The document provides an overview of a teach-back training toolkit that aims to help healthcare providers learn to use teach-back effectively when communicating with patients. The toolkit includes tools and resources like an interactive learning module, coaching materials, and videos to teach providers the 10 elements of competence for using teach-back. It also describes what teach-back is and the various sections included in the toolkit to support its use.
The document describes a simulation-based training program developed by Dartmouth-Hitchcock Medical Center to improve physician-patient communication skills. The program engaged Patient Family Advisers as subject matter experts to design, deliver, and evaluate a two-hour module focusing on sharing bad news. Residents participated in simulated patient encounters and debriefing sessions. Evaluation measures included pre-and post-training assessments of resident confidence and standardized patient evaluations of resident performance. The program aimed to better utilize the medical center's simulation center and address communication skills and professionalism training.
Transplant Guardian Angels and Trauma Team Texting is a program that connects organ donors who have registered to donate with recipients waiting for an organ transplant. Through the program, living donors can send encouraging text messages to recipients waiting on the transplant list. The program aims to provide emotional support for transplant recipients during their wait, while also raising awareness about the need for organ donation.
This document outlines a project aimed at establishing a sustainable process for patient-centered care transitions. The goals were to (1) address what matters to patients, (2) provide actionable health information, and (3) share information across care settings. Partners implemented a process using an electronic personal health record called "How's Your Health" to survey patients in the hospital and after discharge. Results showed patients were more confident after hospital discharge but less so after skilled nursing discharge. Sustainability varied by site but engaged volunteers were key. Additional funding was received to focus on diabetes patients. Lessons included tailoring health IT to settings and supporting older adults, garnering volunteer interest, and engaging designated caregivers or volunteers.
2011/2012 Always Event℠ Challenge Grant Recipient Project OverviewsPicker Institute, Inc.
This document describes grant recipients for the 2011/2012 Picker Institute Always Events Challenge. It provides summaries of 6 recipient organizations and their proposed projects:
1) Quality Partners of Rhode Island will use PictureRx software to provide visual medication schedules to patients before discharge from nursing homes.
2) Massachusetts General Hospital aims to ensure patients always know their care team and receive timely responses through strategies like welcome videos and identification boards.
3) Planetree/Griffin Hospital will utilize an online patient assessment tool and care partners to ensure alignment between patients, caregivers and providers across healthcare settings.
4) St. Jude Children's Research Hospital will implement a parent mentor program to support newly diagnosed families through treatment and beyond
This document provides a blueprint for using Always Events to transform healthcare organizations and improve the patient experience. Always Events refer to aspects of care that are so important to patients that providers should always perform them consistently. Over 80 organizations have implemented Always Events projects to address challenges like communication, care transitions, patient and family engagement, and safety. Their results and lessons learned provide a roadmap for other organizations. The blueprint describes how healthcare leaders, educators, and other stakeholders can use Always Events to advance patient-centered care and transform the healthcare system.
This document introduces Always Events, an initiative by the Picker Institute aimed at significantly improving the patient experience in healthcare. It provides an overview of Always Events, including a brief history, definition, and focus on using them to improve communication and care transitions. The document encourages all healthcare organizations to adopt Always Events to help transform the healthcare system into one that is truly patient- and family-centered.
The document describes the Always Events initiative, which aims to establish expectations for aspects of the patient experience that should always occur. It details the development of Always Events, focusing on communication and care transitions. Organizations implement Always Events through challenge grants to demonstrate how the concept can be applied in practice to improve patient-centered care. Key features of Always Events include its positive focus on shared expectations, an open architecture allowing organizations flexibility, and providing practical tools and resources.
The document describes Always Events, which are practices that should always occur to improve the patient experience. It then summarizes initiatives from 20 organizations to address common healthcare challenges through Always Events. One area is care transitions, where several grantees developed Always Events focusing on hospital discharge, handoffs between providers, and reducing readmissions. For example, one organization implemented a "SMART Discharge Protocol" to ensure key information is discussed at discharge. Another developed a "Patient-Centered Bedside Shift-to-Shift Handoff" process to include patients in shift changes. The document provides contact information for each program to allow other organizations to learn from their work.
