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Appearance, Behavior and Attitude Exam

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61. Management of Concussion-mild Traumatic Brain Injury (mTBI)

such as cognitive behavioral therapy specific for insomnia (CBTi), dietary modification, physical activity, relaxation and modification of the sleep environment (for specific components for each symptoms see Appendix B: Clinical Symptom Management) c. Pharmacologic interventions as appropriate to aid in sleep initiation and sleep maintenance Weak for Reviewed, Amended g. Behavioral Symptoms 16. We recommend that the presence of psychological or behavioral symptoms following mTBI should be evaluated and managed (...) criteria obtained during a history and physical exam (see Algorithms for definition). Symptoms associated with mTBI are identified while conducting the history of present illness. The signs and symptoms associated with mTBI are evaluated through physical examination and history and are treated in accordance with this guideline. This recommendation was not reviewed in the recent literature review; however, the strength of this recommendation is strong. The content of the 2009 mTBI CPG was reviewed

2016 VA/DoD Clinical Practice Guidelines

62. Guidelines for adult stroke rehabilitation and recovery

are not permitted without the express permission of the American Heart Association. Instructions for obtaining permission are located at http://www.heart.org/HEARTORG/General/Copyright- Permission-Guidelines_UCM_300404_Article.jsp. A link to the “Copyright Permissions Request Form” appears on the right side of the page. © 2016 American Heart Association, Inc. Stroke is available at http://stroke.ahajournals.org DOI: 10.1161/STR.0000000000000098 AHA/ASA Guideline by guest on May 5, 2016 http (...) . The end of formal rehabilitation (commonly by 3–4 months after stroke) should not mean the end of the restorative process. In many respects, stroke has been managed medically as a temporary or transient condi- tion instead of a chronic condition that warrants monitoring after the acute event. Currently, unmet needs persist in many domains, including social reintegration, health-related qual- ity of life, maintenance of activity, and self-efficacy (ie, belief in one’s capability to carry out a behavior

2016 American Academy of Neurology

63. Medical Training to Achieve Competency in Lifestyle Counseling: An Essential Foundation for Prevention and Treatment of Cardiovascular Diseases and Other Chronic Medical Conditions: A Scientific Statement From the American Heart Association

interventions targeted at the individual, sociocultural, and environmental or policy levels for each such behavior. The individual, whose attitudes, beliefs, and habits many psychological interventions target, is embedded in a complex system that either promulgates or discourages heart-healthy behaviors. Individuals are nested within a sociocultural context in which others convey norms, models, reinforcement, and inclusion when behaviors match their expectations. At an even more macroscopic level (...) and Other Chronic Medical Conditions: A Scientific Statement From the American Heart Association , MD, MMSc, FAHA, Chair , PhD, PT, FAHA , MD , PhD, FAHA , MD, MPH, FAHA , PhD, FAHA , PhD, FAHA , PhD , and PhD, FAHA MD, FAHAOn behalf of the American Heart Association Physical Activity Committee of the Council on Lifestyle and Cardiometabolic Health; the Behavior Change Committee, a joint committee of the Council on Lifestyle and Cardiometabolic Health and the Council on Epidemiology and Prevention

2016 American Heart Association

64. AHA/ASA Guidelines for Adult Stroke Rehabilitation and Recovery

reintegration, health-related quality of life, maintenance of activity, and self-efficacy (ie, belief in one’s capability to carry out a behavior). Apathy is manifested in >50% of survivors at 1 year after stroke ; fatigue is a common and debilitating symptom in chronic stroke ; daily physical activity of community-living stroke survivors is low ; and depressive symptomology is high. By 4 years after onset, >30% of stroke survivors report persistent participation restrictions (eg, difficulty with autonomy (...) continence have shown consistent associations with poststroke outcomes, and stroke severity is associated with acute discharge disposition, final discharge disposition, and functional level. In recent years, lengths of stay in IRFs have decreased significantly, but in survivors with mild to moderate stroke, patient satisfaction does not appear to be diminished, and recovery actually may be faster. In the United States, data after the initiation of prospective payment for rehabilitation in 2002 suggest

