Questions related to Chronic Disease Management
I am looking for a valid and reliable way to measure the medication/drug use, adherence and interactions to evaluate the efficiency of an intervention to reduce inappropriate polypharmacy. Any ideas or experiences with self-assessment questionnaires that are suitable for (older) patients with chronic diseases?
In recent research (pdf attached is below) we found that patients with a low educational level became adapted to the prosthesis less frequently.
This was a cross-sectional study. The patients were identified by primary healthcare teams.
The inclusion criterion was that these should be patients who underwent major lower-limb amputations of any etiology. Associations between sociodemographic and clinical variables and the adaptation to lower-limb prostheses were assessed.
We examined 149 patients. Adaptation to the prosthesis occurred in 40% (60/149) of them, but only 62% (37/60) of these were using it.
Adaptation occurred more often among male patients (P = 0.017) and among those who had a higher educational level (P = 0.013), with a longer time since amputation (P = 0.049) and when the etiology was trauma (P = 0.003).
The result from logistic regression analysis showed that only patients with low education (P = 0.031) were significantly associated with a lower frequency of adaptation to prostheses.
What's your opinion and experience about this?
I am exploring role of peptides on various chronic diseases management. Nona peptides seems to have some interesting reports. Looking for experts who are working on nona and penta peptides.
While reviewing information on KAP studies on cervical cancer, i noted the use of varied tools/questionnaires (different questions, different number of questions and different scales of scoring), while is limiting the effort to combine these data.
Non-communicable diseases are currently a more critical global epidemic in terms of burden of disease and cost, than most infectious diseases. So I'm wondering about models of utilizing the facilities, labs, consult rooms. providers, community health workers, who have heroically and effectively managed HIV and other infectious diseases, to put more effort toward a more upstream approach to chronic disease management.
navicular syndrome is a chronic degenerative condition of navicular bursa and navicular bone that primarily involves damage to the surface of the bone and the overlying DDFT.
I'm interested in learning about what happens to people when many of their physical capabilities and stamina, strength are compromised by severe illness, an accident, or mental illness. What makes it possible for people to move on and become productive and involved in life .... reinvent themselves when they lose many capabilities that they used to have?
I'm looking for a few or several articles relevant to what I'm interested in and/or the names of several health care professionals or academics who are active in this are of research. I would call it overcoming disability or rediscovering oneself and our skills in a area that can make use of our minds and intellectual skills.
Here's an essay I just wrote about what I have experienced over the last eleven years:
How I Learned To Forgive And Live Again Writing On Google Plus
By Frank Elliott January 15, 2017
I've became more and more interested in the practice of forgiveness over the past eleven years because several severe chronic illnesses had combined their strengths to overwhelm my way of life. I had been very strong, a gifted person in terms of my eye-hand coordination and reflex speed and academic skills, but became housebound with terrible burning pain. It took constant work and cooperation with seven or eight medical specialists to even stabilize my conditions. I was mad, felt persecuted, and each day of existence was like a long, drawn-out execution. My intense anger and emotional outbursts about how life had so cursed me became the sum of my self-talk. I realized after living this way for a couple of years that I would need to learn to forgive myself and my diseases to move on. The last 9 years has been a story of learning to forgive and live peacefully. Gradually, I picked up my old love of writing and my fury turned toward concentrating on describing the world around me and in me so that other people could learn to understand themselves too. If I can learn to forgive and live in peace and reach out in love and kindness, so can many, many others. To do that I had to let go of all the imagined wrongs and the hate, the fury. The concentration on describing the world of science, nature, physics, astronomy, and developments in the fields of medicine and health care gave me an outlet to the world around me through Google Plus and let the love of others in.
Gradually, but slowly at first, many people let me into their lives and I let them into mine. People began to love what I wrote of and how I had become so upbeat and positive. I began to love myself too because of them. Gradually I had become a miraculous new being of light. I would have never imagined that eleven years before. I've had to slow down and stop my writing and sharing sometimes for many months at a time, but I always start up again when the storm of symptoms subsides or I find a way around it, over it, or under it. I've given myself that permission to rest and attend to my needs and restore my health.
I can accept my own weaknesses and frailty now. I could never do that before. Severe illness was able to give me many gifts and open many new doors because I learned to slow down, listen to my body, and get help as well as take actions designed to mend myself. I don't know if I could have learned this or many other lessons that changed my life either if I had not learned to listen. The truth is that I was forced into it. I was not about me but about a kind of grace. Life has a kind of grace that invites us to come in and change and learn more deeply about who we are. I've found we only need to pick up the call and listen. To me this means heading down the long road of peace building within myself and with others too.
By Frank Elliott about my interest in the Google Plus social networking site. My Google Plus commentary and posts can be found at this address: https://plus.google.com/108713721375842222592/posts
Goal is to prove that technology can play a significant role when it comes to improve patient compliance in managing chronic disease management.
I'm hoping to find a source of data that goes back before the 1940's and I would be delighted to learn that there are places to look more for international statistics, or comparisons,even, by country. What sort of data are available? I'm especially looking for data on diseases such as diabetes, heart disease, cancer, autoimmune disease and neurodegenerative diseases like Alzheimers and Parkinson's disease. Does anyone know of some good resources? Many thanks!
Association Between Knowledge and Medication Adherence In Patients With Type 2 Diabetes Mellitus In Pakistan
I'm interested in measuring livelihood index in a community. I need a valid livelihood measurement index/methodology. Can anybody help me, please?
Why Vitamin-D has been aggressively marketed in different diseases such as migraine, Ischemic stroke, Cardiovascular disease, Diabetes, Chronic obstructive pulmonary disease?
I am looking to analyze the psychosocial, cultural, and coping for patients with chronic disease. What are good research studies on the effectiveness of interventionists who can improve a paitents well being by allowing them to communicate their problems.
I would like to know if abdominal pain is the identifying symptom present for people with porphyria or can they have other symptoms and not abdominal involvement at all, such as psychosis. thanks
I am looking for tools used to measure conflict effect on chronic diseases in general.
I have been doing a literature review of porphyria. There is a lot of literature that states PBG levels is the indicator for determining that a person is having an acute attack. But this does not seem to be consistent with lived experiences or several case studies and not all types of porphyria have elevated PBG.
Which would be the design most suitable for this research question?
My team provides disease specialist management of patients living in the community with chronic conditions such as respiratory, cardiovascular and diabetes. In the past we measured disease severity and other biomarkers, but with the move towards self management of chronic disease we want to measure other aspects of health and wellness. Any suggestions?
We observed that the prevalence of adaptation to lower limb prostheses was 38%. And patients with a low level of education were the least frequently adapted to the prosthesis.
The research I have found is limited. The CDC even seems to be vague. My concern is when patients already have an infection, aren't we reintroducing the infection to the lungs each time we suction? Antibiotics treat the people but not the equipment.
Can anyone recommend how to improve compliance in chronic diseased patients with inexpensive resources, e.g. low socioeconomic group?