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Pelvic Relaxation

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241. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

, including but not limited to the following: ? Prescription strength anti-inflammatory medications and analgesics ? Adjunctive medications such as nerve membrane stabilizers or muscle relaxants ? Physician-supervised therapeutic exercise program or physical therapy ? Manual therapy or spinal manipulation ? Alternative therapies such as acupuncture ? Appropriate management of underlying or associated cognitive, behavioral, or addiction disorders Documentation of compliance with a plan of therapy (...) . Studies have validated the efficacy of this intervention in chronic pain of facet origin. Definitions Conservative management should include a combination of strategies to reduce inflammation, alleviate pain, and improve function, including but not limited to the following: ? Prescription strength anti-inflammatory medications and analgesics ? Adjunctive medications such as nerve membrane stabilizers or muscle relaxants ? Physician-supervised therapeutic exercise program or physical therapy ? Manual

2017 AIM Specialty Health

242. Low Back Pain

POPULATION Adult patients 18 years or older in primary care settings EXCLUSIONS Pregnant women; patients under the age of 18 years; diagnosis or treatment of specific causes of low back pain such as: surgical conditions including instability; referred pain (from abdomen, kidney, ovary, pelvis, bladder); inflammatory conditions (rheumatoid arthritis, ankylosing spondylitis); infections (discitis, osteomyelitis, epidural abscess); degenerative and structural changes (spondylosis, spondylolisthesis, gross (...) than 15 to 20 minutes. Use with care if lack of protective sensation. EO (GUC) Analgesia ? Prescribe medication, if necessary, for pain relief preferably to be taken at regular intervals. First choice acetaminophen; second choice NSAIDs. Only consider adding a short course of muscle relaxant (benzodiazepines, cyclobenzaprine, or antispasticity drugs) on its own, or added to NSAIDs, if acetaminophen or NSAIDs have failed to reduce pain. Serious adverse effects of NSAIDs include gastrointestinal

2017 Accelerating Change Transformation Team

244. Preventing Falls and Reducing Injury from Falls, Fourth Edition

18. Table 18: Exercise and Physical Training Interventions TYPE OF TRAINING OR EXERCISE INTERVENTION DEFINITION POTENTIAL BENEFITS Core strength training and Pilates exercise training Core strength training includes exercises targeted at strengthening the core. “The core can be described as a muscular box with the abdominals in the front, paraspinals and glutes in the back, the diaphragm as the roof, and the pelvic floor and hip girdle musculature as the bottom” (Granacher, Gollhofer, Hortobagyi (...) , 2015; Leung et al., 2011). Reduces falls and fear of falling; best suited if a person is not frail (Leung et al., 2011; Schleicher, Wedam, & Wu, 2012). Effective for people at lower risk for falls (Gillespie et al., 2012). Yoga “Yoga-based activity takes many forms, ranging from the practice of standing postures that aim to improve strength, flexibility and balance through to relaxation and meditation-based form” (Youkhana, Dean, Wolff, Sherrington, & Tiedemann, 2016, p. 22). Results in small

2017 Registered Nurses' Association of Ontario

246. Intrapartum care for healthy women and babies

is required Skeletal/neurological Spinal abnormalities Previous fractured pelvis Neurological deficits Gastrointestinal Liver disease without current abnormal liver function Crohn's disease Ulcerative colitis T T able able 9 Other factors indicating individual assessment when planning place of birth 9 Other factors indicating individual assessment when planning place of birth Factor Factor Additional information Additional information Intrapartum care for healthy women and babies (CG190) © NICE 2019. All (...) ] [2007] 1.8 Pain relief in labour: non-regional Attitudes to pain and pain relief in childbirth Attitudes to pain and pain relief in childbirth 1.8.1 Healthcare professionals should think about how their own values and beliefs inform their attitude to coping with pain in labour and ensure their care supports the woman's choice. [2007] [2007] P Pain-relie ain-relieving str ving strategies ategies 1.8.2 If a woman chooses to use breathing and relaxation techniques in labour, support her in this choice

