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Appearance, Behavior and Attitude Exam

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161. Patient Modesty: Volume 76

Patient Modesty: Volume 76 Bioethics Discussion Blog: Patient Modesty: Volume 76 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 (...) caregivers. For the most part this happens because men in general do NOT want to appear weak. This is a BIG reason why the medical community as a whole won't take guys that do speak up seriously. They get shamed into submitting to a female nurse. My best friend was in the ER recently with what turned out to be a bad bladder infection. He had his wife with him. A female nurse was going to cath him he said no not by a female. Nurse (older woman), came back "you afraid of a woman". Wife lost

2016 Bioethics Discussion Blog

162. Patient Modesty: Volume 74

Patient Modesty: Volume 74 Bioethics Discussion Blog: Patient Modesty: Volume 74 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 (...) provider for intimate exams. What are the reasons for the disparity between preference and acceptance? As Hamlet proclaimed, “that is the question.” Ray At , said... Dr. Bernstein, The statement: And, in addition, as I have repeatedly stated I received no input regarding modesty issues from patients in my medical practice experience (by the way, including up to the present. concerns me. Since you are an Internal Medicine doctor, I assume many of your female patients do not have any intimate exams done

2016 Bioethics Discussion Blog

163. Patient Modesty: Volume 84

" no longer instilled trust, because ONE LIE IS ENOUGH TO QUESTION ALL TRUTHS . Furthermore, lest we forget we are doomed to repeat. The ONLY person to ever apologize for conducting pelvic exams on anesthetized without specific consent was Peter Ubel. -- Banterings At , said... I wanted to let you all know that a woman, Peggy50854 has joined a discussion about . She has labeled men who value their modesty as cry babies. I did not like her attitude and responded. Some other men responded. As a woman, I (...) Patient Modesty: Volume 84 Bioethics Discussion Blog: Patient Modesty: Volume 84 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

2018 Bioethics Discussion Blog

164. Patient Modesty: Volume 87

but fair guards who followed prison rules. Second, there were "good guys" who did little favors for the prisoners and never punished them. And finally, about a third of the guards were hostile, arbitrary, and inventive in their forms of prisoner humiliation. These guards appeared to thoroughly enjoy the power they wielded, yet none of our preliminary personality tests were able to predict this behavior. The only link between personality and prison behavior was a finding that prisoners with a high (...) Patient Modesty: Volume 87 Bioethics Discussion Blog: Patient Modesty: Volume 87 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

2018 Bioethics Discussion Blog

165. Patient Modesty: Volume 88

Patient Modesty: Volume 88 Bioethics Discussion Blog: Patient Modesty: Volume 88 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 Friday, June 01, 2018 Patient Modesty: Volume 88 So.. based on what has been written in all the previous Volumes of this thread, it appears that a consensus is that the medical system just going "down the drain". And if so..whose fault? Who should we blame

2018 Bioethics Discussion Blog

166. Patient Dignity (Formerly: Patient Modesty): Volume 92

TO THE EXTENT THAT NONE OF YOU CAN TRULY APPRECIATE. PT At , said... Dr. Bernstein, I looked at Volume 12. There were more women participating back then and that was an excellent discussion about the pelvic exams in exchange for birth control. I hope that isn't still as mandatory as it was then. The discussion was as well a bit more focused on patients simply being modest and/or uncomfortable with opposite gender intimate care without going into staff misbehavior or unprofessional behavior as being (...) /0900/p6.html I applaud this young physician for encouraging a discussion. However the use of chaperones is more problematic than physicians realize. At my old institution we never had any training program for “chaperones”. I doubt many, if any medical centers, have well defined chaperone training programs that teach appropriate behavior, appropriate exams, gender issues, how to report inappropriate activity (and the time frame for reporting), documenting chaperone attendance/observation, etc

2018 Bioethics Discussion Blog

167. Patient Modesty: Volume 89

Patient Modesty: Volume 89 Bioethics Discussion Blog: Patient Modesty: Volume 89 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 (...) for the patient but rather to be able to get away with it. PT At , said... Following my analogy of the photograph, PT et al, don't you think the analogy holds that fragments in the pool represent now medical care providers who have become separated from the sturdy and beautiful ethical and humanistic structures of their prior professional education (whatever service it was) and now find themselves within the medical system pool,unstructured and now open to the moldy, fungal formations and behavior of others

2018 Bioethics Discussion Blog

168. Patient Modesty: Volume 86

Patient Modesty: Volume 86 Bioethics Discussion Blog: Patient Modesty: Volume 86 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 (...) as a punishment which may be disturbing or act as "triggers" for those with trauma. What is particularly interesting is that the majority of nude punishments of German sympathizers occurred in France, a country know for its liberal attitude toward nudity and sexuality (as seen in their art, fashion, and nude beaches). -- Banterings At , said... To followup on a reference to my blog thread on "pimping" in medical education: http://bioethicsdiscussion.blogspot.com/2015/12/pimping-not-about-sex-about

