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Full-Text Articles in Medicine and Health Sciences
Utilizing A Community Resource For Diabetes Lifestyle Management, Max Breidenstein
Utilizing A Community Resource For Diabetes Lifestyle Management, Max Breidenstein
Family Medicine Clerkship Student Projects
Grace Cottage Family Health & Hospital identified diabetes as a level one priority for community health improvement. VeggieVanGo is a program hosted at schools and hospitals hosted by the Vermont Foodbank which provides fresh produce to those in needs. Lifestyles modifications are essential for diabetes management including consuming fresh produce. This project sought to increase awareness of the role of diet in diabetes management for patients at Grace Cottage Hospital who may use the VeggieVanGo program.
Diabetic Foot Wound Care, Richard Q. Vuong
Diabetic Foot Wound Care, Richard Q. Vuong
Family Medicine Clerkship Student Projects
Diabetic foot wound care educational pamphlet developed during the family medicine rotation for 3rd-year medical students. This project was developed in Brookfield, CT.
Handout To Promote Diabetes Education In Spanish Speaking Patients, Javier Rincon
Handout To Promote Diabetes Education In Spanish Speaking Patients, Javier Rincon
Family Medicine Clerkship Student Projects
Hispanic adults are 70 percent more likely than non-Hispanic white adults to be diagnosed with diabetes by a physician. In 2017, Hispanics were twice as likely to be hospitalized for treatment of end-stage renal disease related to diabetes, as compared to non-Hispanic whites. In 2018, Hispanics were 1.3 times more likely than non-Hispanic whites to die from diabetes. Lack of readily accessible educational material in different languages can lead to educational deficits in non-English speaking patients.
Pre-Visit Questionnaire For Diabetic Patient Visits, W. Evan Shaw
Pre-Visit Questionnaire For Diabetic Patient Visits, W. Evan Shaw
Family Medicine Clerkship Student Projects
What role does a pre-visit questionnaire, such as a "diabetic distress tool," play in optimizing diabetic patient visits?
Improving Retinopathy Screening For Patients With Diabetes: Optometrists Accepting New Patients On Medicaid +/- Interpreter Services, Kassondra M. Little
Improving Retinopathy Screening For Patients With Diabetes: Optometrists Accepting New Patients On Medicaid +/- Interpreter Services, Kassondra M. Little
Family Medicine Clerkship Student Projects
For patients with diabetes, screening for microvascular complications like retinopathy requires annual retinal photography or dilated fundoscopy to identify and mitigate processes that can cause preventable blindness. Yet, by measures at the state and federal level, the percent of patients achieving this care is below target. At the Community Health Centers of Burlington (CHCB), the barriers responsible for this include uncertainty among patients and providers about which local optometry offices accept Medicaid, are scheduling new patients and have interpreter services available. This project aimed to improve retinopathy counseling, the achievement of retinopathy screening and the time burden placed on providers …
Culturally Sensitive Carbohydrate Sources For Nepalese With Diabetes Or Prediabetes, Rachel Bombardier
Culturally Sensitive Carbohydrate Sources For Nepalese With Diabetes Or Prediabetes, Rachel Bombardier
Family Medicine Clerkship Student Projects
Over 8,000 refugees have started new lives in Vermont since 1980. Many of these people utilize the Community Health Centers of Burlington, for some this may be their first time navigating America's healthcare system. This is a daunting task due to a multitude of barriers, including missing cultural competencies in various aspects of their care. This project focuses on dietary recommendations for Nepalese patients with prediabetes and type 2 diabetes, specifically carbohydrate sources based on fiber content. Type 2 diabetes is a very prevalent chronic disease that costs Vermont $520 million each year. Understanding healthy food options in a culturally …
Tracking Home Blood Glucose Through Mychart, Zachary T. Osborn
Tracking Home Blood Glucose Through Mychart, Zachary T. Osborn
Family Medicine Clerkship Student Projects
Self-monitoring of blood glucose (SMBG) is a crucial tool in the management of Type 1 and Type 2 diabetics on insulin, and for Type 2 Diabetics who are titrating medications and/or undergoing lifestyle changes. Patients often fail to bring in their SMBG readings (or monitor at all) for a variety of reasons, hindering efforts to adjust their therapy. This project sought to address this gap through educating patients and providers about the EPICs ability to track SMBG readings submitted through MyChart.
