Presentation by Professor Zoe Knowles, Liverpool John Moores University: Evaluating outcomes for the Natural Health Service at the Health, wellbeing and the environment event on Monday 28 January 2019 at The Isla Gladstone Conservatory, Liverpool
Improving Access to EPDS when Administered by Public Health NursesBrett Hodson
A summary of the application of the quality improvement methods to improving access to post partum depression screening by public health nurses in the Comox Valley
The Frailty Assessment Base (FAB) at Ipswich Hospital provides comprehensive geriatric assessments for older patients within 48 hours through referrals from GPs, community teams, and the emergency department. The multidisciplinary FAB team is made up of consultants, nurses, therapists, and other staff. Their goal is to promote patient independence and recommend appropriate care settings. Most patients are discharged home after their assessment, with some receiving additional support. Feedback on the FAB has been positive from stakeholders and patients. The FAB has been successful in avoiding admissions, with 81% avoidance at 30 days. Case studies demonstrate how the FAB helped specific patients avoid admissions or unnecessary emergency department visits. Future plans include expanding the FAB's
The Frailty Assessment Base (FAB) at Ipswich Hospital provides comprehensive geriatric assessments for older patients within 48 hours through referrals from GPs, community teams, and the emergency department. The multidisciplinary team aims to promote independence and allow patients to live well at home or in an appropriate care setting. In the first year, FAB saw 931 patients and achieved an 81% hospital admission avoidance rate at 30 days. Feedback from stakeholders and patients has been overwhelmingly positive. Moving forward, FAB plans to expand to 7-day services and implement telephone follow-ups with patients.
Influencing the Influencers_Ballard_5.12.11CORE Group
This document discusses a project that aimed to provide home-based support for HIV-infected mothers to optimally feed their infants. The project utilized "infant feeding buddies", trusted individuals chosen by mothers to attend counseling sessions and provide support. A pilot feasibility study found buddies were usually family members and mothers felt they made infant feeding easier. Both mothers and buddies perceived the buddy role positively and improved infant and young child feeding practices were observed. The project was successfully integrated into routine prevention of mother-to-child transmission counseling and recommendations were made to leverage and improve existing community support strategies.
Allied Health Conference - Leading the Change in Integration (Julia Sekula 1...Julia Sekula
The document summarizes a collaboration between The University of Auckland and Auckland District Health Board (ADHB) to operate a student nutrition and dietetic clinic. The clinic provides hands-on learning for final year dietetic students, while also serving client referrals from primary care providers, GPs, and hospitals. Since being established in 2014, the clinic has seen considerable growth in both student participation and number of client referrals. Research is also conducted through the clinic to evaluate its effectiveness and inform future directions for dietetic services in primary health settings.
Anna Sigríður Ólafsdóttir, Practical approach to treatment of pediatric obesi...THL
This document summarizes the practical approach and tools used in the Health School family-based behavioral treatment program for pediatric obesity in Iceland. It discusses:
- The multidisciplinary team approach including clinicians and researchers.
- An overview of the program started in 2007 based on the US model but adapted for Icelandic culture.
- A focus on psychological wellbeing and addressing co-morbidities, with results showing improved quality of life.
- Examples of nutrition tools used like tracking fruit/vegetable and soda intake that showed behavior changes over time.
- The importance of individualized goal setting and appetite awareness training.
Suzanne Harte will present a confirmation seminar on her research exploring eating behaviors in 3-5 year olds in early education and care settings. She has a PhD in nutrition and dietetics and operates two children's dietetic clinics. The seminar will be chaired by Dr. Helen Vidgen and include panel members from QUT's schools of exercise and nutrition sciences, psychology and counseling, and education. Harte's research will qualitatively examine how nutrition guidelines are implemented in early education centers, feeding practices, children's eating behaviors, and perceptions of eating occasions from children, caregivers and parents. The goal is to contribute to the limited research on acquiring healthy eating behaviors in early education in Australia and provide perspectives
Improving Access to EPDS when Administered by Public Health NursesBrett Hodson
A summary of the application of the quality improvement methods to improving access to post partum depression screening by public health nurses in the Comox Valley
The Frailty Assessment Base (FAB) at Ipswich Hospital provides comprehensive geriatric assessments for older patients within 48 hours through referrals from GPs, community teams, and the emergency department. The multidisciplinary FAB team is made up of consultants, nurses, therapists, and other staff. Their goal is to promote patient independence and recommend appropriate care settings. Most patients are discharged home after their assessment, with some receiving additional support. Feedback on the FAB has been positive from stakeholders and patients. The FAB has been successful in avoiding admissions, with 81% avoidance at 30 days. Case studies demonstrate how the FAB helped specific patients avoid admissions or unnecessary emergency department visits. Future plans include expanding the FAB's
The Frailty Assessment Base (FAB) at Ipswich Hospital provides comprehensive geriatric assessments for older patients within 48 hours through referrals from GPs, community teams, and the emergency department. The multidisciplinary team aims to promote independence and allow patients to live well at home or in an appropriate care setting. In the first year, FAB saw 931 patients and achieved an 81% hospital admission avoidance rate at 30 days. Feedback from stakeholders and patients has been overwhelmingly positive. Moving forward, FAB plans to expand to 7-day services and implement telephone follow-ups with patients.
