Medicine and Health Sciences | Open Access Articles

The Decision Counseling Program© And Shared Decision Making, Ronald E. Myers, Phd, Dsw

Division of Pulmonary and Critical Care Medicine Presentations and Grand Rounds

Objectives:

1. Participants will be able to define patient-centered care.

2. Participants will be able to identify components of the Decision Counseling Program©

3. Participants will be able to determine outcomes of exposure to decision counseling and shared decision making

PowerPoint slides only. No Audio.

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Library Partnerships: Oh, The Possibilities!, Joanne Romano

Library Staff Publications

A presentation given at the annual meeting of the South Central Chapter of Medical Library Association (SCC/MLA).

Project Description

OBJECTIVE: To determine if new, strategic partnerships can be initiated between The Texas Medical Center Library (The TMC Library), Baylor College of Medicine (BCM) and University of Texas Health Science Center-Houston (UTHSC-H).

METHODS: Cohort study

The TMC Library joined a 22-member cohort of academic and research libraries to participate in the DuraSpace/ARL/DLF 2012 E-Science Institute, to discover new methods of supporting computational scientific research. From September to December 2012, library teams completed coursework that included interviews with key stakeholders at …

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Efinancial Health, Nan Taylor

Cornerstone 1 Reports : Expansion and Enhancements of the Thinkfinity Platform

No abstract provided.

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Warfarin-Specific Medication Charts- Do They Have A Place In Aged Care Facilities?, Judy Mullan, Margaret Jordan, Victoria Traynor

Judy Mullan

No abstract provided.

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Out-Of-Pocket Costs And Prescription Reversals: The Case Of Oral Linezolid, Margaret K. Pasquale, Anthony M. Louder, Michael C. Deminski, Richard B. Chambers, Seema Haider

Jefferson School of Population Health Fellows’ Day

Kim A. Caldwell, RPh

Employed by Humana Inc., Kim is the Director of Pharmacy Professional Affairs for Humana Pharmacy Solutions. In this role, he and his team serve to liaison between HPS business owners, Humana Public Affairs, and key professional and trade partners. They serve as the pharmacy subject matter experts aligned with key business and regulatory issues, including visits with members of federal and state legislatures as well as the interface with state boards of pharmacy and key trade organizations. Previously, he started and directed Competitive Health Analytics, Inc. (CHA) a business unit within Humana Inc. for the first …

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Connectgpr: Coast City Country Online Network For An Educational Community Of Training For Gp Registrars. A Case Study, Stephen Barnett, Tim Caton, Sandra C. Jones, Donald C. Iverson, Sue Bennett

Sandra Jones

Powerpoint-presentation Role on online communities. Effect on isolation and knowledge sharing. What works: Community THEN, technology. Framework: Barnett BMC Family Practice 2012. Pilot Study: ConnectGPR

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Standardized Pediatric Vancomycin Dosing And Influence On Target Concentrations, Tibisay Villalobos Md, Jenny Boucher Pharmd, Jd, Bcps

Department of Pediatrics

No abstract provided.

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Extracorporeal Membrane Oxygenation For Bridge To Decision And To Recovery., Hitoshi Hirose, Md, Phd, Shingeki Tabaka, Md, James Diehl, Md, Nicholas C. Cavarocchi, Md

Department of Surgery Faculty Papers

Extracorporeal life support has advanced from its humble beginnings over 3 decades ago, with the first description of its success in a patient with Acute Respiratory Distress Syndrome (ARDS), going as far back as 1971. The indications for extracorporeal membrane oxygenation (ECMO) therapy include refractory respiratory and/or cardiac failure, and ECMO is now being increasingly used in adult patients. In this case report, we present a patient who had traveled from India to the United States, where she developed acute decompensated biventricular failure and shock, requiring ECMO placement as a bridge to a decision. During her first few days on …

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Inter-Institutional Sharing Of Veterinary Specialty Boards Reading Lists Using Libguides™ (Poster), Jessica Page, Heather Moberly, Vicki Croft, Ann R. Viera, Laura Rey

Ann R Viera MLIS

No abstract provided.

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A College Study On Grief, Depression, And Anxiety, Briana Alexandre Paulo

Senior Honors Projects

Trauma and stress have been commonly studied with the occurrence of anxiety disorders. However, less research has been conducted on the relationship between the experience of loss, the centrality of the loss to a person’s identity and the experience and severity of symptoms of depression and anxiety. Current research has examined the relationship between a significant stressful event and symptoms of post-traumatic stress disorder (PTSD). Symptoms of anxiety and depression are experienced by people during various points in their life, although higher levels of these disorders may be exhibited after having experienced a loss or stressful life event.