2016 American Heart Association

65. American Association of Clinical Endocrinologists and American College of Endocrinology Clinical Practice Guidelines for Comprehensive Medical Care of Patients with Obesity

osteoarthritis? How much weight loss would be required? 81 Q5.13. Is weight loss effective to treat urinary stress incontinence? How much weight loss would be required? 82 Q5.14. Is weight loss effective to treat gastroesophageal reflux disease (GERD)? How much weight loss would be required? 83 Q5.15. Is weight loss effective to improve symptoms of depression? How much weight loss would be required? 89 Q6. Is lifestyle/behavioral therapy effective to treat overweight and obesity, and what components (...) of lifestyle therapy are associated with efficacy? 91 Q6.1. Meal plan and macronutrient composition 92 Q6.2. Physical activity 93 Q6.3. Behavior interventions 96 Q7. Is pharmacotherapy effective to treat overweight and obesity? 102 Q7.1. Should pharmacotherapy be used as an adjunct to lifestyle therapy? 102 Q7.2. Does the addition of pharmacotherapy produce greater weight loss and weight-loss maintenance than lifestyle therapy alone? 102 Q7.3. Should pharmacotherapy only be used in the short term to help

2016 American Association of Clinical Endocrinologists

66. Practice Education in Nursing

the authors nor the Registered Nurses’ Association of Ontario (RNAO) give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omission in the contents of this work. Copyright With the exception of those portions of this document for which a specific prohibition or limitation against copying appears, the balance of this document may be produced, reproduced, and published in its (...) entirety, without modification, in any form, including in electronic form, for educational or non-commercial purposes. Should any adaptation of the material be required for any reason, written permission must be obtained from RNAO. Appropriate credit or citation must appear on all copied materials as follows: Registered Nurses’ Association of Ontario (RNAO). (2016). Practice Education in Nursing. Toronto, ON: Registered Nurses’ Association of Ontario. This work is funded by the Ontario Ministry

2016 Registered Nurses' Association of Ontario

67. Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition

for which a specifi c prohibition or limitation against copying appears, the balance of this document may be produced, reproduced, and published in its entirety, without modifi cation, in any form, including in electronic form, for educational or non-commercial purposes. Should any adaptation of the material be required for any reason, written permission must be obtained from RNAO. Appropriate credit or citation must appear on all copied materials as follows: Registered Nurses’ Association of Ontario (...) evidence. NEW A new recommendation was developed based on evidence from the systematic review. PRACTICE RECOMMENDATIONS LEVEL OF EVIDENCE STATUS 1.0 Assessment Recommendation 1.1: Conduct a health history, a psychosocial history, and a physical exam on initial examination and whenever there is a signi? cant change in the person’s medical status. V ? Recommendation 1.2: Assess the risk for developing additional pressure injuries on initial examination and if there is a signi? cant change in the person’s

2016 Registered Nurses' Association of Ontario

68. Delirium, Dementia, and Depression in Older Adults: Assessment and Care, Second Edition

appears, the balance of this document may be produced, reproduced, and published in its entirety, without modification, in any form, including in electronic form, for educational or non-commercial purposes. Should any adaptation of the material be required for any reason, written permission must be obtained from RNAO. Appropriate credit or citation must appear on all copied materials as follows: Registered Nurses’ Association of Ontario. (2016). Delirium, Dementia, and Depression in Older Adults (...) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 Appendix J: Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Appendix K: Attitudes, Skills, and Knowledge That Are Beneficial for Communication in Dementia Care . . . . . . . . . 152 Appendix L: Description of the Toolkit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154 Endorsements

2016 Registered Nurses' Association of Ontario

69. Genetics of Skin Cancer (PDQ®): Health Professional Version

with BCNS. Psychosocial and Behavioral Issues Most of the psychosocial literature about hereditary skin cancers has focused on patients with familial melanoma. In individuals at risk of familial melanoma, influence decisions about genetic testing for inherited cancer risk and risk-management strategies. for pathogenic variants in CDKN2A is generally high. Perceived benefits among individuals with a strong family history of melanoma include information about the risk of melanoma for themselves (...) and their children and increased motivation for sun-protective behavior. A number of studies have examined in individuals with a family history of melanoma. Overall, these studies indicate inconsistent adoption and maintenance of these behaviors. Intervention studies have targeted knowledge about melanoma, sun protection, and screening behaviors in family members of melanoma patients, with mixed results. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families

