BACKGROUND Older adults with chronic disease struggle to manage complex medication regimens. Health information technology has the potential to improve medication management, but only if it is based on a thorough understanding of the complexity of medication management workflow as it occurs in natural settings. Prior research reveals that patient work related to medication management is complex...

STUDY OBJECTIVES To explore the quality of the dying experience and associations to higher quality ratings for people who died in an ICU. DESIGN Retrospective study using medical record review and surveys of family members with the Quality of Dying and Death (QODD) instrument. SETTING Four ICUs affiliated with a university and a Veterans Affairs Medical Center. PARTICIPANTS Ninety-four fa...

PURPOSE/OBJECTIVES To describe the usefulness of daily pain management diaries to outpatients with cancer who participated in a randomized clinical trial of the PRO-SELF Pain Control Program. DESIGN Randomized clinical trial in which a daily pain management diary was used for data collection in the control group and for data collection and nurse coaching regarding the pain management program ...

PURPOSE/OBJECTIVES To describe the findings and critique the studies of interventions for nursing staff to improve pain management in adults with cancer. DATA SOURCES Publications were identified through database searches. Studies that describe interventions to overcome nurse-related barriers in cancer pain management practices were included in this review. DATA SYNTHESIS Nine studies were ...

INTRODUCTION Coronary heart disease (CHD) is associated with significant morbidity and mortality, including mental health comorbidity, which is associated with poor outcomes. Self-management is key, but there is limited access to self-management support. Internet-delivered interventions may increase access. OBJECTIVE The aim of this study was to conduct a systematic review to (1) determine th...

When the concept of free personal care for older people was introduced in 2001, it was generally regarded as one of the more unequivocal achievements of the fledgling Scottish Parliament.

BACKGROUND Analgesic interventions are not commonly administered during childhood vaccination, despite the fact that two-thirds of children are afraid of needles and one-tenth are noncompliant with immunization. OBJECTIVE To explore children's experiences of vaccination and preferences for analgesia. METHODS A total of 17 children (four to 14 years of age) at an independent school in Toront...

Article points 1. Research has shown that addressing barriers to diabetes management in older adults leads to improvement in HbA1c levels and self-care. 2. The authors describe how a general practice surgery in Cambridgeshire developed and piloted a new approach to diabetes annual reviews that focuses on the person with diabetes and aims to identify and address barriers to optimal diabetes care...

BACKGROUND To overcome the shortage of medical care delivery in the rapidly aging Japanese society, the Ministry of Health, Labour and Welfare in 2010 started to train the nurses to be able to conduct the specified medical acts. The Japanese Nursing Association conducted the educational program to train the wound, ostomy, and continence nurses for the specified medical act of wound care. Howeve...