Accuracy of the Surprise Question on Patients with Advanced Chronic Disease in the Primary Care Setting: Preliminary Results

2018 ◽  
Vol 21 (4) ◽  
pp. 410-411
Author(s):  
Paulo Faria de Sousa ◽  
Miguel Julião ◽  
Ana Paula Rodrigues ◽  
Baltazar Nunes
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Preliminary Results ◽  
Surprise Question ◽  
Advanced Chronic Disease

HIV/AIDS Challenges the Normative Model of Healthcare Delivery in Canada

2001 ◽  
Vol 14 (1) ◽  
pp. 55-61 ◽  
Author(s):  
P. Tsasis
Keyword(s):  
Primary Care ◽  
Human Immunodeficiency Virus ◽  
Chronic Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Healthcare Delivery ◽  
Acute Illness ◽  
Hiv Care ◽  
Normative Model ◽  
Immunodeficiency Virus

With advances in therapeutics, effective therapy for human immunodeficiency virus (HIV) has shifted the focus of HIV care from an acute illness to a chronic disease requiring the services of several disciplines in a primary care setting. This article describes a collaborative model in the delivery of HIV care for HIV-infected individuals who remain fragile, both physically and psychosocially.

HIV/AIDS challenges the normative model of healthcare delivery in Canada

2001 ◽  
Vol 14 (1) ◽  
pp. 55-61 ◽  
Author(s):  
P. Tsasis
Keyword(s):  
Primary Care ◽  
Human Immunodeficiency Virus ◽  
Chronic Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Healthcare Delivery ◽  
Acute Illness ◽  
Hiv Care ◽  
Normative Model ◽  
Immunodeficiency Virus

With advances in therapeutics, effective therapy for human immunodeficiency virus (HIV) has shifted the focus of HIV care from an acute illness to a chronic disease requiring the services of several disciplines in a primary care setting. This article describes a collaborative model in the delivery of HIV care for HIV-infected individuals who remain fragile, both physically and psychosocially.

scholarly journals Australian practice nurses’ perceptions of their role and competency to provide nutrition care to patients living with chronic disease

2014 ◽  
Vol 20 (2) ◽  
pp. 203 ◽  
Author(s):  
Sarah Cass ◽  
Lauren Ball ◽  
Michael Leveritt
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Nutrition Education ◽  
Care Setting ◽  
Primary Care Setting ◽  
Practice Nurses ◽  
Nutrition Care ◽  
Nurses Perceptions ◽  
Basic Level

Nutrition is important in the management of chronic disease, and practice nurses in the Australian primary care setting are increasingly providing nutrition care to patients living with chronic disease. The aim of the present study was to investigate practice nurses’ perceptions of their role and competency to provide nutrition care to patients living with chronic disease in Australia. Twenty practice nurses currently employed in general practice participated in an individual semi-structured telephone interview. Interviews were transcribed verbatim and thematically analysed. Practice nurses perceived themselves to be in a prime position to provide opportunistic nutrition care to patients. Participants perceived that the ideal role of a practice nurse is to advocate for nutrition and provide a basic level of nutrition care to patients; however, the interpretation of the term ‘basic’ varied between participants. Participants perceived that practice nurses are highly trusted and approachable, which they valued as important characteristics for the provision of nutrition care. Barriers to providing nutrition care included time constraints, lack of nutrition knowledge and lack of confidence. Participants were concerned about the availability and accessibility of nutrition education opportunities for practice nurses. The present study has demonstrated that practice nurses perceive themselves as having a significant role in the provision of nutrition care to patients with chronic disease in the Australian primary care setting. Further investigation of strategies to enhance the effectiveness of nutrition care provision by practice nurses is warranted.

scholarly journals Impact on an integrated psychiatric pharmacy service in a primary care clinic

2019 ◽  
Vol 9 (4) ◽  
pp. 269-274
Author(s):  
Benjamin Chavez ◽  
Emily Kosirog
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Pharmacy Service ◽  
Psychiatric Disease ◽  
Care Practice ◽  
Psychiatric Medication ◽  
State Management ◽  
Disease States

