challenges to value in cancer care

... with cancer and calls to include exercise as a component of comprehensive cancer care [26], translation strategies for the integration of efficacious exercise programs into routine cancer care ... ap-proaches to incorporate exercise into routine care is limited A major challenge is to translate knowledge of efficacious exercise interventions into practice with feasible, scalable and sustainable ... with cancer Major oncology organisations have identified the importance of incorporating exercise in comprehensive cancer care but information regarding effective approaches to translating evidence

Ngày tải lên: 20/09/2020, 01:20

... featuring high percentages of correct detection ECG for reading and saving in a file and the filtering, squaring, integrating, applying the moving window can be accurately done using Pan-Tompkins ... will be integrated into image technology process In the long term, Healthcare solutions and services are also likely to be integrated into electronic appliances, machines and information interfaces ... signal monitoring system which integrates a SoC platform, Bluetooth wireless, and Internet technologies to home-care application to collect the heart rate, ECG, and body temperature into nursing center

Ngày tải lên: 30/01/2020, 12:45

... designed to help physicians, patients with advanced cancer, and caregivers to communicate more effectively about issues likely to influence decision making In doing so, this investigation brings together ... patients instructors (SPIs) Patients and caregivers complete a coaching intervention to facilitate prioritizing and discussing questions and concerns Oncologist training Oncologists completing the intervention ... tailored educational intervention involving standardized patient instructors (SPIs), and patients and caregivers complete a coaching intervention to facilitate prioritizing and discussing questions

Ngày tải lên: 05/11/2020, 06:14

... replacements in, 101–103 potential cost reductions in, 35–36 protocols in, 65 renal care in, 58–59 serving the uninsured in, 163–166 state of health care in, 5–7 task-shifting in, 65 technology leveraging ... when Western multinationals became increasingly interested in emerging markets, and firms in emerging markets became increasingly interested in the rest of the world, including the United States ... health-care problems in, 95 cost-consciousness in, 68 costs in, 3–4, costs of care in India versus, 14, 15 disparities in quality of care in, 149–151 equipment utilization in, 54, 82 health-care

Ngày tải lên: 20/01/2020, 08:27

... training I Developed training video B To have clinic staff provide reinforcement for training II Both group and individual training at clinician discretion C To give a flexible format for training ... screening tools Clinicians in this study perceived challenges to devel-opmental screening including insufficient time and lack of training on developmental screening tools that have been noted in ... practices Clinicians identified the following challenges to screening: lack of time to conduct screening, lack of reimbursement for completing developmental screening tools, and lack of training in the

Ngày tải lên: 02/03/2020, 17:17

... by incorporating a longitudinal as-sessment of symptoms and QoL into routine clinical practice The routine use of QoL measures allows moni-toring of symptoms/QoL, thus leading to better symp-tom ... measures to be used in routine clinical care have been shown to be powerful instruments to improve wellbeing and outcomes of cancer patients as well as improve communication with HCPs [15] These tools ... Leukämiehilfe Rhein-Main) Patients were approached individually, by their treating physician, and via an information leaflet in outpatient clinics Inclusion criteria were selected in order to approach

Ngày tải lên: 17/06/2020, 11:25

... glycolated haemoglobin, FBG = fasting blood glucose, LDL = low density lipoprotein cholesterol, ACR = urinary albumin-to-creatinine ratio, ASA = aspirin, ACE/ARB = angiotensin-modifying agent. Trang ... factors will be addressed explicitly in this trial by: offering six ‘Main-Pro-C’ [34] continuing medical education credits to encourage full completion of the worksheet and to permit monitoring ... plans by the investigators; allowing participants to set their own goals for improvement; and requiring participants to develop a coping plan in the intervention worksheet The format in this aspect

Ngày tải lên: 10/08/2014, 10:23

... clinic level; involvement in initial training and continuing support of nurse training at intervention sites; teaching in the Free State ART train-ing programme alongside ART programme doctors; ... training involves equipping nurse managers to conduct outreach training for nurses at clinics in their area Nurse managers are trained in a one week course known as Training the Trainer to Train ... began and plans were made to train staff at the outstanding clinic Training at intervention clinics The PALSA PLUS model of training was expanded to include extra training in nurse prescription of

Ngày tải lên: 10/08/2014, 11:20

... in general, we believe that our results might be of interest to clinicians and organizations in any set-ting that use a quality registry including performance indicators to continuously monitor ... to be involved in QI activities The team’s main tasks are described in a proto-col and include formulating a QI action plan, monitoring of performance using the feedback reports, and initiating ... quality indicator data set At the NICE coordination center, dedicated data man-agers, software engineers, and a coordinator are responsi-ble for routine processing, storing, checking, and reporting

Ngày tải lên: 10/08/2014, 11:20

... implementing findings according to Rogers' Innovation-Decision process [8]. Access to research findings at the work place has also been identified as a determinant of research uptake in the care ... use of research findings in the care of older people. Journal of clinical nursing 2008, in press:. 20. Wallin L, Bostrom AM, Wikblad K, Ewald U: Sustainability in changing clinical practice promotes ... working in hospitals. In the care of older people RNs have a supervising role, per- formed through visiting the clients/patients in their home, making assessments, planning care, and evaluating

