This study evaluated a 6-month diabetes self-awareness intervention (SAI) for adults with type 1 diabetes and hypoglycemia unawareness. The SAI aimed to increase awareness of body cues associated with different blood glucose levels through education sessions. Results found that participants were able to identify more cues for normal blood glucose levels after the intervention. They also experienced fewer hypoglycemia episodes requiring treatment, emergency room visits, and driving incidents related to hypoglycemia. However, participants reported a lower quality of life related to diabetes. The self-awareness intervention showed promise as an approach to help this patient group achieve better health outcomes through increased awareness of their body's responses to varying glucose levels.
Crimson Publishers - Self-Explanatory Non-Funded Project Study of Dysmenorrhe...CrimsonPublishersDCMP
Self-Explanatory Non-Funded Project Study of Dysmenorrhea and Impact on Quality of Life in Rajgad Dnyanpeeth's College of Pharmacy-Savitribai Phule Pune University Pune by Rahul Hajare* in Developments in Clinical & Medical Pathology
Crimson Publishers - Self-Explanatory Non-Funded Project Study of Dysmenorrhe...CrimsonPublishersDCMP
Self-Explanatory Non-Funded Project Study of Dysmenorrhea and Impact on Quality of Life in Rajgad Dnyanpeeth's College of Pharmacy-Savitribai Phule Pune University Pune by Rahul Hajare* in Developments in Clinical & Medical Pathology
PREVALENCE OF DEPRESSION AND ITS ASSOCIATED FACTORS IN ADULTS WITH DIABETES M...pijans
The prevalence of Diabetes Mellitus has been rising steadily owing to several factors such as sedentary
lifestyle, obesity and an aging population. The prevalence of diabetes is predicted to double globally from
171 million in 2000 to 366 million in 2030 with a maximum increase in India with up to 79.4 million
individuals in India. Depression occurs frequently with diabetes but there are not many studies in India to
estimate its prevalence and associated factors. This study was done with the aim of estimating the
prevalence of depression among diabetes patients using the validated Patient Health Questionnaire-9 and
also its associated factors.
Background: Data regarding Gestational Diabetes Mellitus (GDM) and Depression in Bangladesh are inadequate. Though we have sufficient information on depression and diabetes especially during pregnancy but information about depression and gestational diabetes and the consequences are very scanty in Bangladesh. This comparative, longitudinal research study was done to better understand the relationship between gestational diabetes and depression, and the outcome of pregnancy. GDM effects fetal growth is well stablish but whether and how depression aggravates the condition was another specific objective to find out from this study. Mode of delivery, fetal morbidity and mortality and postpartum depression as a consequent was also tried to explore. Moreover this study focused on other principal social factors which might have infl uence over this condition
Background: There are very a few studies on psychiatric symptoms in patients with Diabetes Mellitus (DM) patients and assessing glycemic controls.
Aim: To describe the level of glycemic control, complications and psychosocial functioning among DM patients using the Depression Anxiety Stress Scales (DASS-21) instrument and its predictors among diabetic Turkish population.
Not Only Depressed. A Pilot Study on Quality of Life of Women with Urinary In...inventionjournals
The urinary incontinence syndrome is a common disease, whose etiology is still unclear. The survey of psychological variables generally highlights a poverty quality of life, depressive features, and difficulties in sexual life. The goal of this pilot study – sample of 97 women with urinary incontinence - is to give these patients a more complex picture, evaluating aspects of pain (depression and other mental illness indicators, alexithymia, sex life), but also investigating if there are good aspects in their life which act as counterweight. It 's so emerged as the patients lead a healthy life and have generally good relations, it is a good couple relationship, both good relationships with parents and have different interests in life. In particular, the women with self-interest are not depressed and have no traits of alexithymia. It is so important in clinical practice to not take for granted the presence of a psychological suffering and rather encourage patients to cultivate self-interests.