The document describes a simulation-based training program developed by Dartmouth-Hitchcock Medical Center to improve physician-patient communication skills. The program engaged Patient Family Advisers as subject matter experts to design, deliver, and evaluate a two-hour module focusing on sharing bad news. Residents participated in simulated patient encounters and debriefing sessions. Evaluation measures included pre-and post-training assessments of resident confidence and standardized patient evaluations of resident performance. The program aimed to better utilize the medical center's simulation center and address communication skills and professionalism training.
Transplant Guardian Angels and Trauma Team Texting is a program that connects organ donors who have registered to donate with recipients waiting for an organ transplant. Through the program, living donors can send encouraging text messages to recipients waiting on the transplant list. The program aims to provide emotional support for transplant recipients during their wait, while also raising awareness about the need for organ donation.
This document outlines a project aimed at establishing a sustainable process for patient-centered care transitions. The goals were to (1) address what matters to patients, (2) provide actionable health information, and (3) share information across care settings. Partners implemented a process using an electronic personal health record called "How's Your Health" to survey patients in the hospital and after discharge. Results showed patients were more confident after hospital discharge but less so after skilled nursing discharge. Sustainability varied by site but engaged volunteers were key. Additional funding was received to focus on diabetes patients. Lessons included tailoring health IT to settings and supporting older adults, garnering volunteer interest, and engaging designated caregivers or volunteers.
2011/2012 Always Event℠ Challenge Grant Recipient Project OverviewsPicker Institute, Inc.
This document describes grant recipients for the 2011/2012 Picker Institute Always Events Challenge. It provides summaries of 6 recipient organizations and their proposed projects:
1) Quality Partners of Rhode Island will use PictureRx software to provide visual medication schedules to patients before discharge from nursing homes.
2) Massachusetts General Hospital aims to ensure patients always know their care team and receive timely responses through strategies like welcome videos and identification boards.
3) Planetree/Griffin Hospital will utilize an online patient assessment tool and care partners to ensure alignment between patients, caregivers and providers across healthcare settings.
4) St. Jude Children's Research Hospital will implement a parent mentor program to support newly diagnosed families through treatment and beyond
This document provides a blueprint for using Always Events to transform healthcare organizations and improve the patient experience. Always Events refer to aspects of care that are so important to patients that providers should always perform them consistently. Over 80 organizations have implemented Always Events projects to address challenges like communication, care transitions, patient and family engagement, and safety. Their results and lessons learned provide a roadmap for other organizations. The blueprint describes how healthcare leaders, educators, and other stakeholders can use Always Events to advance patient-centered care and transform the healthcare system.
This document introduces Always Events, an initiative by the Picker Institute aimed at significantly improving the patient experience in healthcare. It provides an overview of Always Events, including a brief history, definition, and focus on using them to improve communication and care transitions. The document encourages all healthcare organizations to adopt Always Events to help transform the healthcare system into one that is truly patient- and family-centered.
The document describes the Always Events initiative, which aims to establish expectations for aspects of the patient experience that should always occur. It details the development of Always Events, focusing on communication and care transitions. Organizations implement Always Events through challenge grants to demonstrate how the concept can be applied in practice to improve patient-centered care. Key features of Always Events include its positive focus on shared expectations, an open architecture allowing organizations flexibility, and providing practical tools and resources.
The document describes Always Events, which are practices that should always occur to improve the patient experience. It then summarizes initiatives from 20 organizations to address common healthcare challenges through Always Events. One area is care transitions, where several grantees developed Always Events focusing on hospital discharge, handoffs between providers, and reducing readmissions. For example, one organization implemented a "SMART Discharge Protocol" to ensure key information is discussed at discharge. Another developed a "Patient-Centered Bedside Shift-to-Shift Handoff" process to include patients in shift changes. The document provides contact information for each program to allow other organizations to learn from their work.
The Always Events Recognition Program aims to recognize healthcare organizations that have implemented programs meeting the criteria of an Always Event - actions that should always be performed to provide an optimal patient experience. Organizations can apply by submitting a letter describing their program and how it meets the Always Events criteria of being significant, evidence-based, measurable, and affordable. The letter must also outline how the program involves patients/families, has leadership support, engages staff, and is evaluated for effectiveness. Registered programs will be listed on the Always Events website and organizations can promote their work using the Always Events brand.
My Story- University of Minnesota Amplatz Children's Hospital: Always EventPicker Institute, Inc.
