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Develop a Strategic Recovery Plan
Published in Sandra Rasmussen, Developing Competencies for Recovery, 2023
Develop a strategic recovery plan in Chapter 4. This chapter proposed a strategic plan to guide recovery work. Topics that provided the organizing framework for the chapter included Strategic Management, Chronic Disease Management, Strategic Planning, and A Strategic Recovery Plan. The chapter reviewed the principles and practice of strategic management. It considered several chronic disease management models and programs. It examined the origins and characteristics of strategic planning, including SMART objectives and a SWOT analysis. It introduced A Strategic Recovery Plan for recovery work. The chapter suggested applications—questions, worksheets, exercises, and projects—for the competency. Chapter 4 concluded with evaluations of recovery work and competency development.
Digital Health Ecosystems: A Strategy for Transformation of Health Systems in the Post-Pandemic Future
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Deborah Trautman, Kedar Mate, Howard Catton, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 1, 2022
The definition of digital health and the four dimensions of digital health have emerged from a concept analysis of published definitions, models and frameworks of digital health (Snowdon, 2019). It is particularly clear in the literature that authors distinguish the role of ‘patients' as recipients of care, in today's healthcare systems, from the role of the person, a role defined by choice, expectation and empowerment (Rowlands, 2019) that reflects and aligns with digital health ecosystems. The role of the consumer is one of many roles that an individual may assume in digital health systems. Digital health shifts the priorities of healthcare delivery from a dominant focus on disease management toward a focus on health and wellness across the life journey. Disease management remains a necessary and important role in digital health. However, engaging and enabling a person to self-manage their health, and disease condition(s) in a preventive and proactive approach is the priority focus of a digital health ecosystem. Each of the following four dimensions of digital health ecosystems is described in the following section.
Pulmonary rehabilitation in the integrated care of the chronic respiratory patient
Published in Claudio F. Donner, Nicolino Ambrosino, Roger S. Goldstein, Pulmonary Rehabilitation, 2020
Linda Nici, Richard L. ZuWallack
Disease management is loosely defined concept; programmes can include education, optimization of medications, information and support from case managers and collaborative self-management (33). Clearly there is overlap with the chronic care model and self-management. One application of disease self-management for COPD comes from a prominent randomized controlled trial of 743 patients with severe COPD in five centres in the Midwestern United States and conducted by the Department of Veterans Affairs. It involved a multicomponent approach including a single, 1- to 1.5-hour educational session, an action plan for self-treatment of exacerbations, and monthly follow-up calls from a case manager (23). Results were strikingly positive: at 1 year, the mean cumulative frequency of COPD-related hospitalizations and emergency department visits was 0.48 per patient in the disease management group and 0.82 per patient in the usual care group (p < 0.001). In summary, this relatively simple approach led a 41% reduction in a composite of emergency room visits and hospitalizations. Since a similar study (called a comprehensive care management programme) did not show these favourable results (24), further development in this area is needed.
Self-management-competency as a new target in Hidradenitis suppurativa care
Published in Journal of Dermatological Treatment, 2023
C. Mann, P. Staubach, S. Grabbe, J. Wegner, K. Hennig, G. Nikolakis, J. C. Szepietowski, L. Matusiak, E. von Stebut, U. Kirschner, M. Podda, S. Garcovich, M. Schultheis
To treat the disease holistically and to implement successful disease management, it is necessary to identify key targets in self-management and education that can be addressed. Possible topics include information on the reduction of triggers and risk factors, as well as techniques to reduce symptoms, overcome distress and improve coping with the disease. There is a validated instrument, the health education impact questionnaire (heiQ), for adults with chronic diseases which proved to be effective in evaluating self-management-competency in various publications (7). The heiQ consists of eight independent core domains in relation to living and coping with the illness: Positive and active life engagement (active), health-focused activities (health), skill acquisition (skill), constructive attitudes and approaches (const), self-observation (self), navigating health care (coop), social integration and support (social), and emotional distress (emo).
The influence of stress and coping on diabetes self-care activities among college students
Published in Journal of American College Health, 2023
Jenifer J. Thomas, John Moring, Anne Bowen, Jeffrey A. Rings, Tori Emerson, Adara Lindt
Successful management of type 1 diabetes is continuous and requires glycemic control through the use of insulin, individual self-monitoring of blood glucose, and health care provider testing of hemoglobin A1C.1 In addition, disease management involves self-care activities such as nutrition, exercise, and attentiveness to potential complications (e.g., foot and eye care).2 Self-management skills and associated health outcomes among individuals in the emerging adulthood stage of development, approximately age 18–24, may be affected by various factors. Young adults’ reasons for not attending diabetes education have been found to be related to lack of time, low priority compared to other things, and feeling able to cope with the disease independently.3 Therefore, type 1 diabetes self-management education and support should be tailored to developmental stage.2 For young adults, this includes attention to roles and responsibility of care, creating a support network, and establishing/maintaining independence.
Cardiovascular risk management in patients with severe mental illness or taking antipsychotics: A qualitative study on barriers and facilitators among dutch general practitioners
Published in European Journal of General Practice, 2022
Kirsti Jakobs, Latoya Lautan, Peter Lucassen, Joost Janzing, Jan van Lieshout, Marion C. J. Biermans, Erik W. M. A. Bischoff
Previous studies explored the low rates of CVR screening for patients with SMI or using APs. First, guidelines are ambivalent about whose role it is to screen and optimise CVR [12]. Secondly, healthcare professionals are inconsistent in their approach and sometimes negatively perceive psychiatric patients, particularly regarding smoking cessation [16,17]. Thirdly, patient access to primary care is hindered by limited help-seeking behaviour, psychological barriers, and poor understanding of preventing physical illness [17]. These studies were chiefly conducted through questionnaires or focus groups among healthcare professionals, family members, or patients. They were performed in countries with different healthcare systems, often before the implementation of chronic disease management programmes in primary care. The process of proactively inviting patients for CVRM in primary care starts with the GPs’ willingness to do so. It is therefore vital to gain insight into the views of GPs. We aimed to explore which barriers and facilitators GPs perceive when including and treating patients with SMI or using APs in an existing CVRM programme.