Chronic Care Management

Effects of Telenursing on the Management of Self-care Behaviors in Patients with Chronic Hypertension

Background: The high prevalence of hypertension across the world and its severe effects on various body organs are a major health concern in every community. The present study aimed to evaluate the effects of telenursing on the management of self-care behaviors in patients with chronic hypertension. Methods: This randomized clinical trial was conducted on two groups with a pretest-posttest. Th...

Chronic care at the crossroads: Exploring solutions for chronic care management. Report on the US Summit.

Integration of palliative care in chronic critical illness management.

Palliative care is an essential component of comprehensive care for all patients with chronic critical illness, including those receiving restorative or life-sustaining therapies. Core elements include alleviation of symptom distress, communication about care goals, alignment of treatment with the patient's values and preferences, transitional planning, and family support. Here we address stra...

Management of chronic pain in the acute care setting.

Chronic nonmalignant pain requires evaluation and treatment different from acute pain. The pathophysiology is different, and there is commonly some degree of psychosocial dysfunction. Opioids tend to be much less effective as analgesics for chronic pain, and may increase the sensitivity to pain when given long-term. Because they are self-reinforcing, opioids may be sought and be reported to imp...

The role of patient care teams in chronic disease management.

The delivery of health care by a coordinated team of individuals has always been assumed to be a good thing. Patients reap the benefits of more eyes and ears, the insights of different bodies of knowledge, and a wider range of skills. Thus team care has generally been embraced by most as a criterion for high quality care. Despite its appeal, team care, especially in the primary care setting, re...