Atis (Anona Squamosa) Leaves as Mosquito Repellent

Pharmacist-led telehealth affection management in patients with diabetes and depression. Junior Investigator: Lisa B. Cohen sr. Investigator: Paul A. Pirragilia, M.D. Abstract Rationale: There is a high prevalence of major depression and significant depressive symptoms in patients with diabetes mellitus (DM). Co-morbid depression in diabetes results in decreased adherence to diabetes self-care and attenuates the ensnare of medical interventions. A pharmacistled diabetes case management program at the Providence VA Medical Center has improved treatment adherence, glycemic prevail and cardiac find reduction in patients with successive diabetes and good-humored illness. However, the frequent clinic dates that are necessary to control cardiac jeopardize factors are cumbersome for patients and costly to the institution. We have other to begin with data that show that depressed patients are responsive to a telehealth disease management program, but whether this strategy could be use by clinical pharmacists to treat patients with diabetes and depression instead of the measuring stick individual visits has not been tested.

Objective: To determine whether a pharmacist-led telehealth disease management program is superior to usual care in improving diabetes medication treatment adherence in patients with accessory diabetes and depression. Methods: We propose to conduct a randomized, controlled pilot study of 80 patients with concomitant diagnosis of diabetes and depression with a hemoglobin A1C > 8%. Forty patients go away be randomly assigned to condense cracking out the pharmacist-led telehealth program (experimental arm), which go away include! an initial visit to meditate about the technology, weekly monitoring of telehealth data, followed by scream calls when alerted by the telehealth system for 6 months. Another 40 patients will be allocated to usual care (control arm). The primary outcome will be the change in diabetes and depression medication...If you want to get a full essay, order it on our website: OrderEssay.net

If you want to get a full information about our service, visit our page: write my essay