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For Healthcare Professionals #HCPs Conversation Openers: Practical advice for healthcare professionals on ‘how’ to have open conversations on mental health with patients - https://lnkd.in/eY_N-Jf2 UKONS (UK Oncology Nursing Society) EONS Cancer Nursing Nursing Times

Comparing the Prevalence and Characteristics of Chest Pain in Children and Adolescents Pre- and Post-COVID-19: A Retrospective Study Abstract Background: Chest pain is a common complaint among pediatric patients, often leading to visits to Emergency Departments or outpatient clinics. While most cases are benign, timely diagnosis is essential to prevent fatalities in those with serious conditions. The COVID-19 pandemic has shifted healthcare dynamics, necessitating an understanding of its impact on pediatric health, including potential complications such as chest pain, fever, cough, shortness of breath, sore throat, and headache. This study aims to explore the prevalence, characteristics, and potential association between COVID-19 and chest pain in children during two time periods: 2019 (before the COVID-19 pandemic) and 2021 (the full year during the pandemic). Methodology: Data were collected from medical records and telephone interviews with pediatric patients presenting with chest pain at the University of Jordan Hospital. The study included a sample size of 3294 patients with selection criteria based on presenting symptoms and COVID-19 status. Data collection occurred from 2019 and 2021, and demographic information (age, gender, weight), medical history (perinatal and family history), COVID-19 status (vaccination, infection history), and details about chest pain (frequency, onset) were documented. Statistical analyses were performed to evaluate differences between the two time periods using IBM SPSS Statistics for Windows, Version 28 (Released 2021; IBM Corp., Armonk, New York, United States). ***Click on logo in banner below to access the entire study, its authors and their references. Posted by Larry Cole Executive Director of Covid Impact 360

New innovation: #healthcare #health #medicine #healthdata #data #healthcareinnovation #datawarehouse #ai #datascience #machinelearning #datacleaning #doctors #nurses #patients #clinicians #healthcareit

𝐋𝐨𝐧𝐠 𝐫𝐞𝐚𝐝: 𝐖𝐡𝐢𝐭𝐭𝐢𝐧𝐠𝐭𝐨𝐧 𝐇𝐞𝐚𝐥𝐭𝐡 𝐚𝐧𝐝 𝐔𝐂𝐋𝐇 𝐰𝐨𝐫𝐤𝐢𝐧𝐠 𝐭𝐨𝐠𝐞𝐭𝐡𝐞𝐫 𝐭𝐨 𝐢𝐦𝐩𝐫𝐨𝐯𝐞 𝐜𝐚𝐫𝐞 𝐟𝐨𝐫 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬 𝐥𝐢𝐯𝐢𝐧𝐠 𝐰𝐢𝐭𝐡 𝐑𝐞𝐝 𝐂𝐞𝐥𝐥 𝐃𝐢𝐬𝐨𝐫𝐝𝐞𝐫𝐬 Whittington Health's dedicated red cell team cares for around 200 people with thalassaemia, the biggest cohort in the country, and over 300 adults living with sickle cell disorder. UCLH is responsible for the care of around a further 700 red cell patients of whom around 425 have Sickle Cell Disorder. The team is made up of clinical staff who split their time between our organisation and University College London Hospitals NHS Foundation Trust (UCLH). This collaboration has a long-standing history. For example, in the past, we would refer patients to UCLH for blood transfusions. We continue to refer patients to UCLH for specialised procedures like a portacath placement, a device placed in the chest which reduces the need for repeated needle sticks in the arm, and refer patients for specialised therapies like the newly approved gene-editing therapy that offers a potential cure for transfusion-dependent beta thalassaemia. Teamwork also extends beyond the hospital walls into the heart of our community where Whittington consultants, nurses, and pharmacists provide care to patients with red cell disorders in their homes. We all know how important home visits are for our patients who live with chronic illnesses, as they allow our colleagues to build stronger relationships with patients and help to increase patient engagement with our services. But it’s particularly important for patients who live with red cell disorders, as longstanding health inequalities, often underpinned by racism, mean that some patients avoid coming to hospital. “Historically, our patients do not always associate hospital visits with positive experiences," Dr Drasar explains. "So, when they are well, they might avoid coming into the hospital for their routine check-up. We step in to do this appointment at the patient's home, where they feel more comfortable and we do this for both Whittington Health patients and UCLH patients." Regular multidisciplinary team (MDT) meetings ensure that staff across both trust's are kept in the loop. After Matty Asante-Owusu, Sickle Cell Community Matron at Whittington Health, visits a UCLH patient with sickle cell disorder in their home, she will call colleagues at UCLH and give feedback. Thanks to her access to UCLH's electronic patient record (EPR) system, Matty can also update the patient’s record. And that’s where Whittington and UCLH community-based events help to bring people together. For example, a social club, created by Matty for older men with red cell disorders so they can socialise over dinner once a month, and the ‘Patient Users Group’ which provides a platform for expert speakers to talk to patients on topics such as the latest research in red cell disorders, nutrition and vaccinations.