Influencing the Influencers_Ballard_5.12.11CORE Group
This document discusses a project that aimed to provide home-based support for HIV-infected mothers to optimally feed their infants. The project utilized "infant feeding buddies", trusted individuals chosen by mothers to attend counseling sessions and provide support. A pilot feasibility study found buddies were usually family members and mothers felt they made infant feeding easier. Both mothers and buddies perceived the buddy role positively and improved infant and young child feeding practices were observed. The project was successfully integrated into routine prevention of mother-to-child transmission counseling and recommendations were made to leverage and improve existing community support strategies.
Allied Health Conference - Leading the Change in Integration (Julia Sekula 1...Julia Sekula
The document summarizes a collaboration between The University of Auckland and Auckland District Health Board (ADHB) to operate a student nutrition and dietetic clinic. The clinic provides hands-on learning for final year dietetic students, while also serving client referrals from primary care providers, GPs, and hospitals. Since being established in 2014, the clinic has seen considerable growth in both student participation and number of client referrals. Research is also conducted through the clinic to evaluate its effectiveness and inform future directions for dietetic services in primary health settings.
Anna Sigríður Ólafsdóttir, Practical approach to treatment of pediatric obesi...THL
This document summarizes the practical approach and tools used in the Health School family-based behavioral treatment program for pediatric obesity in Iceland. It discusses:
- The multidisciplinary team approach including clinicians and researchers.
- An overview of the program started in 2007 based on the US model but adapted for Icelandic culture.
- A focus on psychological wellbeing and addressing co-morbidities, with results showing improved quality of life.
- Examples of nutrition tools used like tracking fruit/vegetable and soda intake that showed behavior changes over time.
- The importance of individualized goal setting and appetite awareness training.
Suzanne Harte will present a confirmation seminar on her research exploring eating behaviors in 3-5 year olds in early education and care settings. She has a PhD in nutrition and dietetics and operates two children's dietetic clinics. The seminar will be chaired by Dr. Helen Vidgen and include panel members from QUT's schools of exercise and nutrition sciences, psychology and counseling, and education. Harte's research will qualitatively examine how nutrition guidelines are implemented in early education centers, feeding practices, children's eating behaviors, and perceptions of eating occasions from children, caregivers and parents. The goal is to contribute to the limited research on acquiring healthy eating behaviors in early education in Australia and provide perspectives
This document describes a cluster randomized controlled trial that assessed the effectiveness of training family doctors to deliver brief interventions addressing excessive substance use in young patients aged 15-24. 600 young patients were recruited from 32 family practices randomized to an intervention or control arm. Doctors in the intervention arm received 5 hours of training in brief intervention techniques. The trial found no evidence that the brief interventions reduced excessive substance use at 3, 6, or 12-month follow-ups compared to the control arm among those who were excessive substance users at baseline. However, the study suggests primary care physicians may still play a role in modifying young people's substance use trajectories over the long term.
Beyond survival: Improving long-term outcomes for survivors of serious newborn illness in Asia and the Pacific
Dr Kate Milner
Centre for International Child Health, Department of Paediatrics
University of Melbourne
This document summarizes research on perinatal mental health and its implications. It discusses how mood disorders are multi-dimensional, involving autonomic function, psychological responses, and hormonal levels. It also notes that rates of anxiety and depression follow a "U-shaped curve" over the course of pregnancy, and that stress during pregnancy can impact both obstetric and infant health outcomes as well as increase economic costs. The document then outlines several of the presenter's current research programs focusing on developing brief interventions for maternal mental health and preventative interventions for young people's mental health.
The Parents Under Pressure (PuP) Program is a 12-module home-based parenting program that aims to reduce child abuse potential, parental stress, and child behavior problems. The modules can be addressed in any order based on family priorities and are supplemented by liaison with other social services. Studies have found the PuP program reduces child abuse potential, parental stress and improves child behavior, and for every 100 families treated there would be an estimated savings of AU$3.1 million.
Jenea M. Wilson is a licensed practical nurse seeking to continue her career as a nurse. She has over 10 years of experience in various clinical settings including home health, hospice, skilled nursing facilities, and school nursing. Her education includes an LPN program with over 600 clinical hours. Her skills include medication administration, wound care, tracheotomy and colostomy care, vital signs, and assessments. She is proficient in charting, developing care plans, and providing patient and family teaching. Her objective is to provide quality, holistic care to patients and be a teacher and advocate for their needs.
Jess works locally with primary and secondary schools delivering eating disorders training for teachers and support staff. She also provides low level support for young people displaying early symptoms of eating disorders and works as a liaison practitioner with the NHS referring more serious cases for specialised treatment. In this session, Jess will talk about the pilot projects she is delivering and the impact on pastoral support in schools.
To coincide with NHS Change Day 2014, this slideset contains ideas for pledges in line with the #stopthepressure campaign.
Pressure ulcers affect nearly 700,000 people every year, at all points of the healthcare journey, and research suggests between 80 - 90% could be avoided.
Pledge on the NHS Change Day wall to stop the pressure - either directly, or indirectly through nutrition and hydration.