Effect of Patient Counseling in Improving Physical and Mental Health of Type-...Gangula Amareswara Reddy
The present study concluded that chronic diseases like diabetes affect the quality of life of patients.As the main goal of any medical care is the improvement of the patients’ overall quality of life, the clinical pharmacist imparted patient education through counseling has a major role in improving the physical as well as mental health outcomes.
A correlation study to determine the effect of diabetes self management on di...Kurt Naugles M.D., M.P.H.
Self-Management in this presentation refers to those activities people undertake in an effort to promote health, prevent disease, limit illness, and restore well being. Several investigators contend that self-management be made a major component of many patient health-care strategy (Glasgow, et al., 2001; Wagner, et al., 2001). Currently, nearly 125 million Americans suffer from chronic debilitating illnesses (Anderson, 2000). These national figures clearly underscore the need to develop a multidimensional approach in regards to disease management. Accordingly, measures that incorporate the patient’s perspective in managing his or her health should be explored.
Diabetes mellitus is among those conditions suspected to be highly influenced by self-management activities (Sprangers, et. al., 2000). If benefits do indeed exist, they need to be fully evidenced. The investigation presented here sought to examine the role self management plays in the health outcomes of individuals living with diabetes.
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutriti...CrimsonPublishersIOD
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutritional Monitoring by Géssika Dutra de Andrade Reis, Virginia Souza Santos* and Martha Elisa Ferreira de Almeida in Interventions in Obesity & Diabetes
PREVALENCE OF DEPRESSION AND ITS ASSOCIATED FACTORS IN ADULTS WITH DIABETES M...pijans
The prevalence of Diabetes Mellitus has been rising steadily owing to several factors such as sedentary
lifestyle, obesity and an aging population. The prevalence of diabetes is predicted to double globally from
171 million in 2000 to 366 million in 2030 with a maximum increase in India with up to 79.4 million
individuals in India. Depression occurs frequently with diabetes but there are not many studies in India to
estimate its prevalence and associated factors. This study was done with the aim of estimating the
prevalence of depression among diabetes patients using the validated Patient Health Questionnaire-9 and
also its associated factors.
Background: Data regarding Gestational Diabetes Mellitus (GDM) and Depression in Bangladesh are inadequate. Though we have sufficient information on depression and diabetes especially during pregnancy but information about depression and gestational diabetes and the consequences are very scanty in Bangladesh. This comparative, longitudinal research study was done to better understand the relationship between gestational diabetes and depression, and the outcome of pregnancy. GDM effects fetal growth is well stablish but whether and how depression aggravates the condition was another specific objective to find out from this study. Mode of delivery, fetal morbidity and mortality and postpartum depression as a consequent was also tried to explore. Moreover this study focused on other principal social factors which might have infl uence over this condition
Background: There are very a few studies on psychiatric symptoms in patients with Diabetes Mellitus (DM) patients and assessing glycemic controls.
Aim: To describe the level of glycemic control, complications and psychosocial functioning among DM patients using the Depression Anxiety Stress Scales (DASS-21) instrument and its predictors among diabetic Turkish population.
Not Only Depressed. A Pilot Study on Quality of Life of Women with Urinary In...inventionjournals
The urinary incontinence syndrome is a common disease, whose etiology is still unclear. The survey of psychological variables generally highlights a poverty quality of life, depressive features, and difficulties in sexual life. The goal of this pilot study – sample of 97 women with urinary incontinence - is to give these patients a more complex picture, evaluating aspects of pain (depression and other mental illness indicators, alexithymia, sex life), but also investigating if there are good aspects in their life which act as counterweight. It 's so emerged as the patients lead a healthy life and have generally good relations, it is a good couple relationship, both good relationships with parents and have different interests in life. In particular, the women with self-interest are not depressed and have no traits of alexithymia. It is so important in clinical practice to not take for granted the presence of a psychological suffering and rather encourage patients to cultivate self-interests.
Effect of Patient Counseling in Improving Physical and Mental Health of Type-...Gangula Amareswara Reddy
The present study concluded that chronic diseases like diabetes affect the quality of life of patients.As the main goal of any medical care is the improvement of the patients’ overall quality of life, the clinical pharmacist imparted patient education through counseling has a major role in improving the physical as well as mental health outcomes.
