The Accuracy And Validity Of A New Screening Tool For Delirium In Acquired Brain Injury

Author : Jacob Kean
Publisher : Unknown
Page : 300 pages
File Size : 50,7 Mb
Release : 2008
Category : Electronic
ISBN : IND:30000095225680

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The Accuracy and Validity of a New Screening Tool for Delirium in Acquired Brain Injury by Jacob Kean Pdf

The period of acute recovery following acquired brain injury has been referred to as post-traumatic amnesia despite the recognition that the scope of impairment extends far beyond memory. Conversely, delirium is a neuropsychiatric disorder with a broad constellation of symptoms, including cognitive, psychiatric and behavioral impairments, which may be precipitated by a wide range of etiologies. Recent understanding of acute recovery following acquired brain injury suggests that these cognitive and behavioral impairments may be managed more appropriately if they were considered instead as symptoms of delirium. The advantages of this conceptualization are clear: delirium is a condition which accounts for the breadth of the symptoms ignored by the concept of post-traumatic amnesia and for which there are clear treatment recommendations. To improve recognition of the condition in medical rehabilitation settings, a brief screening tool was developed. The tool was comprised of three items demonstrated to be commonly impaired in patients with delirium and which were hypothesized to reflect core features of the disorder. The screening tool was compared to diagnostic criteria for delirium and also to existing validated scales. The accuracy of the tool was assessed using receiver operating characteristic analysis, and the concurrent and construct validity of the tool was established by comparing the screening tool to validated tools in terms of severity, accuracy at existing cutoff scores, duration of delirious episode and alignment with theoretical constructs. Data analysis indicated that the proposed tool was demonstrated to be a highly accurate and valid screening instrument for delirium in a population of patients in an inpatient medical rehabilitation setting. Because the screening tool is efficient and objective relative to other measures available for delirium screening, it holds the potential to improve the recognition and subsequent treatment of the disorder.

Author : James L. Levenson
Publisher : American Psychiatric Pub
Page : 1202 pages
File Size : 40,5 Mb
Release : 2011
Category : Medical
ISBN : 9781585623792

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The American Psychiatric Publishing Textbook of Psychosomatic Medicine by James L. Levenson Pdf

Extensively updated this second edition again brings together a multinational group of distinguished contributors to address every aspect of psychiatric care in the medically ill. This book captures the diversity of the field, whose practitioners -- scholars, physicians, and clinicians of varied backgrounds -- represent a multiplicity of perspectives.

Author : Anonim
Publisher : Unknown
Page : 800 pages
File Size : 41,5 Mb
Release : 2008
Category : Dissertations, Academic
ISBN : STANFORD:36105132702577

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Dissertation Abstracts International by Anonim Pdf

Author : Robert D. Stevens,Tarek Sharshar,E. Wesley Ely
Publisher : Cambridge University Press
Page : 432 pages
File Size : 40,6 Mb
Release : 2013-09-19
Category : Medical
ISBN : 9781107434424

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Brain Disorders in Critical Illness by Robert D. Stevens,Tarek Sharshar,E. Wesley Ely Pdf

Brain dysfunction is a major clinical problem in intensive care, with potentially debilitating long-term consequences for post-ICU patients of any age. The resulting extended length of stay in the ICU and post-discharge cognitive dysfunction are now recognized as major healthcare burdens. This comprehensive clinical text provides intensivists and neurologists with a practical review of the pathophysiology of brain dysfunction and a thorough account of the diagnostic and therapeutic options available. Initial sections review the epidemiology, outcomes, relevant behavioral neurology and biological mechanisms of brain dysfunction. Subsequent sections evaluate the available diagnostic options and preventative and therapeutic interventions, with a final section on clinical encephalopathy syndromes encountered in the ICU. Each chapter is rich in illustrations, with an executive summary and a helpful glossary of terms. Brain Disorders in Critical Illness is a seminal reference for all physicians and neuroscientists interested in the care and outcome of severely ill patients.

Author : Timothy W. Evans,Mitchell P. Fink
Publisher : Springer Science & Business Media
Page : 434 pages
File Size : 44,7 Mb
Release : 2001-08-28
Category : Medical
ISBN : 3540421939

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Mechanisms of Organ Dysfunction in Critical Illness by Timothy W. Evans,Mitchell P. Fink Pdf

The pathophysiology of sepsis can be regarded as a series of steps, beginning with the invasion of normally sterile tissue by microbes and the elaboration of various pro-inflammatory mediators. The final common pathway is often the development of the multiple organ dysfunction syndrome (MODS). Whereas a great deal has been learned during the past quarter century about the inflammatory processes associated with sepsis (and other related conditions, such as ischemia/reperfusion injury), our understanding is far less developed with respect to the pathophysiological events that lead to organ dysfunction under these conditions. Nevertheless, efforts by both clinical and laboratory scientists are leading to new knowledge in this area. The chapters in this volume provide a state-of-the-art overview of many aspects of the pathophysiology of organ dysfunction in critical illness.

