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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Nursing Clinical Information System (NCIS)
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Updated: Jul 18, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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A Novel Virtual-Based Comprehensive Clinical Approach to Headache Care.

Thomas Berk1,2, Stephen Silberstein2, Peter McAllister3

  • 1Neura Health, New York, NY 10017, USA.

Journal of Clinical Medicine
|August 26, 2023
PubMed
Summary
This summary is machine-generated.

Telemedicine significantly improved headache care by reducing monthly headache days by 55% and decreasing emergency room visits by 66.1% in a 90-day telehealth study.

Keywords:
coachingheadachemigrainetelehealthvirtual care

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Area of Science:

  • Neurology
  • Digital Health
  • Public Health

Background:

  • The coronavirus pandemic accelerated the adoption of telemedicine, offering solutions for healthcare access issues in specialized fields like headache medicine.
  • Telehealth platforms can connect patients in underserved areas with headache specialists, overcoming geographical barriers to expert care.

Purpose of the Study:

  • To evaluate the effectiveness of a comprehensive, app-based telehealth headache center in improving patient outcomes.
  • To assess the impact of virtual headache care on monthly headache frequency, severity, disability, depression, and emergency resource utilization.

Main Methods:

  • A retrospective chart review was conducted on 186 consecutive patients treated by Neura Health, an app-based telehealth headache center, between March 2022 and March 2023.
  • Outcomes measured included monthly headache days, Migraine-Independent Disability Assessment (MIDAS) score, Patient Health Questionnaire (PHQ-9) for depression, emergency department/urgent care visits, and global impression of improvement.
  • Patients were included if they completed all forms and received follow-up within 90 days; those who did not were excluded.

Main Results:

  • After 90 days, patients experienced a median 55.0% decrease in monthly headache days and a 16.7% reduction in headache severity.
  • Significant improvements were observed in disability (38.7% decrease), depression (12.5% decrease), and a 60.9% increase in global impression of improvement.
  • Emergency department or urgent care visits decreased by 66.1% among the study participants.

Conclusions:

  • A comprehensive telehealth-based virtual headache care model effectively reduces migraine frequency, severity, and associated disability.
  • Telehealth interventions demonstrate a significant potential to decrease reliance on emergency services for headache-related issues.
  • App-based telehealth platforms offer a scalable solution for improving access to specialized headache management and patient care.