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Digital Therapeutics within the Digital Health Landscape: Foundational Aspects
Published in Oleksandr Sverdlov, Joris van Dam, Digital Therapeutics, 2023
While the philosophy of medical care has remained relatively consistent for centuries, treatment options have continued to evolve with successive scientific discoveries and technological improvements. New medicine and treatment modalities directly influence medical practices, expand clinicians' ability to deliver enhanced patient care, and provide patients with access to entirely new treatment options. Enhanced therapeutic modalities also broaden the types of medical conditions that may be addressed by clinicians, employers, and payors as they proactively provide patient populations with care options that were previously unavailable—both in terms of clinical and geographic reach.
Dementia
Published in Henry J. Woodford, Essential Geriatrics, 2022
People should be involved in decisions about their care, communication should be modified to enable this where possible.28 Cognitive stimulation therapy (engaging in activities and discussions, usually in a group, with the aim of improving cognitive and social functioning), reminiscence therapy and cognitive rehabilitation to support functional ability should be offered to people with mild to moderate dementia.28 There is some evidence that cognitive training may be beneficial in improving cognitive ability and physical functioning in older adults.94
Cognitive Assessment in Children and Young People
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
Cognitive assessments or intelligence tests are used to determine a young person’s overall learning ability and to identify their strengths and weaknesses in areas of cognitive capacity such as verbal reasoning, memory, visual processing and speed of processing. Emotional and/or behavioural difficulties can impact a young person’s cognitive abilities, for instance, making it harder to concentrate or to process what is being said.
Can a quality improvement intervention improve person-centred maternity care in Kenya?
Published in Sexual and Reproductive Health Matters, 2023
May Sudhinaraset, Katie M. Giessler, Michelle Kao Nakphong, Meghan M. Munson, Ginger M. Golub, Nadia G. Diamond-Smith, James Opot, Cathy E. Green
Second, a few staff believed providers may have found it challenging to embrace the new concept of PCMC as critical to their responsibilities, and that the time perceived to be taken to implement these activities could impede their ability to carry out clinical duties successfully and efficiently. Providers may be more willing or able to prioritise interventions that are designed to improve their ability to provide high-quality clinical care specifically, or address infrastructure challenges and inefficiencies within their control. Indeed, qualitative in-depth interviews conducted at baseline with healthcare providers have been published previously.21 Results found that healthcare providers rationalised abuse (e.g. physical force or verbal abuse) by indicating that these behaviours are required to save the life of a mother and their new-born. Healthcare providers described ensuring that the safety of the mother and their new-born is their main responsibility, even if that occurs in the context of poor person-centred care. Future QI efforts should design a QIC that meet the needs of both patients and providers. In particular, future efforts need to train providers on PCMC in addition to clinical quality care and, importantly, how they can be delivered in tandem despite health system constraints.
Need for social work interventions in the emergency department
Published in Social Work in Health Care, 2023
Jobin Tom, Elizabeth K. Thomas, A. Sooraj, Seema P. Uthaman, Harish M. Tharayil, Akhil S.L., Chandni Radhakrishnan
The patient and their companions are in the worst emotional state when referred to an emergency and so abnormal and aggressive behaviors may characterize their first encounter with health care workers. It was observed that emotional support in the healthcare context, is the care provider’s ability to express effective verbal or behavioral communication to facilitate an individual’s psycho-social adaptation to their illness and the surrounding environment.Staff nurse 1: “Usually we don’t get much time for addressing their personal issues mostly because of our duty schedule and patient load in the ED. Everyone who comes to the casualty will have their own problems and whatever it may be all of them want to be attended immediately because the patient is their priority. So, at some point we can’t attend to everyone emotionally. It’s not done on purpose but it’s because of the situation in here.”
Adaptation of the All Aspects of Health Literacy Scale (AAHLS) for Karen refugees: factor analysis
Published in Social Work in Health Care, 2023
Wooksoo Kim, Jangmin Kim, Krisztina Baltimore, Isok Kim
Improving levels of health literacy can serve as a point of intervention for the improvement of overall health. In fact, the ability to use health information to make health-related decisions is a skill that can be developed (Berkman et al., 2010). Health literacy assessments can be used to identify and build upon areas in which the capacity to use skills to manage health needs is lacking. Considering its potential for modification, measuring levels of health literacy can yield important implications for improvements in overall health outcomes among LEP populations including Asian immigrants and refugees (Feinberg et al., 2020; Zhang et al., 2020). In other words, assessing how individuals with LEP critically comprehend and process health information has important implications for the use of psychoeducation as a tool for improving health literacy skills.