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

247. Genital examination in women

professionals to demonstrate competence at recognising the abnormal or symptomatic from the normal or asymptomatic pelvis, and not necessarily to make a diagnosis of genital pathology. If any abnormality is suspected then an experienced clinician should be consulted without delay to review the findings. Health care professionals should aim to make this examination as comfortable and non-threatening as possible, maintaining sensitivity and respect for the woman’s dignity. This guidance will enable suitably (...) that may cause an allergic reaction, eg latex or iodine explain the procedure for the examination, using language that the woman will understand ensure that the woman has emptied her bladder (in some cases this may not be appropriate, eg where swabs are required for urethral gonorrhoea or chlamydia, these will need to be taken before passing urine) inform the woman that the examination should not be painful but may be uncomfortable emphasise the importance of relaxation of the genital

2016 Royal College of Nursing

249. Newborn Nursing Care Pathway

– collection of blood between skull bone & periosteum caused by pressure against maternal pelvis or forceps – does not cross suture lines 16 • Bruising, excoriation, lacerations • Bulging or sunken fontanelles • Neck webbing, limited range of motion • Masses • Hydrocephaly • Microcephaly Intervention • Nursing assessment • Refer to appropriate PHCP prn Variance • Refer to POS • Caput succedaneum – disappears spontaneously within 3 – 4 days 17 • Infants who birth with assistance of vacuum extraction may

2015 British Columbia Perinatal Health Program

250. Recovering after radiation therapy: A guide for women

ors • Ho w t o look af t er dilat ors • P ot ential difficulties with dilat or use and ho w t o o v er come them Lubricants Pelvic Floor Muscle (PFM) Relaxation Exercises Other exercises 8 | Psychological/emotional effects of pelvic radiation therapy 30. 9 | Where can you get information and support 35. 10 | Contacts & resources 38. 11 | References 41. 12 | Glossary of terms 42. 13 | Useful healthcare team contacts 46. 14 | Asking questions can help List of questions to ask healthcare (...) of your treatment team with whom you feel most comfortable (also see contacts at the end of this booklet – pages 38-39). Sylk Wetstuff Replens Lubricants28. 29. R = Relax L et the PF M r elease , fully f eeling the r elief of letting go . “Contract-Hold-Relax” Can you let go/relax a little further each repetition? • Another benefit of PF M R elaxation Ex er cises is that the y incr ease blood flow to the pelvic area, which enhances lubrication. Some women have found it effective to “work” the pelvic

2015 SickKids Supportive Care Guidelines

254. Managing menopausal symptoms after breast cancer - a guide for women

that it’s easy to take off an item of clothing when you experience a hot flush reduce your intake of caffeine, alcohol, hot drinks and spicy foods keep a small fan in your work area and drink cold water to cool you down keep a note of when you experience hot flushes and what you’re doing when they occur; this may help you identify the ‘triggers’ that cause your flushes and help you find ways to avoid them consider yoga, meditation or relaxation techniques consider other lifestyle strategies (...) menopausal symptoms. Breast cancer and its treatment can influence your overall sense of femininity and sexuality. This can happen to any woman, whether or not she has a partner. What helps? There is a range of practical and lifestyle remedies that can help manage some of the effects of early menopause on sexuality and libido, including managing vaginal dryness. Be open with your partner; explain what is happening and what might be helpful for you. Relaxation techniques may help to reduce your stress

2016 Cancer Australia

255. Can botulinum toxin help in managing children with functional constipation and obstructed defecation? (Abstract)

Can botulinum toxin help in managing children with functional constipation and obstructed defecation? Functional constipation (FC) is a common pediatric healthcare problem worldwide. Obstructed defection syndrome (ODS) is frequently presented with an inability to coordinate the bowel movement with pelvic floor muscles. Botulinum toxin (BT) intraanal sphincteric injection can improve the obstructed defecation by relaxing the anal sphincter and reducing the required force to propel

2020 Journal of Pediatric Surgery

256. Evaluation of Rectal Cancer Circumferential Resection Margin Using Faster Region-Based Convolutional Neural Network in High-Resolution Magnetic Resonance Images. Full Text available with Trip Pro

study.The study conducted at a single surgical unit of a public university hospital.We studied 240 patients with rectal cancer in the Affiliated Hospital of Qingdao University from July 2016 to August 2018, who were determined to have a positive circumferential resection margin and who had received a high-resolution MRI. All posttreatment cases were excluded from this study.The faster region-based convolutional neural network was trained by 12,258 transverse relaxation-weighted (T2-weighted imaging (...) ) images of pelvic high-resolution MRI to build an artificial intelligence platform and complete clinical tests. In this network, the proportion of positive and negative circumferential resection margin images was 1:2. In accordance with the test results of the validation group, the metrics of the receiver operating characteristic curves and the area under the curve were applied to compare the diagnostic results of the artificial intelligence platform with those of senior radiology experts.In

