Recommendations of the workshops for state level health administrators under the multipurpose workers scheme.
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This is the first in a series of articles written by the Chief Nursing Officers (CNOs) of British Columbia. We appreciate the support of Anne Sutherland Boal, Chief Nurse Executive and Assistant Deputy Minister in the Ministry of Health Services, for facilitating the publication of this series. This first article will outline the origin of these roles, the strategic areas of interest for the CNOs in the province and a brief overview of how we are working together and with others to fulfill our mandate. Although several of the CNOs also have responsibility for the allied health professionals, the focus of these articles will be nursing.
The development of the WHO Western Pacific Regional Oral Health Programme was briefly traced through two of the three multi-phased periods (from 1971--77) of WHO collaboration. The third period of development (1978--83) is by a planning exercise referred to as 'the regional oral health medium-term programme'. This exercise takes into account the problem areas at the end of the second period. Twelve quantifiable targets for achievement by 1983 are identified. Specific and general activities, approaches and strategies for achieving targets are briefly outlined. It is expected that the programmes for prevention of dental diseases will be intensified in the region during the current five-year period. There is also a growing tendency for consultants from developing countries and areas to be utilized in the region under the concept of Technical Cooperation among Developing Countries (TCDC). Systems will also be developed to monitor the progress in achieving targets in the region and changes instituted where necessary.
This article describes a case management model developed under the guidelines of the Medicare Alzheimer's Disease Demonstration. This delivery model currently provides services to over 400 Alzheimer's disease victims and their family caregivers who reside in predominantly rural communities in east central Illinois and western Indiana. Client and caregiver characteristics are provided as well as service utilization patterns. The model incorporates intervention strategies that facilitate communication and coordination of services, integrates formal and informal support systems, and allows for client advocacy and system development.
Multiple organ transplantation has come of age. Indications are that it will continue to grow, if not flourish. The complexity of modern surgical care, its multiperson dependency, and the need for the surgeon to retain knowledge and involvement with his patient's care and problems are nowhere more evident than in multiple organ transplantation. Each organ presents its own associated challenges, the prime solution of which lies with a skillful and dedicated surgeon; but with all organs there are challenges of expectantly waiting patients, housing during the wait and for postoperative observation, procurement, erratic scheduling of the operating room, nursing, social service, immunosuppression, immunopathology, interest of hospital public relations and of the news media, and perennial care. This report concerns the growth and development of the multiple organ transplant program at the University Health Center of Pittsburgh and describes some answers to the challenges presented.
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The Medical Library Resource Grant Program of the National Library of Medicine is reviewed as it was administered under the Medical Library Assistance Act and as it is now administered under the Medical Library Extension Act of 1970, and program objectives are discussed. The "project" concept and the "general support" approach for library assistance are considered, as is the relationship of the Regional Medical Library Program. In the context of the evolving Biomedical Communications Network, recommendations are made for improving the effectiveness of the grant program through coordinated efforts of intermediary libraries.
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