Berbagi dengan Panti Wreda: Pemeriksaan Kesehatan untuk Menilik Kondisi Kesehatan Lansia

Perubahan proporsi jumlah penduduk Indonesia ke lansia mendorong pemerintah memberikan kebijakan berupa panti wreda. Sayangnya, layanan yang disediakan sering tidak berjalan secara integratif. Pengabdian masyarakat yang dilakukan bertujuan untuk membangun bentuk integrasi di panti wreda. Langkah pertama yang dilakukan adalah pemetaan terhadap kondisi lansia terkait dengan kesehatan dan penyelenggaraan pangannya melalui pemeriksaan kesehatan. Rangkaian kegiatan pengabdian masyarakat dilakukan di Panti Wreda Salib Putih, Kopeng dengan 2 kegiatan utama, yaitu pemeriksaan kesehatan dan penyuluhan kebutuhan gizi lansia. Kegiatan pemeriksaan kesehatan  yang dilakukan menemukan bahwa mayoritas lansia memiliki penyakit hipertensi, kadar gula darah normal, gangguan kognitif ringan, dan intensitas aktivitas fisik yang sedang. Kondisi-kondisi tersebut mendorong adanya pelayanan lansia terintegratif yang tidak hanya dilakukan oleh panti wreda tetapi harus memunculkan kerjasama dengan institusi lain. Selain itu, temuan dari pengabdian masyarakat juga menunjukkan adanya peluang untuk adanya pendampingan ke panti wreda, khususnya dalam hal pengaturan menu sesuai kebutuhan lansia dan pemeriksaan kesehatan berkalaThe shifting of population demography to older people groups encourage Indonesia government create integrative care’s policy. Unfortunately, the nursing home as long term care failed to bring integrative care. This aim of community services is to build integrative care for older people groups in nursing home. The first step to establish integrative care is older people’s mapping regarding their health condition and food management through medical check-up. The activities consist of two steps, which are medical check-up and nutrition education. The result shows older peoples have hypertension, normal blood sugar, mild cognitive condition, and average physical activity. The condition motivate nursing home to organize integrative care with other institutions. In addition, the community services also bring opportunity to regular services, especially to nutrition management and medical check-up

Evaluation of an Integrative Care Program in Pediatric Oncology

Purpose: This article discusses the results of an evaluation of the one-year implementation period of an integrative care program at a pediatric oncology ward, which consists of integrative care treatments offered three times a week to the patients. The guiding questions are how the model was implemented, which factors have to be considered for successful implementation, and which factors showed to be obstacles during implementation. Methods: A mixed-methods approach was applied for data saturation. Qualitative data consist of participant observations and informal conversations during the implementation phase. All observational records were filed in the data program MAXQDA. For the quantitative data, all integrative care treatments applied on the intensive care unit were documented and subsequently filed in an Excel sheet. Both sets of data were analyzed for the evaluation. Results: Four main thematic clusters influenced the implementation: (1) the organization and structure of the intensive care unit; (2) mood and atmosphere; (3) feedback on treatment; and (4) time and experience. All factors are interlinked and cannot be looked at independently. Results of the quantitative data show that the most frequent used treatments were those with calming and relaxing effects, followed by treatments for stomachache, nausea, and obstipation. Conclusions: The implementation of an integrative model of care is a process that demands thorough understanding of the complex setting of the ward, ongoing adaptation to the structures and organization of the ward, and the integration of factors like feedback, time, atmosphere, and the mood of parents, patients, and nurses

Integrative Care Models: Impact on an Aging Society Chelsea Rink

This paper explores the need for healthcare reform to support the aging population in the United States. In the literature review, the author identifies the unique needs of the aging population and explores the application of integrated care models in achieving the healthcare Triple Aim. Two alternative integrated care models for older adults in the United States are examined: the Program of All-Inclusive Care for the Elderly (PACE) and Tandem 365. Berwick, Nolan, and Whittington’s (2008) recommendations of key framework for integrated care models to achieve the Triple Aim are introduced and utilized to evaluate and compare PACE and Tandem 365. Recommendations are discussed supporting the replication and development of integrated care models, and the need for further research of this topic

Religious Practices and Considerations for Cancer Treatment of Christian, Jewish, Islamic, and Buddhist Patients

With the vast number of cancer diagnoses each year, it is crucial that comprehensive oncology treatment provides the best possible treatment for all patients. In addition to traditional palliative care, understanding of patients’ religious beliefs and practices is an integral piece to providing overall comfort and personalized, integrative care. This paper explores the various religious practices and considerations for cancer treatment of Christian, Jewish, Islamic, and Buddhist individuals, and how healthcare providers can best care for these diverse patients