2020 Diseases of the Colon & Rectum

257. Can Flexed-Seated and Single-Leg Standing Radiographs Be Useful in Preoperative Evaluation of Lumbar Mobility in Total Hip Arthroplasty? Full Text available with Trip Pro

postures, patients with fusions and flatback deformity trended toward greater anterior pelvic tilting, a position of greater risk of posterior dislocation.Flexed sitting and single-leg standing imaging may emphasize the compensatory mechanisms of patients with concomitant hip and spine pathology more than relaxed imaging using our measurements. Our method may provide insight into high dislocation risk patients compared to the previously published hip measurement method.III.Copyright © 2020 Elsevier Inc (...) Can Flexed-Seated and Single-Leg Standing Radiographs Be Useful in Preoperative Evaluation of Lumbar Mobility in Total Hip Arthroplasty? The purpose of this study is to determine whether simulated radiographs in the "flexed-seated" or "step-up" positions better demonstrate a patient's range of spinopelvic motion between standing and sitting positions than relaxed sitting and standing radiographs.An institutional review board approved cohort of 43 patients with hip osteoarthritis whom underwent

2020 Journal of Arthroplasty

258. How Can Patients With Mobile Hips and Stiff Lumbar Spines Be Identified Prior to Total Hip Arthroplasty? A Prospective, Diagnostic Cohort Study. (Abstract)

patients with end-stage hip osteoarthritis awaiting THA was prospectively studied. Clinical data, patient-reported outcome measures, and spinopelvic radiographs were assessed with the patient in the standing, "relaxed-seated," and "deep-flexed seated" position. A "hip user index" was calculated quantifying the percentage of sagittal hip movement compared to overall movement between the standing and deep-flexed seated position.Radiographs in the relaxed-seated position had an accuracy of 56% (95 (...) % confidence interval 46-65) to detect patients with stiff lumbar spines, compared to a detected rate of 100% in the deep-flexed seated position. A standing pelvic tilt of ≥19° was the only predictor for being a hip user with a sensitivity of 90% and specificity of 71% (area under the curve 0.83). Patients with a standing pelvic tilt ≥19° and an unbalanced spine with a flatback deformity had a 30× fold relative risk (95% confidence interval 4-226, P < .001) of being a hip user.Patients awaiting THA

2020 Journal of Arthroplasty

259. Male and Female Sexual Dysfunction in Pediatric Cancer Survivors. (Abstract)

with sexual function. Females who reported difficulty relaxing during intercourse in the last 6 months had higher odds of reporting sexual dysfunction (odds ratio: 13.6, 95% confidence interval: 1.2-151.2, P = .03). Subgroup analysis of FSFI domains found that previous radiation therapy was correlated with decreased lubrication and satisfaction during intercourse, whereas previous treatment to the pelvic region significantly reduced satisfaction and increased pain during intercourse.Female pediatric

2020 Journal Of Sexual Medicine

260. An Innovative Strategy for Non-Grafting Penile Enlargement: A Novel Paradigm for Tunica Expansion Procedures. (Abstract)

An Innovative Strategy for Non-Grafting Penile Enlargement: A Novel Paradigm for Tunica Expansion Procedures. Peyronie's disease, diabetes, trauma, pelvic surgeries, and aging are conditions that promote penile fibrosis and trigger erectile dysfunction associated with penile reduction. These pathologies require an objective preoperative diagnosis and intraoperative management of penile shrinkage.The goal is to develop a non-grafting procedure to promote lengthening using geometric patterns (...) constriction in 40.86% of cases was corrected with vertical relaxing incisions. Ventral glanspexy was performed intraoperatively in 92.8% of patients to prevent hypermobility. A penile gain of 3.3 cm (2-6) was measured intraoperatively.Diagnosis of penile shortening was performed by a stretch length test and pharmacologically induced erection together with the patient's subjective opinion of penile loss. Lengthening procedure depends on the limit of the dissected neurovascular bundle. The patient

2020 Journal Of Sexual Medicine

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