Michael Mithoefer works closely with MAPS and is the leading physician on the pilot study of MDMA –assisted psychotherapy in 24 subjects with treatment-resistant posttraumatic stress disorder. Dr. Mithoefer in convinced that MDMA can be more effective in psychotherapy then any other pharmaceutical drug, however according to him “Subjects need good follow-up to help integrate the experience because it can stir up strong emotions “. The primary result of Dr. Mitchoefer’s clinical trial suggest the following; “ … Based on neurocognitive testing, blood pressure and body temperature monitoring data, MDMA-assisted psychotherapy can be administered to PTSD patients without evidence of harm in a therapeutic setting and may be useful in PTSD patients who are refractory to other treatments”. (Mithoefer,
Research Summary Table: Feasibility of Using Cardiac Rehabilitation for Post Stroke and Transient Ischemic Attack Patients Cat M. Huss Chamberlain College of Nursing NR505: Advance Research Methods: Evidence-Based Practice Spring A, 2015 Research Summary Table: Team-Based Learning Author, Year of Publication | Purpose | Sample | Design | Level of Evidence | Findings | Limitations | Kirk et al. (2014) | To evaluate the possibilities of patients using an existing cardiac rehabilitation program after a minor stroke and transient ischemic attack. | 24 patients post transient ischemic attack (TIA) or minor stroke. | Single-blind randomized controlled trial (RCT). | II: evidence from a single-blind randomized controlled trial.
Journal of Behavioral Medicine, Vol. 28, No. 1, February 2005 ( C 2005) DOI: 10.1007/s10865-005-2562-z Patient Strategies to Cope with High Prescription Medication Costs: Who is Cutting Back on Necessities, Increasing Debt, or Underusing Medications? Michele Heisler,1,3 Todd H. Wagner,2 and John D. Piette1 Accepted for publication: March 8, 2004 Many chronically ill adults in the United States face high prescription medication costs, yet little is known about the strategies patients adopt to cope with these costs. Through a national survey of 4,055 adults taking prescription medications for one of five chronic diseases, we compared whether respondents cut back on necessities such as food or heat to pay for medications, increased debt,
State the null hypothesis for the Baird and Sands (2004) study that focuses on the effect of the GI with PMR treatment on patients’ mobility level. Should the null hypothesis be rejected for the difference between the two groups in change in mobility scores over 12 weeks? Provide a rationale for your answer. The null hypothesis is that the woman receiving guided imagery show no greater improvement in their pain scores than the control group after 12 weeks. The study results indicated significant improvement in mobility scores of women who received treatment (F(1, 22)= 9.619, p = 0.005).
The Standard is Zero Preventable Harm MAJ Tyler Burningham DMD Zero preventable harm must be the goal of every healthcare provider and the mission of every healthcare facility. According to a 2013 report, between 210,000 and 440,000 patients die yearly as a result of preventable medical errors.1 Death is one problem with preventable mistakes, fixing the mistake will waste money and resources. Additional appointments will be needed, medical supplies used, and hospital staff working longer hours. Why are providers and hospital administration content with such high rates of preventable errors. I have heard so many poor excuses, but the fact of the matter is they are nothing but excuses.
Systematic Research Review Rebecca Harty Chamberlain College of Nursing NR505: Advance Research Methods: Evidence-Based Learning Spring A, 2015 Introduction Before a patient may present with Cardiopulmonary arrest, they will often exhibit signs and symptoms of their worsening condition hours or days prior to the event. This is considered “failure to rescue” where the caregivers lack the skill to identify signs and symptoms of a decline in a patient’s condition, or a delay in intervening to prevent a cardiac arrest. Failure to rescue.is used as a measure of the overall performance of a hospital though some feel its an act wrongdoing, or negligence. Cardiopulmonary arrests have up to a mortality rate of 80% (Winters et al., 2013). Often,
Am Heart J 2003; 146: 351-8; Lauruschkat et al. Circ 2005; 112: 2397-2402 Patient Beliefs About Diabetes Risks ACC/ADA Diabetes Knowledge Survey (n=2008) 100 80 60 (%) 40 20 0 Blindness Amputation CAD MI Stroke No CV risk http://www.diabetes.org/main/uedocuments/executivesummary.pdf Diabetes and CVD • Atherosclerotic Complications Responsible for – 80% of mortality among patients with diabetes – 75% cases due to coronary artery disease (CAD) – Results in >75% of all hospitalizations for diabetic complications • 50% of type 2 diabetes patients have preexisting CAD • 1/3 of patients presenting with myocardial infarction have undiagnosed diabetes mellitus Lewis GF. Can J Cardiol. 1995;11(suppl C):24C-28C Norhammar A Lancet 2002;359;2140-2144 Diabetes Mellitus: A Cardiovascular Disease United Kingdom Prospective Diabetes Study (n=3867) 30 25 10-year risk 20 (%) 15 10 5 0 Blindness ESRD Amputation Net Microvasc CVA CAD Macro-vasc UKPDS Investigators. Lancet 1998; 352: 837 Type 2 Diabetes and CHD 7-Year Incidence of Fatal/Nonfatal MI (East West Study) 50 7-year incidence rate of
“ Why More Practices are Merging Behavioral Health and Primary Care” Produced by Sandy Hansman Interview with University of Washington’s Psychiatrist , Jurgen Unutzer,M.D., Commonwealth Fund Physician, Pamela riley,M.D., Deborah Bachrach ,a partner with Manatt, Phelps and Phillips. 3.) Team Care Program was developed through a 25 year multidisciplinary collaboration between the University of Washington and the Group Health Research Institute. Diabetic patients who suffer from depression are more likely not to exercise, take their medications or eat right ., Management of this high risk population will improve access to care, decrease costs. 4.)
This is an exemplar of an RUA submitted by of your peers. Please do not plagiarize any of this content! Asthma Prevention Initiative Student Name Chamberlain College of Nursing Health and Wellness Fall B 2014 Asthma Prevention Initiative Asthma is a chronic inflammatory disease of the airways described by episodes of reversible breathing problems from narrowing and obstruction of the airway. “This respiratory disease affects individuals and their families, schools, workplaces, neighborhoods, cities and states” ("Respiratory Diseases," n.d.). Due to high healthcare cost the burden of the asthma falls on the general public; it is paid with loss of productivity, tax dollars and higher insurance rates.
Sean K., & Hugh M. P. (2004, December). Risk to mental health patients discharged into the community. Health, Risk & Society, Vol 6, No 4, , 377-385. Wulf, R. (2009). Does Stigma Impair Treatment Response and Rehabilitation in Schizophrenia?