2018 PDQ - NCI's Comprehensive Cancer Database

70. Genetics of Prostate Cancer (PDQ®): Health Professional Version

the behavioral correlates of prostate cancer screening at average and increased prostate cancer risk based on family history; in general, results appear contradictory regarding whether men with a family history are more likely to be screened than those not at risk and whether the screening is appropriate for their risk status. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families. Introduction [ Note: Many of the medical and scientific terms used (...) screening tests such as the digital rectal exam and serum prostate-specific antigen (PSA) levels in men genetically predisposed to developing prostate cancer. Initial reports of targeted PSA has yielded a higher proportion of aggressive disease. On the basis of the available data, most professional societies and organizations recommend that high-risk men engage in shared decision-making with their health care providers and develop individualized plans for prostate cancer screening based on their risk

2018 PDQ - NCI's Comprehensive Cancer Database

71. Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version

the provision of health insurance and employment discrimination on the basis of genetics information; however, it does not apply to members of the military or to long-term care insurance. Introduction [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: A concerted effort is being made within the genetics community to shift terminology used to describe genetic variation. The shift (...) testing, and behavioral intentions for risk management strategies were not statistically significant between groups.[ ] Video-assisted genetic counseling Studies have also examined the use of online genetic counseling using remote videoconferencing (telegenetics) as an alternative to in-person genetic counseling and demonstrated increases in patient knowledge, high levels of satisfaction, and minimal negative psychosocial outcomes.[ - ] References Hampel H, Bennett RL, Buchanan A, et al.: A practice

2018 PDQ - NCI's Comprehensive Cancer Database

72. Genetics of Colorectal Cancer (PDQ®): Health Professional Version

proportion of those affected. Patients' communication with their family members about an inherited risk of CRC is complex; gender, age, and the degree of relatedness are some elements that affect disclosure of this information. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families. Introduction [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear (...) and their associated genes include ( POLE , POLD1 ), , ( , ), ( PTEN ), and ( STK11 ). Many of these syndromes are also associated with extracolonic cancers and other manifestations. , which is characterized by the appearance of hyperplastic polyps, appears to have a familial component, but the genetic basis remains unknown. The natural history of some of these syndromes is still being described. Many other families exhibit aggregation of CRC and/or adenomas, but with no apparent association with an identifiable

2018 PDQ - NCI's Comprehensive Cancer Database

73. Genetics of Breast and Gynecologic Cancers (PDQ®): Health Professional Version

, and pretreatment genetic education and counseling. about an inherited risk of breast and gynecologic cancer is complex; gender, age, and the degree of relatedness are some elements that affect disclosure of this information. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families. Introduction General Information [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear (...) , but there are limited data in the primary cancer prevention setting to suggest that it reduces the risk of breast cancer among healthy female carriers of BRCA2 pathogenic variants. The use of has been associated with a protective effect on the risk of developing ovarian cancer, including in carriers of BRCA1 and BRCA2 pathogenic variants, with no association of increased risk of breast cancer when using formulations developed after 1975. Psychosocial and Behavioral Issues influence decisions about genetic testing

2018 PDQ - NCI's Comprehensive Cancer Database

74. Public health guidance on HIV and STI prevention among men who have sex with men

indicated that they had anal intercourse without a condom in the previous 12 months because a condom was not available [28]. Access to and uptake of HIV testing appears to be low among MSM in many EU/EEA countries. Depending on which EU/EEA country, between 20 and 47% of MSM had tested for HIV in the last 12 months and knew their result [28]. The majority of HIV transmission is thought to occur before men are aware of their HIV status [29, 30]. Analysis of EMIS data reveals that most stigmatising (...) %) as part of the exam [28, 32]. Although vaccination for hepatitis B is recommended for MSM in most EU/EEA countries, about 40% of EMIS respondents were in need of vaccination for hepatitis B and in some countries this proportion was much higher [28]. i The term ‘men who have sex with men’ (MSM) is used to recognise that not all homosexually active men have a gay or bisexual identity. MSM attempts to indicate the population of men, including transgender men, engaged in same-sex sexual behaviour

2015 European Centre for Disease Prevention and Control - Public Health Guidance

75. Principles of public health interventions

demonstrate significant and sustained improvements. Online and/or computerised interventions appeared to have equal or greater effects on knowledge, attitudes and behaviour than face-to-face interventions. These interventions have a lower delivery cost: flexibility in time and place of participation; the ability to target people in rural and remote areas; and the potential for anonymity. While the studies reviewed indicate a tendency for greater adherence (lower attrition rate) compared to face-to-face (...) conducted in the following research databases; Academic Search Complete, MEDLINE Complete, Psychology & Behavioral Sciences Collection, and PsycINFO. Three separate literature searches were undertaken: one for depression and mental health; one for asthma and diabetes; and one for back pain. Within each search, the following keywords were used: ? evaluation or efficacy or intervention or outcome or effectiveness AND ? self-management or self-care OR ? beliefs or attitudes or behav* OR ? digital media