2018 Bioethics Discussion Blog

169. Patient Modesty: Volume 85

appears on the CBC News website, under Health (http://www.cbc.ca/news/health/prostate-digital-rectal-exam-1.4570631) but he also published his findings in the Annals of Family Medicine (our version of JAMA, I suppose). We'll see if this sticks or not (some doctors aren't exactly pleases with Dr. Profetto's findings) but I'm definitely keeping this handy for my next doctor appointment. Dany At , JF said... I think a video camera that staff is unable to access would be the way to go. That would make (...) Patient Modesty: Volume 85 Bioethics Discussion Blog: Patient Modesty: Volume 85 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

2018 Bioethics Discussion Blog

170. Patient Modesty: Volume 90

Patient Modesty: Volume 90 Bioethics Discussion Blog: Patient Modesty: Volume 90 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 (...) bodily visual inspection during medical or surgical procedures. Of course, other unprofessional acts by the "professionals" have also been described but unnecessary and patient unwanted inspection, looking or "peeking" is a common behavior presented. However, the graphic should also represent the eye movements and "attention" by patient's themselves, looking out, keeping their eyes open to professional misbehavior coming from any direction. I think this graphic should emphasize the need

2018 Bioethics Discussion Blog

171. Patient Modesty: Volume 91

Patient Modesty: Volume 91 Bioethics Discussion Blog: Patient Modesty: Volume 91 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 (...) behavior towards their patients. ..Maurice. Graphic: Google Images. AS OF OCTOBER 11 2018, NO FURTHER COMMENTS WILL BE ACCEPTED ON THIS VOLUME. YOU MAY CONTINUE THE DISCUSSION ON THE BLOG THREAD NOW TITLED: posted by Maurice Bernstein, M.D. @ 178 Comments: At , said... So let me start. I think we should all scan back quickly at the Volumes and then scan quickly at the Comments over the years this blog thread has been published. I have and it is most helpful to gain a better understanding of the arguing

2018 Bioethics Discussion Blog

172. A Systematic Evidence Review of the Signs and Symptoms of Dementia and Brief Cognitive Tests Available in VA

without prior diagnosis of dementia. Measures to be compared: Blessed Orientation-Memory-Concentration (BOMC) Test, Mini- Cog, Montreal Cognitive Assessment (MoCA), General Practitioner Assessment of Cognition (GPCOG), St. Louis University Mental Status (SLUMS) Exam, and Short Test of Mental Status (STMS). Outcomes: Likelihood for patients to be appropriately diagnosed and treated for dementia; and adverse consequences of assessment, such as depression and anxiety. Settings: Primary general medicine (...) , but the presence of certain symptoms such as apathy, delusions, and/or hallucinations was associated with a dementia diagnosis and may suggest the need for further evaluation. Depression and anxiety were common in demented and non- demented individuals, suggesting the presence of either symptom would not be useful in reliably ruling in or ruling out a diagnosis of dementia. A very limited body of evidence evaluated sleep disturbance, gait disturbance, and physical exam findings in demented and non-demented

2010 Veterans Affairs Evidence-based Synthesis Program Reports

173. Elective Single Embryo Transfer Following In Vitro Fertilization

for twin over singleton pregnancies, ranging from 20% 84,85 to 90% of patients surveyed. 86 While many are either unaware of the risks of twin pregnancies or underestimate them, 84,87,88 some of the reasons given for this preference include a desire to minimize number of IVF cycles, preg- nancies, and deliveries and an awareness of the effects of advancing reproductive age. 89 Several studies have exam- ined barriers to patients’ choice of eSET. Of patients sur- veyed at a Danish clinic, a majority (...) embryos appears to be more cost-effective than DET, at least in good-prognosis patients. When considering the long-tem costs associated with higher morbidity in children born from multiple pregnancies, public funding of IVF with eSET in twin-prone patients would to be a cost-effective strategy. The cost savings could be used to fund a number of additional IVF cycles. Recommendation 11. When considering both direct health care and societal costs, it should be noted that live birth following eSET

2010 Society of Obstetricians and Gynaecologists of Canada

174. A Systematic Evidence Review of Interventions for Non-professional Caregivers of Individuals with Dementia

to continue caregiving. RECENT ANd ONg OINg VA S TUdIES A recently completed six-month implementation study of the Resources for Enhancing Alzheimer’s Caregiver Health (REACH) Veterans Affairs (V A) intervention found positive effects on CG burden and CR problem behaviors, and appears to be feasible in V A settings. The multicomponent intervention includes CG support and skills training in safety, behavior management, and self care via in-home, telephone, and telephone support group sessions. Other CG (...) observed across REACH sites that cognitive-behavioral interventions appeared most effective in preventing complicated grief. A fifth good quality RCT 12 was released for publication during our response to peer review. Originating with the Care of Persons with Dementia in their Environments (COPE) trial, this study conducted individual home assessment (N = 102) of CR defi cits and CG concerns, followed by up to 12 home or telephone visits over four months providing: CG education about their partner’s

