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Results for “Interdisciplinary Communication”

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At least 1,189 records · Page 66Linked to original sources
PubMed2003

An approach for integrating complementary-alternative medicine into primary care.

BACKGROUND: Despite family practitioners frequently being requested to assist their patients with advice on or referrals to complementary-alternative medicine (CAM), there is an absence both of evidence about the efficacy of nearly all specific treatments or modalities and of guidelines to assist with the integration of conventional and CAM therapies. OBJECTIVE: The aim of this article is to suggest a comprehensive and rational, best-evidence strategy for integrating CAM by primary care practitioners into primary care, within the context of the limitations of the current knowledge base and the local milieu. METHODS: The suggested approach was developed by a combination of literature review, key informant interviews, focus groups, educational presentations for family practice residents and practitioners, and field testing. An iterative model was utilized whereby more refined drafts of the suggested approach were subjected to later discussants and groups, as well as further field testing. Drafts of the strategy were utilized in consultations of patients requesting advice on alternative medicine in a primary care setting and in a CAM clinic. RESULTS: Both family physicians and CAM practitioners provided useful comments and recommendations throughout the process. These can be categorized in terms of knowledge, attitudes and skills. Our strategy suggests that patients requesting advice on the use and integration of CAM modalities as part of their health care should be evaluated initially by their primary care physician. The physician's responsibilities are to evaluate the appropriateness of that use, and to maintain contact, monitoring outcomes. Advice on referrals should be based on the safety of the method in question, current knowledge on indications and contraindications of that modality, and familiarity and an open dialogue with the specific therapist. CONCLUSIONS: Given patients' demands and utilization of CAM therapies, despite the lack of evidence, there is an increasing need to address how CAM therapies can be integrated into conventional medical systems. These suggestions should respond to patient's expectations and needs, but at the same time maintain accepted standards of medical and scientific principles of practice.

Attitude of Health Personnel↗
PubMed2005

Linking the two ends of life: what gerontology can learn from childhood studies.

This paper extends provocative ideas from the emerging interdisciplinary field of childhood studies to the field of gerontology. These ideas constitute a framework for building new kinds of theories and research on old people and old age-gathered around rights and responsibilities of and for old people; focused on their agency and social participation; concerned with the social problems of old people, as well as how old people are constructed to be social problems; anchored in their perspectives and voices; dedicated to describing and explaining both commonness and difference in their experiences and statuses; devoted to understanding old people as beings and becomings; and attentive to the interdependence of generations within families and societies. These commitments will require gerontology to strengthen its treatment of sociocultural phenomena, prompt more genuinely interdisciplinary scholarship, and advocate a wider range of research methods and data. A "new social studies of old people and old age," nurtured around these ideas, will also raise the visibility of old people and old age in science, public policy, and social life.

Aged↗
PubMed1993

A center on ethics in long-term care.

Long-term care institutions are beginning to grapple with ethical issues on a regular basis. This has encouraged facilities to develop new mechanisms to deal with these issues. Described is a tripartite program that incorporates direct service, education, and research in ethics.

Biomedical Research↗
PubMed2003

Directions in environmental gerontology: a multidisciplinary field.

This article considers developments and directions for environmental gerontology drawing on the three papers in this Forum. The multidisciplinary field came of age during the 1960s with Powell Lawton's powerful environmental press paradigm and its applications to empirical research and building design. Recent theoretical developments in Europe and America have advanced and integrated concepts in psychology, geography, and related disciplines. Time dimensions and active use of space are essential for understanding aging individuals and microenvironments as well as changing populations and macroenvironments. Research on residential environments by health professions is informing community care that is enhancing the independence and well-being of older people. With its proven responsiveness to social and policy priorities, environmental gerontology is now providing strong conceptual and empirical bases for advancing healthy aging and age-friendly societies.

Activities of Daily Living↗
PubMed2006

Interdisciplinary care planning and the written care plan in nursing homes: a critical review.

PURPOSE: This article is a critical review the history, research evidence, and state-of-the-art technology in interdisciplinary care planning and the written plan of care in American nursing homes. DESIGN AND METHODS: We reviewed educational and empirical literature. RESULTS: Interdisciplinary care planning and the written care plan are mandated processes that are imbedded in the regulatory fabric and routines of the American nursing home. These processes evolved from the discipline of nursing, where care planning has had a long and controversial history. IMPLICATIONS: Practice implications are provided.

Homes for the Aged↗
PubMed2003

Restructuring a ministry of health - an issue of structure and process: a case study from Uganda.

This paper analyzes the recently undertaken restructuring of the Ministry of Health in Uganda, which was carried out because the previous structure did not comply well with the decentralization framework or policy. The Ministry was put under pressure by higher political levels, supported by the donor community, to restructure. The paper describes the principles that were guiding this operation, and assesses whether these principles relate to the final outcome and whether the outcome was actually as expected. This paper also analyzes the reasons for the achieved, or not achieved, results and suggests the way forward. The outcome of the restructuring procedure in terms of change in number of employees was small. The foundation, in terms of a certain structure, has been laid for the Ministry of Health to function in its new role as a coach more than a player, but the work to establish a functioning process is far from complete. The issue is to make actors at various levels relate to each other, and thereby establish appropriate processes within the existing structure that will help the Ministry develop into a dynamic body. The importance of finding forms for interaction, involving face-to-face relationships between the Ministry and service delivery level, is stressed.

Attitude of Health Personnel↗
PubMed1987

A template for analyzing ethical dilemmas in discharge planning.

Involvement in discharge planning in acute-care hospitals can produce troubling ethical conflicts for social workers. Using case material, the authors present a model for analyzing these dilemmas. Exploration of available data, value systems, and decision-making dimensions of the situation at hand is suggested as a way of understanding a dilemma and moving toward necessary action.

Aged↗