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At least 595 records · Page 33Linked to original sources
PubMedDate not supplied

ARISE: a method for engaging reluctant alcohol- and drug-dependent individuals in treatment. Albany-Rochester Interventional Sequence for Engagement.

A method, the Albany-Rochester Interventional Sequence for Engagement (ARISE), is described for engaging highly ambivalent alcohol- and/or drug-dependent individuals in treatment. A three stage interventional sequence is presented, which begins when a family member or concerned other contacts a treatment program regarding a substance abuser who needs help. At that point a process is set in motion for collaboration with significant others toward client enrollment. Staff move to the next stage in a graduated operating procedure if initial, less demanding efforts do not succeed. The final stage, if needed, is a modified Johnson Institute Intervention. The overall procedure is designed to maximize the probability of patient recruitment, while minimizing the amount of time and energy required of staff. The method compares favorably with results obtained with other approaches, such as coercion (legal, employer) and client self-referral.

Adult↗
PubMed1999

Telephone support in the early post-discharge period following elective cardiac surgery: does it reduce anxiety and depression levels?

Over the last decade, much has been published concerning the information needs of patients and their families on and after discharge from hospital. With ever-decreasing lengths of stay in hospital following cardiac surgery as a result of technological improvements and the relentless pressure for beds, the time available for nurses to attend to these needs has been reduced dramatically, thus presenting new challenges to nurses. This study examines the levels of anxiety and depression in 78 elective cardiac surgery patients on discharge and at five weeks after, but before their recall to the outpatient department. The study tests the hypothesis that telephone follow-up from the ward will reduce patients' anxiety and depression levels in the early post-discharge period. The findings indicated that patients found follow-up calls beneficial and helpful, but follow-up calls did not reduce anxiety and depression levels in the early post-discharge period.

Aftercare↗
PubMed1997

Telephone triage: 5 years' experience.

Triaging by telephone has long been a 'bone of contention' among emergency nurses in Victoria, Australia, with some nurses adamant that telephone advice is appropriate and other nurses equally adamant that telephone advice should not be given at all. Almost unanimously agreed upon by both groups is that documentation of the call, and/or the advice given, is time consuming and may pose a legal risk to the nurse if something untoward should happen to the patient. This paper relates our experience including our policy on telephone triage with an analysis of 5 years of documented telephone calls from January 1991 to January 1996.

Counseling↗
PubMed2002

Mass media as a population-level intervention tool for Chlamydia trachomatis screening: report of a pilot study.

PURPOSE: To determine the feasibility and affect of mass media use in a population-level intervention for chlamydia screening promotion. METHODS: A population-level chlamydia intervention protocol was field tested. The intervention, targeting 15-25-year-old individuals, was designed to: (a) increase awareness of personal risk for chlamydial infection; (b) facilitate dissemination of chlamydia knowledge by use of a telephone hot line; and (c) promote care-seeking behavior (report for a chlamydia screening program). The intervention activities included: (a) mail outreach, (b) a television and radio campaign, (c) a prerecorded Check-It-Out chlamydia hot line, (d) a staffed chlamydia Options information line, and (e) a free confidential urine ligase chain reaction (LCR) test for chlamydia. Mass mailings were scheduled at intervals, starting two-weeks before the beginning of the television advertisement. The 30-second television advertisement was aired on local television stations 130 times in a 6-week period. The outcome measures were quantity and characteristics of incoming calls to the automated hot line and staffed chlamydia information phone line in response to the chlamydia campaign, and response to the urine screening program. Descriptive and bivariate analyses were used to evaluate the outcomes. RESULTS: The hot line was called 642 times during the monitoring period (November 1, 1999 to March 8, 2000), the majority (92%) during the 6 weeks of television advertisement, with an average of 99 calls per week, compared with an average of 9 calls per week after the commercial ended. Each bulk mailing was accompanied by a boost in the incoming hot line calls. The research staff triaged 133 calls to the "Options" phone line, 81% in the 6 weeks of the TV ad. The mean age of the 133 callers was 23.9 +/- 7.7 years (range 14-49 years). A majority called for screening information; 67% of callers were females and 84% of female callers were under age 26 years. Five percent of callers identified themselves as a parent of a teenager. The majority credited the TV ad as their source of the hot line number. Thirty-one individuals reported for a confidential chlamydia screening, 27 of 31 (87%) during the 6 weeks of TV advertising. No negative responses regarding the chlamydia campaign were encountered. CONCLUSION: This report describes strategies used to implement and measure the effectiveness of a mass media campaign and demonstrates evidence that mass media is effective in delivering STD intervention messages to young people.