Every school has an assigned registered nurse who visits daily if skilled nursing services are required or as needed otherwise. The nurse's priorities are completing medical procedures and identifying students with health conditions to create a confidential student health list and individual health plans. School staff should meet with the nurse annually to discuss communication, expectations, and how the nurse can assist once medical priorities are complete. The nurse management team contact information is provided for assistance.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Medication reconciliation (med rec) on acute care discharge utilizing an electronic discharge form with e-prescribing. Implications of the discharge process on long term care sites performing med rec on admission.
Better Care
Michelle Trowell-Repsch and Shannan I. Neubauer
American Thoracic Society (ATS) Annual Meeting 2011
Dr Smita Shah
Director, Primary Health Care Education and Research Unit
Primary Care and Community Health Network
Clinical Senior Lecturer, School of Public Health
Western Clinical School, Poche Centre for Indigenous Health
The University of Sydney, Australia
'Letting the Future In' an intervention for child sexual abuse: from practice...BASPCAN
This document summarizes the partnership between the NSPCC and two universities to develop and evaluate an intervention for child sexual abuse called Letting the Future In (LTFI). It describes how NSPCC studies found a gap between need for therapeutic services for child sexual abuse victims and what was available. Practitioners then created LTFI which was piloted and implemented. An independent evaluation was commissioned including a randomized controlled trial (RCT) to rigorously evaluate LTFI's effectiveness. Overcoming challenges, the RCT recruited 242 children and was the largest of its kind. It aimed to provide high-quality evidence on LTFI's impact to inform practice and policy.
Anticipatory Care Planning: Making It HappenRobert Sanders
This document outlines an agenda and materials for an event on Anticipatory Care Planning (ACP). The event will include presentations on realistic aging, early interventions and better outcomes, innovations in Ayrshire, and a film/workshop. The document discusses the national action plan for ACP in Scotland, which aims to raise awareness, share information, ensure carer support, and increase access to key information summaries. It emphasizes that ACP is everyone's responsibility and should recognize opportunities through various life stages and conditions. The document advocates for person-centered care with personal ownership through developing support materials, documentation, and testing approaches to advocacy and power of attorney.
This document discusses the implementation and impact of adding a nurse practitioner (NP) to the staff at a long-term care facility based on the Eden Philosophy. The Eden Philosophy aims to eliminate loneliness, helplessness, and boredom for long-term care residents. Adding an NP aligned with the facility's vision to provide timely access to primary care. Research shows NPs in long-term care can increase family satisfaction and access to health services. As an onsite provider, the NP is able to closely monitor residents and help reduce factors like falls, antipsychotic use, and hospital admissions by optimizing medications. Outcomes data also shows reductions in pain levels, pressure ulcers, and prescription burden with the involvement of an NP
This document summarizes information about pregnancy, childbirth, and breastfeeding for women with hepatitis C (HCV). It notes that the risk of transmitting HCV from mother to infant is 4-7% and may be higher if the mother has a high viral load or HIV. It advises against HCV treatment during pregnancy due to potential birth defects from ribavirin. It provides no recommendations against pregnancy or procedures for HCV-positive women not on treatment. It recommends pediatric testing for children born to HCV-positive mothers and discusses considerations around family planning and HCV treatment timing.
NHS Leeds West CCG- PEP: Patient empowerment project- PEN 2015RuthEvansPEN
The Patient Empowerment Project (PEP) in Leeds aims to improve patient wellbeing by connecting patients to local voluntary services through GP referrals. A patient representative sits on the steering committee to ensure the patient perspective is considered. Over 700 patients have been referred to PEP in the first year, with over 400 completing assessments. Evaluations found statistically significant improvements in mental wellbeing, self-management confidence, and fewer GP appointments and A&E visits. Patients reported benefits such as meeting new people and increased activity levels. PEP was found to be a cost-effective intervention within NHS thresholds.
NHS Leeds West CCG- PEP: Patient empowerment project- PEN 2015RuthEvansPEN
The Patient Empowerment Project (PEP) in Leeds aims to improve patient wellbeing by connecting patients to local voluntary services through GP referrals. A patient representative sits on the steering committee to ensure the patient perspective is considered. Over 700 patients have been referred to PEP in the first year, with over 400 completing assessments. Evaluations found statistically significant improvements in mental wellbeing, self-management confidence, and fewer GP appointments and A&E visits. Patients reported benefits such as meeting new people and increased activity levels. PEP was found to be a cost-effective intervention within NHS thresholds.
Introduction to peer group learning through EBMAungPyiSoe86
1. This document introduces peer group learning through evidence-based medicine (EBM) and discusses creating a closed Facebook group where general practitioners can post clinical problems and receive feedback from peers to find the best evidence and solutions.
2. Peer learning involves sharing knowledge and experience between participants through a reciprocal process, and keeps doctors up to date through lifelong learning beyond medical school alone.
3. EBM uses the best available research evidence integrated with clinical expertise and patient values to make decisions for individual patient care. However, it is difficult for doctors to keep up with all available research themselves.
Dissemination and Implementation Research - Getting FundedHopkinsCFAR
Alice Ammerman, DrPh
Director, Center for Health Promotion and Disease Prevention
Professor, Department of Nutrition
Gillings School of Global Public Health
University of North Carolina
This document describes a cluster randomized controlled trial that assessed the effectiveness of training family doctors to deliver brief interventions addressing excessive substance use in young patients aged 15-24. 600 young patients were recruited from 32 family practices randomized to an intervention or control arm. Doctors in the intervention arm received 5 hours of training in brief intervention techniques. The trial found no evidence that the brief interventions reduced excessive substance use at 3, 6, or 12-month follow-ups compared to the control arm among those who were excessive substance users at baseline. However, the study suggests primary care physicians may still play a role in modifying young people's substance use trajectories over the long term.
