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E/M Medical Decision Making

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181. Qualitative?other: People with coexisting diabetes, chronic kidney disease and hypertension report the psychosocial effects of being prescribed multiple medications Full Text available with Trip Pro

to medication. References Haynes R , Ackloo E , Sahota N , et al . Interventions for enhancing medication adherence . Miller W , Rollnick S . Motivational interviewing: preparing people for change . New York, NY : Guilford Press , 2002 . Gadkari AS , McHorney CA . Unintentional non-adherence to chronic prescription medications: how unintentional is it really? Mitchell P , Wynia M , Golden R , et al . Core principles & values of effective team-based health care . Washington, DC : Institute of Medicine , 2012 (...) the psychosocial effects of being prescribed multiple medications Article Text Adult nursing Qualitative—other People with coexisting diabetes, chronic kidney disease and hypertension report the psychosocial effects of being prescribed multiple medications Free Alan J Zillich Statistics from Altmetric.com Commentary on: Williams A , Manias E . Exploring motivation and confidence in taking prescribed medicines in coexisting disease: a qualitative study . Implications for practice and research Patients’ health

2015 Evidence-Based Nursing

182. Headache - medication overuse

. Da Silva AN, Lake AE ( 2014 ) Clinical aspects of medication overuse headaches. Headache 54 ( 1 ), 211 - 217 . Grande RB, Aaseth K, Benth JŠ, Lundqvist C, Russell MB. ( 2011 ) Reduction in medication-overuse headache after short information. The Akershus study of chronic headache. European Journal of Neurology 18 ( 1 ), 129 - 137 . Green, M. and Coleman, R. ( 2016 ) Tension-type headache. BMJ Best Practice. BMJ . Hainer B, Matheson E ( 2013 ) Approach to Acute Headache in Adults. American Family (...) recommends replacing the over-used medication with a nonsteroidal anti-inflammatory drug or amitriptyline until the medication overuse headache improves. It is now recommended that, for suitable people, abrupt withdrawal without drug replacement is tried first. September 2008 — minor correction to the Changes section. October 2005 — minor technical update. July 2005 — update to text discussing nonsteroidal anti-inflammatory drugs (NSAIDs) in the Medicines management and Prescribing points sections

2017 NICE Clinical Knowledge Summaries

183. People with severe mental illness have more adverse outcomes from medical or surgical treatment

strong evidence that adverse outcomes occur for people with SMI when being treated surgically or medically in hospital. Understanding the range of factors that could contribute to poorer quality care could have greater implications for clinical practice. Conflicts of interest None. We need to understand the full range of factors that contribute to poorer quality physical health care for people with severe mental illness. Links Primary paper Reeves E, Henshall C, Hutchinson M, Jackson D. (2018) . Int (...) that service-users and clinicians views of their physical health is not concordant (Renwick et al., 2018); while this evidence is relevant it is just one piece of a complicated puzzle of factors driving inequitable healthcare delivery, acceptance and receipt. Much more research is needed to illuminate service-users and clinicians beliefs and attitudes towards treatment to understand clinical and shared decision-making. In summary, the delivery of care is often delayed and inconsistently delivered

2018 The Mental Elf

184. The Good Pain Medicine Specialist

on about pati ent care (L&M 15)10 The good Pain Medicine Specialist: Essenti al • Ensures that pati ents understand the nature and purpose of any proposed treatment or investi gati on and any signi? cant side e? ects associated with it, thereby enabling them to make an informed decision • Acknowledges and is honest about the limitati ons of available therapies and discusses them with the pati ent and if appropriate their carers • Encourages questi ons and allows ti me to listen to the concerns of pati (...) and agreed (and who is making and agreeing them), the informati on given to pati ents, any drugs prescribed or other investi gati on or treatment and who is making the record and when (21a,b,c,d,e) The good pain medicine specialist: Essenti al • Makes a clear, legible writt en or typed record of the consultati on or treatment episode including details of the history, examinati on (when appropriate) and subsequent discussion, reporti ng the decisions made, any drugs prescribed, and any other investi gati

