurements. Subjective data includes interviews and observations, while objective data comes from medical records and tests. Anthropometric measurements like height, weight, BMI and body composition analysis provide information. Biochemical tests evaluate proteins, hematology, vitamins and minerals. Indirect calorimetry and equations estimate energy needs. Assessment data is interpreted to identify nutrition problems and diagnose nutritional status.
This document describes a proposed study to examine the effects of an integrative oncology lifestyle program for women recovering from Stage III breast cancer. The program will combine diet, exercise, mind-body practices, and stress management into a standardized clinic/home/web-based intervention. It aims to prevent cancer recurrence and improve survival and quality of life. The study will move the field of integrative medicine forward by establishing the first comprehensive lifestyle intervention program of its kind and incorporating continuous online support and counseling along with in-person classes and activities. The program will also focus on strengthening the body's natural defenses against cancer through lifestyle modifications.
Training Interprofessional Teams of Students and Health Professionals in Qual...ABIM Foundation
- Health care students and professionals at the University of Missouri Health Care received training in quality improvement (QI) skills by participating in interprofessional teams from 2006-2010.
- Students reported that the training helped develop their QI skills and gave them a better understanding of team-based care and other professionals' roles. Their QI skills significantly increased after the training.
- The training model of using interprofessional teams to complete QI projects should be replicated at other academic health centers to improve collaborative learning.
This document discusses the nutrition care process (NCP), which is a systematic problem-solving method used by dietitians. It consists of four steps: nutrition assessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring and evaluation. The NCP uses standardized language to describe the client's nutrition issues, care plan, and outcomes. It provides a consistent framework to guide critical thinking and deliver high-quality, evidence-based nutrition care tailored to the individual client.
The document provides an overview of the Nutrition Care Process (NCP) and its four steps: Nutrition Assessment, Nutrition Diagnosis, Nutrition Intervention, and Nutrition Monitoring and Evaluation. It defines key terminology used in each step and outlines the components and documentation involved. The NCP establishes standardized language for RDNs to systematically address clients' nutrition needs and care.
La línea de base es una herramienta para medir el impacto de proyectos de desarrollo mediante el establecimiento de indicadores vinculados a los objetivos del proyecto. Permite medir el avance o comparar la situación antes y después de la intervención. Se construye a través de grupos de discusión para incluir diferentes perspectivas e indica la situación inicial en términos de los indicadores seleccionados.
El documento discute los conceptos de desarrollo y crecimiento económico. Explica que el desarrollo incluye avances en áreas económicas, sociales, culturales y políticas de una sociedad. También aborda cómo se ha medido tradicionalmente el desarrollo a través de indicadores económicos como el PIB, y más recientemente a través del Índice de Desarrollo Humano. Finalmente, presenta los diferentes enfoques teóricos sobre el desarrollo como el clásico, marxista, neocl
Using ExamSoft Codings to Identify Gaps and Strengths with the NCLEX-RN Test ...ExamSoft
Presented by Tommie L. Norris, Associate Dean Evaluation & Effectiveness, The University of TN Health Science Center, Memphis, TN-College of Nursing
Ensuring nursing students are successful on their licensure exams is a priority for all nursing education programs. The University of Tennessee Health Science Center College of Nursing has used the NCLEX-RN Test Plan provided by NCSBN and mapped it by coding questions in ExamSoft into the Client Needs Categories and Integrated Processes. Mapping to Bloom's Taxonomy provides a pre-assessment of the level of difficulty for each exam, and analysis of the exam can be tracked over the course and the length of the program. A gap analysis can then be used to quickly identify areas of strengths and areas for improvement to ensure students are prepared for all areas of the licensure exam. This webinar will present the benefits of using ExamSoft coding to identify student preparation and curriculum needs, and how this process has assisted UTHSC College of Nursing in consistently obtaining a 100% NCLEX pass rate over the last several years.
This document provides a summary of the revised and updated Clinical Practice Guidelines (CPG) on the Management of Type 2 Diabetes Mellitus (T2DM) in Malaysia published in 2009. The CPG was developed by a task force consisting of various medical experts to provide evidence-based recommendations for the identification, diagnosis and treatment of T2DM. The CPG aims to improve glycemic control and reduce complications from T2DM. It provides guidance for healthcare professionals and seeks to standardize the management of T2DM across Malaysia.
