Chronic care

Arnold R, Stein-Albert M, Serebrisky D, et al. Use of an automated chronic care management system in underserved pediatric asthmatic patients. American Academy of Pediatrics (AAP) Council on Clinical Information Technology, AAP National Conference and Exhibition. Washington, DC, 2005. 

Residents of nursing homes and other residential chronic care facilities... 

The availability of capital resources is equally important. As mentioned, the current health care system— including the emergency, acute, and chronic care components—are all operating at maximal capacity. However, EMS vehicles, ED and hospital beds, and operating rooms will be needed in differing levels based on the incident (Auf der Heide, 2006 Pesik et al., 2001). For the EMS system, planners must know and address mutual aid issues. In upstate New York, Rural Metro Medical Services provides EMS in many cities and has a plan to shift resources between cities in event of crisis. Thus, additional ambulances, communications equipment, and maintenance facilities can be deployed throughout the region. In other areas, mutual aid compacts must be in place to allow for the immediate recruitment of as many additional EMS units as are needed (Auf der Heide, 2006). 

Assess partnerships with local organizations that may be involved Emergency Medical Service (EMS), private health care providers, nursing homes and chronic care facilities, human services providers, schools, universities, university health centers, businesses, media, hospitals, and voluntary organizations. 

Portable meters for measurement of blood glucose concentrations are used in three major settings (a) in acute and chronic care facilities (at the patient s bedside and in clinics or hospitals) (b) in physicians offices and (c) by patients at home, work, and school. The last, self-monitoring of blood glucose (SMBG), used by approximately 1 miUion diabetic patients, is performed in the United States at least once a day by 40% and 26% of individuals with type 1 and 2 diabetes, respectively. The worldwide market for SMBG is 2.7 billion per year, with annual growth estimated at 10% to 12%. ... 

NCCLS. Point-of-Care Blood Testing in Acute and Chronic Care Facilities Approved Guideline—Second Edition. NCCLS document C30-A2. Wayne, Pennsylvania NCCLS, 2002,... 

ASHP provides services and products to members in ten practice domains acute care, ambulatory care, clinical specialist, home care, long-term and chronic care, managed care, new practitioner, pharmacy practice management, student, and technician. Pharmacy students receive all member services plus the special services of the ASHP Student Forum—all at greatly reduced rates. 

Protein energy malnutrition occurs with high frequency (30%-50%) in hospitalized patients as well as in populations in chronic care facilities as either an acute or a chronic problem. These individuals suffer from inadequate nutrition due to a disease or depression, and are susceptible to infections due to impaired immune function. Surgical patients with protein energy malnutrition exhibit delayed wound healing with increased length of... 

Is coordinated with any care management plan established for a targeted individual under a chronic care improvement... 

The level of design complexity and engineering needed for the critical care ventilators is higher than the ventilators used for chronic treatment. However, many of the engineering concepts employed in designing critical care ventilators can also he applied in the simpler chronic care units. Therefore, this chapter focuses on the design of intensive care ventilators. Hence, the terms respirator, mechanical ventilator, or ventilator will be used from this point to refer to the intensive care unit respirators. 

Schaefer JK. Improving chronic care selfmanagement support. The improving chronic care illness cate program 2006-2014 [cited 12 Sept 2014]. Available from http //www.improvingchroniccru e. org/index.php p=Self-Management Support s=22... 

Unlike the traditional medical device market, most revenue generated from mHealth is not from purchases of fhe apps but rather from the sales of other related services and hardware. Operating under new business models, the apps often serve as platforms to sell the related products. In addition to appearing in online apps stores, more mHealth apps have made their way to traditional health distributive channels. While the first batch of mHealth apps mainly targeted the health and fitness domain, the second generation will focus on chronic care. MHealth apps can generally be divided into the categories listed in Table 6.1. Most of them are native apps instead of web-based applications. 

Based on the available information it can be concluded that prevalence of dementia increases with the advancing age and is growing at an alarming rate, becoming a major public health problem. Hence, preservation of cognitive ability in old age is essential not only to promote an adequate health status but also to delay the onset of dementia and slow its progress, thereby, reducing the societal costs for chronic care and lost productivity. 

SUMMARY. Supplementary intravenous feeding via a peripheral vein is best suited for meeting short-term needs of patients who are likely to fare poorly without it It does not require the expertise needed to administer total parenteral nutrition (TPN), but it is more limited with respect to the amounts of nutrients which may be delivered intravenously. Therefore, it is being replaced by TPN in chronic care situations when the capability for administering the latter is present. 

Most chronic illness confronts patients and caregivers with changes in daily life and changes in social relations. They produce disability, often with exacerbations. Medical care is usually continuous and, in the case of the patients with respiratory diseases, is also supported by devices such as oxygen or ventilators (2). Facing the final phases of life is another difficult, added pressure. Most patients with chronic illness require support from a variety of health care professionals, often situated in different health facilities. In the chronic care model, it is crucial to evaluate the patient in a stable situation to establish plans of action for the exacerbations, to promote self-management, and to have a good information system. 

Employees of nursing homes and chronic care facilities who have contact with patients or residents... 

Centers for Disease Control and Prevention. Outbreaks of pneumococcal pneumonia among unvaccinated residents in chronic-care facilities. MMWR 1997 46 60-62. 

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