Lisa A. Lowenthal is an Occupational Therapy Graduate Student, Quinnipiac University, Hamden, CT. Primary care is a key theme in the Patient Protection and Affordable Care Act (ACA; 2010). But what does the term mean? Is there a difference between primary care and primary health care? Does primary care encompass occupational therapy? What are the possible roles for occupational therapy in prima...

AIMS To determine and quantify the prevalence of patient, provider and system level barriers to achieving diabetes care goals; and to examine whether barriers were different for people with poor glycemic control (HbA1c ≥ 10%; 86 mmol/mol) compared to fair glycemic control (7 to <8%; 53-64 mmol/mol). METHODS We administered a survey by telephone to community-dwelling patients with diabetes, to...

M than 20 years ago, Atchinson (1992) described restorative care as care that maximized a resident’s ability; it focused on what an individual is able to do, and it sought to create independence for the older adult. More recently, Galik, Resnick, Hammersla, and Brightwater (2014 ) have described this concept as function-focused care. Atchinson (1992) titled her article “Restorative Nursing as a...

PURPOSE This study aimed to identify, describe and classify the transitional rehabilitation goals of people with spinal cord injury (SCI) and map these goals to the International Classification of Functioning, Disability and Health (ICF). METHOD The five most important rehabilitation goals as rated by clients were extracted from records for 220 clients of a transitional rehabilitation service...

This paper examines the role of technoscientific speculation in large-scale development projects postcolonial spaces, building on recent work STS, design research, and studies beyond CSCW. We analyze two historical cases technology-infused Canadian province Newfoundland Labrador Jamaica. find that these contexts remixes constructive stance toward typical for normative technoscience with critica...

BACKGROUND Dementia is a life-limiting disease without curative treatments. Patients and families may need palliative care specific to dementia. AIM To define optimal palliative care in dementia. METHODS Five-round Delphi study. Based on literature, a core group of 12 experts from 6 countries drafted a set of core domains with salient recommendations for each domain. We invited 89 experts f...

Optimizing the quality of medical care at the end of life has achieved national status as an important health care goal. Palliative care, a comprehensive approach to treating the physical, psychosocial and spiritual needs of patients and their families facing life-limiting illnesses, requires the coordinated efforts of a multidisciplinary group of caregivers. Understanding the basic principles ...

Nephrology fellows often face difficult conversations about dialysis initiation or withdrawal but are frequently unprepared for these discussions. Despite evidence that communication skills are teachable, few fellowship programs include such training. A communication skills workshop for nephrology fellows (NephroTalk) focused on delivering bad news and helping patients define care goals, includ...