The National Center on Response to Intervention and Implementation Science (NCRTI) aims to build state capacity to implement Response to Intervention (RTI) frameworks in schools. The NCRTI provides technical assistance and disseminates information on RTI, which is an instructional framework that uses universal screening, progress monitoring, and increasingly intensive interventions to improve outcomes for all students. The NCRTI promotes the use of implementation science to successfully integrate new initiatives like RTI by addressing barriers, evaluating infrastructure needs, and structuring support systems.
American Public Health Association- Annual Meeting 2014 Presentation scherala
Title: Using Quantitative Data to focus Medical Home Facilitation Interventions in the Massachusetts Patient Centered Medical Home Initiative (MA PCMHI)
There has been an increase in the number of neonates suffering from neonatal abstinence syndrome (NAS) due to rising opiate use among pregnant women. Implementing and improving clinical practice guidelines for treating NAS could help standardize care and improve outcomes for affected infants. A literature review found that utilizing non-pharmacological treatments, revising medication protocols, providing nursing education on NAS, and introducing standardized guidelines could reduce infant length of hospital stay, treatment costs, and severity of NAS withdrawal symptoms. Adopting improved, evidence-based clinical practice guidelines may help address the growing problem of NAS and optimize treatment for these infants.
The document describes the Nutrition Care Process, which is a standardized process for providing nutrition care. It involves 5 steps: nutrition screening, assessment, diagnosis, intervention, and monitoring and evaluation. Nutrition screening is used to quickly identify patients at nutritional risk and determine if a full assessment is needed. Hospitals are required to conduct nutrition screening within 24 hours of admission according to Joint Commission standards. Nutrition assessments gather comprehensive dietary, medical, and social data on patients to identify nutrition problems. This leads to developing a nutrition diagnosis, then creating and implementing a nutrition intervention plan to address the problem. Progress is monitored and outcomes are evaluated.
Construction of an Implementation Science for Scaling Out Interventions HopkinsCFAR
This document discusses the construction of implementation science for scaling out interventions. It begins by illustrating the use of team science and practice networks in implementation research. It then discusses adding the concept of scaling out to the traditional research pipeline for implementation, which involves transporting evidence-based interventions to new service delivery systems and contexts. Two options for research and practice involving scaling out are presented: a static model which focuses on strict adherence to programs, and a dynamic model which allows for planned adaptation. The document argues for the dynamic model and discusses approaches like ADAPT-ITT and the dynamic adaptation process for evaluating interventions during the scaling out process. It emphasizes the need to evaluate both implementation and effectiveness when scaling out.
This document presents the results of a study on the nutritional status of elderly female populations in Kathmandu, Nepal. The study assessed the daily dietary intake and body mass index (BMI) of 47 elderly women aged 60 and older. The findings showed that most women had normal BMI and consumed a diet of breakfast, lunch, tea, and dinner. However, many were illiterate and lacked access to kitchen gardens. The study concluded the overall nutritional status was normal but recommended improving healthcare, education, and economic support for elderly populations.
Day 2 panel 3 scaling up care for perinatal depression ng 108040ea-imcha
This document summarizes a study on perinatal depression in Nigeria. The study aims to improve detection and treatment of perinatal depression through training primary care providers. So far, the study has recruited over 2000 women and found a perinatal depression rate of 7-19%. The study is conducting interviews and assessments of primary care clinics. Challenges include low detection rates, lack of private screening spaces, and difficulties locating patients. The study is engaging with health officials and building capacity. Next steps include finalizing training materials and training trainers to scale the intervention. A related proposed study would adapt interventions for adolescent mothers, who are a high-risk group.
This document discusses various nutrition interventions including nutrition prescriptions, oral diets, modifications to regular diets, clear and full liquid diets, increasing nutrient density, supplements, feeding assistance, medication management, education, counseling, coordination of care, and monitoring and evaluation. The interventions are based on standards of practice and aim to best meet individual nutritional needs based on diagnoses and conditions. Counseling focuses on developing collaborative and individualized plans to help patients take responsibility for behaviors.
The document discusses the role of registered dietitians in the healthcare system. It describes dietitians as working in clinical settings like hospitals and long-term care facilities using the nutrition care process of assessment, diagnosis, intervention, and monitoring. Dietitians are part of interdisciplinary teams along with doctors, nurses, and other professionals. The document also outlines how dietitians must develop critical thinking skills through education, experience, and continuing education to provide medical nutrition therapy and work in the evolving U.S. healthcare system.