Tracking Home Blood Glucose Through Mychart, Zachary T. Osborn
Tracking Home Blood Glucose Through Mychart, Zachary T. Osborn
Family Medicine Clerkship Student Projects
Self-monitoring of blood glucose (SMBG) is a crucial tool in the management of Type 1 and Type 2 diabetics on insulin, and for Type 2 Diabetics who are titrating medications and/or undergoing lifestyle changes. Patients often fail to bring in their SMBG readings (or monitor at all) for a variety of reasons, hindering efforts to adjust their therapy. This project sought to address this gap through educating patients and providers about the EPICs ability to track SMBG readings submitted through MyChart.
Preventive Medicine Screening Measures, Isaac Adams
Preventive Medicine Screening Measures, Isaac Adams
Family Medicine Clerkship Student Projects
In order to make progress towards long-term health on a community level, it is imperative to address health needs on a population basis and using a preventive strategy to prevent the development of more serious illness. With this in mind, this project aimed to create a poster providing easy to understand information to patients with regard to health screenings. Specifically, it addressed screenings for diabetes and pre diabetes, colon cancer, lung cancer, and breast cancer.
Increasing Healthcare Delivery To The Abenaki People Through Health Screenings, Warrick Sahene
Increasing Healthcare Delivery To The Abenaki People Through Health Screenings, Warrick Sahene
Family Medicine Clerkship Student Projects
Utilizing health screenings can increase the number of Abenaki individuals identified with comorbidities related to diabetes and hypertension. Education and resources for health maintenance are also provided to this patient population through physician counseling.
Home Exercise For Patients With Limited Access And Resources, Justin L. Esteban
Home Exercise For Patients With Limited Access And Resources, Justin L. Esteban
Family Medicine Clerkship Student Projects
Patients with limited resources and who are socioeconomically disadvantaged, don’t have the time or resources available to partake/pursue exercise. Having a home workout program may prove to be beneficial to patients who don't have access to a gym, equipment, or are otherwise constrained by time.
Accessibility Of Nutritious And Healthy Foods To Older Adults, Kristen Wright
Accessibility Of Nutritious And Healthy Foods To Older Adults, Kristen Wright
Family Medicine Clerkship Student Projects
Food insecurity rates are high among older adults who have chronic conditions and/or are homebound. These patients have functional limitations, comorbidities limiting their mobility, and often are socially isolated or live alone, all of which impact their ability to access or make healthy meals. As food insecurity rises, so do the health care costs related to inaccessibility to healthy food, involving the increased risk or prevalence of chronic conditions like hypertension, diabetes, and cancer. This project aimed to understand the barriers older adults face in accessing and making healthy meals, and to educate health care providers and patients on recognizing …
Tracking Home Blood Glucose Through Mychart, Zachary T. Osborn
Tracking Home Blood Glucose Through Mychart, Zachary T. Osborn
Family Medicine Clerkship Student Projects
Self-monitoring of blood glucose (SMBG) is a crucial tool in the management of Type 1 and Type 2 diabetics on insulin, and for Type 2 Diabetics who are titrating medications and/or undergoing lifestyle changes. Patients often fail to bring in their SMBG readings (or monitor at all) for a variety of reasons, hindering efforts to adjust their therapy. This project aimed to address this issue by educating patients and attendings about EPIC's ability to log blood glucose measurements through MyChart.
Addressing Diabetes Education In Chittenden County, Varun Gupta
Addressing Diabetes Education In Chittenden County, Varun Gupta
Family Medicine Clerkship Student Projects
The percent of adults in Chittenden County with diabetes who have received diabetes education was short of national goals. To gather more information about the problem, a NP and 2 diabetic patients were interviewed. A educational handout was created to address some of the concerns brought up that reflect some of the unmet educational needs.
Frequently Asked Questions By Patients About Exercise, Julie Evans
Frequently Asked Questions By Patients About Exercise, Julie Evans
Family Medicine Clerkship Student Projects
A significant portion of patient visits at Milton Family Practice are related to one or multiple aspects of metabolic syndrome. Exercise is a common topic during these visits either brought up by patients or providers. This project focused on creating a handout for patient education with answers to commonly asked questions pertaining to exercise and resources in the community.