A correlation study to determine the effect of diabetes self management on di...Kurt Naugles M.D., M.P.H.
Self-Management in this presentation refers to those activities people undertake in an effort to promote health, prevent disease, limit illness, and restore well being. Several investigators contend that self-management be made a major component of many patient health-care strategy (Glasgow, et al., 2001; Wagner, et al., 2001). Currently, nearly 125 million Americans suffer from chronic debilitating illnesses (Anderson, 2000). These national figures clearly underscore the need to develop a multidimensional approach in regards to disease management. Accordingly, measures that incorporate the patient’s perspective in managing his or her health should be explored.
Diabetes mellitus is among those conditions suspected to be highly influenced by self-management activities (Sprangers, et. al., 2000). If benefits do indeed exist, they need to be fully evidenced. The investigation presented here sought to examine the role self management plays in the health outcomes of individuals living with diabetes.
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutriti...CrimsonPublishersIOD
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutritional Monitoring by Géssika Dutra de Andrade Reis, Virginia Souza Santos* and Martha Elisa Ferreira de Almeida in Interventions in Obesity & Diabetes
1601Rev Bras Enferm. 2019;72(6)1601-8. httpdx.doi.org10.1.docxaulasnilda
1601Rev Bras Enferm. 2019;72(6):1601-8. http://dx.doi.org/10.1590/0034-7167-2018-0731
ABSTRACT
Objective: to evaluate the contributions of an educational program for capillary blood
glucose self-monitoring. Method: a quasi-experimental study performed in an outpatient
unit of a tertiary health care service in a sample of 25 people with Type 2 Diabetes Mellitus,
from July 2016 to December 2017, developed through interactive tools for care with
capillary blood glucose self-monitoring. Results: among the items of capillary blood
glucose self-monitoring that showed improvement after participation in the educational
program, the most noteworthy are the “postprandial blood glucose values” (p=0.0039),
“Interpretation of capillary blood glucose results with meals and medications” (p=0.0156),
“recognition of the ‘weakness’ symptom for hyperglycemia” (p=0.0386) and “administration
of medications correctly” for hyperglycemia prevention (p=0.0063). Conclusion: the study
made it possible to recognize the main characteristics of blood glucose self-monitoring that
may contribute to the care for the person with diabetes.
Descriptors: Diabetes Mellitus; Health Education; Blood Glucose Self-Monitoring; Self-
Care; Nursing Care.
RESUMO
Objetivo: avaliar as contribuições de um programa educativo para a automonitorização da
glicemia capilar. Método: estudo quase-experimental, realizado em unidade ambulatorial de
um serviço de atenção terciária à saúde, em amostra de 25 pessoas com Diabetes Mellitus tipo
2, no período de julho de 2016 a dezembro de 2017, desenvolvido por meio de ferramentas
interativas para o cuidado com a automonitorização da glicemia capilar. Resultados: entre os
itens da automonitorização da glicemia capilar que apresentaram melhora após a participação
no programa educativo, destacam-se os “valores da glicemia pós-prandial” (p=0,0039),
“interpretação dos resultados de glicemia capilar com as refeições e medicamentos” (p=0,0156),
“reconhecimento do sintoma ‘fraqueza’ para a hiperglicemia” (p=0,0386) e “administração de
medicamentos corretamente” para prevenção da hiperglicemia (p=0,0063). Conclusão: o
estudo possibilitou reconhecer as principais características da automonitorização da glicemia
que poderão contribuir para o cuidado à pessoa portadora da doença.
Descritores: Diabetes Mellitus; Educação em Saúde; Automonitorização da Glicemia;
Autocuidado; Cuidados de Enfermagem.
RESUMEN
Objetivo: evaluar las contribuciones de un programa educativo para la automonitorización de
la glucemia capilar. Método: el estudio cuasi-experimental, realizado en unidad ambulatoria
de un servicio de atención terciaria a la salud, en muestra de 25 personas con Diabetes
Mellitus tipo 2, en el período de julio de 2016 a diciembre de 2017, desarrollado por medio de
herramientas interactivas para el cuidado con la automonitorización de la glucemia capilar.
