Therapeutic patient education in adrenal insufficiency, 2018, Guignat

Andy · Apr 7, 2018

Abstract
It is essential to encourage patient autonomy in the management of their illness, and notably their participation in treatment education programs; specific programs target avoidance or early preventive treatment of acute adrenal insufficiency, which is a life-threatening complication. Therapeutic patient education is recommended by the two international consensus statements on the management of primary adrenal insufficiency and the French consensus on adrenal insufficiency. Although there is no common international reference framework to date, the objective of the French consensus was to provide a frame of reference to facilitate the development of therapeutic education for patients with adrenal insufficiency.

The principal educational objectives were: for the patient to always carry the necessary emergency equipment; be able to identify situations of increased risk and the early signs of adrenal crisis; know how to adjust oral glucocorticoid treatment; be capable of administering hydrocortisone by subcutaneous injection; be able to adjust treatment to different situations (heat, physical exercise, travel); and be able to appropriately use the resources of the healthcare services. Other programs could also be developed to respond to patients’ needs and expectations, notably concerning hydrocortisone dose adjustment to avoid overdose in the context of chronic fatigue syndrome.
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Paywalled at https://www.sciencedirect.com/science/article/pii/S0003426618300271?via=ihub

Amw66 · Apr 9, 2018

Andy said: ↑

Paywalled at https://www.sciencedirect.com/science/article/pii/S0003426618300271?via=ihub
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Anyone able to shed any light on hydrocortisone dosage from this.
Not having much joy with it and endo a stickler for " peer reviewed" information.

Alena Lerari · May 26, 2018

Amw66 said: ↑

Anyone able to shed any light on hydrocortisone dosage from this.
Not having much joy with it and endo a stickler for " peer reviewed" information.
Click to expand...

If you want to learn more about dosage, circadian rhythm dosing, pumps etc, then the best place to read through is CAHISUS on Facebook. The posts are by Prof Hindmarsh. He also published a book. He addresses all types of adrenal insufficiency.

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Therapeutic patient education in adrenal insufficiency, 2018, Guignat

Andy Committee Member

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Alena Lerari Established Member

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Therapeutic patient education in adrenal insufficiency, 2018, Guignat

Andy Committee Member

Amw66 Senior Member (Voting Rights)

Alena Lerari Established Member

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