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Appearance, Behavior and Attitude Exam

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141. Patient Dignity (Formerly:Patient Modesty):Volume 99

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 (...) on this blog thread? Could any of the patient reactions to the actions of the physician or the medical system simply be a natural reflex to some actions by the profession which were not intended to be traumatic? Could some actions of the professionals be well intended (in this example to test for neurologic reflex impairment) and yet turn out to appear that it was not fully considered? In this analogy, by working together, could the patient have reminded the physician, based on the patient's previous

2019 Bioethics Discussion Blog

142. Preserving Patient Dignity (Formerly: Patient Modesty):Volume 104

the moral turpitude that is business as usual. You have even ignored abusive, unprofessional behavior in your own care (the lack of true informed consent, not knocking before entering, the student nurse's solo exam...). You may be in denial as a psychological defense mechanism. ...try disassociation, it allows you to accept the fact that you were abused and helps you avoid the abuse again. I speak from experience. The information superhighway has changed the perception. Patients find that physicians (...) or in fact represent 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

2019 Bioethics Discussion Blog

143. Patient Dignity (Formerly:Patient Modesty): Volume 96

with this but it is better than the alternative. I have been quiet about challenging the doctor as my husband didn't want me to fully challenge them in the past but now he has totally changed his mind about challenging their abusive behaviors. He doesn't allow them to have even male tag alongs during this part of the exam. During a recent EKG, he was told to strip from the waist up. I wonder if they also tell women to strip from the waist up? Or do they instead say remove your clothing and put on this gown? Of course (...) 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

2019 Bioethics Discussion Blog

144. Patient Dignity (Formerly:Patient Modesty):Volume 100

office and improve their bottom line. Now that line is $4 Trillions dollars and growing, you as a patient at one time another will be the recipient of care from one of these underpaid burger flippers, complete with the fake facade of a “ we are all professionals “ attitude, I don’t know how to perform a proper blood pressure and a why should I have to knock on my male patients exam room when I enter. PT At , said... 58Flyer, about 2 years ago I sent a message to a practice about an MA not wearing (...) or in the mirror. Sometimes a third female would do the same thing. After observing this behavior for about 5 years, I finally suggested to the doctor that he should have a central supply closet to keep supplies so his staff would not have to go looking for items in the other exam rooms. He looked startled for a moment and then said "we do have a central supply location." I then informed him of the females coming into the room looking through the drawers for stuff and asked why they just didn't go

2019 Bioethics Discussion Blog

145. Preserving Patient Dignity (Formerly: Patient Modesty):Volume 103

for female nurses only in intimate exams. But if a male makes the request is when the insults start flying. PT At , said... Will "Medicare for All" better or worsen the medical system/insurance behavior towards the "All"? If the insurance companies are out of the medical picture and medical care costs financed by the government meaning "by the control of the people", would that be helpful in our concern regarding preservation of patient dignity? ..Maurice. At , said... You must read the current article (...) or in fact represent 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

2019 Bioethics Discussion Blog

146. Patient Dignity (Formerly:Patient Modesty):Volume 101

to decide that for anyone else though. JF At , said... PT, it was "bully"..the exact word I was trying to express in the animated file of a nurse. "Bullying" is both a physical appearance and can also represent forms of unprofessional behavior. Our thoughts of nurses in the past was that of the lower graphic (from Wikipedia) who shows off her tools and an attentive stance but not an aggressive, "me" behavior as shown in the animated picture. Isn't that the kind of nurse we all would desire? The patient (...) the perpetrators. Then there is the age old "the patient was unconscious and wouldn't know" excuse used to justify bad behavior. Add to that the "the consent form had the word student" used to justify not getting specific consent for vaginal exams in the OR or for having high school kids shadowing physicians in the OR. Throw in a few white lies such as "Mary is assisting me today" rather than say she is a shadow or a chaperone or introducing a medical student as "Dr" and before long patient rights and dignity

2019 Bioethics Discussion Blog

147. Gay, Lesbian, Bisexual, Transgender Youth

that was also ob- served in some heterosexual-parent families, and that appears to be in?uenced more by parental attitudes than by parental sexual orientation. Regarding sexual orientation in adolescents who were raised by same-sex parents (including same-sex attraction, same-sex relationships, and gay identity), compared with the general population, no differences in sexual attraction are found; the large majority of adolescents raised by lesbian couples identify as heterosex- ual. However, in the minority (...) of cases, when they do experience same-sex attractions, ado- lescent girls raised by lesbian parents appear to experience less stigma about acting on those feelings than those raised by heterosexual par- ents,andareaccordinglyslightlymorelikelyto identify as bisexual. 33 Data on children raised by gay male couples is relatively lacking, but preliminary evidence appears to be consistent with the ?ndings in children raised by lesbian couples. 30 Exposure to anti-homosexual attitudes can in- duce shame