This document provides an overview of nutrition assessment as the foundation of the nutrition care process. It discusses collecting both subjective and objective data through tools, tests, and measurements. Subjective data includes interviews and observations, while objective data comes from medical records and tests. Anthropometric measurements like height, weight, BMI and body composition analysis provide information. Biochemical tests evaluate proteins, hematology, vitamins and minerals. Indirect calorimetry and equations estimate energy needs. Assessment data is interpreted to identify nutrition problems and diagnose nutritional status.
This document describes a proposed study to examine the effects of an integrative oncology lifestyle program for women recovering from Stage III breast cancer. The program will combine diet, exercise, mind-body practices, and stress management into a standardized clinic/home/web-based intervention. It aims to prevent cancer recurrence and improve survival and quality of life. The study will move the field of integrative medicine forward by establishing the first comprehensive lifestyle intervention program of its kind and incorporating continuous online support and counseling along with in-person classes and activities. The program will also focus on strengthening the body's natural defenses against cancer through lifestyle modifications.
Training Interprofessional Teams of Students and Health Professionals in Qual...ABIM Foundation
- Health care students and professionals at the University of Missouri Health Care received training in quality improvement (QI) skills by participating in interprofessional teams from 2006-2010.
- Students reported that the training helped develop their QI skills and gave them a better understanding of team-based care and other professionals' roles. Their QI skills significantly increased after the training.
- The training model of using interprofessional teams to complete QI projects should be replicated at other academic health centers to improve collaborative learning.
This document discusses the nutrition care process (NCP), which is a systematic problem-solving method used by dietitians. It consists of four steps: nutrition assessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring and evaluation. The NCP uses standardized language to describe the client's nutrition issues, care plan, and outcomes. It provides a consistent framework to guide critical thinking and deliver high-quality, evidence-based nutrition care tailored to the individual client.
The document provides an overview of the Nutrition Care Process (NCP) and its four steps: Nutrition Assessment, Nutrition Diagnosis, Nutrition Intervention, and Nutrition Monitoring and Evaluation. It defines key terminology used in each step and outlines the components and documentation involved. The NCP establishes standardized language for RDNs to systematically address clients' nutrition needs and care.
La línea de base es una herramienta para medir el impacto de proyectos de desarrollo mediante el establecimiento de indicadores vinculados a los objetivos del proyecto. Permite medir el avance o comparar la situación antes y después de la intervención. Se construye a través de grupos de discusión para incluir diferentes perspectivas e indica la situación inicial en términos de los indicadores seleccionados.
El documento discute los conceptos de desarrollo y crecimiento económico. Explica que el desarrollo incluye avances en áreas económicas, sociales, culturales y políticas de una sociedad. También aborda cómo se ha medido tradicionalmente el desarrollo a través de indicadores económicos como el PIB, y más recientemente a través del Índice de Desarrollo Humano. Finalmente, presenta los diferentes enfoques teóricos sobre el desarrollo como el clásico, marxista, neocl
El documento propone un cambio de paradigma en la atención de pacientes para enfocarse en la adherencia al tratamiento y programas para pacientes crónicos. La adherencia al tratamiento implica que los pacientes sigan las recomendaciones médicas en términos de hábitos, estilo de vida y medicamentos. Factores que facilitan la adherencia incluyen atención centrada en el paciente, involucramiento de la familia y claridad en la comunicación. Los pacientes se cronifican debido a tratamientos sintomáticos, falta de diagnósticos integr
Este documento presenta una descripción de diferentes enfoques del desarrollo a lo largo de la historia, desde la posguerra hasta la actualidad. Inicialmente, el desarrollo se entendía como crecimiento económico y se buscaba industrializar los países subdesarrollados. Más tarde, surgen enfoques que incorporan conceptos como la redistribución, satisfacción de necesidades básicas, y desarrollo humano. Recientemente, se ha adoptado una perspectiva de desarrollo sostenible que busca compatibilizar crecimiento econ
Una línea de base ambiental describe las condiciones previas de un área antes de un proyecto o actividad, permitiendo conocer el estado del ecosistema. Es importante para fijar un punto de partida y monitorear cómo un proyecto afecta el medio ambiente. Una línea de base debería incluir información sobre el medio físico, la flora y fauna, y las actividades humanas en el entorno.
