RESUMO
In the United States, 9.3% of the population, or 29.1 million people have diabetes, and depression affects 20% to 40% of these individuals. Diabetic foot ulcers are a common and serious complication of diabetes and one of the most costly. It is estimated that 2% to 3% of persons with diabetes will develop diabetic foot ulcers each year. There is an association between depression and the development of diabetic foot ulcers. The estimated costs associated with managing diabetes, depression, and diabetic foot ulcers place a substantial burden on the U.S. healthcare system and society. Patients should be screened and evaluated by professionals qualified in the diagnosis and management of depression and diabetic foot ulcers. To be effective, an interprofessional approach that includes the patient and significant others should be used.
Assuntos
Depressão/epidemiologia , Depressão/prevenção & controle , Pé Diabético/epidemiologia , Pé Diabético/psicologia , Efeitos Psicossociais da Doença , Humanos , Equipe de Assistência ao Paciente , Exame Físico , Qualidade de Vida , Estados UnidosRESUMO
Depression and cardiovascular disease are leading causes of morbidity and mortality in the United States and globally. Depression significantly increases the risk of fatal and nonfatal cardiovascular disease and increases the risk of mortality in patients with cardiovascular disease. Patients receiving home healthcare are disproportionally affected by depression. Comorbid depression can occur in two time frames: precardiac and postcardiac. It is imperative that home care patients be adequately screened and monitored for depressive symptoms. Home care patients with cardiac disease who are under treatment for depression should be carefully monitored for adherence to their medical care, drug efficacy, and safety with respect to their cardiovascular as well as mental health.
Assuntos
Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/psicologia , Depressão/epidemiologia , Serviços de Assistência Domiciliar/organização & administração , Perfil de Impacto da Doença , Idoso , Idoso de 80 Anos ou mais , Doenças Cardiovasculares/diagnóstico , Comorbidade , Depressão/diagnóstico , Depressão/terapia , Diagnóstico Precoce , Feminino , Enfermagem Domiciliar , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Prognóstico , Psicoterapia/métodosRESUMO
Depression is significantly higher among elderly adults receiving home healthcare, particularly among adults with Type 2 diabetes. Depression leads to greater medical illness, functional impairment, and chronic pain. Opportunities are often missed to improve mental health and general medical outcomes when mental illness is underrecognized and undertreated. This article discusses the mandate by the Centers for Medicare & Medicaid Services (CMS), Outcome and Assessment Information Set-C (OASIS-C) (2009) for the use of the Patient Health Questionnaire (PHQ-2) to screen for depression in home care patients, with special emphasis on the patient with diabetes.
Assuntos
Centers for Medicare and Medicaid Services, U.S./normas , Depressão/diagnóstico , Depressão/terapia , Diabetes Mellitus Tipo 2/terapia , Serviços de Assistência Domiciliar/normas , Avaliação de Processos e Resultados em Cuidados de Saúde/normas , Idoso , Idoso de 80 Anos ou mais , Diabetes Mellitus Tipo 2/psicologia , Feminino , Avaliação Geriátrica/métodos , Humanos , Masculino , Guias de Prática Clínica como Assunto , Padrões de Prática Médica/normas , Estados UnidosRESUMO
Diabetes with comorbid depression increases healthcare use, expenditures, and risk for complications. This study investigated current practice patterns for diabetic management as measured by HbA1C (A1C). Results indicated significant increases in Patient Health Questionnaire (PHQ)-9 and HbA1C scores among patients with diabetes who take antidepressant drugs.
Assuntos
Antidepressivos/uso terapêutico , Depressão/tratamento farmacológico , Diabetes Mellitus Tipo 2/psicologia , Gerenciamento Clínico , Adulto , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Depressão/epidemiologia , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/epidemiologia , Diabetes Mellitus Tipo 2/etnologia , Feminino , Hemoglobinas Glicadas/análise , Inquéritos Epidemiológicos , Hispânico ou Latino , Humanos , Masculino , Pessoa de Meia-Idade , Cidade de Nova Iorque/epidemiologia , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Herbal medicines were the "sole" source of medicine for thousands of years, in every culture since the advent of human civilization. Today, patients are increasing the use of these botanicals for numerous conditions, such as mood and cognition. This article will explore commonly used herbal remedies for mood and cognition functioning. It is imperative that nurses and nurse practitioners obtain expertise with these botanicals with regard to efficacy, adverse effects and contraindications, possible drug interactions, and safety considerations.
Assuntos
Transtornos Cognitivos/tratamento farmacológico , Medicina Herbária , Transtornos do Humor/tratamento farmacológico , Fitoterapia , Extratos Vegetais/uso terapêutico , Afeto , Competência Clínica , Cognição , Interações Ervas-Drogas , Humanos , EnfermagemRESUMO
Type 2 diabetes has been associated with an increased risk of dementia compared to non-diabetes. Vascular dementia is increased two-to-three fold in persons with type 2 diabetes. Proper management of risk factors can reduce the risk of developing cognitive impairment for persons with diabetes.
Assuntos
Demência Vascular/etiologia , Demência Vascular/terapia , Diabetes Mellitus Tipo 2/complicações , Transtornos Cognitivos/diagnóstico , Demência Vascular/epidemiologia , Demência Vascular/enfermagem , Humanos , Incidência , Auditoria de Enfermagem , Fatores de TempoRESUMO
The purpose of this article is to describe the creation of a transdisciplinary group, consisting of nurse educators, a medical librarian, lab technologists, and a technology expert. to lead the integration of electronic health technology, including high-fidelity simulation, handheld technology, and electronic health records, within a school of nursing. The use of innovative educational tools by nursing faculty can be daunting because of the steep learning curve. The model described here is effective in developing faculty to use simulation and other technologies as teaching-learning strategies.
Assuntos
Capacitação de Usuário de Computador/métodos , Bacharelado em Enfermagem/organização & administração , Tecnologia Educacional , Docentes de Enfermagem/organização & administração , Pessoal de Laboratório Médico/organização & administração , Administradores de Registros Médicos/organização & administração , Computadores de Mão , Comportamento Cooperativo , Currículo , Tecnologia Educacional/educação , Tecnologia Educacional/organização & administração , Registros Eletrônicos de Saúde/organização & administração , Humanos , Relações Interprofissionais , Modelos Educacionais , Modelos de Enfermagem , Cidade de Nova Iorque , Pesquisa em Educação em Enfermagem , Papel Profissional , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Desenvolvimento de Pessoal/organização & administraçãoRESUMO
Evidence indicates rates of depressive disorders are higher among adults with diabetes than in the general population. The instrument most frequently utilized in primary care to screen for major depression is The Patient Health Questionnaire (PHQ-9). Its use can have a dramatic impact on the initial diagnosis and ongoing treatment of patients with diabetes and depression.