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Biomedical subjects

B L Pesznecker

Publications and source records attributed to B L Pesznecker.

15 recordsLinked to original sources
PubMed1990

Medication regimens and the home care client: a challenge for health care providers.

This paper synthesizes literature related to medication-taking behaviors of the elderly population and examines factors related to medication compliance problems. A review and critique of the literature focused on interventions and strategies for improving medication compliance is also presented. This analysis provides direction for developing assessment guides, intervention strategies, and educational materials which may be helpful for health providers in assisting patients and families to manage medication regimens. The paper also includes a comprehensive medication assessment guide and a resource list of educational materials for family care-givers and health providers. The last section of the paper describes the clinical testing study of the medication assessment guide.

Aged↗
PubMed1989

The mutual-participation relationship: key to facilitating self-care practices in clients and families.

The relationship among formal providers, clients, and families in home care is critical. If clients and family care givers are to develop adequate and safe self-care practices, they must be involved in mutual decision making concerning issues related to the illness and the care to be given. A relationship of mutual participation involves facilitating and negotiating goals with clients and their family members.

Family↗
PubMed1978

Family nurse practitioners in primary care: a study of practice and patients.

In this nationwide study 8,905 patients were seen by 356 family nurse practitioners (FNPs) during February through April 1977. The ratio of white to black and white to "other" patients was six to one. Racial minorities were seen significantly more often than were whites in public clinics supported predominantly by public tax monies. The smallest number of patients seen was in the "elderly" age group, 65 and over. Elderly patients were located to a greater extent in the South and they used both private and public clinics. The number of infants and children seen was greater in the Western region and in semi-urban areas. The predominant patient problems seen by FNPs were Prevention/Health Supervision and Respiratory. Although there were similarities between top ranking primary care problems seen by FNPs in this study compared with primary care physicians in other studies, proportionately more FNP patient contacts were for Prevention/Health Supervision and the patients tended to be in the younger age group.

Adolescent↗
PubMedDate not supplied

Relationship among health habits, social assets, psychologic well-being, life change, and alterations in health status.

To examine variables which may temper life change and enable individuals to withstand high degrees of life change without developing illness, a questionnaire was mailed to a systematically selected sample of the residents of Renton, Washington, of which 548 (57 percent) were returned. The major statistical analysis was linear correlation and multiple regression. When relationships between the major variables--health habits, social assets, psychologic well-being, and life change--and the dependent variable-alterations in health status--were examined, the single best predictor of subsequent alterations in health status for respondents in this study was found to be the magnitude of the life change. As the life changes increased, the risk of becoming ill also increased. The notion that health habits, psychologic well-being, and social assets might temper life change and make it possible to avoid a change in health status was not borne but strongly in the results of the analysis of data. These variables were weakly associated, however, with maintenance of health status.

Adaptation, Psychological↗
PubMedDate not supplied

Diagnostic scope and certainty: an analysis of FNP practice.

The health problems of 2,136 patients randomly selected from 8,905 patients seen by 356 family nurse practitioners around the U.S.A. were analyzed. Primary diagnoses were reported on all patients using an adapted H-ICDA/ICHPPC classification. This system allowed for 18 diagnostic categories and 115 diagnoses relevant to primary care. The ten most frequent diagnostic categories were reported and analyzed as to certainty and status (old or new diagnosis). Analysis of diagnostic certainty revealed areas where FNPs felt most accurate. Reporting both diagnoses and diagnostic categories allowed greater understanding of the health problems presented to family nurse practitioners in primary care. This comprehensive data bank of patient care problems adds another dimension to the study of primary care and is a useful tool in further family nurse practitioner research and in curriculum development.

Adult↗