2014 Faculty of Pain Medicine

185. Dr. Kelly Brogan’s e-book “Vaccines and Brain Health”: A cornucopia of antivaccine misinformation and pseudoscience

of fact cannot be insolent." The miscellaneous ramblings of a surgeon/scientist on medicine, quackery, science, and pseudoscience (and anything else that interests him). Dr. Kelly Brogan’s e-book “Vaccines and Brain Health”: A cornucopia of antivaccine misinformation and pseudoscience Last week, I how Gwyneth Paltrow and Goop had doubled down on quackery and antivaccine misinformation by featuring “holistic psychiatrist” Dr. Kelly Brogan as one of the keynote speakers and prominent panelists at its (...) : As a passionate believer in the power of informed consent, I feel that we have a right to know the full breadth of available data so that we’re empowered to make our own decisions about our bodies and our children . As a practicing psychiatrist, my major concern is how vaccines affect brain health, behavior, and cognition. As a mother and a woman, I bring special entitlements to the conversation about bodily integrity, health choice freedom, and autonomy. To make your own judgment, it’s important

2017 Respectful Insolence

186. Triaging Patients from the Emergency Department to Other Medical Centres: A Review of the Clinical Evidence and Guidelines

appropriate to make the decision (doctor versus nurse) Study Designs Health technology assessments, systematic reviews, meta-analyses, randomized controlled trials, non-randomized studies. Triaging Patients from the Emergency Department to Other Medical Centres 3 Exclusion Criteria Articles were excluded if they did not meet the selection criteria outlined in Table 1, were published prior to 2006, or did not provide methods to describe how the results or guidance was reached. SUMMARY OF EVIDENCE: Quantity (...) consume a small fraction of emergency department resources and may not be substantial contributors to overcrowding. 2 There is, however, some evidence that two to seven percent are admitted to hospital among patients assigned to the lowest triage levels. The literature, therefore, suggests that triage status alone may not be sufficient to make decisions with regards to transfer out of the emergency department. 6 In addition to potential safety concerns, there may be legal and ethical implications

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

187. Secure Messaging between Providers and Patients, and Patients? Access to Their Own Medical Record

Los Angeles, CA Paul G. Shekelle, M.D., Ph.D., Director Investigators: Principal Investigator: Caroline Lubick Goldzweig, M.D., M.S. Co-Investigators: Paul G. Shekelle, M.D., Ph.D. Ali Alexander Towfigh, M.D. Neil M. Paige, M.D., M.S.H.S. Greg Orshansky, M.D. David A. Haggstrom, M.D., M.A.S. Research Associates: Isomi Miake-Lye, B.A. Jessica M. Beroes, B.S. Systematic Review: Secure Messaging between Providers and Patients, and Patients’ Access to Their Own Medical Record Evidence on Health (...) Limitations 30 Discussion 30 Recommendations for Future Research 31 Conclusions 31 REFERENCES 32 APPENDIX A. SEARCH STRA TEg Y 36 APPENDIX B. STUDY SELECTION FORM 38 APPENDIX C. CRITERIA USED IN QUALITY ASSESSMENT 39 APPENDIX D. PEER REVIEw COMMENTS/AUTHOR RESPONSE 40 APPENDIX E. EVIDENCE TABLES 48iii Secure Messaging between Providers and Patients, and Patients’ Access to Their Own Medical Record Evidence-based Synthesis Program FIgURES AND TABLES Figure 1. Literature Flow 12 Table 1. Tethered Personal