Grief can …

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Assessing Tissue Characterization Of Abdominal Organs Using Fuzzy C-Means Cluster Analysis Of Color- Fusion Mr Images, Terrance D. Weeden, H. Keith Brown

Terrance Weeden

Color fusion MRI is being investigated for its value in automatic segmentation of tissues. An existing color fusion MRI data set of the liver, pancreas, and kidney of a normal male volunteer was analyzed both visually and statistically. Automatic tissue segmentation can allow better differentiation of abdominal pathologies, as well as pathologies associated with other organs. My research hypothesis is that fuzzy c-means clustering can be used to quantify the confidence levels of the correct classification of renal, pancreatic, and hepatic tissues visualized by the color fusion MRI method. Results from data show that fuzzy c-means clustering can be used …

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Strong Fathers, Strong Sons, Gary A. Sibcy Phd

Gary Sibcy

No abstract provided.

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Developments In Contact Lenses, Claire Mcdonnell

Claire McDonnell

No abstract provided.

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The Intersection Of Healthcare Quality And Fund Development, Kathleen Dennis, Mark Slover, Erich C. Maul Do, Mph

Erich C. Maul DO MPH

No abstract provided.

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Pediatric Ekg's Demystified, Erich C. Maul Do, Mph

Erich C. Maul DO MPH

No abstract provided.

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Medical Students' Experience Of A Longitudinal Integrated Clerkship - Lessons Learned, A Bonney, G Albert, J N. Hudson, P J. Knight

Faculty of Science, Medicine and Health - Papers: part A

A poster presented at the 2013 ANZAHPE: Australian and New Zealand Association of Health Professional Educators Annual Conference, Melbourne.

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Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

BACKGROUND

More than 50 oral chemotherapy agents in pill form are on the market, with projections that in 3 years, 25% of cancer treatment will be in pill form. For oral agents to achieve a therapeutically effective level for cancer treatment, patients must strictly adhere to the regimen. However, adherence is often less than 80%, which may be inadequate for treating the cancer. There are more than 285 million wireless subscribers in the US with an estimated 67.5% of adults owning cell phones and 98% of those phones having text messaging capability. A recent review of 12 trials on interventions …

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Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: Patients with cancer miss as much as one-third of the prescribed doses of oral anti-cancer agents required for treatment of their disease.

Problem & Purpose: This shift in treatment results in care at home, placing responsibility on patients. This review will discuss the foundation for developing a combined motivational interviewing (MI) and brief cognitive behavioral therapy (CBT) intervention and will examine evidence on MI/CBT interventions that improved adherence.

Framework: Not applicable.

Methods: Whittemore and Knafl’s review method was used, identifying studies via a search in CINAHL and PubMed using key words of MI/CBT; and reviewing of references.

Findings: 2822 …

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Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: When taking oral agents, patients need to manage symptoms so that they do not become so severe that it leads to decreased function and difficulty with activities of daily living, and reducing or stopping the medication, rendering the cancer treatment ineffective.

Problem & Purpose: Over fifty oral anti-cancer agents are currently on the market, and within three years, 25% of treatment will be delivered in pill form, shifting treatment to the responsibility of patients. This study describes symptoms from oral agents, attribution of symptoms, and preference for assistance.

Framework: Not applicable.

Methods: Thirty cancer patients taking …

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Text Messaging To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: A review of oral agent studies indicates less than an 80% rate of adherence; and 10% of those newly prescribed oral agents stop taking their medication. Lack of adherence to oral anti-cancer agents is a significant clinical problem that may result in treatment failure, hospitalization, loss of work, and, in some instances, death.

Problem & Purpose: Treatment is primarily the responsibility of patients who are prescribed oral agents. This review will discuss the foundation for developing a text message intervention and will examine evidence on text message interventions that improved adherence.

Framework: Not applicable.

Methods: Whittemore and …

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Development Of A Risk Index To Predict Transfers From Home And Community-Based Waiver Programs To Nursing Homes: Can Care Managers Assist Older Adults To Delay Nursing Home Placement?, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Purpose: This research examines the risk of nursing home placement (NHP) among an inception cohort of 6525 older adults entering a statewide home and community-based waiver program between 2002—2007.