Beyond survival: Improving long-term outcomes for survivors of serious newborn illness in Asia and the Pacific
Dr Kate Milner
Centre for International Child Health, Department of Paediatrics
University of Melbourne
This document summarizes research on perinatal mental health and its implications. It discusses how mood disorders are multi-dimensional, involving autonomic function, psychological responses, and hormonal levels. It also notes that rates of anxiety and depression follow a "U-shaped curve" over the course of pregnancy, and that stress during pregnancy can impact both obstetric and infant health outcomes as well as increase economic costs. The document then outlines several of the presenter's current research programs focusing on developing brief interventions for maternal mental health and preventative interventions for young people's mental health.
The Parents Under Pressure (PuP) Program is a 12-module home-based parenting program that aims to reduce child abuse potential, parental stress, and child behavior problems. The modules can be addressed in any order based on family priorities and are supplemented by liaison with other social services. Studies have found the PuP program reduces child abuse potential, parental stress and improves child behavior, and for every 100 families treated there would be an estimated savings of AU$3.1 million.
Jenea M. Wilson is a licensed practical nurse seeking to continue her career as a nurse. She has over 10 years of experience in various clinical settings including home health, hospice, skilled nursing facilities, and school nursing. Her education includes an LPN program with over 600 clinical hours. Her skills include medication administration, wound care, tracheotomy and colostomy care, vital signs, and assessments. She is proficient in charting, developing care plans, and providing patient and family teaching. Her objective is to provide quality, holistic care to patients and be a teacher and advocate for their needs.
Jess works locally with primary and secondary schools delivering eating disorders training for teachers and support staff. She also provides low level support for young people displaying early symptoms of eating disorders and works as a liaison practitioner with the NHS referring more serious cases for specialised treatment. In this session, Jess will talk about the pilot projects she is delivering and the impact on pastoral support in schools.
To coincide with NHS Change Day 2014, this slideset contains ideas for pledges in line with the #stopthepressure campaign.
Pressure ulcers affect nearly 700,000 people every year, at all points of the healthcare journey, and research suggests between 80 - 90% could be avoided.
Pledge on the NHS Change Day wall to stop the pressure - either directly, or indirectly through nutrition and hydration.
Every school has an assigned registered nurse who visits daily if skilled nursing services are required or as needed otherwise. The nurse's priorities are completing medical procedures and identifying students with health conditions to create a confidential student health list and individual health plans. School staff should meet with the nurse annually to discuss communication, expectations, and how the nurse can assist once medical priorities are complete. The nurse management team contact information is provided for assistance.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Medication reconciliation (med rec) on acute care discharge utilizing an electronic discharge form with e-prescribing. Implications of the discharge process on long term care sites performing med rec on admission.
Better Care
Michelle Trowell-Repsch and Shannan I. Neubauer
American Thoracic Society (ATS) Annual Meeting 2011
Dr Smita Shah
Director, Primary Health Care Education and Research Unit
Primary Care and Community Health Network
Clinical Senior Lecturer, School of Public Health
Western Clinical School, Poche Centre for Indigenous Health
The University of Sydney, Australia
'Letting the Future In' an intervention for child sexual abuse: from practice...BASPCAN
This document summarizes the partnership between the NSPCC and two universities to develop and evaluate an intervention for child sexual abuse called Letting the Future In (LTFI). It describes how NSPCC studies found a gap between need for therapeutic services for child sexual abuse victims and what was available. Practitioners then created LTFI which was piloted and implemented. An independent evaluation was commissioned including a randomized controlled trial (RCT) to rigorously evaluate LTFI's effectiveness. Overcoming challenges, the RCT recruited 242 children and was the largest of its kind. It aimed to provide high-quality evidence on LTFI's impact to inform practice and policy.
Anticipatory Care Planning: Making It HappenRobert Sanders
This document outlines an agenda and materials for an event on Anticipatory Care Planning (ACP). The event will include presentations on realistic aging, early interventions and better outcomes, innovations in Ayrshire, and a film/workshop. The document discusses the national action plan for ACP in Scotland, which aims to raise awareness, share information, ensure carer support, and increase access to key information summaries. It emphasizes that ACP is everyone's responsibility and should recognize opportunities through various life stages and conditions. The document advocates for person-centered care with personal ownership through developing support materials, documentation, and testing approaches to advocacy and power of attorney.