2012 American Academy of Child and Adolescent Psychiatry

149. Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain

prescription drug abuse or illicit drug use when patients are in chronic pain management therapy. (Evidence: good) 2. A) Establish appropriate physical diagnosis and psychological diagnosis if available prior to initiating opioid therapy. (Evidence: good) B) Caution must be exercised in ordering various imaging and other evaluations, interpretation and communication with the patient; to avoid increased fear, activity restriction, requests for increased opioids, and maladaptive behaviors. (Evidence: good) C (...) with comorbid psychiatric conditions. Finally, Cluster 5 described managing opioid misuse and ad- diction with addiction treatment options, prescription fraud, unacceptable patient behavior, and acute care opioid prescribing policies. The British Pain Society’s Opioids for Persistent Pain (52) described the pharmacology of opioids, necessity to prescribe opioids, adverse effects of opioid therapy, practical aspects of prescribing, non-medical prescrip- tions of opioids, and opioids and problem drug use

2012 American Society of Interventional Pain Physicians

150. EFNS?ENS Guidelines on the diagnosis and management of disorders associated with dementia

Faculty Division Akershus University Hospital, University of Oslo, Oslo, Norway Neuropsychology Service, Policlinico Gemelli/Catholic University, Rome, Italy Istanbul Faculty of Medicine, Department of Neurology, Behavioral Neurology and Movement Disorders Unit, Istanbul University, Istanbul, Turkey Department of Neurological and Psychiatric Sciences, University of Florence, Florence, Italy Université Lille Nord de France, UDSL, Lille, France Department of Neurology, University Hospital, School (...) of Neurology, Akershus University Hospital, Lørenskog, Norway Faculty Division Akershus University Hospital, University of Oslo, Oslo, Norway Neuropsychology Service, Policlinico Gemelli/Catholic University, Rome, Italy Istanbul Faculty of Medicine, Department of Neurology, Behavioral Neurology and Movement Disorders Unit, Istanbul University, Istanbul, Turkey Department of Neurological and Psychiatric Sciences, University of Florence, Florence, Italy Université Lille Nord de France, UDSL, Lille, France

2012 European Academy of Neurology

151. 2012 ACCF/SCAI Expert Consensus Document on Cardiac Catheterization Laboratory Standards Update

skill, clinical judgment, and procedural outcomes. These data need to be collected in a systematic manner and analyzed appropriately. Often a simple com- parison of outcomes among physicians in the laboratory is effective in modifying behavior. To help facilitate organization of a QA/QI process, the current document outlines the major organizational indica- tors, provides a representative case review form, and outlines the minimum components that should be included in a standard cardiac (...) for monitoring physician and staff behavior and ensuring their competence. The director should be the labo- ratory’s advocate for adequate resources. He or she should collaborate with hospital personnel to ensure safety and com- pliance with all regulations and possess strong management skills as well. Cardiovascular trainees may perform all aspects of the procedure as their skill level matures, but they cannot be primary operators and must function under the direct supervision of the attending physician

2012 Society for Cardiovascular Angiography and Interventions

152. CPG for the Prevention and Treatment of Suicidal Behaviour

et al. 40 Table 2. Classi? cation of modi? able and non-modi? able suicide risk factors 53 Table 3. Assessment of causes precipitating suicidal behaviour and risk of recurrence 63 Table 4. Recommendations for how, when and what to ask about suicidal behaviour 64 Table 5. Clinical attitude during the clinical interview 65 Table 6. Assessment parameters for a patient with suicidal ideation and/or behaviour 66 Table 7. BDI item on suicidal behaviour 68 Table 8. SAD PERSONS scale 69 Table 9. IS PATH (...) ). Spanish Society of Primary Care Doctors (SEMERGEN) Spanish Society of Psychogeriatrics (SEPG). Spanish Society of Psychiatry (SEP). Spanish Society of Biological Psychiatry (SEPB). Spanish Society of Legal Psychiatry (SEPL). Declaration of interest:All members of the Working Group, as well as those who participated in the expert collaboration and external review, made the declaration of interest appearing in Annex 5. It has been 5 years since the publication of this Clinical Practice Guideline

2012 GuiaSalud

153. CPG for Diabetes Mellitus Type 1

Country belonging to the Spanish Diabetes Federation Spanish Diabetes Society Spanish Society for Paediatric Endocrinology Spanish Society for Endocrinology and Nutrition The members of these societies have participated in the creation, expert collaboration and exter- nal review of this CPG. Declaration of interest: All members of the Working Group, as well as those who have partici- pated in the expert collaboration and external review, have made the declaration of interest as appears in Appendix 14

