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Related Concept Videos

Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Analgesia and Pain Management01:25

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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
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Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

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Pain Care at Home to Amplify Function: Protocol Article.

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  • 1VA Connecticut Healthcare System, West Haven, CT, USA.

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Summary
This summary is machine-generated.

This study tests combining telemedicine with pain self-management for long-term opioid therapy. It aims to improve pain, safety, and other health outcomes in primary care settings.

Keywords:
IMPOWRbuprenorphinechronic painopioidsprotocol

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Area of Science:

  • Pain Management
  • Opioid Safety
  • Implementation Science

Background:

  • Opioid prescribing guidelines emphasize benefit-harm reassessment, yet primary care providers (PCPs) often lack resources.
  • Two interventions, Telemedicine Collaborative Management (TCM) and Cooperative Pain Education and Self-Management (COPES), improve outcomes individually.
  • The combined effect of TCM and COPES for chronic pain and opioid use disorder is unknown.

Purpose of the Study:

  • To evaluate the effectiveness of combining TCM with COPES compared to TCM alone.
  • To assess the impact on pain interference, opioid safety, and secondary outcomes like alcohol use, anxiety, depression, and sleep.
  • To examine implementation strategies and cost-effectiveness within the Veterans Health Administration (VHA).

Main Methods:

  • A multisite, patient-level, randomized hybrid II effectiveness-implementation trial.
  • Comparison of TCM versus TCM + COPES interventions.
  • Utilizing implementation facilitation and mixed-methods evaluation.

Main Results:

  • (Study results are pending as this is a trial design abstract.)

Conclusions:

  • (Study conclusions will be drawn upon completion of the trial.)