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Unbound Medicine.
(General Patient Care Concerns)
4,518 results
  • Evidence review: Involving carers: End of life care for adults: service delivery: Evidence review G [BOOK]
    . National Institute for Health and Care Excellence (UK): London National Guideline Centre (UK) BOOK
  • The General Medical Council states ‘The people close to a patient can play a significant role in ensuring that the patient receives high-quality care as they near the end of life, in both community and hospital settings’ and the RCGP (Involving and Supporting Carers and Families 2014) reinforced this, ‘Recognising that carers often know the people they care for better than anyone else and that in…
  • A TASMAN Expedition: Development of a Questionnaire to Assess Specific Self-Management Abilities. [Journal Article]
    Int J Chron Obstruct Pulmon Dis. 2020; 15:1415-1423.Voorhaar M, Tiemensma J, … Kaptein AA
  • Self-management (SM) is a core component of well-being and perceived health for patients with chronic obstructive pulmonary disease (COPD). Most theories on SM share that self-efficacy, illness-perception and coping are determinants of SM behavior. Optimal support to improve SM should be tailored to the individual patient's level of these determinants as SM abilities vary between patients. To tai…
  • Should I prone non-ventilated awake patients with COVID-19? [Journal Article]
    Cleve Clin J Med. 2020 Jun 30 [Online ahead of print]Prasad M, Visrodia K
  • The initial evidence supporting the prone position in non-ventilated awake patients with COVID-19 infection was anecdotal and theoretical. However, several early studies support the potential role of this practice to improve oxygenation, improve clinical outcomes, and reduce the need for intensive care admission. Although there is not a set amount of time that has been proven to be optimal for aw…
  • Telemedicine Algorithm for the Management of Dizzy Patients. [Journal Article]
    Otolaryngol Head Neck Surg. 2020 Jun 30 [Online ahead of print]Chari DA, Wu MJ, … Rauch SD
  • As a result of the COVID-19 pandemic, telemedicine has been thrust to the forefront of health care. Despite its inherent limitations, telemedicine offers many advantages to both patient and physician as an alternative to in-person evaluation of select patients. In the near term, telemedicine allows nonpandemic care to proceed while observing appropriate public health concerns to minimize the spre…
  • Sexual dysfunctions and sex therapy: The role of a general practitioner. [Journal Article]
    Aust J Gen Pract. 2020 07; 49(7):412-415.Ramanathan V, Redelman M
  • Medical management is undeniably an important therapeutic intervention for selected sexual dysfunctions, but it does not serve as a stand-alone approach to treat many common sexual dysfunctions such as lack of interest in sex, sexual performance anxiety, inability to reach orgasm or too quick an orgasm.
  • Barriers and facilitators of patient centered care for immigrant and refugee women: a scoping review. [Journal Article]
    BMC Public Health. 2020 Jun 26; 20(1):1013.Filler T, Jameel B, Gagliardi AR
  • CONCLUSIONS: While few studies were included, they revealed numerous barriers of PCC at the patient, clinician and organization/system level for immigrants and refugees from a wide range of countries of origin. The few facilitators identified pertained largely to 2 PCC domains, thereby identifying gaps in knowledge of how to achieve PCC in 4 domains, and an overall paucity of knowledge on how to achieve PCC for migrant women.
  • Surgical Attitudes And Preferences Regarding Choice Of Anaesthesia Amongst Orthopaedic Surgeons. [Journal Article]
    J Ayub Med Coll Abbottabad. 2020 Apr- Jun; 32(2):217-220.Malik SH, Saleem H, … Abbasi T
  • CONCLUSIONS: Due to the lack of information on regional anaesthesia and the risks of general anaesthesia, orthopaedic surgeons' fears and conceptions about regional anaesthesia are distorted. Anaesthesiologists should be aware of the concerns of the surgeons as well as the patients and should be willing to discuss the concerns with them and suggest the safest way to receive anaesthesia with evidence-based data.