2010 Veterans Affairs Evidence-based Synthesis Program Reports

175. Guidelines for standard and diuretic renogram in children

when there is asymmetrical renal function or decreased overall function. The second function which can be assessed by renogra- phy is the excretion, or disappearance of the tracer from the kidney. This disappearance can simply be estimated by inspecting the renogram curve: an early peak followed by a rapidly descending phase is typical for normal excretion. A delay in excretion is characterised by a continuously ascending curve over 20 min or a curve that fails to fall and appears as a plateau (...) and NORA at the end of the renogram in order to have a quantitative parameter to compare with at the next exam. The advantage of these parameters is that they provide an estimation of the washout of a kidney, independently from the differential function of that kidney. OE has the advantage to be more independent of overall function than NORA, but programming of NORAwithin a renal software package is much easier, in particular for the PM data. Quality controls Adequate background correction is mandatory

2011 European Association of Nuclear Medicine

176. Addyi - Flibanserin

%, respectively in West and Lieblum, et al.), makes it difficult to estimate the prevalence of HSDD in the U.S. There are no FDA approved pharmacotherapies to treat HSDD in either women or men. While psychological interventions – such as cognitive behavior therapy, sex therapy, or couples therapies – have been shown to decrease symptom severity in women with HSDD, 4 evidence from large, place-controlled clinical trials demonstrating effectiveness of psychological therapies is lacking. Testosterone has been (...) that flibanserin compared unfavorably with available selective serotonin reuptake inhibitors (SSRIs) as a treatment for depression and abandoned further development for depression. However, in Phase 2 trials, flibanserin appeared to have outperformed both placebo and SSRIs in maintaining sexual function in subjects with major depression. 6 This finding underscored the 2002 BI decision to pursue development of flibanserin as a treatment of female HSDD. 2 West SL, D’Aloisio AA, Agans RP, Kalsbeek WD, Borisov NN

2015 FDA - Drug Approval Package

177. Bad Surgeons and Good Faith

intentionally make a hole in the cava, and as dark blood poured out of the hole, the tide rising steadily in the abdomen, he remarked, “Well, are you just going to stand there or are you going to fix that?” And so I did. Whatever thoughts I might have had about his behavior, his judgment, and his sanity (and believe you me, there were many), I put my fingers on the hole to stop the flow. I suctioned out the blood that had already escaped, and irrigated the field, the Amazing One-Handed Surgeon did nothing (...) on the spot and shriveled and sniveled, and couldn’t control the bleeding, he would have taken over. And I would have failed. […] So on that day, when the vascular attending cut that hole in the cava, he was preparing me, both for the oral exam, and for life as a surgeon. He wanted to see if I could handle it. I guess I made the cut. The excisions are mine – they’re where Orac makes a comment. However, there’s one more part that’s important – and this is now in Orac’s voice: The reaction to Dr. Amantine’s

2015 Journal of Medical Ethics blog

178. Strategies to Support Self-Management in Chronic Conditions: Collaboration with Clients

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, Registered Nurses’ Association of Ontario written permission must be obtained. Appropriate credit or citation must appear on all copied materials as follows: Registered Nurses’ Association of Ontario. (2010). Strategies to Support Self-Management in Chronic Conditions: Collaboration with Clients. T oronto, Canada. Registered Nurses’ Association of Ontario. This Program is funded by the Ministry of Health and Long-T erm

2010 Registered Nurses' Association of Ontario

179. CPG on the comprehensive care of people with Alzheimer's Disease and other Dementias

and psychological symptoms of dementia important? 77. How can the intensity and frequency of behavioural and psychological symptoms of de- mentia be quanti? ed? 78. At what moment in time do BPSD appear in the evolution of dementia? 79. Are there some BPSD that are characteristic of some types of dementia? 80. Which non-pharmacological measures are indicated in each behavioural and psychologi- cal symptom in dementia? 81. What are the general recommendations for the pharmacological treatment of BPSD? 82. Which (...) , be treated? 87. What attitudes must the caregiver satisfy to deal with patients with behavioural and psy- chological symptoms? Alternative treatments of dementias 88. Are there any plant-based medications or food supplements that have proved to be useful in the treatment of dementia? Assessment of the treatment of dementias 89. How must the response to the treatment of dementia be assessed in clinical practice? It has been 5 years since the publication of this Clinical Practice Guideline

2010 GuiaSalud

180. CPG on Attention Deficit Hyperactivity Disorder (ADHD) in the Child and Adolescent Population

doses, consider the alternative drug that has not been used with this child or adolescent (another methylphenidate presentation or atomoxetine). 7.3.9.2. If side effects appear, address them adequately. If they persist or are not tolerated, evaluate a change in medication. 7.3.9.3. In the case of contraindication, evaluate the use of the alternative drug. 7.3.9.4. If extended release methylphenidate is used with osmotic technology and an adequate adjustment of the dose is not achieved, a dose

2010 GuiaSalud

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