This document discusses the implementation and impact of adding a nurse practitioner (NP) to the staff at a long-term care facility based on the Eden Philosophy. The Eden Philosophy aims to eliminate loneliness, helplessness, and boredom for long-term care residents. Adding an NP aligned with the facility's vision to provide timely access to primary care. Research shows NPs in long-term care can increase family satisfaction and access to health services. As an onsite provider, the NP is able to closely monitor residents and help reduce factors like falls, antipsychotic use, and hospital admissions by optimizing medications. Outcomes data also shows reductions in pain levels, pressure ulcers, and prescription burden with the involvement of an NP
This document summarizes information about pregnancy, childbirth, and breastfeeding for women with hepatitis C (HCV). It notes that the risk of transmitting HCV from mother to infant is 4-7% and may be higher if the mother has a high viral load or HIV. It advises against HCV treatment during pregnancy due to potential birth defects from ribavirin. It provides no recommendations against pregnancy or procedures for HCV-positive women not on treatment. It recommends pediatric testing for children born to HCV-positive mothers and discusses considerations around family planning and HCV treatment timing.
NHS Leeds West CCG- PEP: Patient empowerment project- PEN 2015RuthEvansPEN
The Patient Empowerment Project (PEP) in Leeds aims to improve patient wellbeing by connecting patients to local voluntary services through GP referrals. A patient representative sits on the steering committee to ensure the patient perspective is considered. Over 700 patients have been referred to PEP in the first year, with over 400 completing assessments. Evaluations found statistically significant improvements in mental wellbeing, self-management confidence, and fewer GP appointments and A&E visits. Patients reported benefits such as meeting new people and increased activity levels. PEP was found to be a cost-effective intervention within NHS thresholds.
NHS Leeds West CCG- PEP: Patient empowerment project- PEN 2015RuthEvansPEN
The Patient Empowerment Project (PEP) in Leeds aims to improve patient wellbeing by connecting patients to local voluntary services through GP referrals. A patient representative sits on the steering committee to ensure the patient perspective is considered. Over 700 patients have been referred to PEP in the first year, with over 400 completing assessments. Evaluations found statistically significant improvements in mental wellbeing, self-management confidence, and fewer GP appointments and A&E visits. Patients reported benefits such as meeting new people and increased activity levels. PEP was found to be a cost-effective intervention within NHS thresholds.
Introduction to peer group learning through EBMAungPyiSoe86
1. This document introduces peer group learning through evidence-based medicine (EBM) and discusses creating a closed Facebook group where general practitioners can post clinical problems and receive feedback from peers to find the best evidence and solutions.
2. Peer learning involves sharing knowledge and experience between participants through a reciprocal process, and keeps doctors up to date through lifelong learning beyond medical school alone.
3. EBM uses the best available research evidence integrated with clinical expertise and patient values to make decisions for individual patient care. However, it is difficult for doctors to keep up with all available research themselves.
Dissemination and Implementation Research - Getting FundedHopkinsCFAR
Alice Ammerman, DrPh
Director, Center for Health Promotion and Disease Prevention
Professor, Department of Nutrition
Gillings School of Global Public Health
University of North Carolina
iHV regional conf: Dr Karen Whittaker - The evaluation of health visiting pra...Julie Cooper
The document discusses evaluating the effectiveness of health visiting practice in the UK. It outlines the current policy around health visiting and the healthy child programme. The healthy child programme aims to improve outcomes for children in six key areas through evidence-based activities from pregnancy to age 5. The document discusses how to evaluate health visiting using frameworks like the public health outcomes framework and Kirkpatrick model. It emphasizes the importance of asking questions, using improvement science approaches, and disseminating evaluation findings to continuously enhance health visiting practice.
The Child Illness Resilience Program: Promoting the wellbeing and resilience of families living with childhood chronic illness. Presentation at the 16th International Mental Health Conference by the Hunter Institute of Mental Health.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It describes how IMPACT began with a few clinicians in 2005 and has expanded to include various complementary and alternative medicine services. IMPACT assesses patients' physical, psychosocial and spiritual needs. It also provides education to medical staff and students on palliative care and integrative medicine. IMPACT is researching the effectiveness of interventions like aromatherapy, yoga and alternative diets.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It discusses how IMPACT evolved from an initial focus on palliative care to offering additional complementary and alternative medicine services. IMPACT now includes practitioners of herbal medicine, yoga, massage, acupuncture, nutrition counseling, and other therapies. It also provides education to medical students and conducts research on topics like the effectiveness of different diets for pediatric oncology patients.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It discusses how IMPACT evolved from an initial focus on palliative care to incorporate complementary and alternative medicine (CAM) approaches. IMPACT now provides a range of CAM services like yoga, massage, acupuncture, and herbal medicine to improve patients' quality of life. It also conducts education and research on palliative care and CAM for pediatric cancer patients.
The document summarizes the development and services of the Integrative Medicine and Palliative Care Team (IMPACT) at Children's Hospital at Montefiore. It describes how IMPACT evolved from initial assessments of patient needs to a multidisciplinary team providing services like herbal medicine, yoga, massage, and spiritual support. It also discusses IMPACT's education initiatives and current research studies exploring topics like the effectiveness of different diets for cancer patients and the impact of therapies like aromatherapy and yoga on symptoms.
This document summarizes a webinar hosted by NHS England on developing person-centered outcome measures for childhood feeding disorders. The webinar discussed a project conducted by Great Ormond Street Hospital to engage parents and caregivers in identifying key concerns, impacts, service elements, and outcomes related to childhood feeding disorders. Through surveys and interviews, families consistently identified important areas to focus on to improve services for children and families affected by feeding disorders. Developing valid outcome measures based on families' priorities could enhance patient-focused care and help shape service improvements. Next steps include further engaging children and developing outcome measures to evaluate care quality and guide commissioning decisions.