The MyStory project was designed to personalize care for pediatric patients at the University of Minnesota Amplatz Children's Hospital by capturing each patient's unique story. It incorporates the psychosocial needs of pediatric patients to create individualized, patient-centered care and engage children in decision making. The MyStory tool documents each patient's story in the electronic health record and is used to personalize care and involve patients in care planning. Outcomes data shows improved patient satisfaction scores related to understanding their condition, involvement in care, and feeling like the hospital feels like home. Lessons learned include the importance of patient involvement, interprofessional collaboration, and using the electronic health record to consistently deliver a personalized experience.
This document describes a project to develop a patient-centered handoff process called ISHAPED at a hospital system. The project team collaborated with Patient and Family Advisory Councils to gather patient perspectives on handoffs. Based on interviews, five themes emerged around introducing nurses, communication, patient engagement, education, and privacy. An educational campaign was conducted after developing videos highlighting lessons. Surveys found that introducing nurses and several other factors positively influenced patient ratings of care. The project highlighted the importance of engaging patients and a culture change to patient-centered care.
This document describes Project PARIS, which aims to (1) improve medical trainees' knowledge and attitudes around family-centered care and (2) determine the ideal time for family-centered care education. The strategy involves family members teaching trainees about their child's hospitalization. Phase 1 involved 29 pediatric residents and Phase 2 involved 52 medical students. Both phases found significant improvements in attitudes but only residents' knowledge improved significantly. The lessons learned are that involving family faculty in training is a promising way to teach family-centered care principles required in pediatric training programs.
The Always Events Recognition Program aims to recognize healthcare organizations that have implemented programs meeting the criteria for an Always Event - actions that should always be performed to provide an optimal patient experience. Organizations can apply by submitting a letter describing their program and how it meets the criteria of being significant, evidence-based, measurable, and affordable for patients. The letter must also outline how the program was developed with patient partnerships, has leadership support, and staff engagement, and discuss evaluation measures and outcomes to date. Recognition provides marketing benefits and the opportunity to share best practices.
The document discusses strategies for improving patient-centered care. It focuses on ensuring patients feel oriented, informed, and involved in their care. This includes introducing all medical staff, explaining plans in plain language, checking for understanding, keeping patients updated on delays, allowing them to explain concerns, and setting clear expectations for next steps. The goal is for patients to understand their care and feel their needs, preferences, and questions are being addressed.
The document provides a mnemonic to help healthcare providers effectively communicate with patients and their families. The mnemonic is POTHOLEs, with each letter standing for an element of patient-centered care. These elements include listening to patients, orienting them to their treatment and care, checking their understanding, treating them with kindness and respect, providing timely care, allowing them to explain their needs and concerns, and managing their expectations of what will happen.
This document outlines ways to improve the patient experience through always events. It recommends paying attention to patients, actively listening to them, and ensuring timeliness. It also suggests introducing all team members, managing expectations through clear communication, using nice manners, and testing patient understanding.
This interim report provides updates on MyStory's progress. It includes appendices that provide additional details on key aspects of the work. The report gives a status update on where the project is to date.
University of Minnesota Amplatz Children's Hospital Always Event: My StoryPicker Institute, Inc.
The document discusses an initiative at University of Minnesota Amplatz Children's Hospital called MyStory that aims to capture personal stories and preferences of pediatric patients admitted to the hospital. MyStory recognizes children as individuals rather than just patients. The goal is to personalize care provided based on each child's unique story and needs.
University of Maryland Graduate Medical Education Always Events Poster Presen...Picker Institute, Inc.
This study aimed to empower patients and optimize medication regimens through a multidisciplinary approach involving internal medicine residents and clinical pharmacists. Residents received training on prescription plans, polypharmacy, and financial issues and worked with pharmacists and patients to address medication-related issues. Results showed residents improved their self-efficacy and competency working with patients. Patients positively rated the collaborative process and valuable changes were made to their medication regimens. The multidisciplinary model provided residents with beneficial learning experiences and tools to enhance patient care.
This document describes a project at Exempla Saint Joseph Hospital to increase patient participation in managing their comfort and pain. The project team developed a menu that nurses use during pain assessments to offer patients six different "courses" of options for pain control, including comfort items, medication options, comfort actions, personal care items, relaxation options, and ways to reduce boredom. Initial results showed higher patient satisfaction scores for pain management. The team's goal is to implement the menu hospital-wide to consistently involve patients in deciding their own comfort plans.