Author : Barry S. Fogel,Donna B. Greenberg
Publisher : Oxford University Press
Page : 1248 pages
File Size : 41,5 Mb
Release : 2015-05-28
Category : Medical
ISBN : 9780190226299

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Psychiatric Care of the Medical Patient by Barry S. Fogel,Donna B. Greenberg Pdf

The third edition of Psychiatric Care of the Medical Patient brings a classic reference text into the twenty-first century. It combines critical scholarship with the voice of expert clinicians who work at the interface of psychiatry with medical specialties. It is meant to be read for pleasure as well as consulted as a reference. The editors have worked with the authors to bring a consistent perspective to the book - one that sees the medical psychiatrist as an agent for bringing a more comprehensive perspective to medical care. Even seasoned and knowledgeable practitioners will find much that is new to them in this book. The volume covers topics in depth that other books in the field may not cover at all, such as the use of herbal and nutritional therapies for medical-psychiatric symptoms and syndromes, and the choice of questionnaires to supplement history-taking. It looks at old topics in a new way: The chapter on the physical examination applies psychometric considerations to the Babinski sign, describes the method and application of quantitative bedside olfactory testing, and discusses smartphone apps to improve the sensitivity of the examination. Psychiatric Care of the Medical Patient, 3rd Edition provides concepts and information to facilitate the dialogue between psychiatrists and general medical specialists - minimizing psychiatric jargon and speaking in the common language of caring and curious physicians.

Author : Joanne Green
Publisher : Academic Press
Page : 328 pages
File Size : 44,5 Mb
Release : 2000-03-16
Category : Medical
ISBN : 9780122981906

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Neuropsychological Evaluation of the Older Adult by Joanne Green Pdf

One of the largest patient populations seen by neuropsychologists are older adults suffering from problems associated with aging. Further, the proportion of the population aged 65 and above is rising rapidly. This book provides a guide to neuropsychological clinicians increasingly called upon to assess this population. The book details in a step-by-step fashion the phases and considerations in performing a neuropsychological assessment of an older patient. It covers procedural details including review of patient's medical records, clinical interview, formal testing, interpretation of test scores, addressing referral questions, and preparing an evaluation report. Outlines a clear, logical approach to neuropsychological evaluation Provides specific clinical practice guidelines for each phase of the evaluation Integrates clinical practice with up-to-date research findings Recommends specific tests for evaluating older adults Details how to interpret test findings and identify the patient's neuropsychological profile Illustrates important points with examples and case materials, many neuropathologically-confirmed Includes forms useful in clinical practice

Author : Allan Tasman,Jerald Kay,Jeffrey A. Lieberman,Michael B. First,Michelle Riba
Publisher : John Wiley & Sons
Page : 2759 pages
File Size : 42,5 Mb
Release : 2015-01-29
Category : Medical
ISBN : 9781118845493

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Psychiatry by Allan Tasman,Jerald Kay,Jeffrey A. Lieberman,Michael B. First,Michelle Riba Pdf

Now in a new Fourth Edition, Psychiatry remains the leading reference on all aspects of the current practice and latest developments in psychiatry. From an international team of recognised expert editors and contributors, Psychiatry provides a truly comprehensive overview of the entire field of psychiatry in 132 chapters across two volumes. It includes two new sections, on psychosomatic medicine and collaborative care, and on emergency psychiatry, and compares Diagnostic and Statistical Manual (DSM-5) and International Classification of Diseases (ICD10) classifications for every psychiatric disorder. Psychiatry, Fourth Edition is an essential reference for psychiatrists in clinical practice and clinical research, residents in training, and for all those involved in the treatment psychiatric disorders. Includes a a companion website at www.tasmanpsychiatry.com featuring PDFs of each chapter and downloadable images

Author : Allan Tasman,Jerald Kay,Jeffrey A. Lieberman,Michael B. First,Michelle Riba
Publisher : John Wiley & Sons
Page : 2765 pages
File Size : 54,7 Mb
Release : 2015-03-30
Category : Medical
ISBN : 9781118845479

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Psychiatry, 2 Volume Set by Allan Tasman,Jerald Kay,Jeffrey A. Lieberman,Michael B. First,Michelle Riba Pdf

Now in a new Fourth Edition, Psychiatry remains the leading reference on all aspects of the current practice and latest developments in psychiatry. From an international team of recognised expert editors and contributors, Psychiatry provides a truly comprehensive overview of the entire field of psychiatry in 132 chapters across two volumes. It includes two new sections, on psychosomatic medicine and collaborative care, and on emergency psychiatry, and compares Diagnostic and Statistical Manual (DSM-5) and International Classification of Diseases (ICD10) classifications for every psychiatric disorder. Psychiatry, Fourth Edition is an essential reference for psychiatrists in clinical practice and clinical research, residents in training, and for all those involved in the treatment psychiatric disorders. Includes a a companion website at www.tasmanpsychiatry.com featuring PDFs of each chapter and downloadable images