El documento presenta tres enfoques de desarrollo: sostenible, humano y territorial. El desarrollo sostenible busca el crecimiento económico que también beneficie la calidad de vida y el medio ambiente. El desarrollo humano amplía las oportunidades y capacidades de las personas a través de la salud, educación e ingresos. El desarrollo territorial es un proceso que ocurre en territorios específicos, considerando sus potencialidades naturales, humanas e institucionales para mejorar de manera holística las con
Este documento discute los principios de la gerencia social y el enfoque cooperativista para el desarrollo con equidad. La gerencia social considera factores como la calidad de vida, la equidad y las necesidades públicas, en contraste con el enfoque mecanicista que prioriza la producción sobre el bienestar humano. El documento también promueve elaborar proyectos compartidos basados en valores como el desarrollo sustentable y la equidad, y repensar las organizaciones desde un contrato social.
Este documento resume los diferentes enfoques históricos del desarrollo, incluyendo el enfoque del crecimiento económico en los años 1950, el enfoque de crecimiento con redistribución en los años 1970, el enfoque de satisfacción de necesidades básicas en los años 1970, y el enfoque neoliberal de los años 1980. También describe los enfoques posteriores como el desarrollo humano de los años 1990, el desarrollo sustentable, el desarrollo local, la dependencia, y el ajuste estructural de los
Este documento presenta el plan de estudios de un curso sobre desarrollo humano en la carrera de Licenciatura en Matemática. El curso aborda conceptos básicos de desarrollo humano y diferentes enfoques a través de cinco unidades, analizando teorías desde diversas perspectivas. El objetivo es que los estudiantes comprendan el desarrollo humano para mejorar su formación personal y desempeño como docentes.
Este documento presenta los pasos para construir una línea de base para medir el progreso de un proyecto, incluyendo identificar el problema, objetivos, variables de logro, metas, variables de inicio, e instrumentos de medición, con un ejemplo para ilustrar el proceso.
Este documento resume diferentes enfoques de desarrollo a lo largo de la historia desde la década de 1950 hasta la actualidad. Comienza con el enfoque de "crecimiento económico" de los años 1950, luego pasa al enfoque de "crecimiento con redistribución" de los años 1970. Más adelante describe el enfoque de "satisfacción de necesidades básicas" de mediados de los 1970 y el enfoque neoliberal de mediados de los 1980. Finalmente, presenta nuevos enfoques como el de "desarrollo humano
El estudio de línea base consiste en un diagnóstico situacional del área antes del proyecto e incluye aspectos bióticos, abióticos y socio-culturales. Describe las áreas potencialmente afectadas por el proyecto en términos físicos, biológicos y socio-económicos. Su elaboración incluye etapas preparatoria, de campo, análisis de laboratorio y gabinete para caracterizar los recursos y establecer la línea base ambiental del área.
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El documento describe la importancia de realizar una línea base ambiental antes de ejecutar un proyecto para determinar la situación actual del área. La línea base incluye la caracterización de factores físicos, biológicos y socioeconómicos y culturales. La información de la línea base debe mostrar claramente las características de las variables ambientales afectadas para evaluar los posibles impactos e implementar medidas de mitigación.
El documento describe los componentes de una línea base ambiental para un proyecto. Una línea base incluye estudios sobre el estado actual del área de influencia del proyecto en términos del medio físico, biótico y socioeconómico. La información de la línea base se usa para identificar y evaluar impactos ambientales y desarrollar un plan de manejo ambiental.
The document summarizes self-management support programs in the Päijät-Häme region of Finland. It describes a lifestyle counseling process that identifies those at high risk for diabetes through health screenings and refers them to group counseling sessions. The goal group counseling program has shown evidence of preventing type 2 diabetes and improving health indicators. A tele-coaching program also led to improved lifestyle behaviors and health outcomes for patients with long-term conditions. Both programs demonstrated the potential for self-management support to empower patients and enhance health, but challenges remain in making these approaches a routine part of healthcare.
Academy Health- Annual Research Meeting - State Policy Interest Groups- 2013scherala
The document summarizes findings from a study evaluating the impact of the Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI) on clinical quality measures at the midpoint of the initiative. The study found that three measures showed statistically significant improvement from baseline to 21 months: screening diabetic patients for depression, developing asthma action plans for children with persistent asthma, and developing care plans for highest risk patients. While other measures trended toward improvement or no change, the results indicate that primary care practice transformation takes time but processes of care are more likely to improve before outcomes. The initiative provides an example of using clinical quality measures to evaluate the impact of implementing patient-centered medical home processes and improving patient care.
