Quality Patient Care: Making Evidence-Based, High Value Choices, An Issue of Medical Clinics of North America

 
 
Elsevier (Verlag)
  • 1. Auflage
  • |
  • erschienen am 24. August 2016
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  • 100 Seiten
 
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978-0-323-46281-5 (ISBN)
 
This issue of Medical Clinics, guest edited by Drs. Marc Shalaby and Edward Bollard, is devoted to Quality Patient Care: Making Evidence-Based, High Value Choices. Articles in this issue include: Cardiovascular testing in asymptomatic patients: carotid duplex, cardiac stress testing, screen for PVD; Utility of echocardiogram in the evaluation of heart murmurs; Evidenced-based recommendations for the evaluation of palpitations in the primary care setting; Radiologic evaluation of common orthopedic complaints: low back pain, non-traumatic knee/shoulder/hip pain, and ankle injuries; Indications and usefulness of common injections for non-traumatic orthopedic complaints - shoulder, trochanteric bursa, epidural injections, tennis elbow, and knee; The evidence-based evaluation of chronic cough; Evaluation of uncomplicated headache; Evaluation of syncope; Pre-operative assessment: Cataract surgery, pre-operative EKG testing, screening for cardiopulmonary disease, urinalysis, coagulation studies, other lab assessments; The approach to occult GI bleed; The role of EGD surveillance for patients with Barrett's esophagus; The evidence-based evaluation of iron deficiency anemia; Cancer screening in the elderly; Utilization and safety of common over the counter dietary/nutritional supplements, herbal agents and homeopathic compounds for disease prevention; Utilization of oxygen for the patient with dyspnea; IV fluids, enteral or parenteral nutrition; and Symptom control at the end of life.
  • Englisch
  • Philadelphia
  • |
  • USA
Elsevier Health Sciences
  • 3,11 MB
978-0-323-46281-5 (9780323462815)
0323462812 (0323462812)
weitere Ausgaben werden ermittelt
  • Front Cover
  • Quality Patient Care:Making Evidence-Based, High ValueChoices
  • Copyright
  • CME Accreditation Page
  • PROGRAM OBJECTIVE
  • TARGET AUDIENCE
  • LEARNING OBJECTIVES
  • ACCREDITATION
  • DISCLOSURE OF CONFLICTS OF INTEREST
  • UNAPPROVED/OFF-LABEL USE DISCLOSURE
  • TO ENROLL
  • METHOD OF PARTICIPATION
  • CME INQUIRIES/SPECIAL NEEDS
  • MEDICAL CLINICS OF NORTH AMERICA
  • FORTHCOMING ISSUES
  • November 2016
  • January 2017
  • March 2017
  • RECENT ISSUES
  • July 2016
  • May 2016
  • March 2016
  • Contributors
  • CONSULTING EDITORS
  • EDITORS
  • AUTHORS
  • Contents
  • Preface: A Convergence of Themes: Making Evidence-Based, High Value Choices
  • Cardiovascular Testing in Asymptomatic Patients: Carotid Duplex, Cardiac Stress Testing, Screen for Peripheral Arterial Disease
  • Evidence-Based Recommendations for the Evaluation of Palpitations in the Primary Care Setting
  • Utility of Echocardiogram in the Evaluation of Heart Murmurs
  • Avoiding Unnecessary Preoperative Testing
  • The Cost-Effective Evaluation of Uncomplicated Headache
  • The Cost-Effective Evaluation of Syncope
  • Evidence-Based Evaluation and Management of Chronic Cough
  • The Approach to Occult Gastrointestinal Bleed
  • The Role of Esophagogastroduodenoscopy Surveillance for Patients with Barrett Esophagus
  • The Evidence-Based Evaluation of Iron Deficiency Anemia
  • Indications and Usefulness of Common Injections for Nontraumatic Orthopedic Complaints
  • Utilization and Safety of Common Over-the-Counter Dietary/Nutritional Supplements, Herbal Agents, and Homeopathic Compounds
  • Cancer Screening in Older Adults
  • Symptom Control at the End of Life
  • Treating Dyspnea: Is Oxygen Therapy the Best Option for All Patients?