Abstract Introduction Traditionally, clinical pharmacists have been employed in the primary care setting to help manage chronic disease states, such as diabetes and hypertension. Although the benefits of pharmacists managing chronic conditions have been extensively published, published data for clinical pharmacist mental health services in primary care is limited to Veterans Affairs populations. This article describes a practice model in which pharmacists are providing psychiatric medication management and consultation in a federally qualified health center. Methods A period of 1 year from the psychiatric pharmacy service was analyzed from April 1, 2017, to March 31, 2018. Reports were generated that included information about psychiatric pharmacy consults, 1-on-1 psychiatric pharmacy visits, and psychotropic medication prescribing/dispensing trends. Each consult was further reviewed for additional details, including patient characteristics, medications prescribed, psychiatric diagnoses involved, and actions taken. Results A review of this pharmacy service showed significant pharmacist involvement in psychiatric medication consults and 1-on-1 visits. Common disease states consulted on were depressive disorders, anxiety disorders, and neurologic disorders, which reflects psychiatric disease states commonly seen in primary care practice. Provider satisfaction survey results showed that the service was valued and that providers felt their comfort in prescribing psychotropic medications improved due to the service. Discussion The service described here exemplifies the potential for pharmacists in the ambulatory care setting to expand beyond the traditional chronic disease state management. It also speaks to a potential role for psychiatric pharmacists in the primary care setting.

scholarly journals Treating Pediatric Obesity in the Primary Care Setting to Prevent Chronic Disease: Perceptions and Knowledge of Providers and Staff

2012 ◽  
Vol 73 (1) ◽  
pp. 9-14
Author(s):  
Mina Silberberg ◽  
Lori Carter-Edwards ◽  
Gwen Murphy ◽  
Meghan Mayhew ◽  
Kathryn Kolasa ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Pediatric Obesity ◽  
Care Setting ◽  
Primary Care Setting

Anaemia in primary care: iron deficiency and anaemia of chronic disease

2021 ◽  
Vol 3 (10) ◽  
pp. 422-426
Author(s):  
Margaret Perry
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Chronic Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Improve Patient Care ◽  
Global Scale ◽  
Practice Nurses ◽  
Anaemia Of Chronic Disease ◽  
Improve Patient

This article will look at iron defciency anaemia and anaemia of chronic disease. Both are problems encountered frequently at a global scale and in the primary care setting. Both conditions can potentially affect any age, although anaemia of chronic disease is more common among older adults. It is hoped that the information provided will give general practice nurses and nurse prescribers greater confidence in the recognition, diagnosis, and management of these conditions, to improve patient care.

Depression screening in uninsured patients in a primary care setting

2013 ◽  
Vol 3 (4) ◽  
pp. 198-201
Author(s):  
Nancy Borja-Hart ◽  
Audrey Wooten ◽  
Tina Debile
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Care Setting ◽  
Primary Care Setting ◽  
Primary Care Providers ◽  
Depression Screening ◽  
Mild Depression ◽  
Moderate Depression

There is a strong correlation between chronic disease and depression; however, screening patients for depression is not typical in the primary care setting due to factors such as time constraints and the provider's ability to diagnose and manage depression. This study sought to: (1) determine the prevalence of depression in uninsured or underinsured patients with chronic diseases using a screening instrument validated for use in the primary care setting, (2) provide a referral to the patient's primary care provider (PCP) for depression management prior to disease management as needed, and (3) enroll patients for chronic disease management services. The study utilized a cross-sectional design consisting of a self-administered survey and medical record review after physician and nursing appointments. Patients completed the Beck Depression Inventory for Primary Care (BDI-PC) upon program enrollment. Patients that screened positively for depression were referred to the PCP for follow-up services prior to entry into one of the disease management programs. After PCP appointments took place, medical records were reviewed to obtain medical and depression diagnoses, along with mediation recommendations. Forty-one patients were enrolled in the clinic program and completed the depression screening. Eight patients were found to have mild depression and two patients had moderate depression as determined by the BDI-PC, which accounted for 24% of the clinic patients. Four of the patients with mild depression and both patients with moderate depression initiated antidepressant therapy. Additionally, three patients with minimal scores on the screening began medication therapy based on symptoms reported to the PCP. The results of this study suggest that it is feasible to incorporate a depression-screening tool in a primary care setting with further evaluation and follow-up by primary care providers.

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