Wake Forest Graduate Medical Education Always Events Poster PresentationPicker Institute, Inc.
This document describes the development of a new curriculum called the Acute Care for the Elderly Transition Program (ATP) aimed at improving medical residents' education around care transitions. The program involves second-year residents conducting in-home visits with two recently discharged patients to assess medication management, follow-up care, functional status, and social support. Initial implementation is planned for July 2011. Preliminary findings indicate the program will need orientation for residents and dedicated time on their rotation. Lessons learned so far show importance of resident buy-in, direct supervision, and evaluating impact on patient outcomes and learning.
The document outlines a plan by Henry Ford Health System to implement routine dementia screening for senior patients aged 70 and older using online cognitive and behavioral assessments, with positive screens receiving further evaluation, diagnosis if appropriate, treatment, and referral to social services for patient and caregiver support. The goal is to test this screening program in two primary care clinics over 6 months before evaluating outcomes and potential expansion to other primary care practices.
This document provides guidance and reminders for an educational session on informed consent. It instructs participants to turn off electronics and participate in a debriefing session. It outlines learning objectives around shared decision-making, the informed consent conversation, and obtaining consent consistent with standards. Key elements of the informed consent conversation are described, including setting the environment, discussing options and patient preferences, and documenting the discussion and patient decision. Potential challenges like incapacitated patients, treatment refusal, language barriers, and consent for minors are also addressed.
This document provides guidance for a training session on effectively sharing bad news with patients. It begins with reminders to turn off electronics and participate in debriefing. The document then defines bad news, outlines challenges and supports to sharing it, and presents the SPIKES model - a 6 step protocol for setting, assessing perception, inviting questions, providing knowledge, addressing emotions, and summarizing a strategy. A video demonstrates the SPIKES model and is followed by a discussion. The document concludes by thanking those involved in its development.
This document discusses home care in children and challenges families face administering medications at home. It provides examples of medication errors observed in home visits and identifies risk factors like increased number of medications and complex dosing schedules. The document recommends that doctors routinely ask families about their home medication administration process to identify difficulties and partner with families to develop support strategies and systems to prevent errors.
Picker Institute/Gold Foundation 2012-2013 Graduate Medical Education RFPPicker Institute, Inc.
This document announces a request for proposals from the Picker Institute/Gold Foundation for their 2012/2013 Graduate Medical Education Challenge Grant program. The grants aim to support innovative projects that facilitate patient-centered care and humanism in physician education. Up to 4 grants of up to $25,000 each will be awarded, requiring a 100% institutional match. Proposals are due by April 27, 2012 and should demonstrate how the project incorporates patient perspectives and humanism into residency training in a way that is measurable, sustainable, and aligned with the Picker Institute, Gold Foundation, and ACGME principles.
Inova Health System: Developing a patient centered approach to handoffsPicker Institute, Inc.
This document provides an update on Inova Health System's Picker Grant project to improve patient handoffs. It discusses:
1) The goals of exploring patient perceptions of bedside handoffs and promoting "Always Events" where patients are included in care transitions.
2) Background on the Picker Institute which supports patient-centered care research and the "Always Events" framework for driving systems to be more patient-focused.
3) Inova's work to standardize handoff processes across its system through a kaizen event, surveys identifying opportunities, and developing education programs with Picker's support.
Integrating Patient- and Family-Centered Care Principles into a Simulation-Ba...Picker Institute, Inc.
This document provides guidance on effectively sharing bad news with patients. It introduces the SPIKES protocol, a 6-step model for delivering bad news. The steps are: Setting, Perception, Invitation, Knowledge, Emotions, and Strategy/Summary. The document emphasizes creating the right environment, understanding the patient's perspective, delivering the news with empathy, assessing the patient's emotional response, and creating a follow-up plan. The goal is to share information in a supportive, compassionate manner that meets the patient's needs and preferences.
The Always Events Recognition Program aims to recognize healthcare organizations that have implemented programs meeting the criteria of an Always Event - actions that should always be performed to provide an optimal patient experience. Organizations can apply by submitting a letter describing their program and how it meets the Always Events criteria of being significant, evidence-based, measurable, and affordable. The letter must also outline how the program involves patients/families, has leadership support, engages staff, and is evaluated for effectiveness. Registered programs will be listed on the Always Events website and organizations can promote their work using the Always Events brand.
