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The Implementation Of Telehealth In Disease Management At Patient-Centered Medical Home, Mirsada Nurkanovic
The Implementation Of Telehealth In Disease Management At Patient-Centered Medical Home, Mirsada Nurkanovic
College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications
Purpose: Telehealth (TH) and video conferencing in the patient-centered medical home (PCMH) can bridge geographical gaps between patients and providers, by eliminating the inconveniences of leaving the house and traveling to appointments. The evidence indicates that TH also: provides clinical benefits in high-risk patients1, improves glucose control2, improves quality of life and reduces ED visits and hospitalizations for patients with COPD3, enables self-care of patients with heart failure4, reduces risk of admission for patients with asthma5, improves medication adherence6, results in potential cost savings7, and provides …
An Evidence-Based Non-Opiate Withdrawal Treatment Protocol For Vermont Correctional Facilities, Kate J. Shaper
An Evidence-Based Non-Opiate Withdrawal Treatment Protocol For Vermont Correctional Facilities, Kate J. Shaper
College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications
Purpose: The purpose of this project was to implement an improved standard of care for patients in acute opiate withdrawal in 6 correctional facilities using available evidence-based practice.
Methods: A comprehensive literature review of non-opiate interventions for acute opiate withdrawal (AOW) confirmed that clonidine effectively treats the objective symptoms, with lower risk for abuse and diversion. Additional supportive measures for AOW included hydroxyzine (Vistaril/Atarax), acetaminophen, and loperamide. Using these findings, a new medication protocol was formulated in partnership with the state medical director, the Department of Corrections, and the state director of nursing. An educational presentation regarding implementation and safety …