Disease Management Program for Chronic Obstructive Pulmonary Disease. Kathryn L. Rice, Naresh Dewan, Hanna E. Bloomfield, Joseph Grill, Tamara M. Schult, David B. Nelson, Sarita Kumari, Mel Thomas, Lois J. Kathryn L. Rationale: The effect of disease management for chronic obstructive pulmonary disease (COPD) is not well established. Objectives: To determine whether a simplified disease management program reduces hospital admissions and emergency department (ED) visits due to COPD. Methods: We performed a randomized, adjudicator-blinded, controlled, 1-year trial at five Veterans Affairs medical centers of 743 patients with severe COPD and one or more of the following during the previous year: hospital admission or ED visit for COPD, chronic home oxygen use, or course of systemic corticosteroids for COPD.
Measurements and Main Results: We determined the combined number of COPD-related hospitalizations and ED visits per patient. Conclusions: A relatively simple disease management program reduced hospitalizations and ED visits for COPD. Study Design Outcomes. Www.parl.gc.ca/Content/SEN/Committee/402/popu/rep/rephealth1jun09-e.pdf. Www.health.gov.nl.ca/health/publications/vision_rpt_e.pdf. Child Trends. Learning Module: Evidence-Informed Decision Making. To Err Is Human: Building a Safer Health System. Page 53 The complex coincidences that cause systems to fail could rarely have been foreseen by the people involved. As a result, they are reviewed only in hindsight; however, knowing the outcome of an event influences how we assess past events.10 Hindsight bias means that things that were not seen or understood at the time of the accident seem obvious in retrospect. Hindsight bias also misleads a reviewer into simplifying the causes of an accident, highlighting a single element as the cause and overlooking multiple contributing factors.
Given that the information about an accident is spread over many participants, none of whom may have complete information,11 hindsight bias makes it easy to arrive at a simple solution or to blame an individual, but difficult to determine what really went wrong. Although many features of systems and accidents in other industries are also found in health care, there are important differences. Userpage.fu-berlin.de/~schuez/folien/Krohne_Stress.pdf. Change Theory by Kurt Lewin. Spinal cord injuries in Canada. . Approximately 86,000 Canadians are living with a spinal cord injury, with 4,300 new cases each year. .
One in three people in Canada will be disabled for three or more months before the age of 65. . Canadians with a spinal cord injury are re-hospitalized 2.6 times more often than the aver-age Canadian. They also require three times more contact with a physician and 30 times more hours of home care service. . . . . . . . . . Sources: Statistics Canada, Rick Hansen Foundation . . . . Source: Rick Hansen Foundation © (c) CanWest MediaWorks Publications Inc. Frequently Asked Questions - About Spinal Cord Injury | CPA Ontario. Amazing inventions, great gadgets, terrific technologies! Devices of all descriptions can mean a better quality of life for someone with a spinal cord injury. Here are a few examples of products that could increase your independence: Environmental controls Turn on a corner lamp from your bed, or open a door automatically without having to fumble with the handle.
Adapted computer parts A trackball may be easier to use than a standard mouse. Adapted switches may be easier to manage than keyboard functions. Special software Use an on-screen computer keyboard to type, or try out voice recognition technology to control computer functions. Assistive devices Grab bars, transfer benches and mobility aids in your home will help you get on with your day-to-day living. Household gadgets Jar openers, book holders, zipper pulls and washcloth mitts – many of these weren’t designed with spinal cord injury in mind, but that doesn’t mean they won’t make your life just a little bit easier! Northwest Regional Spinal Cord Injury System. Dating and Relationships after SCI February 14, 2006 Dating is hard enough in the best of times; after a spinal cord injury, insecurities about body image and doubts about one's desirability as a romantic partner can become a major concern.
At our annual forum on dating and relationships-which fell on Valentine's Day this year-several people with SCI shared their personal experiences of coming to grips with their changed selves and making their way in the world of dating and mating after injury. When Brad * became paralyzed from the chest down after a motorcycle accident in 1991, he went in an instant from being "close to 6 foot 4 and 215 lbs.to 4 feet 5 inches( in a wheelchair).
" After leaving the hospital, he worried about what people saw when they looked at him and what assumptions they might be making about him-did they see him, or did they see a disabled person? Brad's wife of seven years, Amy, had never met anybody in a wheelchair before him. "I couldn't agree more," she said. Wheelchair Sex Love & Intimacy After Spinal Cord Injury. APA Formatting and Style Guide. This page is brought to you by the OWL at Purdue University. When printing this page, you must include the entire legal notice. Copyright ©1995-2018 by The Writing Lab & The OWL at Purdue and Purdue University. All rights reserved. This material may not be published, reproduced, broadcast, rewritten, or redistributed without permission.
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