The moral discourse of HIV providers within their organizational context: an ethnographic case study
Evidence-based medicine means that clinical decisions entail the best external evidence (i.e., data driven information), clinical expertise (i.e., the “art” of medicine) and patient preferences [1]. Clinical decisions should be informed by medical evidence and providers’ knowledge of patients’ unique contexts and abilities. Providers, however, often make judgments and decisions about care based on their beliefs about patients’ characteri stics, motivations, behaviors and perceived ability to self-manage. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 13, 2018 Category: International Medicine & Public Health Authors: Gemmae M. Fix, Justeen K. Hyde, Rendelle E. Bolton, Victoria A. Parker, Kelly Dvorin, Juliet Wu, Avy A. Skolnik, D. Keith McInnes, Amanda M. Midboe, Steven M. Asch, Allen L. Gifford, Barbara G. Bokhour Source Type: research
The influence of information structuring and health literacy on recall and satisfaction in a simulated discharge communication
Discharge from the emergency department is a crucial event often accompanied by stress and vulnerability. Patients ’ understanding of key aspects of post-discharge care is generally described as poor [1,2] yet strategies for fostering the transition are still little understood [3], with some authors advocating a ‘resuscitation of physician–patient communication’ [4]. For instance, recent evidence suggest s no benefit of electronic tools in discharge communication on readmission rates, adverse events, or mortality [5,6]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 12, 2018 Category: International Medicine & Public Health Authors: Victoria Siegrist, Wolf Langewitz, Rui Mata, Dominik Maiori, Ralph Hertwig, Roland Bingisser Source Type: research
Family-based intervention by pharmacists for type 2 diabetes: A randomised controlled trial
Diabetes is a public health crisis worldwide. The global burden of diabetes was 425 million in 2017 and may swell to 629 million by 2045 [1]. Type 2 diabetes accounts for 90-95% of all cases [2]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 11, 2018 Category: International Medicine & Public Health Authors: Urawan Withidpanyawong, Sanguan Lerkiatbundit, Woranuch Saengcharoen Source Type: research
Feasibility of a Team Based Prognosis and Treatment Goal Discussion (T-PAT) with Women Diagnosed with Advanced Breast Cancer
Many clinicians report that delivering information regarding worsening or poor prognosis to patients and family members is a challenging task that does not always leave patients with a realistic understanding of treatment goals. [1 –7] Observations of communication during prognosis discussions confirm these claims, describing clinicians’ language as vague, dominated by treatment talk, and very brief in duration. [8–12] Although patient preferences vary concerning desire for explicit prognostic information, as well as for preferred aggressiveness of care, these topics are typically undiscussed. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 11, 2018 Category: International Medicine & Public Health Authors: Mary M. Step, Gretchen A. Ferber, Catherine Downs-Holmes, Paula Silverman Source Type: research
Pain in Tones – Is it Possible to Hear the Pain Quality? A Pilot Trial
Chronic pain is widespread in the population. Approximately every fifth patient in Germany who is treated by a general practitioner suffers from pain [1]. Acute pain is a sensible alarm signal of the body to avoid tissue damage. It is limited temporally and locally and mostly has a clear underlying cause. The pain intensity depends on the stimulus intensity and usually the pain abates by healing or eliminating the underlying cause. If the pain persists for more than three months, it can become chronic. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 11, 2018 Category: International Medicine & Public Health Authors: Patric Bialas, Benjamin Gronwald, Kati Roloff, Svenja Kreutzer, Sven Gottschling, Katja Welsch, Thomas Volk Source Type: research
Advantages of Home Visits in Family Medicine
On the cover of one of my medical education books, I recall the touching painting of "The Doctor" by Sir Luke Fildes.1 For long hours I scrutinized the meager home, the morning light caressing the young boy and the image of the devoted doctor, gazing with concentrated attention on the dying patient. I could imagine myself as that doctor, sitting beside his patient, after exhausting all of his efforts, awaiting the dawn, as if a miracle will pour down with the sun's first rays. Although there is seemingly nothing left to give, the doctor remains there for the boy and his parents. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 9, 2018 Category: International Medicine & Public Health Authors: Ruth Kannai, Aya Alon Tags: Discussion Source Type: research
Heart Healthy Integrative Nutritional Counseling (H2INC): Creating a Chinese Medicine + Western Medicine Patient Education Curriculum for Chinese Americans
Asian Americans constitute the fastest growing racial/ethnic group in the U.S. [1] and the largest subgroup is the Chinese [2]. Between 20-36% of all Chinese Americans (CAs) report not speaking English well or at all [3]. In California, 56.2% of older CAs report limited English proficiency [4], which is associated with barriers to receiving optimal healthcare [5]. In California, the prevalence of hypertension in Chinese patients age 60+ was an estimated 53.6% [4]. Despite reductions in cardiovascular disease (CVD) mortality rates among non-Hispanic Whites, parallel patterns have not been observed in Asian American subgroup...