My Story- University of Minnesota Amplatz Children's Hospital: Always EventPicker Institute, Inc.
The MyStory project was designed to personalize care for pediatric patients at the University of Minnesota Amplatz Children's Hospital by capturing each patient's unique story. It incorporates the psychosocial needs of pediatric patients to create individualized, patient-centered care and engage children in decision making. The MyStory tool documents each patient's story in the electronic health record and is used to personalize care and involve patients in care planning. Outcomes data shows improved patient satisfaction scores related to understanding their condition, involvement in care, and feeling like the hospital feels like home. Lessons learned include the importance of patient involvement, interprofessional collaboration, and using the electronic health record to consistently deliver a personalized experience.
This document describes a project to develop a patient-centered handoff process called ISHAPED at a hospital system. The project team collaborated with Patient and Family Advisory Councils to gather patient perspectives on handoffs. Based on interviews, five themes emerged around introducing nurses, communication, patient engagement, education, and privacy. An educational campaign was conducted after developing videos highlighting lessons. Surveys found that introducing nurses and several other factors positively influenced patient ratings of care. The project highlighted the importance of engaging patients and a culture change to patient-centered care.
This document describes Project PARIS, which aims to (1) improve medical trainees' knowledge and attitudes around family-centered care and (2) determine the ideal time for family-centered care education. The strategy involves family members teaching trainees about their child's hospitalization. Phase 1 involved 29 pediatric residents and Phase 2 involved 52 medical students. Both phases found significant improvements in attitudes but only residents' knowledge improved significantly. The lessons learned are that involving family faculty in training is a promising way to teach family-centered care principles required in pediatric training programs.
The Always Events Recognition Program aims to recognize healthcare organizations that have implemented programs meeting the criteria for an Always Event - actions that should always be performed to provide an optimal patient experience. Organizations can apply by submitting a letter describing their program and how it meets the criteria of being significant, evidence-based, measurable, and affordable for patients. The letter must also outline how the program was developed with patient partnerships, has leadership support, and staff engagement, and discuss evaluation measures and outcomes to date. Recognition provides marketing benefits and the opportunity to share best practices.
The document discusses strategies for improving patient-centered care. It focuses on ensuring patients feel oriented, informed, and involved in their care. This includes introducing all medical staff, explaining plans in plain language, checking for understanding, keeping patients updated on delays, allowing them to explain concerns, and setting clear expectations for next steps. The goal is for patients to understand their care and feel their needs, preferences, and questions are being addressed.
The document provides a mnemonic to help healthcare providers effectively communicate with patients and their families. The mnemonic is POTHOLEs, with each letter standing for an element of patient-centered care. These elements include listening to patients, orienting them to their treatment and care, checking their understanding, treating them with kindness and respect, providing timely care, allowing them to explain their needs and concerns, and managing their expectations of what will happen.
This document outlines ways to improve the patient experience through always events. It recommends paying attention to patients, actively listening to them, and ensuring timeliness. It also suggests introducing all team members, managing expectations through clear communication, using nice manners, and testing patient understanding.
This interim report provides updates on MyStory's progress. It includes appendices that provide additional details on key aspects of the work. The report gives a status update on where the project is to date.
University of Minnesota Amplatz Children's Hospital Always Event: My StoryPicker Institute, Inc.
The document discusses an initiative at University of Minnesota Amplatz Children's Hospital called MyStory that aims to capture personal stories and preferences of pediatric patients admitted to the hospital. MyStory recognizes children as individuals rather than just patients. The goal is to personalize care provided based on each child's unique story and needs.
University of Maryland Graduate Medical Education Always Events Poster Presen...Picker Institute, Inc.
This study aimed to empower patients and optimize medication regimens through a multidisciplinary approach involving internal medicine residents and clinical pharmacists. Residents received training on prescription plans, polypharmacy, and financial issues and worked with pharmacists and patients to address medication-related issues. Results showed residents improved their self-efficacy and competency working with patients. Patients positively rated the collaborative process and valuable changes were made to their medication regimens. The multidisciplinary model provided residents with beneficial learning experiences and tools to enhance patient care.