Nutritional Barriers For Patients With Diabetes: A Quality Improvement Project, Emma C. Levine, Taylor D. Marquis
Nutritional Barriers For Patients With Diabetes: A Quality Improvement Project, Emma C. Levine, Taylor D. Marquis
Family Medicine Clerkship Student Projects
The goal of this study was to look at health care providers perspectives on what the nutritional barriers patients with diabetes faced and compare that with the patient's perspectives. We also assessed patients knowledge on certain foods and if they have carbohydrates. We used this information to create a Notecard that could be given to patients.
Patient Education: Low-Carb Substitutes For Pre-Diabetes Management, Keira L. Goodell
Patient Education: Low-Carb Substitutes For Pre-Diabetes Management, Keira L. Goodell
Family Medicine Clerkship Student Projects
At Milton Family Practice in Milton, VT, individuals diagnosed with pre-diabetes are referred to a clinical nutritionist and sent home with patient instructions about blood sugar and carbohydrates. For those who decline a meeting with the clinical nutritionist, the patient instructions are not an adequate substitute. This project focused on the creation of a SmartPhrase to be added to patient instructions outlining common high-carbohydrate foods and options for lower-carb alternatives.
Lifestyle Changes In Diabetes Management Using Smartphone Apps, Michelle Oberding
Lifestyle Changes In Diabetes Management Using Smartphone Apps, Michelle Oberding
Family Medicine Clerkship Student Projects
Type II Diabetes is a prevalent and costly disease in the state of Vermont. Making lifestyle changes decreases Hemoglobin A1c levels and the long term risk of complications from diabetes. Longitudinal programs help maintain these important changes but these programs are not always readily available. Using free smartphone apps may be an alternative for maintaining lifestyle changes.
Type 2 Diabetes Medication Breakdown, Kristen Keene
Type 2 Diabetes Medication Breakdown, Kristen Keene
Family Medicine Clerkship Student Projects
There are many new medications for treatment of type 2 diabetes and these medications have many positive effects that go beyond lowering blood glucose. However, many of these medications are expensive and some insurance plans don’t cover them. Many patients struggle to pay for their diabetes medications and providers often are unsure of which medications will be covered by insurance. This project was designed to enhance patient education regarding diabetes medications and potential costs associated.
Evaluating Knowledge And Educating Patients About Diabetic Retinopathy Screening In Washington County, Vt, Delaney Curran
Evaluating Knowledge And Educating Patients About Diabetic Retinopathy Screening In Washington County, Vt, Delaney Curran
Family Medicine Clerkship Student Projects
Diabetic retinopathy (DR) is a leading cause of blindness in adults. Early detection and subsequent treatment of DR has been shown to be effective at saving vision and medical costs. However, adherence to annual dilated eye exams is relatively poor among people with diabetes. This project in Waterbury, VT aimed to identify patients' potential knowledge gaps about the connection between diabetes and eye disease, educate patients about DR with a 2 min educational video in the primary care office, and then assess their level of interest in getting an eye exam after watching the video.
Type 2 Diabetes Medication Breakdown, Kristen Keene
Type 2 Diabetes Medication Breakdown, Kristen Keene
Family Medicine Clerkship Student Projects
There are many new medications for treatment of type 2 diabetes and these medications have many positive effects that go beyond lowering blood glucose. However, many of these medications are expensive and some insurance plans don’t cover them. Many patients struggle to pay for their diabetes medications and providers often are unsure of which medications will be covered by insurance. This project was designed to enhance patient education regarding diabetes medications and potential costs associated.
Evaluating Knowledge And Educating Patients About Diabetic Retinopathy Screening In Washington County, Vt, Delaney Curran
Evaluating Knowledge And Educating Patients About Diabetic Retinopathy Screening In Washington County, Vt, Delaney Curran
Family Medicine Clerkship Student Projects
No abstract provided.
Addressing Exercise Accessibility In Winter Conditions In Milton, Vermont, Liam Du Preez
Addressing Exercise Accessibility In Winter Conditions In Milton, Vermont, Liam Du Preez
Family Medicine Clerkship Student Projects
Exercise is a critical aspect of health maintenance, especially in the context of chronic medical problems such as diabetes, heart disease, and obesity. Weather and climate conditions in Vermont directly impact Vermonters' ability to exercise, and this results in negative impacts in their health maintenance and healthcare costs nationally and locally. This project explores the direct and indirect impact of decreased exercise and explore a modality for informing patients on how to stay active safely in the winter.