Adolescent↗
PubMedDate not supplied

Implementing a nurse-led telephone advice system in ophthalmology.

This article describes the background research I undertook to determine the potential for a telephone advice line in this major specialist eye hospital in the United Kingdom. The information gained was used to implement a computer-based telephone assessment system with guidelines. This system enables a registered nurse with an ophthalmic qualification to offer telephone triage and general information and advice about eye problems. The help line was identified as a service that would enhance the care of patients with eye problems, their carers, and health providers. The help line, "Moorfields Direct," was given a dedicated telephone number and was officially launched in February 1999.

Eye Diseases↗
PubMed1998

ET, phone home: telehome care.

No doubt that advances in technology are making a substantial impact on the delivery of health care. The idea of using some of this high-tech equipment within the home setting can seem quite unusual, perhaps extraterrestrial, giving the phrase "Reach out and touch someone" a whole new meaning. This aspect of health care even has a new name--telehome care--and we are just at the threshold of this frontier.

Community Health Nursing↗
PubMed2000

Oncology decision tree.

Financial cutbacks and budgetary constraints continue to be a part of government policy, and impact deeply on many aspects of daily life in Australia in the late 90s. Health care is not immune from these measures, and nurses and other allied health professionals are having to manage increasingly complex patient care with less funding and resources. Patients undergoing chemotherapy and radiotherapy can usually be managed on an outpatient basis, but need round the clock specialist nursing care at home following treatment which can have unpleasant side effects. Home nursing is an expensive option, but it has been shown in the US that a specialist nurse can triage by telephone, providing expert and timely advice and care to this vulnerable group, preventing admission to hospital and providing family support. The purpose of this paper is to demonstrate that, despite budget constraints, an improved cost effective service can offer clients expert care at a fraction of the cost of alternative services. By Sally Koodiaroff.

Australia↗
PubMed2003

Consequences for the teenagers after anogenital sexual contacts.

Necessity of research of teenagers after violent actions of sexual character is connected basically with anogenital sexual contacts. Survey of victims by the medicolegal (forensics medicines) expert assumes knowledge of illnesses like anorectal complex, causing anorectal dysfunctions (perianal itch, proctalgia, a crack of anal tract, encopresis). All specified diseases concerned with anorectal rings can be idiopatic (without the established reason) and secondary (locks, violent actions of sexual character, medical manipulations, traumas). On suspicion of anal penetration in children, survey should be carried out after obligatory conversation with the psychologist and with special feeling of a step, taking into account age factors and diseases of mental sphere. Such survey demands a certain algorithm of inspection, whose basic stages consist of the following: (1) Survey of anal areas will be carried out after preliminary conversation and examinations of other sites of a body in knee-elbow position. Whenever possible, the expert should be on floor with surveyed. (2) Hands of the expert should be warm so as not to provoke a pressure of muscles in the anus. (3) The anal reflex is checked by an easy touch, without painful variant, to a superficial part anal apertures (external sphincter is tunicae reduced, back pass is involved). (4) Children, as a rule, do not keep sphincter, a strong-willed pressure and therefore, reduction of a reflex is accompanied by reduction of force as a result of reduction of sphincter and its tone.

Adolescent↗
PubMed2000

Mobile information and communication tools in the hospital.

Mobile information and communication systems in clinical routine have the potential to greatly improve communication, facilitate information access, eliminate double documentation, and increase quality of patient care in the long run. Projects to date have focused, for the most part, on highly specialized applications of the mobile computer. In our research project, 'Cooperative Problem Solving in Health Care', we have, among other things, designed a multifunctional mobile information and communication assistant. A prototype version of this system was implemented. This article outlines the close-to-reality evaluation of our prototype in a 1-week simulation study in a Heidelberg University hospital. We describe methods, aims, design and results of the simulation study, as well as discuss our methodology and the results we have obtained. We argue that the diverse requirements of different professional groups cannot be fulfilled by a single multifunctional device and propose, therefore, a 'multi-device mobile computer architecture'. Finally, we present consequences for the future computing infrastructure.

Attitude of Health Personnel↗