5,230 research outputs found

    Implementing Palliative Care in Patients with Advanced Heart Failure in a Primary Care Setting

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    Presentation Purpose: The purpose of this project was to identify adult heart failure patients with unmet palliative care needs in the primary care setting. The goal was to focus on implementing a palliative care assessment tool to identify and meet the palliative care needs by increasing palliative care referral rates.|Presentation Objectives: At the end of this presentation the participant will be able to: 1) Define palliative care. 2) Identify when palliative care referrals are appropriate in patients with heart failure. 3) Discuss what practical steps primary care providers can do to meet the palliative care needs of heart failure patients.|Presentation Background: Despite advancing medicine, heart failure patients suffer from heavy symptom burden and a complex and unpredictable disease trajectory. Palliative care can be provided from the point of diagnosis, continue while the disease process intensifies, and may extend into the bereavement phase for the family and caregivers. The National Institute for Health and Care Excellence (2010) endorses initiating palliative care services once the diagnosis of heart failure is verified.|Presentation Sample/Setting: The setting was one primary care clinic in Lincoln County, Wyoming. The sample was identified by completing two steps. Step 1 subjects (N=10) were identified through a retrospective chart review and were included if they had been seen by a provider at the clinic in the month prior to the intervention and had a diagnosis of heart failure. This step was done to determine if palliative care referrals had been appropriately made. Step 2 subjects (N=15) were identified post implementation of the Palliative Care Assessment Tool during a 10 week period. Subjects were included if they presented to the clinic with a diagnosis of advanced heart failure.|Presentation Methods: The design of the study was a quality improvement model. Following provider education by the DNP student, the Palliative Care Assessment Tool was implemented.|Presentation Results: Results from steps 1 and 2 revealed that subjects had similar patient demographic data with an age ranging between 67-86 years. Signs and symptoms reported by subjects included fatigue, shortness of breath, pain and edema. The step 1 chart review subjects had no referrals made to palliative care resources and presented to the emergency department for a total of 18 visits within the month prior to the implementation of the Palliative Care Tool. The step 2 subjects all received palliative care referral and during the weeks of the study had only 5 emergency department visits which was a significant decline.|Presentation Conclusions: Implementing a palliative care screening tool was successful in increasing palliative care referrals with an incidental find that emergency department visits were decreased. Recommendations for future practice include continuing to assess and refer all patients with heart failure to palliative care.Manuscrip

    Perceptions of Health Sciences Students of an Introductory Interprofessional Education Course

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    Abstract Date Presented 4/1/2017 Interprofessional education allows for effective collaborative practice by educating health care professionals to work together to produce patient-centered care. As health care moves to a team approach, it is important for higher education to prepare students before they enter the clinical environment. Primary Author and Speaker: Joy Doll Additional Authors and Speakers: Liz Torrez Contributing Authors: Joe Paul Castillo, Trent Gahl, Joua Vang, Jessica Womack</jats:p

    A Conversation with Jessica B. Harris

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    A conversation with culinary historian and award-winning author Jessica B. Harris, moderated by Gabrielle Fulton Ponder

    Jessica Stremer: Cook Prize 2024, Silver Medal Acceptance Speech

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    Author Jessica Stremer gives an acceptance speech for Great Carrier Reef (Holiday House)https://educate.bankstreet.edu/cook/1013/thumbnail.jp

    Jessica Pierce: The Last Walk: Caring for Our Animal Companions

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    Bioethicist and author Jessica Pierce will discuss end-of-life care, dying, and euthanasia in the lives of our companion animals.https://thekeep.eiu.edu/humanitiescenter_authenticity1314/1003/thumbnail.jp

    Crossing the Language Barrier: An exploratory review of the effectiveness of nonverbal communication techniques while studying abroad

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    By Jessica Riley, Psychology Advisor: Stacie Furst-Holloway Presentation ID: PM_A35 Abstract: As part of a larger ongoing study in the Department of Psychology, a senior student in the department seeks to understand how communication affects the overall experience of students studying abroad. Research is currently underway with the group of students going to Vietnam and Guatemala this spring break of 2019 and will be completed by the time of the poster fair

    sj-xlsx-1-fap-10.1177_09593535231195957 - Supplemental material for How to have great sex: Exploring sexual subjectivities and discourses of desire in mainstream online media aimed at women

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    Supplemental material, sj-xlsx-1-fap-10.1177_09593535231195957 for How to have great sex: Exploring sexual subjectivities and discourses of desire in mainstream online media aimed at women by Jessica Tappin, Sarah Riley and Tracy Morison in Feminism & Psychology</p

    sj-docx-2-fap-10.1177_09593535231195957 - Supplemental material for How to have great sex: Exploring sexual subjectivities and discourses of desire in mainstream online media aimed at women

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    Supplemental material, sj-docx-2-fap-10.1177_09593535231195957 for How to have great sex: Exploring sexual subjectivities and discourses of desire in mainstream online media aimed at women by Jessica Tappin, Sarah Riley and Tracy Morison in Feminism & Psychology</p

    Providence College Faculty Author Series 2014-2015: Dr. Jessica Mulligan

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    In this installment of the Faculty Authors Series, Dr. Jessica Mulligan of the Health Policy & Management department discusses her book Unmanageable Care: An Ethnography of Health Care Privatization in Puerto Rico - elucidating the history and contemporary state of the Puerto Rican healthcare system

    Providence College Faculty Author Series 2014-2015: Dr. Jessica Mulligan

    No full text
    In this installment of the Faculty Authors Series, Dr. Jessica Mulligan of the Health Policy & Management department discusses her book Unmanageable Care: An Ethnography of Health Care Privatization in Puerto Rico - elucidating the history and contemporary state of the Puerto Rican healthcare system
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