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This book examines the most up-to-date strategies that can be used to enhance the healthcare professional-patient interaction to influence positive behavior change and improve treatment adherence in pulmonary healthcare. This book is written by experts in the field who couple their experience with practical strategies (the art) with evidence-based theory (the science). Chapters discuss global concepts such as motivational interviewing on improving engagement and how to apply strategies to specific situations (for examples: smoking cessation, promoting physical activity, inhaler adherence, supplemental oxygen use, and non-invasive ventilation) commonly experienced on the front lines of caring for patients with pulmonary disorders. The textbook raises awareness of direct approaches and recent technological advances that healthcare professionals can use to support positive behavior change in their day-to-day clinical practice. Effective, patient-tailored self-management interventions are discussed, including the evidence for these interventions and ways to personalize the strategies to each patient’s unique needs. This book is an ideal guide for healthcare professionals working with patients experiencing chronic pulmonary conditions, including pulmonologists, primary care physicians, physician assistants, nurses, trainees, and the many allied health professionals involved in delivering care such as respiratory therapists, pharmacists, and behavioral psychologists. The concepts of this book can also be applied to the management of other chronic diseases such as coronary artery disease and diabetes mellitus.
Recent literature suggests that patient participation and engagement may be the ideal solution to the efficacy of healthcare treatments, from a clinical and pragmatic view. Despite the growing discussions on the necessity of patient engagement, there is no set of universally endorsed, concrete guidelines or practices. Transformative Healthcare Practice through Patient Engagement outlines the best practices and global strategies to improve patient engagement. This book features a convergence of healthcare professionals and scholars elucidating the theoretical insights borne from successful patient education, and the technological tools available to sustain their engagement. This book is a useful reference source for healthcare providers, students and professionals in the fields of nursing, therapy, and public health, managers, and policy makers.
Successful management of chronic respiratory disease (CRD) involves considering several lifestyle changes and treatments to improve patients’ outcomes. The complexity of behavioral changes and treatment decisions that patients must make without guidance could diminish their motivation to address CRD treatment; therefore, leading to poor outcomes. Hence, motivational interviewing (MI) could enhance behavioral change to improve individuals' health with chronic illnesses. Unfortunately, many health care professionals do not have adequate training in MI; consequently, they feel ill-equipped to utilize this approach when faced with individuals who need a lifestyle change and health coaching. Pulmonary nurses deliver holistic patient-centered approach care based on MI principles. In these patient-centered encounters, MI enhances personal motivation and commitment to health and lifestyle goals by exploring reasons for a change in an atmosphere of caring and compassion. This DNP project implemented an educational module tailored for pulmonary nurses. Parse’s Human Becoming Theory provides a framework to support MI as an alternative bio-medical approach to care. A conceptual model of care was created to educate nurses on methods for engaging and supporting individuals' direct involvement in their care. Results of this project demonstrated a positive perspective on the MI approach to patient engagement of self-management. Pulmonary nurses can address the gap in care by providing the MI method in a collaborative partnership by highlighting skills specific to CRD medical management.
Pulmonary rehabilitation programmes are a fundamental part of the clinical management of patients with chronic respiratory diseases. This comprehensive reference book places pulmonary rehabilitation within the wider framework of respiratory disease. Now in six parts, it includes new sections on the development of PR as a discipline, global perspectives on quality control, new chapters on early PR post exacerbation and personalized rehabilitation, innovative approaches to exercise, PR in interstitial lung disease and lung transplantation, and the latest research into the application of music, dance and yoga. Key Features Global contributions compare practice around the world where differences have developed. New six Part structure covers new approaches to exercise testing, interstitial lung diseases and other diseases, and add-on interventions drawing on new technologies. Contains recommendations of the large collaborative ERS/ATS task forces on guidelines for PR as well as suggested policies for its implementation and use. Covers the important topic of balance impairment as a focus of rehabilitation for the at-risk patient and a new chapter on monitoring physical activity. The voices of patients and caregivers describe the impact of chronic respiratory disease on their lives. Features an exclusive chapter on COVID-19 that discusses the short- and long-term pathophysiological consequences, provides information about the potential role of physiotherapy in the management of hospitalized patients with confirmed or suspected COVID-19, and details on who, where, and how to deliver programs to COVID-19 and non COVID-19 patients in the lockdown and post lockdown era.
Pulmonary rehabilitation is an effective treatment for people with a range of chronic lung diseases. In recent years, there have been substantial advances in the science underpinning pulmonary rehabilitation. Advances have been seen in the patient groups in whom it is indicated; in the breadth of programme content; in new methods of delivery; and not least, in important outcomes. This Monograph brings together scientific and clinical expertise in pulmonary rehabilitation, with the aim of optimising its delivery in clinical practice.
Chronic Obstructive Pulmonary Disease (COPD) is increasing rapidly worldwide and it's predicted that by 2020 it will represent the third leading cause of death. Sadly, this slow-progressing debilitating disease not only affects the individual but also has consequences for the family. More positively, the urgent need to improve the care offered and to raise the public profile of the condition has now been recognised. Healthcare providers play a central role in this, through health education, early diagnosis and better management through all stages of the disease. Managing Chronic Obstructive Pulmonary Disease provides an insight into this debilitative condition. The book aims to develop nurses' and allied health professionals' knowledge and skills in caring for individuals with COPD. It takes the reader on a journey from diagnosis through to end-of-life care and examines: Initial diagnosis and symptom management Smoking cessation Pulmonary rehabilitation The management of acute episodes The role of each member of the multi-disciplinary team Quality of life, including nutrition, fatigue management and leisure activities The future for the care and management of people with the condition. Healthcare professionals from multi-disciplinary teams have contributed to this book to demonstrate that a co-ordinated approach for these patients is required across both primary and secondary care. Managing Chronic Obstructive Pulmonary Disease can be utilised by nurses and allied health professionals caring for patients at all stages of their disease.
Pulmonary rehabilitation programmes are now a fundamental part of the clinical management of patients with chronic respiratory diseases. This comprehensive reference book places pulmonary rehabilitation within the wider framework of respiratory disease, and the health burden that this now poses worldwide. Part one of the book examines the evidence supporting the use of pulmonary rehabilitation programmes, new trends and socio-economic implications, and the scientific bases of techniques used. In part two, the reader is given important guidance on assessing patients for rehabilitation and what the cost implications are for patients and the health care system. The last part of the book provides a general overview and discusses specific problems of delivering pulmonary rehabilitation. Throughout the book, contributions drawn from a broad range of countries compare and contrast practice around the world where differences have developed, and discuss the clinical evidence that supports current thinking.
This book provides up-to-date knowledge on all aspects of the multidisciplinary approach to pulmonary rehabilitation that is essential in order to achieve optimal results. It will be an ideal resource especially for pulmonologists in training, but will also be of value for physiotherapists, other health care professionals, and technicians. Detailed information is presented on the diverse program components in pulmonary rehabilitation, with clear explanation of the roles of the nutritionist, psychologist, occupational therapist, respiratory nurse, and physical activity coach. Guidance is provided on identification of candidates for pulmonary rehabilitation and on all aspects of assessment, including exercise capacity, muscle function, and physical activity. Patient-centered, economic, and other outcomes are examined, with separate discussion of combined outcome assessment. Furthermore, due consideration is given to organizational aspects of pulmonary rehabilitation and to rehabilitation in specific scenarios, e.g., thoracic oncology and surgery, transplantation, and the ICU. The authors are internationally recognized experts selected for their expertise in the topics they discuss.
Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement.