Nurse-led telephonic case management for Emergencies
This study is evaluating whether two different palliative care models are effective in helping patients and their caregivers.
See full descriptionAbout the trial for Emergencies
Treatment Groups
This trial involves 2 different treatments. Nurse-led Telephonic Case Management is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
Eligibility
This trial is for patients born any sex aged 18 and older. There are 5 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Nurse-led telephonic case management will improve 1 primary outcome and 5 secondary outcomes in patients with Emergencies. Measurement will happen over the course of 3 Months.
Patient Q & A Section
What are common treatments for emergencies?
The common emergency treatment among both emergency physicians and general practitioners was hospital admission. Despite the fact that general practitioners saw several more patients on a daily basis than emergency physicians, most emergency physicians did not have access to the emergency department for a variety of reasons (e.g., busy schedule, no beds present on call, no-shows). The proportion of general population inpatient beds available for emergency care ranged from 7 to 44%. For common emergency treatments, general doctors have more access to the facilities than general doctors, because primary care doctors on call have access to hospital beds.
What is emergencies?
“In emergent situations emergency physicians must have a plan for all the possibilities of disease dynamics, to anticipate potential emergencies and implement emergency interventions to address those possibilities in an effective matter.”.\n
What causes emergencies?
It is estimated that emergency doctors see over 8 million patients with a diagnosis of acute emergency in a year, outnumbering all other doctors working in the hospital by 10 to 1. Half of these attendances involve patients with an acute or worsening acute illness. The majority of patients are older but are still under 50 years of age. Acute and worsening acute illness appears to include a wide spectrum of disease. We have used an integrated definition of acute illness which identifies common factors and associations.
How many people get emergencies a year in the United States?
Around 15 million emergency department visits a year in the United States are related to a medical condition with a potential for an acute respiratory issue related to exercise and sports. Most of these visits were related to an acute asthma exacerbation. This observation has not been made in the literature.
What are the signs of emergencies?
Signs of emergencies include symptoms of shock and of organ failure such as tachycardia, tachypnea, pale appearance and decreased urine output. All of these symptoms indicate a possible emergency. One of the signs of an emergency is the inability to understand or respond effectively to verbal or nonverbal instructions. Many people who suffer from an emergency have other illnesses. Appropriate testing will help to identify them and if necessary, to treat them. In the emergency setting, evaluation often includes vital signs.\n\nMedical emergencies are a specific group of medical problems needing immediate attention by a medical professional. This group of problems includes:\n\n1. Complications of an acute illness\n2.
Can emergencies be cured?
Findings from a recent study shows that emergency procedures can be successfully implemented in a trauma system. The introduction of a separate emergency unit in our system reduced emergency admissions, and resulted in increased availability of critical patient care and reduced overall time spent in the trauma department.
Has nurse-led telephonic case management proven to be more effective than a placebo?
A nurse-led telephonic case-management was effective in improving distress, self-efficacy, physical symptoms, and quality of life for people with cancer in the early stages of their illness.
How serious can emergencies be?
Although patients were willing to receive a diagnosis of [pancreatic cancer] and a treatment plan, their perceptions of the seriousness and duration of the disease were low. It was possible to teach patients that their life expectancy and chances of survival are much greater than they previously thought. This could help to alleviate a sense of apprehension about the seriousness of the disease and to more effectively identify their needs as a group.
Does emergencies run in families?
In a recent study, findings confirm the hypothesis that in families affected by trauma and/or trauma-like events, traumatic events are more likely to occur among the first-generation members. In particular, fathers are at greater risk for traumatizing family events than other family members.
Does nurse-led telephonic case management improve quality of life for those with emergencies?
Telephone advice provided by nurses reduced patients' reliance on emergency services and increased patients' HRQoL. Clinical outcomes in patients advised by nurses were better than those advised by medical staff. This suggests that nursing advice to patients receiving [primary care] care can be effective in decreasing their demand for emergency care services. Further, the [experienced nurses'] ability and willingness to give advice demonstrated a significant improvement in the quality and timely provision of advice.
What does nurse-led telephonic case management usually treat?
In this pilot study, there was little evidence regarding the content of nurses' treatment decisions while the nurses had to navigate the complexities associated with managing an acute-care patient. Future studies with adequate trial sizes and larger patient populations will help us to understand if the nurse treatment is efficacious.
How does nurse-led telephonic case management work?
The effectiveness of a nurse-led team-based telephonic case management process was confirmed in terms of early detection of medical problems (by a referral path to an optometrist or doctor) and prompt access to the emergency medical system in a regional remote town.