Source: Patient Education and Counseling - August 9, 2018 Category: International Medicine & Public Health Authors: Evelyn Y. Ho, Joseph Acquah, Cewin Chao, Genevieve Leung, Don Ng, Maria T. Chao, Abby Wang, Shannon Ku, Wanyi Chen, Choi Kwun Yu, Shuwen Xu, Melissa Chen, Jane Jih Source Type: research
Patient-initiated additional concerns in general surgery visits
Studies of physician-patient interaction in acute primary care clinic visits have described patients as having “restricted rights” to participate in their care, holding the interactional floor only during the initial problem presentation phase of the visit and subsequently deferring to physicians to lead them through the remainder (and majority) of the visit [1–4]. Raising any concern is an imposing ac tion [5,6], in that it not only contradicts the default “one visit, one problem” orientation [4,7–11], but also requires physicians to stop the activity-at-hand and deal with a new issue. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 9, 2018 Category: International Medicine & Public Health Authors: Anne E.C. White Source Type: research
When a Family Needs a Physician
As a medical student in my third year, and first month of clinical rotations in the hospital, I was asked to see a patient I will never forget. A frail, elderly woman with advanced pulmonary fibrosis presented to the hospital with increasing shortness of breath. Her home oxygen was no longer enough, and when I saw her I understood the clinical definition of “labored breathing” as she took arduous breaths in and out. She was brought by her family, many of whom had recently moved to the country. The woman could muster just enough energy to answer yes or no to our barrage of questioning in the emergency department. (Sourc...
Source: Patient Education and Counseling - August 7, 2018 Category: International Medicine & Public Health Authors: Dean Spencer, Mudit Dabral Tags: Discussion Source Type: research
The Patient-Professional Interaction Questionnaire (PPIQ) to Assess Patient Centered Care from the Patient ’s Perspective
Patient-centered care (PCC) is a major component of high-quality care [1] that refers to taking a whole person perspective and is based on respect for patients ’ values, needs, and preferences [2], informing, educating, and involving them in decision-making, and showing emotional support [3]. Systematic reviews have reported a number of advantages of PCC practice [4] such as improvements of patients’ health knowledge, self-care behaviors, satisfaction, quality of life, and reductions of admissions, readmissions, and length of the hospital stay. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 6, 2018 Category: International Medicine & Public Health Authors: Giulia Casu, Paola Gremigni, Marinella Sommaruga Source Type: research
Keeping the patient in the center: common challenges in the practice of shared decision making
Shared decision making (SDM) is a collaborative process in which patients and providers make decisions together, integrating patient values and preferences with clinical evidence to arrive at a patient-centered decision. Respect for patients ’ values and preferences and their incorporation into clinical decisions is a core feature of both SDM and patient-centered care. As such, SDM has been hailed as the pinnacle of patient-centered care [1]. Consistent with this, we consider the outcome of the SDM process to be a patient-centered dec ision, one that respects a patient’s preferences, the degree to which a patient wants...
Source: Patient Education and Counseling - August 6, 2018 Category: International Medicine & Public Health Authors: Kimberly A. Fisher, Andy S.L. Tan, Daniel D. Matlock, Barry Saver, Kathleen M. Mazor, Arwen H. Pieterse Source Type: research
“I just need to know they are going to do what they say they’re going to do with my mom.” Understanding hospice expectations from the patient, caregiver and admission nurse perspective
Hospice care is associated with less distress, fewer hospitalizations, and improved caregiver outcomes [1 –3]. The decision to enroll in hospice, however, is influenced by many factors: understanding of hospice care, emotions and fear, cultural and religious beliefs, and acceptance of terminal diagnosis [4,5]. Although 40% of all decedents in the U.S. are under the care of hospice [6,7], an estimated 10-15% of individuals who enroll with hospice subsequently disenroll prior to death [8] often due to not understanding hospice [9]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 6, 2018 Category: International Medicine & Public Health Authors: Carey Candrian, Alexandra Tsantes, Dan D. Matlock, Channing Tate, Jean S. Kutner Source Type: research
Decision Role Preferences for Return of Results from Genome Sequencing amongst Young Breast Cancer Patients
Genome sequencing is on the rise in both the clinical and research settings [1,2], since rapidly improving technology has decreased the costs and time needed. This has been an important step towards personalized medicine. This test provides vast amounts of information, but there are scientific limitations to interpreting gene variants for clinical use. As such, it is uncertain how to best use the data and how to communicate results to patients, even in the research setting [3 –5]. There are many types of information that can result from the use of sequencing technologies including information about: risk of preventable d...
Source: Patient Education and Counseling - August 6, 2018 Category: International Medicine & Public Health Authors: Cindy B. Matsen, Sarah Lyons, Melody S. Goodman, Barbara B. Biesecker, Kimberly A. Kaphingst Source Type: research
Letter to Editor
We have read very carefully the interesting article by K.P. Lonabaugh et al. “Cystic fibrosis-related education: Are we meeting patient and caregiver expectations?” [1]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 2, 2018 Category: International Medicine & Public Health Authors: Elena Nave, Elisabetta Bignamini Tags: Correspondence Source Type: research
Patient perceptions of participation in group-based rehabilitation in an inpatient brain injury rehabilitation setting
Groups are commonly used in health care [1]. The value of opportunities for peer support and learning, and adjustment following injury or illness are consistently identified in the rehabilitation literature [2 –4]. Rehabilitation groups can be used for education, to practice skills and strategies, to maximize therapy intensity, and to provide opportunities for peer support [1,2]. The focus of rehabilitation groups can vary, from discipline specific such as physical fitness and exercise groups [5], to mu ltidisciplinary such as coping skills groups [6]. (Source: Patient Education and Counseling)
Source: Patient Education and Counseling - August 2, 2018 Category: International Medicine & Public Health Authors: Freyr Patterson, Jennifer Fleming, Emmah Doig Source Type: research