Resultados: entre los ítems de la automonitorización de la glucemia capilar que ...
Journal of Schizophrenia Research is a peer-reviewed, open access journal published by Austin Publishers. It provides easy access to high quality Manuscripts in all related aspects of a mental disorder often characterized by abnormal social behavior and failure to recognize what is real with common symptoms including false beliefs, auditory hallucinations, confused or unclear thinking, inactivity, and reduced social engagement and emotional expression. The journal focuses upon the latest research in finding causes, understanding mechanisms, diagnosis, prevention, management, prognosis, epidemiology, ancestral history and treatment of schizophrenia.
Austin Publishing Group is a successful host of more than hundred peer reviewed, open access journals in various fields of science and medicine with intent to bridge the gap between academia and research access.
Journal of Schizophrenia Research accepts original research articles, review articles, case reports, mini reviews, rapid communication, opinions and editorials on all related aspects of schizophrenia including, finding causes, understanding mechanisms, diagnosis, prevention, management, prognosis, epidemiology, ancestral history and its treatment.
Healthcare Perceptions of Injectable Therapies for Diabetes Mellitus Type 2CrimsonPublishersIOD
Diabetes mellitus is considered a global epidemic, with financial impacts beyond the cost of treatment. Multiple treatment options are available;
however, many healthcare providers lack knowledge or face perceived barriers to prescription. While the American Diabetes Association publishes
yearly guideline updates for the management and care of diabetes, many health care providers are unfamiliar with these guidelines. These guidelines
recommend insulin and other inject able therapies early in the disease progression, yet the DAWN study demonstrated that physicians delay the initiation
of insulin therapy. This paper will review the knowledge gaps, health care provider barriers, and perceptions of inject able therapies. From this review,
more knowledge is needed by prescribers in the initiation and management of injectable therapies to help patients successfully reach glycemic targets.
Diabetes is a rapidly and serious health problem in Pakistan. This chronic condition is associated with serious long-term complications, including higher risk of heart disease and stroke. Aggressive treatment of hypertension and hyperlipideamia can result in a substantial reduction in cardiovascular events in patients with diabetes 1. Consequently pharmacist-led diabetes cardiovascular risk (DCVR) clinics have been established in both primary and secondary care sites in NHS Lothian during the past five years. An audit of the pharmaceutical care delivery at the clinics was conducted in order to evaluate practice and to standardize the pharmacists’ documentation of outcomes. Pharmaceutical care issues (PCI) and patient details were collected both prospectively and retrospectively from three DCVR clinics. The PCI`s were categorized according to a triangularised system consisting of multiple categories. These were ‘checks’, ‘changes’ (‘change in drug therapy process’ and ‘change in drug therapy’), ‘drug therapy problems’ and ‘quality assurance descriptors’ (‘timer perspective’ and ‘degree of change’). A verified medication assessment tool (MAT) for patients with chronic cardiovascular disease was applied to the patients from one of the clinics. The tool was used to quantify PCI`s and pharmacist actions that were centered on implementing or enforcing clinical guideline standards. A database was developed to be used as an assessment tool and to standardize the documentation of achievement of outcomes. Feedback on the audit of the pharmaceutical care delivery and the database was received from the DCVR clinic pharmacist at a focus group meeting.
Understanding Hypoglycemia in Diabetes_ Exploring Pathophysiological Mechanis...lifeharmony145
Hypoglycemia, a prevalent complication in individuals with diabetes, particularly those undergoing insulin, sulfonylurea, or glinide therapy, poses significant challenges to patient well-being. The primary risk factors contributing to severe hypoglycemia are deficiencies in counterregulatory responses and hypoglycemia unawareness. Beyond the immediate physiological effects, episodes of hypoglycemia are linked to both physical and psychological morbidity. Notably, the fear of hypoglycemia serves as a formidable barrier, hindering patients from achieving optimal glycemic control.
