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Recent News and Articles on the Keywords: universal problem + patients not + treatment  Related to the article below (Last Update: 5/5/2008)


New York Times
For the Elderly, Being Heard About Life?s End
New York Times, United States -
The costliest patients ? the elderly with chronic illnesses ? are the only group with universal health coverage under Medicare, leading to huge federal ...
Treatment without medicine possible, says Dr Farzana
The Post, Pakistan -
Treatment through the universal waves can be used to avoid medicines during treatment, she said. "This is an American method in which patient do not feel ...
To the rescue
Lancaster Newspapers, PA - May 3, 2008
"As a hair stylist, I would not be able to function much longer if I could not get necessary treatment, including physical therapy." Ron Pope needed medical ...
Insurance not No. 1 health issue
News & Observer, NC - Apr 30, 2008
Medicare, the American model closest to universal health coverage, is generally loved by its beneficiaries, but the program has one major problem: It ...
What CATIE Did: Some Thoughts on Implications Deep and Wide
Psychiatric Services (subscription) - May 1, 2008
The author concludes that CATIE benefited both patients and clinicians by opening up to patients the full gamut of antipsychotics for treatment planning and ...
Mandatory Health Insurance Now!
Reason Online, CA - May 2, 2008
The federal government has added to the problem with its own third-party payments through programs such as Medicaid and Medicare. Nowadays patients are ...
Hepatitis B Patients Getting Short-changed by Province
Canada Free Press, Canada - Apr 28, 2008
The problem? An estimated 75 per cent of patients develop resistance to those drugs within five years, and for those with higher viral loads (levels of ...
Labour's perverse polyclinic scheme is the next step in ...
guardian.co.uk, UK - Apr 28, 2008
The centres will be built not where they are most convenient for patients but - as Darzi revealed to the Commons health committee - where the NHS happens to ...
Whatever You Do, Don't Get "Too Sick"
Huffington Post, NY - May 3, 2008
The co-authors of the study conclude from their findings that there must be cost effective thresholds of a sort to determine whether to keep patients alive. ...
Proposals for massive expansion of psychological therapies would ...
British Journal of Psychiatry (subscription), UK - Apr 30, 2008
Of course CBT is not a universal panacea and cannot offer a quick fix. However, after about 30 years of research, it is doing pretty well and is more ...
Source: Google News

… Aerobic Exercise on the Physical Performance and Incidence of Treatment-Related Complications After … -
F Dimeo, S Fetscher, W Lange, R Mertelsmann, J … - Blood, 1997 - bloodjournal.hematologylibrary.org
... with a probability of an and error of 5 ... Loss of physical performance and fatigue
are a universal phenomenon in ... due to factors like coordinatory problems or pain ...

Universal Precautions in Pain Medicine: A Rational Approach to the Treatment of Chronic Pain -
DL Gourlay, HA Heit, A Almahrezi - Pain Medicine, 2005 - Blackwell Synergy
... relationship between past drug use problems and aberrant ... of the extent of their problem
and be ... context, the application of a universal precautions approach to ...

[BOOK] Family Care of Schizophrenia: A Problem-Solving Approach to the Treatment of Mental Illness
IRH Falloon, JL Boyd, CW McGill - 1984 - books.google.com
... This" universal" termi- nology alone has improved reliability and ... given to viewing
a problem from the ... in defining and identifying patient problems can assist ...

Treatment of neuroendocrine carcinomas with combined etoposide and cisplatin -
CG Moertel, LK Kvols, MJ O'Connell, J Rubin - Cancer, 1991 - doi.wiley.com
... Drug toxicity was a major problem for most patients. ... Mucocutaneous reactions and
diarrhea were relatively minor problems. ... Hematologic toxicity was universal. ...

… EuroHeart Failure survey programme-a survey on the quality of care among patients with heart failure … -
JGF Cleland, K Swedberg, F Follath, M Komajda, A … - European Heart Journal, 2003 - Eur Soc Cardiology
... only is part of the problem in understanding ... several cardiovascular and
non-cardiovascular problems in addition ... The lack of a precise, universal definition ...

Psychoanalysis and Psychotherapy -
F Alexander - Journal of the American Psychoanalytic Association, 1954 - PEP Web
... admit that there are great practical problems to be ... not from the nature of the problem,
but from ... of increasing our basic knowledge, hence the universal use of ...

