DorlandHealth

Home Stay Informed Clinical Focus
Clinical Focus

In this section, feature-length articles bring you up close to common and rare clinical areas. With a focus on disease states, workers' compensation, disease management, long-term care and more, these resources will broaden your clinical base and enhance your delivery of care. Begin with the topical articles below, or start by exploring the five clinical categories to the left.



Heart Failure Core Measures, Readmissions and Transition of Care Planning
Disease Management
Written by Elaine Miller, MSN, RN-BC   
Wednesday, 01 September 2010 20:19

Does this sound familiar? Mr. Garza has been admitted four times in the last six months for heart failure (HF) exacerbation. He struggles with medication adherence, meal choices and transportation for outpatient (OP) care. As a case manager, I see many “Mr. Garzas” on my cardiology service line every day. With the advent of pay for performance, the case management focus is on the readmission rate, patient adherence/self-care, and reimbursement. In addition to changes in CMS reimbursement, consider these issues that impact our case management role:

  • Approximately one in four HF patients with Medicare are back in the hospital within a month.
  • Forty percent of readmissions are avoidable.
  • Improved diagnostics and better medications have increased survival for HF patients.
  • Greater than 40 million Americans are uninsured or underinsured.

 

Read more...
 
A Case Management Journey Through Liver Transplantation
Disease Management
Written by Mary Beth Newman, MSN, RN-BC, A-CCC, CMAC, CCP, MEP, CCM, and Cristina Walter, MSN, RN-BC, CCM, CCP   
Monday, 07 June 2010 18:14

Case managers are an important key to help ensure successful outcomes for liver transplant patients. As advocates, case managers are able to help these patients by compassionately and effectively working through the many complexities of a complicated procedure with the goal to guide them through the entire process. Case managers are able to alleviate fears and anxieties during the indefinite pre-transplant waiting period and to provide valuable resources, education and encouragement through the vulnerable post-transplant period.

 

Liver Transplant Facts and Figures

Liver transplants are used as treatment for patients who have any acute or chronic condition that results in life-threatening liver failure. One of the most common causes of liver failure is cirrhosis caused by hepatitis C. However, a number of other conditions and diseases can contribute to the development of severe liver failure, including diseases of the bile ducts, some inherited conditions such as Wilson disease, primary liver cancer, and alcohol-induced cirrhosis. Metastatic cancer outside the liver, active drug or alcohol abuse, and active septic infections are absolute contraindications to liver transplantation.

 

Read more...
 
The Continuum of Hospice and Palliative Care
Long-Term Care
Written by Katherine Brandt, MS   
Monday, 07 June 2010 17:26

Each day thousands of people across the country receive beneficial care and support from hospice and palliative care providers in hospitals, senior living communities, assisted living facilities, nursing facilities, hospice residences or at home. Yet most individuals do not understand all the unique services offered by hospice and palliative care providers and when to access these services.

 

Hospice

Since 1974 more than 13 million people and their families have been served by the nation’s hospices. Considered to be the model for quality, compassionate care, hospice involves a team-oriented approach to expert medical care, pain management, and emotional and spiritual support expressly tailored to the patient’s needs and wishes. Unlike most health care, expert support and caregiver training is provided to the patient’s loved ones, enabling them to cope with the impending death of the hospice patient and meet the care needs of their family members or friends.

 

Read more...
 
<< Start < Prev 1 2 3 4 5 6 7 8 9 10 Next > End >>

Page 2 of 25