Efficacy of Integrated Mental Health Care with Dual Diagnosis Patients and Their Utilization of Psychiatric Emergency Services

Historically, patients with dual diagnosis have been subjected to ineffective treatment and negative attitudes from healthcare providers. Further, these patients are plagued with myriad afflictions that exist beyond substance abuse and mental illness. The treatments and collateral damage associated with the diagnosis impose excessive healthcare costs and can be of significant detriment to society. Largely, patients suffering from dual diagnosis do not receive adequate treatment. As such, psychiatric emergency services are frequently utilized as an alternate treatment, wherein the main focus of care is on the substance abuse alone. This study argues that solely treating the substance abuse is not sufficient for positive outcomes because the substance use, in most cases, is merely a self-discovered treatment for an underlying mental illness. This study proposes an integrative model that involves both substance abuse counseling and mental health counseling in order to treat this suffering population more effectively. Using archival data from the years 2014–2017, this study examined the effectiveness of integrative care among dual diagnosis patients at a methadone clinic in San Francisco, California. The study measured whether patients with dual diagnosis, who were assigned to both Substance Abuse Counseling (SAC) and Mental Health Counseling (MHC), differ in the mean number of Psychiatric Emergency Services (PES) visits from patients with dual diagnosis receiving SAC alone. Additionally, this study measured whether females and males differ in the mean number of PES visits and whether age positively or negatively correlates with the number of PES visits. Independent samples t-tests were used to measure mean differences of PES visits between treatment groups (MHC+SAC vs. SAC only) and mean difference of PES visits between gender. Pearson correlation was used to measure correlation between age and PES visits. Results revealed that patients receiving integrative care (MHC+SAC) had fewer PES visits than those receiving SAC only, suggesting that integrative care is a more effective treatment model than SAC only when treating patients with dual diagnosis. Additionally, although females accessed PES less than males, there were no statistically significant differences found. Lastly, there was no correlation found between age and number of PES visits

Surviving Oncology: Living With Cancer in the Wake of Integrative Care

This dissertation analyzes the emerging medical field of integrative oncology, attending to how this approach to cancer treatment unsettles and reconfigures existing biomedical ideas about bodies and cancer. Informed by twelve months of multi-sited ethnographic study conducted in the state of California, it examines the attempts made by integrative practitioners to provide whole patient care by incorporating complementary medicines such as Ayurveda and Chinese medicine into conventional oncology. I suggest that this approach enacts a kind of sensitivity for how cancer is lived as a disease conditioned by emotional, psychological, social, and environmental factors, requiring treatments attentive to these dimensions. Throughout this study I grapple with the intentions of integrative oncologists and the realities of the political economy of medicine and insurance in the United States that leaves integrative care out of the reach of most people, producing a situation where many are strained to imagine different ways of surviving oncology. At the core of this project is a concern for what it means and what it takes to live well with cancer in biomedicine

Integrative care for the management of low back pain: use of a clinical care pathway

<p>Abstract</p> <p>Background</p> <p>For the treatment of chronic back pain, it has been theorized that integrative care plans can lead to better outcomes than those achieved by monodisciplinary care alone, especially when using a collaborative, interdisciplinary, and non-hierarchical team approach. This paper describes the use of a care pathway designed to guide treatment by an integrative group of providers within a randomized controlled trial.</p> <p>Methods</p> <p>A clinical care pathway was used by a multidisciplinary group of providers, which included acupuncturists, chiropractors, cognitive behavioral therapists, exercise therapists, massage therapists and primary care physicians. Treatment recommendations were based on an evidence-informed practice model, and reached by group consensus. Research study participants were empowered to select one of the treatment recommendations proposed by the integrative group. Common principles and benchmarks were established to guide treatment management throughout the study.</p> <p>Results</p> <p>Thirteen providers representing 5 healthcare professions collaborated to provide integrative care to study participants. On average, 3 to 4 treatment plans, each consisting of 2 to 3 modalities, were recommended to study participants. Exercise, massage, and acupuncture were both most commonly recommended by the team and selected by study participants. Changes to care commonly incorporated cognitive behavioral therapy into treatment plans.</p> <p>Conclusion</p> <p>This clinical care pathway was a useful tool for the consistent application of evidence-based care for low back pain in the context of an integrative setting.</p> <p>Trial registration</p> <p>ClinicalTrials.gov NCT00567333</p