2012 GuiaSalud

155. Treatment and recommendations for homeless people with Chronic Non-Malignant Pain

exams (as tolerated), if needed. Look for evidence of occult alcoholism or addiction. ? Practice Trauma-Informed Care during the physical examination and in all patient encounters, recognizing that individuals who are homeless are likely to have experienced some form of previous trauma. ASSESSMENT, SCREENING & DIAGNOSTIC TESTING ? Assess every chronic pain patient for substance use and mental health issues. Based on prevalence of behavioral health issues in the patient population served as well (...) of Controlled Substances in Chronic Pain Management, SFDPH Q. Policy on Aberrant Drug-Related Behavior in the Use of Controlled Substances In the Treatment of Chronic Non-Malignant Pain, SFDPH R. Urine Toxicology Screening Policy, TWHC S. Provider Essential Elements for Presentation to Yellow Flag Committee, TWHC T. Yellow Flag Committee: Template for Case Review and Guidelines, TWHC Health Care for the Homeless Clinicians’ Network ADAPTING YOUR PRACTICE Recommendations for the Care of Homeless Adults

2011 National Health Care for the Homeless Council

156. End-of-Life Care During the Last Days and Hours

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 the Registered Nurses’ Association of Ontario. The appropriate credit or citation must appear on all copied materials as follows: Registered (...) 67 Bibliography 79 Appendix A: Glossary of Terms 89 Appendix B: Guideline Development Process 94 Appendix C: Process for Systematic Review/Search Strategy 95 Appendix D: Tools for Estimating Length of Survival for Individuals at the End of Life 99 Appendix E: Clinical Indicators of Decline 103 Appendix F: Edmonton Symptom Assessment System (revised version) 106 Appendix G: Frommelt Attitude Toward Care of the Dying Scale 108 Appendix H: Tips for Conducting a Family Conference 109 Appendix I

2011 Registered Nurses' Association of Ontario

157. CPG on sleep disorders in childhood and adolescence in primary care

7.1. The child who has trouble falling asleep 67 7.1.1. Insomnia due to inadequate sleep hygiene and behavioral insomnia 68 7.1.2. Restless Legs Syndrome (RLS) 96 7.1.3. Delayed SleepPhase Syndrome (DSPS) 104 7.2. The child who has abnormal events at night 110 7.2.1. Sleep Apnea-Hypopnea Syndrome (OSAHS) 111 7.2.2. Parasomnias: sleepwalking, night or sleep terrors, confusional arousals and nightmares 122 7.2.3. Sleep-related rhythmic movement 141 7.3. The child who sleeps during the day: excessive (...) ON SLEEP DISORDERS IN CHILDHOOD AND ADOLESCENCE IN PRIMARY CARE 11 Acknowledgements Mª Dolores Gómez Fernández, Health Technologies Assessment Unit (UETS), administrative support and editorial duties. Collaborating Societies This CPG has the endorsement of the following societies: Spanish Association of Paediatrics, AEP. Spanish Association of Primary Care Paediatrics, AEPap. Spanish Association of Behavioral Psychology, AEPC. Spanish Sleep Association, ASENARCO. Spanish Society of Adolescent Medicine

2011 GuiaSalud

158. A Trial of a Video Game Intervention to Recalibrate Physician Heuristics

students prepare for the ATLS exam. They will be asked to spend at least one hour on the combined tasks. Behavioral: Educational Module The educational module consists of two separate apps, both commercially available. myATLS includes a review of each chapter of the Advanced Trauma Life Support (ATLS) textbook, a series of videos demonstrating common trauma procedures, and clinical resources including checklists for use at the bedside. Trauma Life Support MCQ Review includes 550 multiple-choice (...) provided by (Responsible Party): Deepika Mohan, University of Pittsburgh Study Details Study Description Go to Brief Summary: The objective of this study is to compare the efficacy of a video game designed to recalibrate physician heuristics in trauma triage with a standard educational program. Condition or disease Intervention/treatment Phase Wounds and Injuries Behavioral: Night Shift Behavioral: Educational Module Not Applicable Detailed Description: Treatment at trauma centers improves outcomes

2016 Clinical Trials

159. Patient Modesty: Volume 75

Patient Modesty: Volume 75 Bioethics Discussion Blog: Patient Modesty: Volume 75 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) RESPONDERS TO LOOK UP THE DATE AND TIME OF THE POSTING TO DEFINE WHICH ANONYMOUS SAID WHAT. Thanks. ..Maurice FEEDBACK,FEEDBACK,FEEDBACK! WRITE YOUR FEEDBACK ABOUT THIS BLOG, WHAT IS GOOD, POOR AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT TO THIS Monday, March 14, 2016 Patient Modesty: Volume 75 HOW ABOUT PATIENTS SETTING A LIMIT? Analogous to this posted sign by merchants, it is interesting to read ( ) discussion about possible, potential patient reactions or responses to the behavior of the medical

2016 Bioethics Discussion Blog

160. Patient Modesty: Volume 77

Patient Modesty: Volume 77 Bioethics Discussion Blog: Patient Modesty: Volume 77 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) if they desire. So they are moving in the right direction. Letters can make a difference. Here is a related issue. This medical center, like thousands in the US, is Joint Commission accredited. I would say the Joint Commission appears to have intentionally ignored the lack of staffing diversity in their accredited medical centers the past 30 years. If they and other regulatory bodies would enforce their own standards this would have the effect of having medical centers drive the training schools to produce

2016 Bioethics Discussion Blog

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