  • Artificial Intelligence and Echocardiography: A Primer for Cardiac Sonographers. [Review]
    J Am Soc Echocardiogr. 2020 Jun 11 [Online ahead of print]Davis A, Billick K, … Adams DB
  • Artificial intelligence (AI) is emerging as a key component in diagnostic medical imaging, including echocardiography. AI with deep learning has already been used with automated view labeling, measurements, and interpretation. As the development and use of AI in echocardiography increase, potential concerns may be raised by cardiac sonographers and the profession. This report, from a sonographer'…
  • Caring for older cancer patients: A scoping review. [Review]
    Health Policy. 2020 May 29 [Online ahead of print]Bagayogo F, Le Berre M, … Lapointe L
  • There is a growing recognition among oncologists that older patients differ from other cancer patients. Older patients present age-specific issues affecting the prevention and management of their cancer. Over the years, this has led to the development of the discipline of geriatric oncology, which is the set of practices elaborated to evaluate, treat, follow-up and rehabilitate the population of …
  • Military Civilian Partnerships: International Proposals for Bridging the Walker Dip. [Journal Article]
    J Trauma Acute Care Surg. 2020 Jun 08 [Online ahead of print]Jensen G, van Egmond T, … Galante JM
  • The Walker Dip refers to the cycle of the improvement of care for the battle injured soldier over the course of a conflict, followed by the decline in the skills needed to provide this care during peacetime, and the requisite need to relearn those skills during the next conflict. As the operational tempo of the conflicts in Afghanistan and Iraq has declined, concerns have arisen regarding whether…
  • Needs and concerns of patients in isolation care units - learnings from COVID-19: A reflection. [Review]
    World J Clin Cases. 2020 May 26; 8(10):1763-1766.Fan PEM, Aloweni F, … Ayre TC
  • With strict measures in place to contain the spread of coronavirus disease 2019, many have been isolated as suspected or confirmed cases. Being isolated causes much inconvenience for the patients and family. Patients' and next-of-kins' needs and concerns during isolation will be shared together with suggestions for key process improvements. Our hospital's Senior Patient Experience Managers contac…
  • Establishing Mayo Clinic's Coronavirus Disease 2019 Virtual Clinic: A Preliminary Communication. [Journal Article]
    Telemed J E Health. 2020 Jun 09 [Online ahead of print]Jethwa T, Ton A, … Francis D
  • The coronavirus disease 2019 (COVID-19) pandemic is taking a massive toll on health care systems globally. We developed the COVID-19 virtual clinic (CVC) in conjunction with drive through testing to cope with this situation. There are two arms of the CVC: (1) a screening arm and (2) positive patient arm. Screening is performed over the phone based on the Centers for Disease Control and Prevention…
  • The use of survivorship care plans by female racial and ethnic minority breast cancer survivors: a systematic review. [Review]
    J Cancer Surviv. 2020 Jun 08 [Online ahead of print]Lewis-Thames MW, Strayhorn SM, … Nolan TS
  • CONCLUSIONS: Representation of only 14 studies indicates that the MBCSs' perspective post-treatment survivorship care is underrepresented in the literature. Themes from this review support access to, and implementation of, culturally tailored SCP for MBCS. There was multi-ethnic acceptance of SCPs as a tool to help improve care coordination.These findings highlight the importance of general education about post-treatment survivorship, post-treatment survivorship needs identification, and the elucidation of gaps in effective SCP delivery among MBCS.
  • A Global Survey on the Impact of COVID-19 on Urological Services. [Journal Article]
    Eur Urol. 2020 May 26 [Online ahead of print]Teoh JY, Ong WLK, … UroSoMe Working Group
  • CONCLUSIONS: A total of 1004 participants responded to our survey, and they were mostly based in Asia, Europe, North America, and South America. Worldwide, 41% of the respondents reported that their hospital staff members had been diagnosed with COVID-19 infection, 27% reported personnel shortage, and 26% had to be deployed to take care of COVID-19 patients. Globally, only 33% of the respondents felt that they were given adequate personal protective equipment, and many providers expressed fear of going to work (47%). It was of concerning that 13% of the respondents were advised not to wear a surgical face mask for the fear of scaring their patients, and 21% of the respondents were advised not to discuss COVID-19 issues or concerns on media. COVID-19 had a global impact on the cut-down of urological services, including outpatient clinic appointments, outpatient investigations and procedures, and urological surgeries. The degree of cut-down of urological services increased with the degree of COVID-19 outbreak. On average, 28% of outpatient clinics, 30% of outpatient investigations and procedures, and 31% of urological surgeries had a delay of >8 wk. Urological services for benign conditions were more affected than those for malignant conditions. Finally, 47% of the respondents believed that the accumulated workload could be dealt with in a timely manner after the COVID-19 outbreak, but 50% thought the postponement of urological services would affect the treatment and survival outcomes of their patients. One of the limitations of this study is that Africa, Australia, and New Zealand were under-represented.COVID-19 had a profound global impact on urological care and urology providers. The degree of cut-down of urological services increased with the degree of COVID-19 outbreak and was greater for benign than for malignant conditions. One-fourth of urological providers were deployed to assist with COVID-19 care. Many providers reported insufficient personal protective equipment and support from hospital administration.
  • Caring for older patients with advanced chronic kidney disease and considering their needs: a qualitative study. [Journal Article]
    BMC Nephrol. 2020 Jun 03; 21(1):213.Eneanya ND, Labbe AK, … Park ER
  • CONCLUSIONS: Our findings highlight the differences in experiences and expectations between clinicians, patients, and their caregivers regarding treatment decisions and advance care planning. Despite clinician agreement on their responsibilities, patients and caregivers were unclear about several aspects of their care. Further research is needed to test feasible models of patient-centered education and communication to ensure that all stakeholders are informed and feel engaged.
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