CCTS-2013-Diabetes Care Trends in the Massachusetts Patient Centered Medical ...scherala
This document summarizes the mid-point findings of a study assessing diabetes care trends in medical practices participating in Massachusetts' Patient Centered Medical Home Initiative. It found that the percentage of diabetic patients screened for depression significantly improved over the first 21 months, rising from 20.5% to 45.9%. While other measures like blood pressure and cholesterol control showed no significant changes, the authors note that process measures may improve earlier than outcomes. They conclude that practices will need more time under the new model to demonstrate broader improvements in care.
Innovative and Community Partnered Pulmonary Rehabilitation for Seniors in NBDataNB
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The purpose of this presentation will be to discuss this project in greater detail, the implications of our findings, the “student-infused” model of PR, as well as our plans for the future of the project.
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Forbes, D., Forbes, S. C., Blake, C. M., Thiessen, E. J., & Forbes, S. (2015). Exercise programs for people with dementia. Cochrane Database of Systematic Reviews, 2015(4), CD006489.
As the population ages, the number of people suffering with dementia will also rise. Not only will this affect quality of life of people with dementia but will also increase the burden of family caregivers, community care, and residential care services. Exercise interventions have been identified as a potential way of reducing or delaying the progression of dementia and its symptoms. This review examines two questions: do exercise programs for older people with dementia improve cognition, activities of daily living (ADLs), challenging behaviour, depression, and mortality in older people with dementia? and; do exercise programs for older people with dementia have an indirect impact on family caregivers' burden, quality of life, and mortality?
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2) There was a statistically significant difference in reduced diastolic blood pressure between the LWC and control groups.
3) Patients reported high satisfaction rates with the LWC program and its positive impact on their health.
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A tele-rehabilitation program for stroke survivors called CLEAR was evaluated. The program provided task-oriented rehabilitation in hospitals, homes, and community kiosks. 253 patients received either usual care or the CLEAR program. The CLEAR program was found to be safe and more effective than usual care based on improvements in arm function, disability, and quality of life. Adherence to the kiosk sessions was predicted by distance from home to kiosk and need for assistance. Patients were highly satisfied with the program and found it useful. The tele-rehabilitation approach reduced travel costs and time compared to usual care.
This document discusses the education for sustainable development curriculum at the University of Malaya's medical school. It has three phases focused on the normal human body, body's reaction to injury, and practice-based medicine. There are also three curriculum strands covering scientific disease basis, professional development, and doctor-patient relationships. An elective programme was restructured in 2012 to broaden perspectives on healthcare and encourage exploring traditional and complementary medicine. Students presented their elective projects and were assessed based on presentation quality. The programme fostered learner autonomy and helped students develop research, leadership, and appreciation for integrating modern and traditional medicine.
This document outlines the MD program at AIMU. It discusses the program's competencies, integrated curriculum with early clinical exposure, basic science courses over 5 semesters, core clinical rotations in internal medicine, surgery, OBGYN, pediatrics, psychiatry and family medicine, and additional elective rotations. It provides maps of the basic science courses over the 5 semesters and notes requirements for passing standardized exams to graduate.
The New Blueprint: challenging the comfort zoneMedCouncilCan
This document outlines the progress of the Blueprint Project since 2013. It proposes common frameworks to assess physicians for high-stakes decision making at two points: entry into residency and independent practice. Stakeholder consultations provided feedback on proposed assessment dimensions and definitions. Gap analyses found MCC exams currently underrepresent chronic illness and psychosocial aspects. Future work includes developing additional assessments through opportunities like e-portfolios and item banks to fully address the blueprint. Workshops will discuss including various assessments in an e-portfolio and sharing assessment data between organizations. The project aims to ensure physicians are qualified for practice through a rigorous yet evolving assessment system.
This document outlines the progress of the Blueprint Project since 2013. It proposes common frameworks to assess physicians for high-stakes decision making at two points: entry into residency and independent practice. Stakeholder consultations provided feedback on proposed assessment dimensions and definitions. Gap analyses found MCC exams currently underrepresent chronic illness and psychosocial aspects. Future work includes developing additional assessments through opportunities like e-portfolios and item banks to fully address the blueprint. Workshops will discuss including various assessments in an e-portfolio and sharing assessment data between organizations. The project aims to ensure physicians are qualified for practice through a rigorous yet evolving assessment system.