Ngày tải lên: 11/08/2014, 05:21

... guideline implementation, health care administrators will be better informed to influence organizational and policy decision-making to support evidence-based quality care Findings will be useful to ... guideline use, nursing administrators will be better informed to influence organizational and policy decisions to support high quality nursing care Findings will be use-ful to inform the design ... OMRU for guiding implementation of innovations (including nursing guidelines) has been demonstrated in previous research [83-87] Leadership is "the process of influencing others to under-stand

Ngày tải lên: 11/08/2014, 05:21

... growing commitment to reconfiguring clinical research and the need to improve access to state-of-the-art cancer care in community settings Reconfiguring clinical research In 2002, the National Institutes ... research and in clinical care Federal research institutions are scrutinized and criticized for the limited existing initiatives that facilitate a rapid transla-tion of research findings into clinical ... is to test a public-private partnership that is designed to bring state-of-the-art can-cer care (including early-phase translational science) to all cancer patients in the community, using linkages

Ngày tải lên: 11/08/2014, 05:21

... implementing findings according to Rogers' Innovation-Decision process [8]. Access to research findings at the work place has also been identified as a determinant of research uptake in the care ... use of research findings in the care of older people. Journal of clinical nursing 2008, in press:. 20. Wallin L, Bostrom AM, Wikblad K, Ewald U: Sustainability in changing clinical practice promotes ... working in hospitals. In the care of older people RNs have a supervising role, per- formed through visiting the clients/patients in their home, making assessments, planning care, and evaluating

Ngày tải lên: 11/08/2014, 16:21

... authors, including those who report on clinical inertia, have defined three principal sources for non-adherence to evidence-based guidelines and clinical inertia: physician factors, patient factors, ... factors that contribute to clinical inertia are the absence of decision support and a team approach to care These three sources interact in complex ways, and interventions to reduce clinical inertia ... analysis informed our understanding of existing barriers to high-quality diabetes care and allowed us to incorporate innovative change interventions, such as interdisciplinary teams operating on

Ngày tải lên: 11/08/2014, 16:21

... in oncology and/or R195 intensive care, and take part in regular training of oncology and intensive care nurses The nurse/patient ratio ranges from 1.2 to 1.7 Routine clinical rounds, including ... Decisions to forgo life-sustaining therapy in ICU patients independently predict hospital death Intensive Care Med 2003, 29:1895-1901 Moreno R, Matos R: Outcome prediction in intensive care Solving ... prognostic indicators in patients with a hematologic malignancy admitted to the intensive care unit for a life-threatening complication Crit Care Med 2003, 31:104-112 Staudinger T, Stoiser B,...

Ngày tải lên: 12/08/2014, 20:20

... clinically trained professionals who have the potential to develop into productive clinical investigators K24 Mid-Career Investigator in Patient-Oriented Research Award Mid-Career Investigator ... Research Multidisciplinary Approaches in Cancer Treatment Investigators are often interested in investigating multidisciplinary approaches in cancer care The advantages of studying the entire approach ... encouraged to contact program staff Program staff may assist investigators in several ways including: • assisting applicants in locating funding opportunities; • directing applicants to grant mechanisms...

Ngày tải lên: 14/02/2014, 22:20

... Clinical Reasoning Understanding those in care In addition to the three theories of clinical reasoning discussed in this chapter, the key to effective nursing care lies with nurses’ developing ... qualifications in nursing Bart has worked in a variety of position in residential aged care since 1986—including educator, clinical nurse consultant, assistant director of nursing, consultant, continence ... relevant information to be exchanged among those involved in the care of residents; • to ensure continuity of care with respect to residents’ nursing care needs; • to be a legal record to protect...

Ngày tải lên: 16/02/2014, 22:20

... experiences of care into all care settings and care delivery Additional opportunities include increasing use of electronic health records (EHRs) that include patient-generated data in EHRs; and ... appropriate care; and seek to improve quality while reducing or eliminating waste from the system In addition to embracing the current recommendations of the National Priorities Partnership, we intend to ... Affordable Care Act required the creation of the Interagency Working Group on Health Care Quality HHS convened the Interagency Working Group on Health Care Quality for its inaugural meeting in March...

Ngày tải lên: 18/02/2014, 15:20

... pulling ideas together: how is activity related to health? Maintaining mental wellbeing • sleep as an activity • keeping mentally active • memory Maintaining physical wellbeing • nutrition • pain ... to go’ Promoting mental health and wellbeing in later life – a report for the UK inquiry into mental health and well-being in later life London: Age Concern England UK Inquiry into Mental Health ... and older living at home, in the community, in supported housing or in residential care homes • they included interventions and activities that promote or sustain mental wellbeing in older people,...

Ngày tải lên: 05/03/2014, 18:20

... (IUPUI, Indianapolis, IN, USA), or the TOP1 inhibitor camptothecin (Sigma, Madrid, Spain), in the presence or absence of MTX IMPDH activity inhibitors were added simultaneously to MTX Camptothecin, ... forks We took advantage of the down-regulation of TOP1 in MTX-resistance as a way to increase the sensitivity to MTX Indeed, by combining MTX and camptothecin, a higher degree of cytotoxicity ... with camptothecin, after an initial apoptotic signal, activates nuclear factor j-B resulting in the expression of genes that have an overall antiapoptotic effect, leading to camptothecin resistance...

Ngày tải lên: 07/03/2014, 16:20