Background: With adults aged 65 and older currently comprising 15% of the population and growing exponentially, concern is mounting as to how to care for this group. It will be important to deliver high-quality care tailored to the needs of clients in order to allow these individuals to remain living in the community. Most older adults prefer to remain in their homes but are forced to transfer to NHs because …

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A Multi-Disciplinary Collaboration To Promote Adherence In Cancer Patients Taking Oral Agent Medications, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Problem and State of the Science: Over 50 oral agents in pill form are currently on the market, with projections that in three years, 25% of cancer treatment will be delivered in pill form with patients assuming responsibility for self-management at home. For oral agents to achieve a therapeutically effective level for cancer treatment, patients must strictly adhere to the regimen. Adherence to oral cancer agents is often less than 80%, which may be inadequate for treating the cancer. Many barriers exist to promoting medication adherence for cancer patients in fast-paced office settings. This include time demands, focusing on physical …

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Determining Preferences For Symptom Management Assistance While Taking Oral Anti-Cancer Agent Pills, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Nearly 50 oral anti-cancer agents are on the market, and it’s projected that in 3 years, 25% of chemotherapy will be delivered in pill form. Thus, patients must take responsibility for managing symptoms at home. This was an 8-week exploratory study of cancer patients on oral agents from 3 cancer centers in the Midwest. Baseline interviews collected characteristics, type/stage of cancer, symptoms, and comorbid conditions. Patients were asked preference for information to help manage symptoms. Mean age was 65.2 years, 50% were Female, 87% Caucasian and 13% African American. Preference for obtaining symptom management information included: 37% phone calls, 27% …

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Full-Text Articles in Medicine and Health Sciences

The Decision Counseling Program© And Shared Decision Making, Ronald E. Myers, Phd, Dsw

Division of Pulmonary and Critical Care Medicine Presentations and Grand Rounds

Library Partnerships: Oh, The Possibilities!, Joanne Romano

Library Staff Publications

Efinancial Health, Nan Taylor

Cornerstone 1 Reports : Expansion and Enhancements of the Thinkfinity Platform

Warfarin-Specific Medication Charts- Do They Have A Place In Aged Care Facilities?, Judy Mullan, Margaret Jordan, Victoria Traynor

Judy Mullan

Out-Of-Pocket Costs And Prescription Reversals: The Case Of Oral Linezolid, Margaret K. Pasquale, Anthony M. Louder, Michael C. Deminski, Richard B. Chambers, Seema Haider

Jefferson School of Population Health Fellows’ Day

Connectgpr: Coast City Country Online Network For An Educational Community Of Training For Gp Registrars. A Case Study, Stephen Barnett, Tim Caton, Sandra C. Jones, Donald C. Iverson, Sue Bennett

Sandra Jones

Standardized Pediatric Vancomycin Dosing And Influence On Target Concentrations, Tibisay Villalobos Md, Jenny Boucher Pharmd, Jd, Bcps

Department of Pediatrics

Extracorporeal Membrane Oxygenation For Bridge To Decision And To Recovery., Hitoshi Hirose, Md, Phd, Shingeki Tabaka, Md, James Diehl, Md, Nicholas C. Cavarocchi, Md

Department of Surgery Faculty Papers

Inter-Institutional Sharing Of Veterinary Specialty Boards Reading Lists Using Libguides™ (Poster), Jessica Page, Heather Moberly, Vicki Croft, Ann R. Viera, Laura Rey

Ann R Viera MLIS

A College Study On Grief, Depression, And Anxiety, Briana Alexandre Paulo

Senior Honors Projects

Assessing Tissue Characterization Of Abdominal Organs Using Fuzzy C-Means Cluster Analysis Of Color- Fusion Mr Images, Terrance D. Weeden, H. Keith Brown

Terrance Weeden

Strong Fathers, Strong Sons, Gary A. Sibcy Phd

Gary Sibcy

Developments In Contact Lenses, Claire Mcdonnell

Claire McDonnell

The Intersection Of Healthcare Quality And Fund Development, Kathleen Dennis, Mark Slover, Erich C. Maul Do, Mph

Erich C. Maul DO MPH

Pediatric Ekg's Demystified, Erich C. Maul Do, Mph

Erich C. Maul DO MPH

Medical Students' Experience Of A Longitudinal Integrated Clerkship - Lessons Learned, A Bonney, G Albert, J N. Hudson, P J. Knight

Faculty of Science, Medicine and Health - Papers: part A

Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Text Messaging To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Development Of A Risk Index To Predict Transfers From Home And Community-Based Waiver Programs To Nursing Homes: Can Care Managers Assist Older Adults To Delay Nursing Home Placement?, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

A Multi-Disciplinary Collaboration To Promote Adherence In Cancer Patients Taking Oral Agent Medications, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Determining Preferences For Symptom Management Assistance While Taking Oral Anti-Cancer Agent Pills, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN