The PIH guide to chronic care integration for endemic non-communicable diseases / [editors-in-chief, Gene Bukhman, Alice Kidder ; principal authors, Alice Kidder ... [and others]].

Format:

Book

Contributor:

Partners in Health (Organization)

Language:

English

Subjects (All):

Medical care--Rwanda.

Medical care.

Diseases--Rwanda.

Diseases.

Delivery of Health Care.

Rwanda.

Disease.

Medical Subjects:

Delivery of Health Care.

Rwanda.

Disease.

Physical Description:

xxxii, 329 pages : illustrations (some color) ; 24 cm

Edition:

Rwanda edition.

Other Title:

Partners in Health guide to chronic care integration for endemic non-communicable diseases

Chronic care integration for endemic non-communicable diseases

Place of Publication:

Boston, Mass. : Partners in Health, [2011]

Contents:

1. Integration of chronic care services in Rwanda. The long tail of endemic non-communicable diseases in Rwanda

A framework for strategic planning for endemic non-communicable disease

Decentralization and integration of chronic care for non-communicable disease in Rwanda

Which chronic diseases?

the district hospital as a source of clinical leadership

District inpatient care

Health centers: case finding, initial management, and chronic care

Referral centers

Out-of country referral

Screening

Principles of patient follow-up and retention: community health workers and the electronic medical record

Equipment, medication procurement, and costs

2. Palliative care and chronic care. History and philosophy of palliative care efforts in resource-poor settings

Community health workers and common palliative care interventions in the treatment of chronic disease

3. Role of community health workers, family planning, mental health, pharmacy, laboratory, and social services in the treatment of chronic disease. Community health workers

Housing assistance

Nutritional support

Mental health

Family planning in chronic disease

Pharmacy services

Laboratory

Other diagnostic equipment

4. Heart failure. Defining categories of health failure

Physical exam findings for classification of heart failure

Echocardiography for classification of heart failure

Initial recognition and refreral of the heart failure patient

Heart failure severity classification

Decompensated heart failure

Fluid status assessment

Cardiomyopathy

Hypertensive heart disease etiology and diagnosis

Mitral stenosis

Other valvular and congenital ehart disease

Isolated right-sided heart failure etiology and diagnosis

Heart failure patient follow-up

Potassium management

Arrhythmia diagnosis and management

Role of electrocardiography in rural Rwanda

Cardioversion

Palpitations and somatization

Palliative care for patients with heart failure

5. Cardiac surgery screening, referral, anticoagulation, and postoperative management. History of cardiac surgery in Rwanda

Building a national cardiac surgery program

Common procedures for cardiac valves

Early post-operative evaluation (first 3 months)

Ongoing monitoring of the post-operative patient

Penicillin prophylaxis for patients with surgically corrected rheumatic valvular disease

Methods of anticoagulation and indications

Initiating warfarin therapy

Titrating warfarin therapy

drug supply and patient monitoring

Dangers of anticoagulation

6. Chronic kidney disease. Etiology of chronic kidney disease in rural Rwanda

Screening for renal failure in high-risk populations

Classification of renal failure

Initial evaluation and management of chronic kidney disease (CKD)

Hyperkalemia

Palliative care for chronic kidney disease

Renal replacement therapy (hemodialysis and peritoneal dialysis)

Renal transplantation

Acute kidney failure in hospitalized patients

7. Diabetes. Opportunistic identification and screening for diabetes in acute care helath center clinics

Recognition and treatment of emergency states (hyperglycemia and hypoglycemia)

Principles and initial management of diabetes

Management of diabetes with insulin therapy

Insulin use in the community

Adjuvant therapies and routine monitoring for complications in patients with diabetes

Diabetes and pregnancy

Social assistance and community health workers

8. Hypertension. Clinical and community-based hypertension screening

Initial management of newly referred adult hypertension cases in health center integrated chronic care clinics

Recommended hypertension medications and dosing

rcognition and management of hypertensive emergency in adults

Renal dysfunction in hypertension

Evaluation and management of hypertension in patients

Follow-up treatment for hypertension in adults

Diagnosis and management of hypertension in children

Hypertension in pregnancy

9. Rheumatic heart disease prevention. Prevention of acute rheumatic fever: management of sore throat

Preventing rheumatic heart disease: management of acute rheumatic fever and secondary prophylaxis for rheumatic fever

Rheumatic heart disease screening

10. Chronic respiratory disease. The burden of chronic respiratory disease in rural Rwanda

Integration of chronic respiratory disease management at health-center level

Diagnosis and initial management of chronic respiratory disease in health center integrated chronic care clinics

Follow-up management of asthma

Bronchiectasis

Epilogue

Append. A. Essentials equipment and medicines. Essential equipment

Essential medicines

Append. B. Cost models. Summary of operational cost models

Cardiac surgery

Screening for HIV nephropathy

Diabetes

Hypertension cost models

Chronic respiratory disease cost models

Append. C. Indicators for monitoring and evaluation. Heart failure and post-cardiac surgery follow-up

Cardiac surgical referral and case selection

Renal failure

Hypertension

Chronic respiratory disease

Append. D. Forms. Intake forms

Flowsheets

Append. E. Common normal values.

Notes:

"Cardiac, renal, diabetes, pulmonary, and palliative care"

"Partners in Health; Harvard Medical School, Department of Global Health and Social Medicine, Program in Global Non-Communicable Disease and Social Change; [and] Brigham and Women's Hospital, Division of Global Health Equity".

Includes bibliographical references and index.

OCLC:

805046389