This document describes a project at Exempla Saint Joseph Hospital to increase patient participation in managing their comfort and pain. The project team developed a menu that nurses use during pain assessments to offer patients six different "courses" of options for pain control, including comfort items, medication options, comfort actions, personal care items, relaxation options, and ways to reduce boredom. Initial results showed higher patient satisfaction scores for pain management. The team's goal is to implement the menu hospital-wide to consistently involve patients in deciding their own comfort plans.
Wake Forest Graduate Medical Education Always Events Poster PresentationPicker Institute, Inc.
This document describes the development of a new curriculum called the Acute Care for the Elderly Transition Program (ATP) aimed at improving medical residents' education around care transitions. The program involves second-year residents conducting in-home visits with two recently discharged patients to assess medication management, follow-up care, functional status, and social support. Initial implementation is planned for July 2011. Preliminary findings indicate the program will need orientation for residents and dedicated time on their rotation. Lessons learned so far show importance of resident buy-in, direct supervision, and evaluating impact on patient outcomes and learning.
The document outlines a plan by Henry Ford Health System to implement routine dementia screening for senior patients aged 70 and older using online cognitive and behavioral assessments, with positive screens receiving further evaluation, diagnosis if appropriate, treatment, and referral to social services for patient and caregiver support. The goal is to test this screening program in two primary care clinics over 6 months before evaluating outcomes and potential expansion to other primary care practices.
This document provides guidance and reminders for an educational session on informed consent. It instructs participants to turn off electronics and participate in a debriefing session. It outlines learning objectives around shared decision-making, the informed consent conversation, and obtaining consent consistent with standards. Key elements of the informed consent conversation are described, including setting the environment, discussing options and patient preferences, and documenting the discussion and patient decision. Potential challenges like incapacitated patients, treatment refusal, language barriers, and consent for minors are also addressed.
This document provides guidance for a training session on effectively sharing bad news with patients. It begins with reminders to turn off electronics and participate in debriefing. The document then defines bad news, outlines challenges and supports to sharing it, and presents the SPIKES model - a 6 step protocol for setting, assessing perception, inviting questions, providing knowledge, addressing emotions, and summarizing a strategy. A video demonstrates the SPIKES model and is followed by a discussion. The document concludes by thanking those involved in its development.
This document discusses home care in children and challenges families face administering medications at home. It provides examples of medication errors observed in home visits and identifies risk factors like increased number of medications and complex dosing schedules. The document recommends that doctors routinely ask families about their home medication administration process to identify difficulties and partner with families to develop support strategies and systems to prevent errors.
Picker Institute/Gold Foundation 2012-2013 Graduate Medical Education RFPPicker Institute, Inc.
This document announces a request for proposals from the Picker Institute/Gold Foundation for their 2012/2013 Graduate Medical Education Challenge Grant program. The grants aim to support innovative projects that facilitate patient-centered care and humanism in physician education. Up to 4 grants of up to $25,000 each will be awarded, requiring a 100% institutional match. Proposals are due by April 27, 2012 and should demonstrate how the project incorporates patient perspectives and humanism into residency training in a way that is measurable, sustainable, and aligned with the Picker Institute, Gold Foundation, and ACGME principles.
Inova Health System: Developing a patient centered approach to handoffsPicker Institute, Inc.
This document provides an update on Inova Health System's Picker Grant project to improve patient handoffs. It discusses:
1) The goals of exploring patient perceptions of bedside handoffs and promoting "Always Events" where patients are included in care transitions.
2) Background on the Picker Institute which supports patient-centered care research and the "Always Events" framework for driving systems to be more patient-focused.
3) Inova's work to standardize handoff processes across its system through a kaizen event, surveys identifying opportunities, and developing education programs with Picker's support.
Integrating Patient- and Family-Centered Care Principles into a Simulation-Ba...Picker Institute, Inc.
This document provides guidance on effectively sharing bad news with patients. It introduces the SPIKES protocol, a 6-step model for delivering bad news. The steps are: Setting, Perception, Invitation, Knowledge, Emotions, and Strategy/Summary. The document emphasizes creating the right environment, understanding the patient's perspective, delivering the news with empathy, assessing the patient's emotional response, and creating a follow-up plan. The goal is to share information in a supportive, compassionate manner that meets the patient's needs and preferences.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.