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Chronis disease management
Pages 6 (1506 words)
Chronic disease management is one of the most difficult aspects of health care delivery.It includes various procedures and processes of treatment which help prevent the exacerbation of symptoms and ensure the availability of comfort measures for the chronically ill patients. …
In the paper by Miaskowski, et.al. (2004), the authors sought to test the effectiveness of the PRO-SELF Pain Control Program when compared with standard care in reducing pain intensity scores, increasing appropriate analgesic prescriptions, and increasing analgesic intake in cancer outpatients with pain from bone metastasis. This study covered seven outpatient settings in Northern California, including a university-based cancer center, two community-based oncology practices, one health maintenance organization, one outpatient radiation therapy center, one veteran’s affairs facility, and one military hospital. In this study, the patients were assigned randomly in either the PRO-SELF intervention or standard care intervention. Those under standard care were visited by a research nurse three times, and then called three times by phone between home visits. Those under the PRO-SELF setting patients were visited by specially trained intervention nurses and then received a psychoeducational intervention. They were instructed on how to use a pillbox, and were given instructions on how to communicate with their doctor about pain symptoms and changes needed in analgesic prescriptions. Patients were also instructed during follow-up home visits and three phone calls on how to improve cancer pain management. ...
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