2015 Sax Institute Evidence Check

76. Newborn Nursing Care Pathway

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Behavioral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Crying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Infant Feeding Breastfeeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Breast Milk Substitute – Formula Feeding . . . . . . . . . . . . . . . . . . . . 36 Health Follow-Up Health Follow-Up (...) professionals. The team included nurses form acute care and public health nursing representing each of the Health Authorities as well as rural and urban practice areas. Clinical consultation was provided by family physicians, obstetricians, pediatricians and other clinical experts as required. Statement of Family Centered Care In conjunction with Women Centred Care, which places the woman at the center of care, family-centered maternity care, is an attitude/philosophy rather than a policy, and is based

2015 British Columbia Perinatal Health Program

77. Genetics of Endocrine and Neuroendocrine Neoplasias (PDQ®): Health Professional Version

replacement therapy. Introduction [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: Many of the genes described in this summary are found in the Online Mendelian Inheritance in Man (OMIM) database. When OMIM appears after a gene name or the name of a condition, click on OMIM for a link to more information. ] [ Note: A concerted effort is being made within the genetics community (...) and improved overall survival,[ - ] they also have higher rates of postoperative complications and long-term morbidity.[ ] Therefore, the risks and benefits should be carefully considered, and surgical decisions should be made on a case-by-case basis. With regard to open or laparoscopic approaches, pancreatic laparoscopic surgery appears to be safe and associated with a shorter length of stay and fewer complications in selected patients.[ ] Individuals with MEN1 who are diagnosed with NETs often have

2018 PDQ - NCI's Comprehensive Cancer Database

78. Patient safety in primary healthcare: a review of the literature

of harm associated with patient safety incidents, and a framework for classification systems that is applicable to primary healthcare. 2.2 A strong patient safety culture is a recognised pre-determinant of safer clinical practice. A number of tools to assess and educate clinicians about Patient Safety Culture were described in the literature. Examples include SCOPE-PC, The Safety Attitudes Questionnaire – Ambulatory Version (SAQ-AV), and the Frankfurt Patient Safety Climate Questionnaire for General

2015 Sax Institute Evidence Check

79. Electronic Health Record-based Interventions for Reducing Inappropriate Imaging in the Clinical Setting

and attitudes about the use of information technology change over time, so data from more recent time periods would be helpful. One study reported differential effectiveness by target, and this should be assessed in future studies. Like all health IT evaluations, more information about context and implementation is needed. Conclusions Computerized decision support integrated with the electronic health record can reduce inappropriate use of diagnostic radiology testing by a moderate amount. The use

2015 Veterans Affairs Evidence-based Synthesis Program Reports

80. Patient Dignity (Formerly: Patient Modesty): Volume 95

totally unethical behavior? Write about them here.. and I will too! ..Maurice (DoktorMo@aol.com) REMINDER: I AM POSTING A NEW TOPIC ABOUT ONCE A WEEK OR PERHAPS TWICE A WEEK. HOWEVER, IF YOU DON'T FIND A NEW TOPIC POSTED, THERE ARE AS OF MARCH 2013 OVER 900 TOPIC THREADS TO WHICH YOU CAN READ AND WRITE COMMENTS. I WILL BE AWARE OF EACH COMMENTARY AND MAY COME BACK WITH A REPLY. TO FIND A TOPIC OF INTEREST TO YOU ON THIS BLOG, SIMPLY TYPE IN THE NAME OR WORDS RELATED TO THE TOPIC IN THE FIELD (...) the staff clusters around. That DOESN'T mean he should confront them about every wrong thing he learns that way but the blantonly ignoring abusive behavior has to stop. Hire male staff. Eliminate unnecessary exposure or being exposed to more people than necessary. At , Anonymous said... Biker, No, you don't have to be given anything but it is sop in the US. Having done my research, I have found a lot of other countries don't require "conscious sedation." We all know that "conscious sedation" is more

2019 Bioethics Discussion Blog

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