Author : Ólöf G. Geirsdóttir,Jack J. Bell
Publisher : Springer Nature
Page : 274 pages
File Size : 54,9 Mb
Release : 2021
Category : Geriatric nursing
ISBN : 9783030638924

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Interdisciplinary Nutritional Management and Care for Older Adults by Ólöf G. Geirsdóttir,Jack J. Bell Pdf

This open access book aims to primarily support nurses as leaders and champions of multimodal, Interdisciplinary nutrition care for older adults. A structured approach to fundamentals of nutrition care across Interdisciplinary settings is combined with additional short chapters about special topics in geriatric nutrition. The book is designed to provide highly accessible information on evidence-based management and care for older adults, with a focus on practical guidance and advice across acute, rehabilitation, and primary and secondary malnutrition prevention settings.The cost of malnutrition in England alone has been estimated to be £19.6 billion per year, or more than 15% of the total public expenditure on health and social care. ^65 years). The importance and benefit of specialised nutrition care, delivered by experts in field, is well established for those with complex nutrition care needs. However, despite the substantial adverse impact of malnutrition on patient and healthcare outcomes, specialised management of this condition is often under-resourced, overlooked and under-prioritised by both older adults and their treating teams. As an alternative, timely, efficient, and effective supportive nutrition care opportunities may be appropriately implemented by nurses and non-specialist Interdisciplinary healthcare team members, working together with nutrition specialists and the older adults they care for. Practical, low-risk opportunities should be considered across nutrition screening, assessment, intervention, and monitoring domains for many patients with, or at risk of malnutrition. Whilst a variety of team members may contribute to supportive nutrition care, the nursing profession provide a clear focal point. Nurses across diverse settings provide the backbone for Interdisciplinary teamwork and essential patient care. The nursing profession should consequently be considered best placed to administer Interdisciplinary, multimodal nutrition care, wherever specialist nutrition care referrals are unlikely to add value or are simply not available. As such, the book is a valuable resource for all healthcare providers dedicated to working with older patients to improve nutrition care. .

Author : Joseph H. Porter,Robert J. Hamm
Publisher : Thomson Brooks/Cole
Page : 456 pages
File Size : 42,8 Mb
Release : 1986
Category : Education
ISBN : UOM:39015015284972

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Statistics by Joseph H. Porter,Robert J. Hamm Pdf

Author : Bradford Dickerson,Alireza Atri
Publisher : Oxford University Press
Page : 400 pages
File Size : 53,5 Mb
Release : 2014-08-01
Category : Medical
ISBN : 9780199928460

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Dementia by Bradford Dickerson,Alireza Atri Pdf

Dementia: Comprehensive Principles and Practice is a clinically-oriented book designed for clinicians, scientists, and other health professionals involved in the diagnosis, management, and investigation of disease states causing dementia. A "who's who" of internationally-recognized experts contribute chapters emphasizing a multidisciplinary approach to understanding dementia. The organization of the book takes an integrative approach by providing three major sections that (1) establish the neuroanatomical and cognitive framework underlying disorders of cognition, (2) provide fundamental as well as cutting-edge material covering specific diseases associated with dementia, and (3) discuss approaches to the diagnosis and treatment of dementing illnesses.

Author : A. J. Larner
Publisher : Springer
Page : 351 pages
File Size : 48,7 Mb
Release : 2016-11-30
Category : Medical
ISBN : 9783319447759

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Cognitive Screening Instruments by A. J. Larner Pdf

This revised and updated second edition provides a practical and structured overview of some of the most commonly used and easily available cognitive screening instruments applicable in the outpatient clinic and bedside setting. It now includes additional chapters on AD8 and also methodological aspects of systematic cognitive screening instrument assessment from the Cochrane Dementia and Cognitive Improvement Group. Expert authors from around the world equip the reader with clear instructions on the usage of each screening instrument, its strengths and weaknesses, and the time required for administration. Rules on scoring are also provided, such as how to correct for variations in the patient’s age or education, and suggested cut-off scores. Cognitive Screening Instruments: A Practical Approach, Second Edition is aimed at both clinicians and professionals in disciplines allied to medicine who are called upon to assess patients with possible cognitive disorders, including neurologists, old age psychiatrists, neuropsychologists, primary care physicians, dementia support workers, and members of memory assessment teams.

Author : Anonim
Publisher : Unknown
Page : 1940 pages
File Size : 50,8 Mb
Release : 2004
Category : Medicine
ISBN : MINN:31951P009925589

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Index Medicus by Anonim Pdf

Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.

Author : National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care
Publisher : National Academies Press
Page : 473 pages
File Size : 42,5 Mb
Release : 2015-12-29
Category : Medical
ISBN : 9780309377720

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Improving Diagnosis in Health Care by National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care Pdf

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.