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Home Management (home + management)
Selected AbstractsHome management of haemophiliaHAEMOPHILIA, Issue 2 2004J. M. Teitel Summary., The demonstrated benefits of home care for haemophilia include improved quality of life, less pain and disability, fewer hospitalizations, and less time lost from work or school. Although reduced mortality has not been demonstrated, the substantial increase in longevity since the early 1980s correlates with the introduction of home treatment and prophylaxis programmes. These programmes must be designed and monitored by haemophilia treatment centres (HTC), which are staffed with professionals with broad and complementary expertise in the disease and its complications. In return, patients and their families must be willing to accept the reciprocal responsibilities that come from administering blood products or their recombinant equivalents at home. Patients with inhibitors to factors VIII or IX pose special challenges, but these complications do not obviate participation in home care programmes. Home care was an essential prerequisite to the introduction of effective prophylactic factor replacement therapy. Prophylaxis offers significant improvements in quality of life, but requires a substantial commitment. The use of implantable venous access devices can eliminate some of the difficulty and discomfort of peripheral venous access in small children, but brings additional risks. The future holds the promise of factor concentrates for home use that have longer half-lives, or can be administered by alternate routes. Knowledge of patient genotypes may allow treatments tailored to avoid complications such as inhibitor development. Gene therapy trials, which are currently ongoing, will ultimately lead to gene-based treatments as a complement to traditional protein-based therapy. [source] Long-term care dermatologyDERMATOLOGIC THERAPY, Issue 3 2003Robert A. Norman ABSTRACT:, Long-term care dermatology is a growing specialty, serving a U.S. population of over 2.7 million patients. Included here is an overview of the medical and administrative structures of extended care facilities, basics of nursing home management, risk assessment tools, and treatment recommendations. [source] From Treatise to Textbook: A History of Writing About Household ManagementFAMILY & CONSUMER SCIENCES RESEARCH JOURNAL, Issue 2 2008Sharon Y. Nickols The origins of contemporary writing about household management in the United States have been traced back to Catharine Beecher's A Treatise on Domestic Economy. The expansion of academic programs in home economics, the rise of research using the scientific method, and the changing economic and social conditions during the early 20th century contributed to the transition from treatises offering household advice based on Christian precepts and customary roles to more analytical approaches to household management and the publication of textbooks for college courses. Using qualitative research methods, this study traced the 75-year history of home management/family resource management textbooks published in the United States. The themes found throughout this period show both subtle shifts and dramatic changes in seven areas of analysis: the rationale for studying home management, the theoretical conceptualization of management, what is managed, individual and family concepts within home management, internal/external emphasis on resource management, pedagogical style, and audience. [source] Childrens'and Adolescents'Use of Diaries for Sickle Cell PainJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2001Virginia Egbert Maikler ISSUES AND PURPOSE. To evaluate the characteristics of vaso-occlusive episodes, home management of pain and its impact on the daily activities, and a diary as a method of data collection. DESIGN AND METHODS. Forty-six adolescents and 75 children were asked to complete daily diaries during the intervention period of a larger study. RESULTS. Mild pain was recorded 95% of the time; moderate pain, 3%; and severe pain, 1%. The pattern and location of pain varied greatly. Adolescents used more interventions than did children. When pain intensity was mild, 80% of the children/adolescents maintained school, social, and home activities, but decreased play/sport activities. When pain intensity was high, they decreased their participation in all activities. PRACTICE IMPLICATIONS. Sickle cell pain episodes are unpredictable and highly variable. Diaries can enhance children's and adolescents'documentation and communication about their pain experiences. [source] Efficacy of an individualized written home-management plan in the control of moderate persistent asthma: A randomized, controlled trialACTA PAEDIATRICA, Issue 12 2005Sunil K Agrawal Abstract Background: The management of childhood asthma necessitates a comprehensive approach including pharmacological treatment as well as education about self-evaluation and home management of the condition. Aim: To evaluate the efficacy of adding an individualized written home-management plan in the control of moderate persistent asthma. Methods: Children with moderate persistent asthma were randomized to receive either an individualized written home-management plan or no plan, in addition to standard asthma therapy including education. They were followed up with serial measurement of outcome variables. Results: Children receiving an individualized written home-management plan had fewer acute asthma events, fewer lost school days, lower symptom score and less nocturnal awakening than those who did not receive a written plan. Conclusion: The addition of a written individualized home-management plan improves overall control in children with moderate persistent asthma. [source] | ||||||||||