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Guidelines for Writing Outcome01:11

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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
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Related Experiment Video

Updated: May 30, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Introduction of Patient-Reported Outcome Measures in a Cardiac Surgery Center.

Selina Bilger1, Luca Koechlin2, Brigitta Gahl2,3

  • 1Department of Quality Management and Value-based Healthcare, University Hospital Basel, Basel, Switzerland.

The Thoracic and Cardiovascular Surgeon
|January 27, 2025
PubMed
Summary
This summary is machine-generated.

Patient-reported outcome measures (PROMs) in cardiac surgery showed improved quality of life 1-2 years post-CABG. Older patients (≥75 years) experienced greater improvements in angina frequency and quality of life.

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Area of Science:

  • Cardiac Surgery
  • Health Outcomes Research
  • Patient-Reported Outcome Measures

Background:

  • Limited data exist on the integration of patient-reported outcome measures (PROMs) in cardiac surgery.
  • PROMs are crucial for value-based healthcare and shared decision-making.

Purpose of the Study:

  • To report initial findings from introducing PROMs in cardiac surgery.
  • To assess quality of life changes after coronary artery bypass grafting (CABG).

Main Methods:

  • Prospective study of elective CABG patients.
  • Utilized Seattle Angina Questionnaire 7 (SAQ-7), Rose Dyspnea Scale (RDS), and Patient Health Questionnaire 2 (PHQ-2) via iPad and web-based tools.
  • Employed multilevel, mixed-effects, ordered logistic regression to analyze outcomes at 30 days, 1 year, and 2 years.

Main Results:

  • 99 patients completed baseline PROMs; 84 completed follow-ups.
  • Most patients reported improvement in all PROM dimensions 1-2 years post-surgery.
  • Age ≥75 was associated with greater improvement in SAQ-7 angina and quality of life scores.

Conclusions:

  • Quality of life outcomes improved significantly at midterm follow-up after CABG, despite an initial postoperative decline.
  • PROMs provide valuable insights into patient recovery and long-term outcomes in cardiac surgery.