Barriers To Exercise: Patients With Diabetes In Washington County, Joshua Bruce Taylor
Barriers To Exercise: Patients With Diabetes In Washington County, Joshua Bruce Taylor
Family Medicine Clerkship Student Projects
According to the Vermont Department of Health physical inactivity is one of the three main behaviors that predisposes patients to cancer, heart disease/stroke, lung disease, and type 2 diabetes, which result in over 50 percent of deaths among Vermonters. Washington County has a higher rate of overweight adults than the statewide average, making exercise an important component to healthier living. Barriers to exercise, especially among patients with diabetes, impose serious health ramifications for the residents of Washington County, and avenues must be made available to circumvent these barriers.
Emphasizing Year-Round Physical Activity Of Seniors In Vergennes, Vermont, Carley R. Mulligan
Emphasizing Year-Round Physical Activity Of Seniors In Vergennes, Vermont, Carley R. Mulligan
Family Medicine Clerkship Student Projects
Many senior citizens in the Vergennes community are active in the spring, summer, and fall with various activities, community groups, and walking. However, in the winter with colder temperatures and less sunlight, these activities are difficult to maintain, even more exacerbated by the current Covid-19 pandemic. Encouraging maintenance of physical activity throughout the winter months in Vermont is difficult, but can provide many benefits to these individuals both physically and mentally.
Increasing Awareness Of Added Sugar In The Outpatient Setting, Lauren Bougioukas
Increasing Awareness Of Added Sugar In The Outpatient Setting, Lauren Bougioukas
Family Medicine Clerkship Student Projects
An estimated 80% of Americans consume more than the recommended daily amount of added sugar. Added sugar consumption significantly increases risk for cardiovascular disease mortality, and is associated with body weight, type 2 diabetes, and metabolic syndrome. In the United States, added sugar consumption contributes to public health costs related to cardiovascular disease ($555 billion spent in 2016) and diabetes ($245 billion spent in 2012). Particularly in New York, nearly 40% of all New York deaths in 2014 could be attributed to cardiovascular disease and 10.5% of New York adults had diabetes in 2017. In addition to added sugar overconsumption, …
A Patient Centered Intervention To Promote Primary Care Based Screening For Diabetic Retinopathy, William B. Earle
A Patient Centered Intervention To Promote Primary Care Based Screening For Diabetic Retinopathy, William B. Earle
Family Medicine Clerkship Student Projects
Diabetic Retinopathy is the leading cause of blindness in patient's age 25-74 in the world. Onset of disease is insidious and early intervention is the only way to reduce morbidity. On average only 60% of diabetic's get an annual eye exam, but in the Western Connecticut Health Network (WCHN) that number is closer to 32%. This project sought to educate and encourage patients to take advantage of a new tele-medicine, primary care based diabetic retinopathy screening program starting at Brookfield Family Medicine (part of the WCHN).
Diet Management For Adult Onset Diabetes Mellitus Type 2, Michael A. Persaud
Diet Management For Adult Onset Diabetes Mellitus Type 2, Michael A. Persaud
Family Medicine Clerkship Student Projects
In Southbury, Connecticut, diabetic diet management is an issue that perturbs both primary care providers and their patients. This project seeks to ameliorate the lack of readily available resources for diabetic dietary considerations. A brochure was made including helpful dietary information for patients that are unable or unwilling to see a Certified Diabetic Educator. As the incidence of diabetes continues to rise, patient education will be a powerful tool to help patients manage their diabetic care.
Promoting Health Literacy About Added Sugars, With A Focus On Patients With Limited English Proficiency, Megan Kawasaki
Promoting Health Literacy About Added Sugars, With A Focus On Patients With Limited English Proficiency, Megan Kawasaki
Family Medicine Clerkship Student Projects
Excess consumption of added sugars has been linked to the development of obesity, diabetes, and cardiovascular disease. The sequelae of such health conditions accrue significant public health costs - both in terms of healthcare spending as well as associated co-morbidities and mortality. Chittenden County, Vermont is home to at least 6,300 new Americans, many of whom have limited English proficiency (LEP). Although office visits can provide crucial advice regarding proper nutrition, written resources available for LEP patients are lacking. This project aimed to meet that need through development of an infographic-rich handout that both promotes healthier grocery store choices and …
Diabetic Eating At The Dollar Store, Lee Hiromoto
Diabetic Eating At The Dollar Store, Lee Hiromoto
Family Medicine Clerkship Student Projects
Ideas on following a diabetic diet using ingredients from a dollar store.