Patient types الدرس ١٨ من دورة الإيرادات متوفر فيديو شرح للدرس د صديق الحكيم Patients can be categorized into different types based on various criteria such as care needs, visit purpose, and healthcare delivery settings. Below are the main types of patients commonly encountered in clinical settings: ♦️1. Based on Visit Purpose 1. New Patients Visiting the clinic for the first time. Require more time for intake, medical history review, and establishing rapport. 2. Established Patients Have visited the clinic before. Records and history are already available, making visits more focused on ongoing care. 3. Referral Patients Referred by another provider or specialist. Often for specific diagnostic or therapeutic services. ♦️2. Based on Condition Severity 1. Acute Patients Present with short-term or sudden conditions (e.g., flu, infections, injuries). Require immediate attention but are usually resolved quickly. 2. Chronic Patients Suffering from long-term or ongoing conditions (e.g., diabetes, hypertension). Need continuous monitoring and management. 3. Critical Patients Present with life-threatening conditions (e.g., heart attack, severe trauma). Require urgent and intensive care, often involving hospitalization. ♦️3. Based on Age Group 1. Pediatric Patients Children and adolescents (typically under 18 years). Require specialized care tailored to their developmental needs. 2. Adult Patients Typically aged 18-65 years. Receive a broad range of services, from preventive to chronic disease management. 3. Geriatric Patients Older adults (usually 65+ years). Focus on managing aging-related conditions, multiple comorbidities, and mobility issues. ♦️4. Based on Type of Care Needed 1. Preventive Care Patients Visit for routine screenings, vaccinations, or health check-ups. Focused on maintaining health and preventing disease. 2. Diagnostic Patients Present with symptoms requiring evaluation and testing to determine the cause. 3. Therapeutic Patients Undergoing treatment or interventions for a specific condition. 4. Rehabilitative Patients Recovering from surgery, injury, or illness. Often require physical, occupational, or speech therapy. ♦️5. Based on Healthcare Setting 1. Outpatients Visit the clinic or hospital but do not require overnight stays. 2. Inpatients Admitted to the hospital for at least one night for more intensive care. 3. Emergency Patients Seen in the emergency department for urgent or acute care. 4. Home-Care Patients Receive care at home, often for chronic or terminal conditions. ♦️6. Based on Payment or Insurance Status 1. Self-Pay Patients Pay out-of-pocket for services. 2. Insured Patients Covered by private or public insurance. 3. Charity or Uninsured Patients Receive care through charity programs or with financial assistance. ✅️✅️Understanding the type of patient helps healthcare providers tailor their approach to ensure efficient and effective care delivery.

It has been a long time since I have felt able to connect here. Today marks 5 months since I lost my husband and soulmate to lung cancer. This time has been important for me to process, understand and come to terms with this loss. Having dedicated my professional life to lung health, it seems oddly cruel and ironic that 3 of the most important people in my life would suffer and eventually die from lung disease. Despite the many advances I have had the privilege to work on with so many talented people, I have been struck by how profoundly powerless I was to help my husband. A simple error in 2022 sealed our fate, allowing cancer to run amok without detection, until it was too late to fight back. I have no intention of ending the fight. I am more motivated than ever to contribute to a more effective and human way to shape healthcare. There are a few themes from our experience this year that I would like to call out and challenge those who are in positions of power to consider: The slow and complex path to diagnosis remains the single biggest barrier to better outcomes. It was decades ago that we knew how important it was to diagnose lung cancer early and established a target of 30 days from first presentation to treatment. In our case, the 2022 lung scan report claimed “no nodules” but the scan actually showed nodules. The technology exists to eliminate these types of human error. Why aren’t we using it? We have more capacity within the system than most of us realize, but we place artificial barriers in the way of leveraging it. Our referrals were spread across two health systems that didn’t talk to one another and the onus was on me to get the biopsy done as quickly as possible. When we hit a brick wall, a hospital in the city offered to do the procedure the same day but they use a different requisition and our GP was unable to figure out how to download it and complete it, so back in line we went. The private clinics that claim to aid in backlog reduction, were more backlogged than the hospital. Why can’t we have 1 requisition across the province that everyone uses and why can’t patients go wherever there is capacity if they have the ability to get there? The concept of cross functional healthcare teams is an illusion - we have many well-meaning and capable healthcare professionals who all work in their unique silos and they are struggling within the system as much as patients and caregivers. In our case, homecare services were established immediately but the wait time for the OT to assess our needs was long and the equipment needed to manage him at home never arrived. He died before the first assessment. Homecare without the right professionals and equipment places everyone at risk. Kudos to every patient, caregiver and healthcare professional who is doing everything they can to create a more kind and human experience for all of us. We need you more than ever.