TYPE 2 DIABETES
TYPE 2 DIABETES 2
Type 2 Diabetes
Student Name
Date
school
Type 2 Diabetes
Introduction
Diabetes is a multifaceted disease that affects over 29 million individuals in the United States although most of them are not aware they are sick. The prevalence of diagnosed diabetes is higher among certain minorities such as Alaska Natives, American Indians, Hispanics, Asian Americans and non-Hispanic Black. Its reduces muscle, liver and adipose tissue insulin sensitivity to as well as a decrease pancreatic b-cell function leading which can impair insulin secretion. Diabetes mellitus (DM) can be in form of Type 1 DM, gestation DM, type 2 DM, Pre-DM or medication-induced DM while all bear high levels of blood glucose. Lately, new antidiabetic medications have been adopted for the treatment of T2DM, including dipeptidyl peptidase-4 (DPP-4) inhibitors, glucagon-like peptide 1(GLP-1) receptor agonists, anamylin analogue, and sodium-glucose cotransporter 2 (SGLT2) inhibitors. Of all cases of diabetes, 90% - 95% is accounted by type 2 DM (Olokoba, Obateru & Olokoba, 2012). It is characterized by the body failing to use insulin properly because of the relative deficiency in insulin or insulin resistance. Failure to manage type 2 diabetes appropriately can cause grave complications such as neuropathy, retinopathy and cardiovascular diseases. .
Problem
Diabetes Mellitus type 2 has become an epidemic in the adult population and managing the glucose levels has become a serious problem with close to 285 million people worldwide affected (International Diabetes Federation. 2011). The number of Americans people affected by type 2 diabetes mellitus has continued to grow by 1.9 million cases every year. The problem has been rampant on older people in the United States who account for 10.9 million cases. Among the factors identified as drivers of type 2DM epidemic is physical inactivity, increased age of the U.S. population, increase in the sub-populations prone to diabetes and obesity epidemic. The cost of type 2DM is enormous and in 2012, approximately $176 billion was used in direct medical costs and $69 billion in lost due to lack of productivity.
Review of the Literature
Author
Article Title
Describe Relevance to the Problem Statement
1. SLO #1: Discuss various research designs
Lew, K. N., &
Wick, A.
Pharmacotherapy of
Type 2 Diabetes
Mellitus: Navigating
Current and New
Therapies
Descriptive, correlational and review
research designs. The three
forenamed research designs were
used in the article.
2. SLO #2: Compare and contrast select research designs
Espeland et al.
Intensive Weight
Loss Intervention
in Older Individuals:
Results from the Action
for Health in Diabetes
Type 2 Diabetes Mellitus
Trial
A Randomized controlled clinical trial
design
Research was done on individuals to
determine the impact o ...
O R I G I N A L R E S E A R C HLived experience of diabete.docxcherishwinsland
O R I G I N A L R E S E A R C H
Lived experience of diabetes among older, rural people
Sharon R. George & Sandra P. Thomas
Accepted for publication 16 January 2010
Correspondence to S.R. George:
e-mail: [email protected]
Sharon R. George PhD RN CNL
Assistant Professor, Graduate Faculty
College of Nursing, The University of
Alabama in Huntsville, USA
Sandra P. Thomas PhD RN FAAN
Coordinator for Doctoral Program,
and Co-Director
Cooperating Site, International Institute for
Qualitative Methodology, The University of
Tennessee, USA
G E O R G E S . R . & T H O M A S S . P . ( 2 0 1 0 )G E O R G E S . R . & T H O M A S S . P . ( 2 0 1 0 ) Lived experience of diabetes among older,
rural people. Journal of Advanced Nursing 66(5), 1092–1100.
doi: 10.1111/j.1365-2648.2010.05278.x
Abstract
Title. Lived experience of diabetes among older, rural people.
Aim. This paper is a report of a study conducted to elucidate experiences and
perceptions of self-management of diabetes as narrated by older people diagnosed
with insulin-dependent diabetes living in a rural area.
