By Dr. Jean Giddens PhD RN, Ms. Katherine Frey MPH, Ms. Lisa Reider MHS, Ms. Tracy Novak MHS, Chad Boult MD MPH
Guided Care is a thrilling new version used to supply scientific and nursing care to consumers with power stipulations. This version works by means of (1) offering the prone of a Guided Care Nurse, because the aspect of provider, inside a major care physican's workplace, or inside a pool of basic care physician's workplaces, and (2) offering for the certification of the Gudied Care nurse. This ebook offers physicians, nurses, directors, and leaders of healthiness care companies with sensible, step by step counsel for adopting Guided Care Nursing to rework regular fundamental care practices into "medical houses" that supply first-class finished future health take care of sufferers with persistent stipulations. It offers crucial information regarding the entire approaches had to make this modification winning: comparing readiness to undertake, getting ready to undertake, buying the elements of the Guided Care version, and integrating Guided Care into present practices.
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Extra resources for Guided Care: A New Nurse-Physician Partnership in Chronic Care
Avoid: propoxyphere (Darvon), tramadol (Ultram), methadone (Dolophine) For exacerbations of pain: Add NSAID and/or capsaicin cream temporarily. Avoid NSAID in PUD, CHF, HTN, and renal insufﬁciency. , Aventil) if patient is depressed, or carbamazepine (Tegretol) i neuropathic. If non-acetylated salicylate is not effective, add an opioid: oxycodone (OxyContin), morphine (MSContin), transdermal fentan (Duragesic). If taking an opioid, protect against and monitor for serious adverse side effects: constipation, impairment in cognition (car crs gait, balance (falls).
Can’t move my bowels. Notes Notes 42 Guided Care RESOURCE 2B: CARE GUIDE TARGETS AND RED FLAGS Condition Targets Red Flags General Adherence to medications Almost out of any medication Constipation Three soft stools per week Minimal straining Minimal bloating Abdominal pain Nausea and vomiting Rectal bleeding Depression Depression does not limit ability to do desired activities. ↑ Osteoarthritis OA pain does not limit ability to do desired activities. ↑ Persistent pain Pain does not limit ability to do desired activities.
Org. After the nurse enters data from each patient’s initial assessment, the practice’s technology integrates current evidence-based recommendations for managing the patient’s chronic conditions into a personalized Care Guide, which supplements the patient’s other medical records. The nurse also uses this technology to check for potential adverse interactions in the patient’s drug regimen, to update the Care Guide, to Chapter 2 Guided Care 23 monitor and coach the patient, to provide reminders of needed care, and to document all contacts with patients, caregivers, and health care providers.