哥伦比亚儿科风湿病学过渡诊所:反思必要的缺陷
Lauren Natalia Ramirez1, María Elisa Hoyos2, Angela Catalina Mosquera-Pongutá3
1Grupo de Investigación Reumavance, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.
Advances in rheumatology (London, England)
|January 3, 2025
概括
过渡诊所支持患有慢性病的儿科患者进入成年期. 成功过渡需要患者的坚持和知情的健康感知,但缺乏标准化的指导方针.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 慢性疾病管理 慢性疾病管理
- 医疗保健的转型 医疗保健的转型
背景情况:
- 过渡诊所解决了儿童患者的多方面的需求 (医疗,心理,社会,教育,职业) 慢性疾病延伸到成年.
- 理解是根植于影响发病率和死亡率的生理,心理和社会文化因素.
研究的目的:
- 审查儿科过渡诊所的历史,结构和影响,特别是在类风湿病方面.
- 提出全面的思考和概述这些诊所的开发,实施和评估的指导方针.
主要方法:
- 对现有文献和实践进行反思分析.
- 专注于儿童类类风湿性疾病.
- 关于过渡诊所开发和评估框架的建议.
主要成果:
- 关怀的转变应该从青春期早期开始,根据认知能力量身定制,涉及患者教育.
- 跨学科团队对于解决个性化护理和家庭支持的整体患者需求至关重要.
- 在基于证据的标准化实施指南和有效性评估中存在很大的差距.
结论:
- 成功过渡的标志是患者的坚持和积极的,知情的健康感知.
- 迫切需要证据来证明过渡临床过程的全面性质和必要性.
相关概念视频
Specialized Care Centers and Settings-II
675
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
675
Standards of Care II
621
Nurses bear specific legal responsibilities under several federal statutes, including:
621
COPD: Management Using Bronchodilators and Corticosteroids
117
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
117
Immunodeficiency Diseases
823
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
823
Pulmonary Tuberculosis II
187
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
187
Pulmonary Tuberculosis III
253
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
253