2012 Veterans Affairs Evidence-based Synthesis Program Reports

188. A Decision Aid: Goals of Care for Patients with Dementia #SDM

a patient is admitted to a long term care facility. This video has been added to the part of the Less is More Medicine site, where you will find lots of other shared decision-making tools. Hanson LC, Zimmerman S, Song M-K, Lin F-C, Rosemond C, Carey TS, et al. Effect of the Goals of Care Intervention for Advanced Dementia. JAMA Internal Medicine. 2017; 177(1):24-31 Source: In , Tags , , , , , , , , , , , articles and Original Commentary on the topic of "Less is More in Medicine" and The "Right Care (...) A Decision Aid: Goals of Care for Patients with Dementia #SDM A Decision Aid: Goals of Care for Patients with Dementia #SDM — Less is More Medicine Discover Act About Nanaimo BC Phone Number Putting the focus on effective, appropriate, and good-value healthcare Your Custom Text Here February 1, 2017 There was an excellent paper in JAMA Internal Medicine ( ), "Effect of the Goals of Care Intervention for Advanced Dementia" that was ePublished in November and is now in print. Dr Laura Hanson

2017 Less is More in Medicine Blog

189. A Decision Aid: Goals of Care for Patients with Dementia #SDM

a patient is admitted to a long term care facility. This video has been added to the part of the Less is More Medicine site, where you will find lots of other shared decision-making tools. Hanson LC, Zimmerman S, Song M-K, Lin F-C, Rosemond C, Carey TS, et al. Effect of the Goals of Care Intervention for Advanced Dementia. JAMA Internal Medicine. 2017; 177(1):24-31 Source: In , Tags , , , , , , , , , , , articles and Original Commentary on the topic of "Less is More in Medicine" and The "Right Care (...) A Decision Aid: Goals of Care for Patients with Dementia #SDM A Decision Aid: Goals of Care for Patients with Dementia #SDM — Less is More Medicine Discover Act About Nanaimo BC Phone Number Putting the focus on effective, appropriate, and good-value healthcare Your Custom Text Here February 1, 2017 There was an excellent paper in JAMA Internal Medicine ( ), "Effect of the Goals of Care Intervention for Advanced Dementia" that was ePublished in November and is now in print. Dr Laura Hanson

2017 Less is More in Medicine Blog

190. Medication Free Treatment: Characteristics, Justification and Outcome

in the project "Bedre psykosebehandling" about perceived quality of help and information regarding medication (Prosjekt Bedre psykosebehandling, n.d.). Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below (...) : 200 participants Observational Model: Other Time Perspective: Prospective Target Follow-Up Duration: 3 Years Official Title: Medication Free Treatment: Characteristics, Justification and Outcome Actual Study Start Date : May 14, 2018 Estimated Primary Completion Date : May 14, 2020 Estimated Study Completion Date : April 1, 2023 Resource links provided by the National Library of Medicine related topics: (AHRQ) related information: Groups and Cohorts Go to Group/Cohort Intervention/treatment

2018 Clinical Trials

191. A Study in Healthy Male Volunteers to Look at How the Test Medicine GLPG1690 is Taken up by the Body When Doses of Itraconazole and Voriconazole Are Given to Healthy Volunteers

18.0-32.0 kg/m², inclusive, with body weight at least 50 kg. Judged by the investigator to be in good health based upon the results of a medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory results. Non-smoker, defined as an individual who has abstained from smoking (or the use of e-cigarettes or nicotine containing products) from at least 1 year prior to screening. A breath carbon monoxide reading of less than or equal to 10 ppm at screening and admission (...) : Number of incidents of TEAEs. [ Time Frame: Between screening and 10 days after the last dose ] To assess safety and tolerability of GLPG1690. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below

2018 Clinical Trials

192. The Effect of a Structured, Home-based Interview With a Patient on First-year Medical Students' Patient-centredness.

