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Biomedical subjects

J Barry

Publications and source records attributed to J Barry.

At least 199 records · Page 11Linked to original sources
PubMedDate not supplied

Using nurse case management to promote self-efficacy in individuals with rheumatoid arthritis.

Rheumatoid arthritis is a chronic disabling illness commanding a large portion of healthcare resources. The literature indicates that the holistic management of chronic illness has demonstrated a favorable impact on the course of the disease and its outcome. In response to these reports, a nurse case manager delivery system was implemented within a tertiary care teaching hospital to coordinate an interdisciplinary treatment plan for patients with rheumatoid arthritis. The system supported the belief that although intervention is important, self-efficacy skills have an impact on patients' coping skills. Patient care incorporates inpatient and ambulatory care services, and patients are discharged after completing scheduled visits through ambulatory care services. This article describes how patients can manage their own disease if they are provided with the necessary tools. Patients can learn to trust and use their own judgment which can lead to self-efficacy. Another study is currently under way to further evaluate this method of care delivery.

Adaptation, Psychological↗
PubMedDate not supplied

Hepatitis C infection among drug users attending general practice.

BACKGROUND: The prevalence of hepatitis C (HCV) infection among injection drug users is high and addiction-related care is increasingly being provided by GPs in Ireland. AIMS: To determine the prevalence and associated factors of HCV infection among injecting drug users attending general practice. METHODS: The records of 571 patients attending 42 general practices in the Eastern Regional Health Authority (ERHA) area for methadone maintenance treatment were reviewed. RESULTS: The HCV status was recorded in 380 cases (67%). Of these, 193 had a test performed by their GP, 74 had been tested by another service and 113 had no evidence of being tested, but HCV status was recorded based on information provided by the patient himself. A total of 276 cases were identified as being HCV positive (prevalence 73%), with no difference in prevalence between the three sources of information (p = 0.12). A history of injecting drug use was the major determinant of testing for HCV. CONCLUSIONS: While a large proportion of drug users attending GPs for methadone maintenance treatment are known to be HCV positive, a considerable number have not been tested. Barriers to testing need to be explored to facilitate comprehensive screening.

Adult↗