  • The Role of Intravenous Fluids and Enteral or Parenteral Nutrition in Patients with Life-limiting Illness
  • Preface: A Convergence of Themes: Making Evidence-Based, High Value Choices
  • Cardiovascular Testing in Asymptomatic Patients
  • Key points
  • INTRODUCTION
  • CAROTID DUPLEX
  • The Disease
  • Possible Interventions
  • Test Characteristics
  • Potential Benefits
  • Potential Harms
  • Guidelines
  • Summary
  • CARDIAC STRESS TESTING
  • The Disease
  • Possible Interventions
  • Test Characteristics
  • Potential Benefits
  • Potential Harms
  • Guidelines
  • Summary
  • SCREEN FOR PERIPHERAL ARTERIAL DISEASE
  • The Disease
  • Possible Interventions
  • Test Characteristics
  • Potential Benefits
  • Potential Harms
  • Guidelines
  • Summary
  • SUMMARY
  • REFERENCES
  • Evidence-based Recommendations for the Evaluation of Palpitations in the Primary Care Setting
  • Key points
  • INTRODUCTION
  • Patient History
  • PATHOPHYSIOLOGY
  • Review of the Related Literature
  • HISTORY AND PHYSICAL EXAMINATION FINDINGS
  • History
  • Physical Examination and Laboratory Tests
  • ADDITIONAL TESTING FOR CARDIAC ARRHYTHMIAS
  • Holter Monitor
  • Transtelephonic Electrocardiographic Monitoring
  • Mobile Cardiac Outpatient Telemetry System
  • Implantable Cardiac Monitors
  • Treadmill Exercise Testing
  • Echocardiography
  • Electrophysiologic Studies
  • Review of the Related Literature
  • DIAGNOSTIC DILEMMA: SUMMARY
  • REFERENCES
  • Utility of Echocardiogram in the Evaluation of Heart Murmurs
  • Key points
  • INTRODUCTION
  • PHYSICAL EXAMINATION
  • ECHOCARDIOGRAPHY AND CLINICAL GUIDELINES
  • COMMON HEART MURMURS
  • Native Valve Stenosis
  • Aortic stenosis
  • Mitral stenosis
  • Native Valve Regurgitation
  • Aortic regurgitation
  • Mitral regurgitation
  • TRANSESOPHAGEAL ECHOCARDIOGRAPHY
  • COST TRENDS IN THE USE OF ECHOCARDIOGRAPHY
  • FUTURE CONSIDERATIONS/SUMMARY
  • REFERENCES
  • Avoiding Unnecessary Preoperative Testing
  • Key points
  • INTRODUCTION
  • PREOPERATIVE TESTING BEFORE CATARACT SURGERY
  • ROUTINE URINALYSIS IN THE PREOPERATIVE PERIOD
  • PREOPERATIVE ELECTROCARDIOGRAMS IN PATIENTS UNDERGOING SURGERY
  • ROUTINE PREOPERATIVE COAGULATION STUDIES
  • SUMMARY
  • REFERENCES
  • The Cost-Effective Evaluation of Uncomplicated Headache
  • Key points
  • INTRODUCTION
  • PATHOPHYSIOLOGY AND CLASSIFICATION
  • PATIENT HISTORY
  • PHYSICAL EXAMINATION
  • IMAGING AND ADDITIONAL TESTING
  • MANAGEMENT
  • REFERENCES
  • The Cost-Effective Evaluation of Syncope
  • Key points
  • INTRODUCTION
  • PATHOPHYSIOLOGY OR CLASSIFICATION
  • THE HISTORY AND PHYSICAL EXAMINATION
  • THE HISTORY
  • THE PHYSICAL EXAMINATION
  • INITIAL DIAGNOSTIC TESTING
  • Electrocardiogram
  • Blood Work
  • Specific Laboratory Tests
  • IMAGING AND ADDITIONAL DIAGNOSTIC TESTING
  • Testing in General
  • Computed Tomography or MRI
  • Echocardiography
  • Tilt Table Testing
  • Carotid Doppler
  • Continuous Electrocardiogram Monitoring
  • Inpatient Telemetry Monitors
  • Holter Monitor
  • Loop or Event Recorders
  • RISK STRATIFICATION
  • SUMMARY
  • REFERENCES
  • Evidence-based Evaluation and Management of Chronic Cough
  • Key points
  • INTRODUCTION
  • CAUSES OF CHRONIC COUGH
  • Angiotensin-converting Enzyme Inhibitors
  • Upper Airway Cough Syndrome
  • Asthma
  • Gastroesophageal Reflux Disease
  • Cough Hypersensitivity Syndrome