? London2017 [31 October 2017]. Available from: http://www.medicalprotection.org/uk/advice-booklets/professionalism-an-mps-guide/chapter-1-medical-professionalism-what-do-we-mean McWhinney IR. The need for a transformed clinical method. In: Stuart M, Roter D, editors. Communicasting with medical patients. London: Sage; 1989. de Silva D. Helping measure person-centred care. In: The Health Foundation, editor. London 2014. Archer E, Bezuidenhout J, Kidd MR, et al. Making use of an existing questionnaire (...) . Outcome Measures Go to Primary Outcome Measures : Changes in medical students' patient-centredness as assessed by the PPOS-D12 questionnaire [ Time Frame: 6-12 months ] Change in students' PPOS-D12 scores from base-line (at the start of the academic year) to the end of their year-long primary care attachment. The PPOS-D12 is the validated German-language version of the Patient-Provider Orientation Scale (Kiessling C, Fabry G, Rudolf Fischer M, et al., 2014), a self-completed questionnaire to assess

2018 Clinical Trials

193. Coding Discrepancies Between Medical Student and Physician Documentation. (Abstract)

, and documented low medical decision making. Diagnostic code was concordant between students and faculty for only 31% of documentation.Student documentation of clinical encounters is coded at a lower LOS than faculty documentation. These results likely reflect the lack of education regarding E/M coding in medical school, which is integral to real world practice.Accurate medical documentation is critical to the correct diagnostic coding and billing of a medical encounter. We found that compared to faculty (...) Coding Discrepancies Between Medical Student and Physician Documentation. Accurate medical documentation is a core competency in medical education and is critical to successful surgical practice. The following study aims to assess the coding accuracy of medical student documentation.Retrospective chart review identified patient encounters in a surgery clinic that contained documentation by both a faculty member and a third-year medical student. Records were de-identified and assigned a level

2018 Journal of Surgical Education

194. Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures

should be discharged into the care of a responsible adult to whom written instructions should be given, including advice about eating and drinking, pain relief, and resumption of normal activities, as well as about making legally-binding decisions, driving, or operating machinery. 12.5 A system should be in place to enable safe transfer of the patient to appropriate medical care should the need arise. 13. TRAINING IN PROCEDURAL SEDATION AND/OR ANALGESIA FOR NON- ANAESTHETIST MEDICAL PRACTITIONERS (...) Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures PS09 2014 Page 1 PS09 2014 Australian and New Zealand College of Anaesthetists (ANZCA) Faculty of Pain Medicine The following organisations have endorsed this document: Australasian College for Emergency Medicine College of Intensive Care Medicine of Australia and New Zealand Gastroenterological Society of Australia New Zealand Society for Gastroenterology Royal Australasian College

2014 Australian and New Zealand College of Anaesthetists

195. Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures

should be discharged into the care of a responsible adult to whom written instructions should be given, including advice about eating and drinking, pain relief, and resumption of normal activities, as well as about making legally-binding decisions, driving, or operating machinery. 12.5 A system should be in place to enable safe transfer of the patient to appropriate medical care should the need arise. 13. TRAINING IN PROCEDURAL SEDATION AND/OR ANALGESIA FOR NON- ANAESTHETIST MEDICAL PRACTITIONERS (...) Guidelines on Sedation and/or Analgesia for Diagnostic and Interventional Medical, Dental or Surgical Procedures PS09 2014 Page 1 PS09 2014 Australian and New Zealand College of Anaesthetists (ANZCA) Faculty of Pain Medicine The following organisations have endorsed this document: Gastroenterological Society of Australia Royal Australasian College of Surgeons Australasian College for Emergency Medicine College of Intensive Care Medicine of Australia and New Zealand Royal Australian and New

2014 Australian and New Zealand College of Anaesthetists

196. Medical management of first-trimester abortion

for authorization to make photocopies should be directed to Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400. ???? ISSN 1099-3630 ? The American College of Obstetricians and Gynecologists, 409 12th Street, SW, PO Box 96920, Washington, DC 20090-6920 ?? Medical management of first-trimester abortion. Practice Bulletin No. 143. American College of Obstetricians and Gynecologists. Obstet Gynecol 2014;123:676-692. ??? Committee on Practice Bulletins — Gynecology and the Society (...) as early as 24 h after mifepristone administration [32,33]. Women can safelyandeffectivelyself-administermisoprostolathomeas part of a medical abortion regimen [32,34,35]. 4. Counseling patients 4.1. Medical abortion vs. surgical abortion Counselingmust firstemphasize early pregnancyoptions to ensure that a woman is certain about her decision to have an abortion. If she is uncertain, then the decision about abortion technique must be delayed until she has reached a firmdecision

