Management of Persons With Chronic Neurologic Disease
| Autor: | L Dombovy Mary |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Medical education
medicine.medical_specialty Rehabilitation business.industry medicine.medical_treatment Context (language use) Goal Attainment Scaling Health promotion Arts and Humanities (miscellaneous) Multidisciplinary approach General partnership Acute care Health care medicine Neurology (clinical) business Psychology |
| Zdroj: | Archives of Neurology. 58:1163-1163 |
| ISSN: | 0003-9942 |
| DOI: | 10.1001/archneur.58.7.1163 |
| Popis: | Patientswithchronicneurologicdiseases represent a growing segment of thepopulationwhosemanagement isusuallyneglectedbytraditionalneurologiceducation.Thismultiauthored text provides an epidemiologic background and framework with which to manage the ongoing issues facing thosewithchronicneurologicdisease. We in neurology need to move away fromsimplydiagnosingdiseasestodirecting their ongoing care, and this is a much-needed synopsis of the philosophy and approaches to management of chronic disease. Thereaderwill immediatelynote the departure from the more common textbook approach of diagnostic neurology to one that provides the reader with a philosophy of care that encourages a multidisciplinary approach and “partnership” with the patient. Those involved in rehabilitation will find this a reasonable extension of principles, but the general acute care neurologist will find much of the material new. The first chapter provides an excellent, well-written overview of the epidemiology of chronic disease, its impact on society, and the costs of health care. It lays the groundwork for chapter 2, which outlines partnership and the multidisciplinary approach to illness management, which involves the patient and his or her family in thehopeof improvinghealth and function, thereby reducing health care costs. Those familiar with comprehensive disease-management programs will recognize the similarities. At times, however, chapter 2 is too wordy and philosophical and could benefit from a more straightforward and practical approach. Chapter 3 focuses on goal attainment scaling as a measurement tool andonsingle-subject researchdesign. Although these are both certainly appropriate subjects, readers without a background in rehabilitation may get lost and would benefit from a more general discussion of outcome measures as an introduction. The remaining chapters are divided according to disease, and all follow the same format of presenting the nature of the problem, the nature of the disease, the nature of the impairments, the nature of the disability, the character of the solution, the health promotion plan, functional treatment plan, and various outcome measurements. This format provides a context within which to place the particular patient. The text is at times wordy, and its usefulness could have been enhanced by the use of templates and algorithms. Overall, the text is reasonably well written and organized and represents a much-needed addition to the neurologist’s education in the ongoing care of those with chronic neurologic disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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