Healthy Lifestyles Presentation to BOE: August 2014Lynn McMullin
The document summarizes the proposed policy on school nutrition and physical activity. It provides background on parent survey responses calling for healthier options and less junk food. Classroom celebrations were noted to frequently include unhealthy foods like cupcakes and donuts. The proposed policy aims to offer healthier celebration options and food choices while still allowing celebrations. It is presented as thoughtful, research-based, and focused on student health and well-being rather than being punitive. The policy does not ban food but provides guidelines and resources for healthier options.
iHV regional conf: Sally Kendall - Building evaluation into your practiceJulie Cooper
The document discusses evaluation of health visiting practice and how to improve outcomes through evaluation. It provides an overview of the healthy child programme led by health visitors and the six high impact areas that are evaluated. Evaluation approaches are discussed, including the Kirkpatrick framework that measures reaction, learning, impact and results. Improvement science aims to create practical learning to improve patient care based on evidence. The document encourages contributions to evaluation research and improvement science to strengthen health visiting practice.
How can front-line professionals incorporate the emerging brain health ...SharpBrains
(Session held at the 2014 SharpBrains Virtual Summit; October 28-30th, 2014)
12:30-2pm. How can front-line professionals incorporate the emerging brain health toolkit to their practices?
- Elizabeth Frates, Director of Medical Student Education at the Institute of Lifestyle Medicine
- Dr. Catherine Madison, Director of the Ray Dolby Brain Health Center at California Pacific Medical Center
- Barbara Van Amburg, Chief Nursing Officer at Kaiser Permanente Redwood City
- Dr. Wendy Law, Clinical Neuropsychologist at Walter Reed National Military Medical Center
- Chair: Dr. Michael O’Donnell, Editor-In-Chief of the American Journal of Health Promotion
Learn more here:
http://sharpbrains.com/summit-2014/agenda/
Patient activation: New insights into the role of patients in self-managementMS Trust
This presentation by Helen Gilburt, Fellow at The King's Fund, looks at why some people are active at managing their health while others are quite passive, and how levels of patient activation impact on health outcomes.
It was presented at the MS Trust Annual Conference in November 2014.
A Conversation on Supporting Self-Management in Children and Adolescents with...LucilePackardFoundation
While self-management support has been a component of adult chronic care for decades, it is just emerging as a critical need for children, especially those with complex conditions. Self-management is a shared undertaking between the child, their parents and care providers, and must take into account the child’s developmental status and the family’s capacities. Clinicians need routine, standardized approaches and tools to address the unique needs of children and their families including assessing self-management skills, collaboratively setting goals, and promoting competence and autonomy in youth.
Learning Disabilities: Share and Learn Webinar – 29 June 2017NHS England
Topic One : Violence or behaviour that challenges in children with learning disabilities and autism – how you can help to make a difference
Guest speaker: Yvonne Newbold, World Health Innovation Summit Ambassador - Learning Disabilities, Autism and their Families
Around 25% of children who are diagnosed with a learning disability or autism will develop violent and challenging behaviour yet there is very little understanding or awareness of this issue. This means that affected families, who are already coping with frightening and dangerous situations every day at home, are often met with disbelief, judgement and blame from the people they turn to for help. Yvonne Newbold talks through some simple strategies that could make all the difference.
Topic Two : Positive Behaviour Support – Supporting people with behaviours of concern in their communities
Guest speaker: Tom Evans, PBS Development Lead, British Institute of Learning Disabilities
This webinar focuses on Positive Behaviour Support and how it can support children and adults who are at risk of being excluded or experiencing restrictive practices because they have behaviours that are considered to be challenging or concerning.
The mismatch between information that people need and what we provide them withCILIP
The document discusses the mismatch between the health information people need and what is currently provided. It notes that 43% of working adults do not understand health information and 61% do not understand information with numeracy elements. This can negatively impact health outcomes. The document provides examples of information misunderstandings and suggests using simple language, chunking information, and tools like The Information Standard quality mark to help close this mismatch. It emphasizes the importance of understanding users and involving them in developing easily understood information.
Introduction to pediatric nursing nurs 3340 fall 2017Shepard Joy
This document provides an introduction to pediatric nursing. It discusses key differences between caring for children versus adults, including differences in physical assessment techniques according to age and development. The roles of nurses in caring for children are to provide direct care, patient education, advocacy, and case management. The primary goals of pediatric care are health promotion and health maintenance for children and their families.
This study evaluated the effects of dance therapy for people with schizophrenia or schizophrenia-like illnesses compared to standard care. A single study with 45 participants found that those receiving dance therapy plus routine care had significantly greater reduction in negative symptoms compared to routine care alone, based on PANSS scores. However, there were no differences between groups in overall PANSS scores, positive symptoms, satisfaction, or quality of life. The authors concluded that there is currently insufficient evidence to support or refute the use of dance therapy for schizophrenia due to the single small study available. Further high-quality research is needed.