Background. Older people worldwide are disproportionately affected by diabetes
and are more likely to have co-morbidities and disabilities. Guidelines for
management, developed by the American Diabetes Association, are not targeted for
this population. A plethora of quantitative research has investigated self-manage-
ment issues, with little change to outcomes. This pleads for consideration of a new
diabetes education model, which includes consideration of experiences within
clients’ worldviews.
Method. Unstructured interviews starting with an open question were conducted
from a purposive sample in 2005. Interviews were transcribed and analysed
according to the tenets of existential phenomenology, a process which began with
bracketing the researcher’s biases.
Findings. Living with poorly controlled diabetes led participants to introspection
and existential questioning. Four connected themes were identified: ‘Your Body Will
Let You Know’; ‘I Thought I Was Fine, But I Wasn’t’; ‘The Only Way Out is to Die’;
and ‘You Just Go On’.
Conclusion. Currently designed from a medical perspective, diabetes education
should be based on a nursing model incorporating the client’s insights and experi-
ences. When managing diabetes is viewed from a client’s perspective, the focus
becomes solving problems that arise in self-regulation of one’s own regimen rather
than in complying with doctor’s orders. Nurses need to reframe the problem by
excluding the compliance/noncompliance model and developing a conceptual
perspective on self-management that is grounded in world and body.
Keywords: diabetes, gerontology, nursing, older people, phenomenology, rural
health, self-management
1092 � 2010 The Authors. Journal compilation � 2010 Blackwell Publishing Ltd
J A N JOURNAL OF ADVANCED NURSING
Introduction
Every 10 seconds, two people develop diabetes and someone
dies from.
RunningHead: PICOT Question 1
RunningHead: PICOT Question 7
PICOT Question
Avery Bryan
NRS-433V
Professor Christine Vannelli
May 19, 2019
Clinical Problem
A report from the Center for Disease Control and Prevention in 2015 revealed that (9.4%) 30.3 million Americans are diabetic and 84.1 million have prediabetes. This is a total population of over 100 million is at risk of developing type 2 diabetes which is a growing health problem being the seventh leading cause of death in the U.S. An estimated 1.5 million new cases were among 18-year old bracket and the rates of diagnosed diabetes increased proportionally to age. Below 44 years accounted for 4%, below 64 years at 17 % and 25% for those above 65 years across both genders. One-third of adults in America has prediabetes but sadly, they are unaware despite reports released by The National Diabetes Statistics Report every year. These reports elaborate on prevalence and incidence, prediabetes, long-term complications, risk factors, mortality, and cost. Diabetes poses the risk of serious complications like death, blindness, stroke, kidney disorders, cardiac diseases and health problems that lead to amputation of legs. However, the risks can be mitigated through physical body activities, proper dieting and prescribed use of insulin and other related measures to control the blood sugar levels. Diabetes Prevention Program was funded by NIH to research a yearly evidence-based program to improve healthy weight loss through diet and physical activities. There also efforts to determine the effectiveness of public service campaigns in improving the real-life experience in the diagnosis and treatment of diabetes.
PICOT Question.
The population affected by diabetes cuts across all ages, gender, race, and ethnicity. The prevalence is significantly high from 18 years and it increases with age to about 25% above 65 years. In terms of gender, men are at higher risk accounting for 37% while women are at 30% across races and educational levels. On races, the rates were higher among Indians/Alaska natives at 15%, non-Hispanic blacks at 12.7% and Hispanics at 12%. Among Asians, the rates were lower at 8% and 7.4% for non-Hispanic whites.
Intervention indicator for diabetes shows that individuals who do not observe a healthy diet are more exposed to the disease. Some risk behaviors include lack of exercise and excessive intake of junk foods that lead to obesity and increased blood sugar levels. Diabetes prevalence varied according to education levels were those with less than high school education at 12.6% and 7.2% for those higher than high school education.
Comparison and use of a control group from the popularity of Complementary and Alternative Medicine and Traditional Chinese Medicine showed distinct knowledge of diabetes, blood sugar control, and self-care. The experimental group received education through interactive multimedia for three months while the control group received.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.