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100 complex cases illustrate how to ensure safe, effective treatment during transitions between care settings Moving a patient from one healthcare provider or setting to another—a transition of care—increases the risk of medication errors due to inadequate communication and poor coordination of care. While guideline-and evidence-based therapy is important, pharmacists must also address other patient-specific needs and possible barriers to safety, efficacy, and to adherence of therapies. Providing a deep dive into this critical topic, Transitions of Care in Pharmacy Casebook explains how to deliver and optimize complex patient care during transitions between care settings. This essential resource features 100 enlightening clinical cases that illustrate real-world practices. Organized by disease state, each case incorporates clinical knowledge, patient education, effective communication, and social issues. Transition of Care in Pharmacy Casebook includes: An insightful introduction to transitions of care practice models 100 complex clinical cases incorporating specific elements of patient care Concise coverage of various medical conditions commonly encountered in various practice settings Considerations on treating special populations, such as the elderly and homeless patients Bulleted text explaining the theory and rationale for each case Informative charts with lab findings, medication records, provider notes, and diagnostic exams
“Rich insights into how one country has dealt with perhaps the most central issue for any human society: the health and wellbeing of its citizens.” —The Lancet This volume examines important aspects of China’s century-long search to provide appropriate and effective health care for its people. Four subjects—disease and healing, encounters and accommodations, institutions and professions, and people’s health—organize discussions across case studies of schistosomiasis, tuberculosis, mental health, and tobacco and health. Among the book’s significant conclusions are the importance of barefoot doctors in disseminating western medicine; the improvements in medical health and services during the long Sino-Japanese war; and the important role of the Chinese consumer. This is a thought-provoking read for health practitioners, historians, and others interested in the history of medicine and health in China.
This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.
Medication reconciliation is a systematic and comprehensive review of medication regimens during care transitions aiming to prevent adverse drug events. Poorly executed transitions negatively impact patient welfare and cause financial burden. Medication-related problems (MRPs) experienced during transitions to an assisted living facility (ALF) were evaluated. Data was collected from pharmacy records for transitions to an ALF over three months, including demographics, medications, potentially inappropriate medications, and MRPs. MRPs were categorized and summarized using descriptive statistics. Forty-five patients (71% female) experienced 59 transitions. Average age was 85.6 years. Median length of stay away from the ALF was three days. There were averages of 18.3 pre-transition medications, 12.5 medications in the discharge orders and/or upon ALF admission, and 15.9 final medications. 979 MRPs were identified, mostly no indication documented, followed by underuse, overuse, and non-adherence. Many of the identified MRPs are potentially preventable. Interventions are needed to reduce MRPs during ALF transitions.
After a lifetime of moving and assuming new identities, sixteen-year-old Chass begins to piece together the disturbing past that haunts her and her mother and which involves a mysterious tape, a deceased popular singer, and the secrets of several people in a small Alabama town.
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Providing a comprehensive and evidence-based reference guide for those who have a strong and scholarly interest in medical education, the Oxford Textbook of Medical Education contains everything the medical educator needs to know in order to deliver the knowledge, skills, and behaviour that doctors need. The book explicitly states what constitutes best practice and gives an account of the evidence base that corroborates this. Describing the theoretical educational principles that lay the foundations of best practice in medical education, the book gives readers a through grounding in all aspects of this discipline. Contributors to this book come from a variety of different backgrounds, disciplines and continents, producing a book that is truly original and international.
For each of us there are times when life seems to fall apart. This may occur gradually or with an unexpected suddenness. At such times, we may realize that we have reached a pivotal moment in life when we can no longer avoid the soul's call. We know there is something more at hand-something more meaningful and possible for our life. That's how it was for me. More than once I found myself confronting such a life transition. I searched for guidance from the usual people- psychologists, physicians, and others. They were of little help. I then turned to the great stories of transition that have been told and retold throughout history. It was there that I found an authentic, precise, and reliable roadmap for successfully navigating a life transition, transforming seeming adversity into a more fulfilled life. These great stories guide us through the 6 stages of a life transition: "The Call to a Larger Life, The Departure, The In-Between Time, Lessons Learned, The Return, " and "The Gold." An understanding of each of these stages enabled me to confidently move forward towards a revitalized life. I wish to share this practical wisdom and guidance with you, along with supportive advice and practices. I know you can rely upon, as did I, the guidance of a clear and well traveled path through the darkness to a more authentic life of soul and spirit.
This book focuses on developmental transitions during adolescence and young adulthood.
" Medication management is critical to effective continuity of care for servicemembers transitioning out of the military. Psychiatric and pain medications may be of particular concern because of potential adverse health effects if not taken as intended. GAO was asked to provide information on the process used by DOD and VA to help servicemembers manage their psychiatric and pain medications during transitions. In this report, GAO examined (1) the extent to which servicemembers transitioned out of the DOD health care system with psychiatric or pain medications and subsequently received care from VA and (2) efforts DOD and VA have in place to help ensure servicemembers' psychiatric and pain medication needs are met during transitions of care. GAO focused on active duty servicemembers, Reservists, and National Guard members who discharged from military service and Reservists and National Guard members who demobilized in fiscal years 2009 through 2011. GAO also reviewed DOD and VA documents, including transition policies, and interviewed DOD and VA officials from headquarters and six DOD and VA facilities, selected on the basis of size, geographic location, patient characteristics, and other factors. "