Similar to Professor Zoe Knowles - Health, wellbeing and the environment (20)
This document provides a summary of a presentation on statins. It discusses the benefits of statins in reducing cardiovascular events and mortality in both primary and secondary prevention. It addresses several controversies around statins, including their association with diabetes, cognitive impairment, cancer, and hemorrhagic stroke. While some modest risks are noted, the overall benefits of statins in reducing cardiovascular risk are found to outweigh these potential risks. The document emphasizes the importance of statin adherence to achieve optimal outcomes and addresses targets for LDL and non-HDL cholesterol levels according to recent guidelines.
Targeting lipids: a primary and secondary care perspectiveInnovation Agency
Presentations by Dr Sue Kemsley and Dr Gavin Galasko from the first webinar of the Mastering Cholesterol webinar series on Thursday 26 January 2023, focusing on lipid management from a primary and secondary care perspective.
Supporting the optimal detection and management of BP in Primary CareInnovation Agency
Presentation by Jane Briers, Programme Manager - Innovation Agency at the Supporting recovery in Primary Care using Proactive Frameworks for Long Term Conditions event on Thursday 15 September 2022.
Presentation by Dr Lauren Moorcroft, GP Partner - Brookvale Practice at the Supporting recovery in Primary Care using Proactive Frameworks for Long Term Conditions event on Thursday 15 September 2022.
Introduction to Supporting recovery in Primary Care using Proactive Framework...Innovation Agency
Presentation by Julia Reynolds, Associate Director for Transformation - Innovation Agency at the Supporting recovery in Primary Care using Proactive Frameworks for Long Term Conditions event on Thursday 15 September 2022.
Presentation by Paul Brain, Project Manager at the Excel in Health series - Introduction to data webinar on Monday 6 June 2022.
In this session we discussed how SMEs can use data to grow their business and access new opportunities in the market.
Presentations by Mike Kenny, Acting Co-Director of Enterprise and Growth, Innovation Agency and Dr Neil Paul, a GP and Board Member with Cheshire East ICP at the Excel in Health: Understanding the NHS Landscape webinar on Wednesday 11 May 2022.
Developing Effective Remote Consultations in Outpatients webinarInnovation Agency
1) The document discusses strategic plans to increase the use of virtual appointments through video to help restore NHS services and reduce backlogs as directed nationally.
2) Data is presented on the percentage of virtual vs face-to-face appointments by specialty for different regions, showing variation between specialties and trusts in uptake of virtual appointments.
3) Interviews were conducted with NHS staff across roles and specialties to understand the reasons for the differences in uptake of virtual appointments and identify barriers to wider adoption. A separate report from patient interviews also provided feedback.
LCR and Cheshire and Merseyside Health MATTERS networking eventInnovation Agency
Master slide deck from the LCR and Cheshire and Merseyside Health MATTERS networking event on Wednesday 24 November 2021 at Sci-Tech Daresbury Laboratory.
Master slide deck from the Excel in Health webinar series: The NHS landscape presentation.
This webinar identifies the structure of the NHS and its national priorities.
The session will cover the following topics:
Understand the structure of the NHS
Understand the national priorities of the NHS
Recognise the barriers to sale
The document discusses strategies for effective virtual collaboration using Zoom. It covers:
1. Getting familiar with basic Zoom functions and pushing boundaries to achieve results through techniques like choosing the right technology, managing time and atmosphere, addressing technical issues, and designing for inclusivity.
2. Methods for collecting data virtually through polling software, informal tools like chat and reactions, and creative approaches like using glass jars, mountains, push pins, and post-its for feedback.
3. The importance of incorporating fun and enjoyment into virtual meetings by setting challenges, using stories, sharing passions, and exploring improv to promote effective learning.
The document discusses restorative practices and community circles. It provides information on the core principles and processes of restorative circles, including their purposes, structural elements, characteristics, and stages. Circles are presented as an alternative to traditional hierarchical meetings and aim to allow all voices, build relationships, and develop understanding and solutions. Indigenous justice practices of restoration and healing are also honored.
The document outlines an agenda for a webinar hosted by the Innovation Scout network. It will include an introduction to the Innovation Scout network, a presentation from an advocacy link worker, a Q&A session, and wrap up. Attendees are encouraged to tweet with specific hashtags and email the contact for follow up discussions. The Innovation Scout network is a community of practice that was relaunched in 2019 to support innovation in health and social care through tools, culture change, entrepreneurial skills development, and networking. It has over 80 members across the North West Coast region working on healthcare innovation.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
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- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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Professor Zoe Knowles - Health, wellbeing and the environment
1. The Natural Health Service
The Mersey Forest
Prof. Zoe Knowles
Dr Lisa Newson, Dr Simon Cooper, Clare Austin
Liverpool John Moores University
Paul Nolan
The Mersey Forest Team
2. Overview
• The Mersey Forest
• Why a focus on health and the natural environment ?
• Natural Health Service basics
• Results and impacts
7. We evolved in contact
with nature
With thanks to Tim Urban - Wait but Why?
8. Increasing costs of keeping us all well -
Health care costs rise rapidly with age -
we have an ageing population
9. Mersey Forest
Four strands for wellbeing
• Greener Places – healthier communities
• More people, more active, more often
• Promoting the passive benefits of trees
and woodland
• Natural Health Service
10. The Natural Health Service
• Use the natural environment as a health
asset
• 8-12 week programmes – a “dose” of
nature
• Evidence-based products and interventions
• Targeted at areas of need
• Long term partnership with universities to
develop evidence and improve practice.
