Service users and carers' (SUACs) inclusion in student selection days at English universities is accepted as standard practice, since such inclusion is mandated by a range of professional health and social work regulators. However, SUACs' voices are little heard; this study addresses this knowledge gap for the first time. Student selection…

People with intellectual disabilities may be "invisible" to pharmacists. They are a complex group of patients many of whom have diabetes. Pharmacists may have little experience of the challenges faced by this high risk group of patients who may be prescribed high risk medications. This case report details information supplied by Pat, a…

Background: To quantify the costs and consequences of managing phenylketonuria (PKU) in the UK and to estimate the potential implications to the UK's National Health Service (NHS) of keeping patients on a phenylalanine-restricted diet for life. Methods: A computer-based model was constructed depicting the management of PKU patients over the first…

In Brazil, recent regulations require changes in private and public health systems to make special services available to deaf patients. In the present article, the researchers analyze the perceptions of 25 sign language-using patients regarding this assistance. The researchers found communication difficulties between these patients and health…

In order to better understand the effects of student-life stress on Education and Health Service majors (n = 195) at a private, religious, Midwestern university in the USA, we assessed student perception of overall stress level and physical stress level using the Student-life Stress Inventory. The targeted sample consisted of students with…

Repeated studies of graduating dental students indicate limited preparation to provide services for individuals with special healthcare needs. By the end of the 1990s and into the present decade, more than half of the U.S. dental schools provided less than five hours of class room presentations and about three quarters of the schools provided 0-5…

Background: Government guidelines promote the use of mainstream mental health services for people with intellectual disabilities whenever possible. However, little is known about the experiences of people with intellectual disabilities who use such services. Materials and Methods: Face-to-face interviews with service users, carers and community…

Objective: In this randomized noninferiority study, the effectiveness and efficiency of stepped care for chronic fatigue syndrome (CFS) was compared to care as usual. Stepped care was formed by guided self-instruction, followed by cognitive behavior therapy (CBT) if the patient desired it. Care as usual encompassed CBT after a waiting period.…

Nationwide, more than 13.5 million children have special healthcare needs and with increases in the prevalence and diagnosis of development disabilities, this number can be expected to increase in the coming years. For any child with special needs, it is very important that they have a medical home from which all services can be coordinated. The…

In the Essex, Cincinnati retirement center where they both worked as nurses, Holly Doherty and Michele Schavoir often heard aides complain about one longtime resident in particular. The patient kicks and screams and nurses can not stand to be around her. After a year of playing detective, Doherty found a number of the patient's relatives in…

As every exceptional parent knows, the needs of a special child are, simply put, special. For every area of life, an extra amount of thought and care must be taken--whether it is education, traveling considerations, and, especially, healthcare. However, it is in the area of healthcare that parents say they face the most challenge. For years,…

Purpose: To report the impact on patient and informal caregiver satisfaction, patient empowerment, and health and disability status of a primary care-affiliated disease self-management-health promotion nurse intervention for Medicare beneficiaries with disabilities and recent significant health services use. Design and Methods: The Medicare…

Under Israeli law, national health insurance covers basic health care for all of the nation's residents, but health services users have to copay for medications and therapy. This study examined whether the requirement to copay for therapy services among certain subpopulations influences their compliance with meeting rehabilitation therapy…

This study compared 187 patients discharged from a Veterans Administration hospital rehabilitation unit with 215 discharges that occurred following implementation of a prospective payment system. There were no significant differences in demographics, self-care ability, or readmissions. Length of stay and referrals for home health care decreased,…

The annotated bibliography cites 21 articles and legal documents relating to the effects of English-only policies on the quality and availability of health care for immigrants and limited English-speakers. Article topics include eviction of illegal immigrants from nursing homes, health care for undocumented aliens, welfare reform and care for…