[PDF] Evidence based medicine: an approach to clinical problem-solving -
W Rosenberg, A Donald - BMJ, 1995 - vz.truni.sk
... into an active inquiry in which problems arising from ... 29 Another problem is that
Medline and the other ... and while these are now almost universal among medical ...
-

Ethics and Clinical Research: From the Anaesthesia Laboratory of the Harvard Medical School at the … -
HK Beecher - International Anesthesiology Clinics, 2007 - anesthesiaclinics.com
... it was obvious that I was by universal referring to the ... Granted that a delicate problem
arises regarding how much ... for his benefit, the ethical problems are far ...

Universal screening for infant hearing impairment: not simple, not risk-free, not necessarily … -
FH Bess, JL Paradise - Pediatrics, 1994 - Am Acad Pediatrics
... concerned that the consensus panel?s recommendation of universal infant screening ...
Acceptability and Simplicity Acceptability to patients is not an issue ...

Resurgent tuberculosis in New York City: human immunodeficiency virus, homelessness, and the decline … -
K Brudney, J Dobkin - Journal of Public Health Policy, 1992 - JSTOR
... WINTER I992 patients with psychiatric problems that impinged on their ... Compliance
with medication is a universal problem among patients with asymptomatic ...

Source: Google Scholar

Patients Not Complying With Treatment A Universal Problem
Patients not complying with their dermatologic treatment is a universal problem that doctors need to address, according to Steven Feldman, M.D., Ph.D., from Wake Forest University School of Medicine in an editorial published in the current issue of Archives of Dermatology. He said non-compliance can explain why some conditions may seem resistant to treatment.

"Physicians must develop practical measures to improve patients' compliance behavior: establishing strong, trusting physician-patient relations, choosing medications that can fit patients' lifestyles, using patient education materials designed to motivate without overly stressing risks, and scheduling a follow-up visit shortly after initiating a new treatment," writes Feldman, a professor of dermatology.
Feldman says that dermatology research studies that involve electronically recording patients' usage of a treatment, without them being aware of it, show that non-compliance is more pervasive that previously estimated.

"Understanding that non-adherence to treatment is widespread is essential for addressing many of the difficult-to-manage skin disease dilemmas seen in dermatology," Feldman said. "By addressing adherence, we can achieve better success for patients with psoriasis and other chronic skin diseases."

Feldman says he has had personal experience with patient noncompliance. He had acne and wanted to see how well current anti-acne medications work. He planned to take a photo of the rash, put the medicine on once a day and then take a photograph one week later.

"I wanted to make sure I didn't forget to apply the medication, so I put it on top of my toothbrush," he said. "The first night I used the medication. The second night I managed to brush my teeth and still forget to put the medication on. The third and fourth nights I went out of town and forgot to bring the medication with me. And I tend to be on the obsessive compulsive side!"

Patient forgetfulness is just one part of the problem, he said. Sometimes, patients consider treatment the worst part of the disease. For example, scalp psoriasis may seem resistant to treatment, he said. Actually, psoriasis treatments probably work better on the scalp than on other areas of the skin, if patients would just apply the medication.

Rather than having patients continually try new treatments for scalp psoriasis, he suggests having patients try the treatment for three to four days.

"It is much easier to be compliant for three or four days than for eight weeks," Feldman said. "After that, patients will know they have a treatment that works and will use it as needed to keep their scalp psoriasis under control."

He said that when prescribing medications, physicians need to consider which form is most likely to be used. Many patients prefer pills over creams and ointments, he said. Another option is physician-administered treatments, such as injections, that will assure adherence.

Feldman says doctors shouldn't be surprised by poor adherence to using creams and ointments in the home environment, especially involving pediatric patients.

"Those of us who are parents will recognize how difficult it is to apply sunscreen or other topical agents to our own children," he said.

In addition to considering the form of therapy that patients are most likely to use, Feldman said the patient-physician relationship is an important part of the equation. He said research shows that if patients are satisfied with their physician visit three days afterwards, they are more likely to report an improvement in their condition a month later.

"Patients who are more satisfied with their visit are more trusting of their doctor, worry less about adverse effects and use their medication more regularly," he said.
Feldman's co-authors are Saba M. Ali, B.S., Robert T. Brodell, M.D., and Rajesh Balkrishnan, Ph.D., all with Wake Forest.

Wake Forest University Baptist Medical Center is an academic health system comprised of North Carolina Baptist Hospital and Wake Forest University Health Sciences, which operates the university's School of Medicine. U.S. News & World Report ranks Wake Forest University School of Medicine 18th in family medicine, 20th in geriatrics, 25th in primary care and 41st in research among the nation's medical schools. It ranks 35th in research funding by the National Institutes of Health. Almost 150 members of the medical school faculty are listed in Best Doctors in America.

Wake Forest University Baptist Medical Center
Medical Center Blvd.
Winston-Salem, NC 27157-1015
United States
http://www1.wfubmc.edu
 
 
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