This systematic review evaluated the effectiveness of exercise interventions on health-related quality of life for cancer survivors. The review included 40 randomized controlled trials with 3,694 participants. The results showed positive trends for exercise improving depression and body image, but no evidence of effects for other quality of life domains like physical functioning. However, the results must be interpreted cautiously due to heterogeneity in exercise programs and quality of life measures across studies. Further research is still needed to determine optimal exercise modes, intensities, frequencies and durations for different cancer types and treatments.
A presentation from a workshop held at The University of St Mark & St john in November, 2014. The session was an information exchange session on the new NICE guidelines PH54 (exercise referral schemes to promote physical activity)
Obesity- Tipping Back the Scales of the Nation 19th April, 2017mckenln
Dr. Rebecca Beeken presented on inspiring behavioral change through various techniques. She discussed traditional approaches focusing on information alone are often ineffective for behavior change. The COM-B model identifies capability, motivation, and opportunity as necessary conditions for behavior. Successful interventions incorporate self-monitoring and other self-regulation techniques. Commercial weight loss programs that emphasize lifestyle changes over dieting and use behavior change techniques and cognitive behavioral therapy have shown promising results. Habit formation through repetition can help establish healthy behaviors long-term. Health professionals, teachable moments, and nudging in appropriate settings can also influence behavior change. A multifaceted approach is needed to inspire lasting behavior change.
Better outcomes, better value: integrating physical and mental health into clinical practice and commissioning
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Let's Talk Research Annual Conference - 24th-25th September 2014 (Joy Gana-Inatimi)
1. THE IMPACT OF SELF-MANAGEMENT EDUCATION ON OUTCOMES FOR PATIENTS WITH COPD
Joy Gana-Inatimi
(Supervisors: Prof MP Dey, Dr CJ Sutton, Mrs HC Stewart)
2. Content
•Background information on COPD and PR
•Self-Management Education
•My project
•Project Overview
•Preliminary findings
•Implications for Research
•Benefit(s) of Research
4. TITLE
BODY COPY
Prevalence of Cigarette Smoking
Men
Women
North East
17
23
North West
25
22
Yorkshire and the Humber
24
25
East Midlands
20
19
West Midlands
21
19
East of England
20
18
London
21
18
South East
21
18
South West
21
22
All England
21
20
Distribution of COPD by Postcode
5. Prognosis
•COPD is currently not curable
•Effective management of COPD includes:
1.Smoking cessation
2.Medication management
3.Pulmonary rehabilitation (PR)
6. What is PR
Individually tailored MDT programme of care:
•Physical training
•Disease education
•Nutritional
•Psychological
•Behavioural intervention
•Self-management strategies (NICE, 2010)
7. Aims of PR
•Reduce disability
•Improve quality of life
•Diminish health care burden
•Improve physical conditioning
•Increase independence
•Increase knowledge of lung condition
•Promote self-management
(BTS, 2001 and CSP, 2003)
8. PR Evidence
•PR vs. conventional care
•Benefits of PR
•COPD Self-management
10. Survey Study Findings
•27 PCTs provide PR in the North West
•100% MDT and provided exercise and education
•Mainly community based
•77.8% assessed self-management
•25.9% used a COPD specific tool
11. Retrospective Study Findings – Baseline Characteristics
•(n=875)
•Mean age of 66 years
•Predominantly female (57.4%)
•30% most socioeconomically deprived
•Non attenders were:
1.Younger
2.Still smoking
3.More socioeconomically deprived
12. Retrospective Study Findings – Clinical Outcomes
30.1
37.7
36.9
0
5
10
15
20
25
30
35
40
Pre programme
Post Programme
3 months post programme
Mean BCKQ Score
Assessment Stage
COPD Self-Management Knowledge (BCKQ)
13. Retrospective Study Findings – Clinical Outcomes
170.6
239.2
215.4
0.0
50.0
100.0
150.0
200.0
250.0
300.0
Pre programme
Post Programme
3 months post programme
Mean Distance Walked (Meters)
Assessment Stage
Shuttle Walk Test
14. Retrospective Study Findings – Clinical Outcomes
•Weak correlation between changes in self- management knowledge and functional capacity &
15. Implications/Plans for Research
•Lit review of self-management strategies
•Design prospective study:
1.Informed by survey and database studies
2.Lit review affirmed education strategy
16. Benefits of Research
•Standardised data collection
•Quality assurance measures
•New block SLA
•Formalising Brief Interventions
17. Thank you for your time and Attention
Any Questions?