2014 Society of Family Planning

197. Diagnosis and management of glycogen storage disease type I: a practice guideline of the American College of Medical Genetics and Genomics

storage disease type I (GSD I) after reviewing the autopsy reports of two children whose livers and kidneys contained excessive amounts of Submitted 12 August 2014; accepted 12 August 2014; advance online publication 6 November 2014. doi:10.1038/gim.2014.128 Genet Med 00 00 2014 Genetics in Medicine 10.1038/gim.2014.128 ACMG Standards and Guidelines 00 00 12August2014 12August2014 © American College of Medical Genetics and Genomics 6November2014 Purpose: Glycogen storage disease type I (GSD I (...) , Durham, North Carolina, USA; 2 Division of Metabolic Disorders, Children’ s Hospital of Orange County, Orange, California, USA; 3 Division of Genetics, Nemours Children’ s Clinic, Jacksonville, Florida, USA; 4 Departments of Pediatrics and Medicine, Columbia University Medical Center, New Y ork, New Y ork, USA; 5 Department of Pediatrics, University of Florida College of Medicine, Gainesville, Florida, USA; 6 Department of Medicine, University of W ashington, Seattle, W ashington, USA; 7 Division

2014 American College of Medical Genetics and Genomics

198. Medical Management of First-Trimester Abortion

D. Creinin, MD and Daniel A. Grossman, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice. Medical Management of First-Trimester Abortion Over the past three decades (...) comparison of misoprostol 6 to 8 hours versus 24 hours after mifepristone for abortion. MOD Study Trial Group. 7 von Hertzen H, Huong NT, Piaggio G, Bayalag M, Cabezas E, Fang AH, et al. Misoprostol dose and route after mifepristone for early medical abortion: a randomised controlled noninferiority trial. WHO Research Group on Postovulatory Methods of Fertility Regulation. 8 Creinin MD, Vittinghoff E, Schaff E, Klaisle C, Darney PD, Dean C. Medical abortion with oral methotrexate and vaginal misoprostol

2014 American College of Obstetricians and Gynecologists

199. Medical Management of Kidney Stones

intervention for a stone, there is strong motivation to avoid a repeat episode. Consequently, these patients often seek advice from a variety of practitioners on how to prevent recurrent stones. However, misinformation abounds in the lay community and on the internet, and even medical providers often promulgate recommendations that are contrary to evidence-based medicine. 3 This Guideline is aimed at practitioners from a variety of disciplines who are confronted with patients afflicted with stone disease (...) Medical Management of Kidney Stones Kidney Stones: Medical Mangement Guideline - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis Retroperitoneum Cytology Online Learning For Medical Students Exams

2014 American Urological Association

200. Efficacy and safety of medical marijuana in selected neurologic disorders

Sciences Center, Albuquerque; the Department of Neurology (G.G.), University of Kansas School of Medicine, Kansas City; and the Department of Neurology (D.G.), Geisinger Health System, Danville, PA. Systematic review: Efficacy and safety of medical marijuana in selected neurologic disorders Barbara S. Koppel , John C.M. Brust , Terry Fife , Jeff Bronstein , Sarah Youssof , Gary Gronseth , David Gloss Neurology Apr 2014, 82 (17) 1556-1563; DOI: 10.1212/WNL.0000000000000363 Citation Manager Formats Make (...) , Gouaux B , Wilsey B . Medical marijuana: clearing away the smoke . 5. Vaney C , Heinzel-Gutenbrunner M , Jobin P , et al . Efficacy, safety and tolerability of an orally administered cannabis extract in the treatment of spasticity in patients with multiple sclerosis: a randomized, double-blind, placebo-controlled, crossover study . 6. Wade DT , Makela P , Robson P , House H , Bateman C . Do cannabis-based medicinal extracts have general or specific effects on symptoms in multiple sclerosis? A double

2014 American Academy of Neurology

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