Chronic Disease Management by Jim Nuovo

By Jim Nuovo

This ebook specializes in optimizing administration and results instead of on regimen prognosis of continual affliction. The reader learns confirmed tools for treating the commonest continual stipulations that they see in day-by-day perform. Chapters are established to assist physicians undertake evidence-based administration ideas particular for every . specified emphasis is put on using motion plans and academic assets for selling sufferer self-management.

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Group Visits Address Psychosocial and Medical Needs of the Chronically Ill There can be a significant emotional and psychosocial overlay to chronic illness, especially serious chronic illness, which can create behavioral health needs that increase both utilization and cost of health care. Chronically ill patients typically have extensive psychosocial as well as physical medical needs—needs that are often better addressed by the biopsychosocial SMA models than by traditional individual office visits.

11. Although outcomes studies are, in general, more difficult to conduct for DIGMAs than for CHCCs, the preliminary data emerging are quite exciting. painfully shy, uncomfortable in groups, or initially reluctant to attend are frequently won over by their initial DIGMA experience. 6 on a 5 point Likert scale and often higher than their satisfaction ratings for traditional individual office visits with the same provider) and are willing to return to a future session for their follow-up care. It is likewise surprising how large the percentage of providers is who can successfully run a DIGMA (even providers seen by their colleagues as “impossible” or “extremely unlikely to succeed”) provided that they are willing to try one for their practice and to consistently invite all of their appropriate patients, during regular office visits, to attend the DIGMA for their next follow-up visit.

Because we understand from a nutritional perspective that the issue is carbohydrates, it may be useful to encourage the patients to “be Dick Tracy” and figure it out for themselves. By performing a fi ngerstick glucose test 1 to 2 hours after eating the food in question, they can see for themselves what happens with their blood glucose level. Perhaps the food in question is okay but the amount is suspect. In other words, there are no hard and fast rules, but rather we invite the patients again to be the captains of their own team.

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