Well my friend of 40 years, you captured the moment to which most people would have buckled under. Making a devastating event into an opportunity to channel this hard-fought path of patient advocacy and legacy. Ian would have been so proud, “Purple Hayes Consulting”.  The direct irony is not lost on all those who care for you! As you are correct, Ian’s could have had a different outcome. Technology features such as workflows, AI, block chain, applied to diagnostic norms. Standards available for years in manufacturing, transportation, supply chain, but not in health care? In an integrated health care system, resources would follow the patient. Efficient processes, such as centralized triage and shared electronic medical records, a key to connecting patients with the right level of care. We are making strides. However, systems are not all integrated! Certainly not as a single cloud application which can house all the stakeholders. As both a long time patient and a development IT Project Manager, it is my hope that the future of health care will understand that the “human error is inevitable”. It is in the data and the controls established by systems that will ultimately minimize those occurrences. 

Based on our shared expertise, Global Liver Institute and the National Alliance for Caregiving are proud to collaborate in providing recommendations to the Centers for Medicare & Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (CMMI) for Medicare and Medicaid Innovation to improve the proposed Increasing Organ Transplant Access (IOTA) Model by providing additional #caregiver support. 🤝 This model tests whether performance-based incentives for kidney transplant hospitals can increase #access to #kidneytransplants while preserving quality of care and reducing Medicare costs. 🏥 The proposed IOTA Model will eventually affect other organ transplantation, including #livertransplants. Our recommendations address the systemic gaps that affect #caregivers ➡️ so they are better equipped to care for transplant patients ➡️ to ultimately improve the performance of transplant systems within the new model. ✉️ https://lnkd.in/gtCsnyYT #TransplantTuesday #HealthcareAccess #KidneyTransplant #LiverTransplant #ESRD

A comparative study on prophylactic efficacy of cinnarizine and amitriptyline in childhood migraine: a randomized double-blind clinical trial ### Summary This study compared the efficacy of cinnarizine and amitriptyline in pediatric migraine prophylaxis, showing that both medications are effective but amitriptyline may be preferable due to faster onset of action and longer-lasting effects. ### Highlights - 💊 Pediatric migraine prophylaxis compared: cinnarizine vs. amitriptyline - 💊 Amitriptyline group showed more effective reduction in headache frequency and duration - 💊 No significant difference in severity improvement and reducing disability score between the two groups - 💊 Both medications effective in ameliorating migraine headaches and related disabilities - 💊 Amitriptyline may be preferred option over cinnarizine based on study results - 💊 Safety profiles of both medications were assessed with no serious adverse events observed #PediatricMigraine #MigraineProphylaxis #Amitriptyline #Cinnarizine #HeadacheReduction #ClinicalTrials

In-hospital delirium linked to long-term cognitive impairment in COVID-19 patients over 60 In a recent study published in the JAMA Network Open, a group of researchers evaluated the association of in-hospital delirium (sudden, severe confusion and brain function changes) with functional disability and cognitive impairment (decline in memory and thinking skills) over the six months following discharge among older adults hospitalized with coronavirus disease 2019 (COVID-19). Background Older adults are more likely to experience severe illness from COVID-19, often requiring hospitalization and intensive care unit (ICU) admission. Delirium is common among these patients and is reported as the sixth most frequent symptom in older adults presenting to the emergency department. Delirium rates in hospitalized COVID-19 patients range from 11% to 65%. It is a significant risk factor for complications such as prolonged hospital stays, unplanned ICU admissions, discharge to nursing facilities, and increased mortality. The pandemic exacerbated delirium risk factors, including prolonged hospital stays, sedatives, social isolation, immobility, and communication barriers. Further research is needed to understand better the long-term impacts of in-hospital delirium on functional and cognitive outcomes in older adults post-COVID-19 hospitalization. About the study Participants were drawn from the COVID‐19 in Older Adults: A Longitudinal Assessment (VALIANT) cohort, a prospective study assessing outcomes among older COVID-19 survivors hospitalized at five Yale-New Haven Health System hospitals. Eligibility required participants to be at least 60 years old, speak English or Spanish, and have a confirmed Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection. Exclusions included advanced dementia, long-term nursing facility residency, or hospice transition. Verbal informed consent was obtained, and proxies were used if decisional impairment was confirmed. Continued.....please click on image in banner below to access the entire study results. Posted by Larry Cole