11. What would GSK do?
• Products
• Evidence-based
• Targeted at conditions
• A huge marketing machine!
14. Natural Health Service
Research Centre of Excellence
Working with two universities in Liverpool via
2 PhDs
• Evaluating the health and wellbeing benefits
associated with outdoor interventions
• Mindful contact with nature
BSc and MSc placements, MSc research
Research bids eg. NIHR
Academic papers and conference presentations
18. Changes in wellbeing
over time
0
10
20
30
40
50
60
Time 1 Time 2
TotalWEMWEBSscore(14-70)
Time point
Changes in mental well being over time
19. Feedback (qualitative analysis in progress)
It was a beautiful day in the
sunshine…. I thought I'd be
out of my depth ...but gladly I
was wrong.
This exercise is
keeping me out of
the hospital
I want to continue - 12 weeks is
too short! I would go mad if we
stopped as I enjoy my regular
session The group is good and I
can now take on the
world - bring it on!
“If it wasn’t for
the course I
would probably
still be stuck sat
in my house”
20. Forest School
Children had significantly greater levels of light PA
on a FS day and a PE school day compared to a
regular school day and children reported feeling
both happier and relaxed as a consequence of the
intervention. From the qualitative data, boys and
girls reported different likes of the FS interventions,
whereas their dislikes of FS were comparable
21. Mindful contact with nature
• 8 week course
developed with clinical
psychologists
• Research programme
with University of
Liverpool through
CLAHRC
• Enabling self
management and
developing coping skills
23. Our Learning
• We can prove the Natural Health Service works
• Targeting hard to reach communities is…hard!
• Research evidence needs to be gathered sensitively and
consistently, over an extended period of time
• Our research partnership provides benefits for all involved
• Natural Health Service fits into the social prescribing model
very well
24. What Next?
• Continue our data analysis
• We continue to gather data
• Continuation of the Natural Health Service
• Cheshire West and Chester Public Health
• Lottery
• Urban GreeenUP - EU H2020 funds
25. Thank You
Prof. Zoe Knowles
Dr Lisa Newson, Dr Simon Cooper, Clare Austin
Liverpool John Moores University
Emillia Trepasso – University of Liverpool
Paul Nolan
The Mersey Forest Team
Editor's Notes
1,370 km2
1.7 million people
We are programmed to respond to nature - Biophyllia
IPAQ A data – self report questionnaire
There was a significant increase in the number of days participants engaged in vigorous physical activity increasing from 1.43 days (SD=1.87) to 1.70 days (SD=1.96), t(417) = -2.34, p<.01, η2 = .017 (a 18.9% increase).
There was a significant increase in the number of days participants engaged in moderate physical activity increasing from 2.08 days (SD=2.28) to 2.76 days (SD=2.54), t(415) = -5.46, p<.001, η2 = .067 (a 32.7% increase).
There was no significant increase in the number of days participants spent walking though it increased from 4.85 days (SD=5.06) to 5.22 days (SD=2.50), t(434) = -1.51, p=.13, η2 = .005 (a 7.6% increase).
The change in activity did not depend on: product; activity type; gender; employment; disability or health issues.
Simon, could you check this headline please
The note from your e-mail states …………With regards to the IPAQ data, there appears to be no significant changes in activity over time. I haven’t checked to see whether the change or lack thereof varies according to the factors listed above. The finding is also based on parametric statistics, but since there is so much variation around the mean of activity levels at both time points for all measures, it may be a good idea to use non-parametric tests instead.
Overall, there is a highly significant increase in WEBS scores from time 1 (M= 47.74, SD=10.87) to time 2 1 (M= 53.90, SD=9.85, N=488; F(1,487) = 191.39, p<.001, η2 = .282). Statistically, this constitutes a large effect. This indicates that mood significantly improved over time. However, for the most part, the improvement was the same for most groups. I examined this by including each of the different between participant factors into a mixed ANOVA. This shows whether there is an effect over time, a difference between different groups, and crucially, whether one group improves more than the other(s).
This was not influenced by gender F(1,481) = 0.89, p=.35, η2 = .002), nor were there any gender differences in WEBS data F(1,481) = 0.67, p=.41, η2 = .001). Five people who did not indicate their gender were removed from the analysis.
It was not influenced by activity type/product F(1,486) = 0.57, p=.45, η2 = .001), nor were there any product differences in WEBS data F(1,486) = 1.18, p=.28, η2 = .002).
It was not influenced by employment status after removing 27 people who preferred not to say or was unknown F(4,456) = 1.46, p=.22, η2 = .013). Unemployed people had lower WEBS scores than all other groups F(4,456) = 15.10, p<.001, η2 = .117.
It was not influenced by disability after removing 30 people who preferred not to say or was unknown F(1,455) = 1.87, p=.17, η2 = .004). Disabled people had lower WEBS scores than able bodied respondents F(4,456) = 33.25, p<.001, η2 = .068).
It was not influenced by health issues after removing 39 people who preferred not to say or was unknown F(1,445) = 0.01, p=.92, η2 = .000). People with health issues had lower WEBS scores than people without F(1,445) = 32.56, p<.001, η2 = .068).
Key point is that regardless of activity chosen there was a significant increase in WWEMWBS scores by equivalent to half a point on WEMWBS scale.