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Related Concept Videos

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
Role of Communication in the Nursing Process II: Planning and Implementation01:25

Role of Communication in the Nursing Process II: Planning and Implementation

Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...
Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders

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Related Experiment Videos

A focused telephonic nursing intervention delivers improved adherence to A1c testing.

Patty M Orr1, Matthew A McGinnis, Laurel R Hudson

  • 1Healthways, Inc., Nashville, Tennessee 37215, USA. patty.orr@healthways.com

Disease Management : DM
|October 19, 2006
PubMed
Summary

Diabetes disease management programs significantly improve hemoglobin A1c (A1c) testing rates. A 6-month intervention increased A1c testing by 29% in a large patient cohort, aiding diabetes care.

Related Experiment Videos

Area of Science:

  • Endocrinology
  • Public Health
  • Clinical Medicine

Background:

  • Hemoglobin A1c (A1c) testing compliance is suboptimal for diabetes management.
  • National guidelines emphasize A1c testing for diabetic patients.
  • Diabetes disease management (DM) programs show potential for improving adherence.

Purpose of the Study:

  • To investigate the effectiveness of a focused DM program in improving A1c testing rates.
  • To assess the impact of a structured intervention on a key clinical process metric for diabetes care.

Main Methods:

  • A cohort of 36,327 members participated in a 6-month focused diabetes disease management intervention.
  • The study analyzed changes in A1c testing rates before and after the intervention.

Main Results:

  • A statistically significant 29% increase in A1c testing was observed during the 6-month intervention period.
  • The focused DM intervention demonstrated a clear positive impact on clinical process adherence.

Conclusions:

  • Focused diabetes disease management interventions can effectively improve A1c testing rates.
  • Enhanced A1c testing adherence through DM programs can reduce the risk of diabetes exacerbation.
  • DM programs are a valuable tool for improving clinical outcomes in diabetic patients.