Focused Clinical Question: What are the key considerations for the interdisciplinary dentofacial therapy (IDT) team in the diagnostic process to evaluate a patient for surgically facilitated orthodontic therapy (SFOT)?
Summary: SFOT creates a demineralized bone matrix and augments dentoalveolar deficiencies in the management of dentofacial disharmony malocclusion. Numerous indications and contraindications exist which are essential to the periodontal surgeon for proper case selection. A collaboratively focused workup by an IDT team is equally essential. Cone beam computed tomography (CBCT) and orthodontic simulation software which identifies changes in the dentoalveolar complex influenced by tooth movement are critical in providing transparency to the patient and IDT team during the treatment planning process. Such transparency can aid the team in assessing goals and outcomes that consider and respect foundational dentoalveolar parameters while contributing to sustainable outcomes.
Conclusions: The SFOT IDT decision making process is complex, yet full of opportunities. Embracing SFOT IDT with innovative and novel 3D technology can optimize conditions leading to long-term outcomes that align with periodontal stability as well as patient goals and preferences which permeate beyond the achievement of "straightening teeth". Transparency of complex IDT through 3D CBCT and orthodontic simulation software engenders "collaborative accountability" and can improve patient communication which is critical to developing meaningful and essential treatment plans.
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http://dx.doi.org/10.1002/cap.10102 | DOI Listing |
Cureus
October 2024
Internal Medicine, University of California Los Angeles, Los Angeles, USA.
Significant gaps exist in the transition of care for patients from acute hospitalization to skilled nursing facilities. Amongst the several well-studied interventions that exist to improve the transition of care, few investigate the efficacy of using an interdisciplinary team (IDT) approach. Here, we report the case of a 78-year-old man with a complicated social situation who had a successful medical and social transition of care from the hospital to the skilled nursing facility (SNF) with an IDT meeting that entailed the collaboration of hospital and SNF physicians and social workers.
View Article and Find Full Text PDFGlob Adv Integr Med Health
October 2024
Department of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Blacksburg, VA, USA.
Background: Chronic pain is highly prevalent in US military Veterans, and pain interdisciplinary teams (IDTs) are the gold standard in pain care. There is no standard or guidance for how best to develop and implement pain interdisciplinary teams within complex health care systems.
Objectives: The purpose of this quality improvement project was to evaluate the effectiveness of the standard 9-step Lean 6 Sigma (LSS) methodology in redesigning a pre-existing VA outpatient pain clinic solely offering interventional pain services into an efficient, sustainable pain IDT program.
J Athl Train
October 2024
1-3Medical Department, RasenBallsport Leipzig GmbH, Cottaweg 3, 04177, Leipzig, Germany.
A 26-year-old male international soccer player suffered a West Point Ankle Grade III syndesmosis injury leading up to the 2022 FIFA World Cup. Following surgical stabilization, the player completed an eleven-phase return-to-performance (RTPerf) pathway designed to ensure rapid and safe return to play. The pathway employs distinct phases that incorporate clinical, psychological, and sports-specific criteria to inform decision making throughout the process.
View Article and Find Full Text PDFProf Case Manag
October 2024
Melissa Cawley-Chambers, MHA, BSN, RN, CV-BC, is a Clinical Nurse Navigator, born and raised in rural Southside Virginia having served as a nurse for 15 years in a hospital setting and worked in acute and critical care for most of her career until transitioning to nurse navigation 3 years ago. Nurse Navigation gives her the fulfillment of giving back to the community and helping patients succeed in their chronic disease management.
Purpose Of Initiative: After noting an elevated chronic obstructive pulmonary disease readmission rate for 2022, the inpatient Nurse Navigator at a rural nonprofit, 116-bed acute care facility in the State of Virginia met with interdisciplinary team (IDT) members to identify improvement efforts to decrease 30-day readmission rates.
Primary Practice Setting: A 116-bed health care facility in Southside Virginia.
Methodology And Sample: Quality improvement initiative aimed to decrease 30-day penalty readmission rates using a collaborative IDT approach, focusing on patients 65 years or older who are discharged home or to an assisted living facility with a diagnosis of acute myocardial infarction, heart failure, chronic obstructive pulmonary disease, and pneumonia.
JMIR Aging
September 2024
Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, United States.
Background: Older adults with chronic or acute cognitive impairment, such as dementia or delirium, who are hospitalized face unique barriers to person-centered care and a higher risk for negative outcomes stemming from hospitalizations. There is a need for co-designed interventions adapted for these patients to the hospital setting to improve care and outcomes. Patient life storytelling interventions have demonstrated promise in enhancing person-centered care by improving patient-care team relationships and providing information to enable care tailored to individual needs and values.
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