  • EVALUATION OF PATIENTS WITH CHRONIC COUGH
  • History and Physical Examination
  • Diagnostic Testing
  • Chest Radiograph
  • Computed Tomography Scan of the Chest
  • Computed Tomography Scan of the Sinuses
  • Pulmonary Function Testing
  • Sputum Examination
  • Testing for GERD
  • TREATMENT OF CHRONIC COUGH
  • Smoking
  • Angiotensin-converting Enzyme Inhibitors
  • Nonsmokers, Not on Angiotensin-converting Enzyme Inhibitors and with Normal Chest Radiographs
  • Upper Airway Cough Syndrome
  • Asthma
  • Gastroesophageal Reflux Disease
  • Cough Hypersensitivity Syndrome
  • SUMMARY/FUTURE CONSIDERATIONS
  • REFERENCES
  • The Approach to Occult Gastrointestinal Bleed
  • Key points
  • INTRODUCTION
  • ETIOLOGY AND PATHOPHYSIOLOGY
  • PATIENT HISTORY
  • PHYSICAL EXAMINATION
  • INITIAL MANAGEMENT OF OCCULT GASTROINTESTINAL BLEEDING
  • ENDOSCOPY AND OTHER DIAGNOSTIC TESTS
  • Isolated Iron Deficiency Anemia
  • Spiral Enteroscopy
  • Intraoperative Enteroscopy
  • DOUBLE BALLOON ENTEROSCOPY VERSUS VIDEO CAPSULE ENDOSCOPY: COST-EFFECTIVENESS ANALYSIS
  • Positive Fecal Occult Blood Test with or Without Iron Deficiency Anemia
  • SUMMARY
  • ACKNOWLEDGMENTS
  • REFERENCES
  • The Role of Esophagogastroduodenoscopy Surveillance for Patients with Barrett Esophagus
  • Key points
  • INTRODUCTION
  • DEVELOPMENT OF BARRETT ESOPHAGUS AND ESOPHAGEAL ADENOCARCINOMA
  • MANAGEMENT OF BARRETT ESOPHAGUS
  • SURVEILLANCE CHALLENGES AND STRATEGIES
  • RECOMMENDATIONS
  • FUTURE CONSIDERATIONS
  • REFERENCES
  • The Evidence-Based Evaluation of Iron Deficiency Anemia
  • Key points
  • INTRODUCTION
  • Case 1 Presentation
  • Case 2 Presentation
  • Case 3 Presentation
  • Case 4 Presentation
  • REFERENCES
  • Indications and Usefulness of Common Injections for Nontraumatic Orthopedic Complaints
  • Key points
  • INTRODUCTION
  • OSTEOARTHRITIS OF THE KNEE
  • Corticosteroid Injections for Osteoarthritis of the Knee: Efficacy
  • Corticosteroid Injections for Osteoarthritis of the Knee: Safety
  • Corticosteroid Injections for Osteoarthritis of the Knee: Cost
  • Corticosteroid Injections for Osteoarthritis of the Knee: Conclusions
  • Intra-articular Injection of Hyaluronic Acids in Knee Osteoarthritis: Efficacy
  • Intra-articular Injection of Hyaluronic Acids in Knee Osteoarthritis: Safety
  • Intra-articular Injection of Hyaluronic Acids in Knee Osteoarthritis: Cost
  • Intra-articular Injection of Hyaluronic Acids in Knee Osteoarthritis: Conclusion
  • SHOULDER PAIN (IMPINGEMENT SYNDROME)
  • Corticosteroid Injection for Shoulder Impingement Syndrome: Efficacy
  • Corticosteroid Injection for Shoulder Impingement Syndrome: Safety
  • Corticosteroid Injection for Shoulder Impingement Syndrome: Cost
  • Corticosteroid Injection for Shoulder Impingement Syndrome: Conclusions
  • LATERAL EPICONDYLITIS (EPICONDYLALGIA)
  • Corticosteroid Injection for Lateral Epicondylalgia Syndrome: Efficacy
  • Corticosteroid Injection for Lateral Epicondylalgia Syndrome: Safety
  • Corticosteroid Injection for Lateral Epicondylalgia Syndrome: Cost
  • Corticosteroid Injection for Lateral Epicondylalgia Syndrome: Conclusions
  • GREATER TROCHANTERIC PAIN SYNDROME
  • Corticosteroid Injection for Treatment of Greater Trochanteric Pain Syndrome: Efficacy
  • Corticosteroid Injection for Treatment of Greater Trochanteric Pain Syndrome: Safety
  • Corticosteroid Injection for Treatment of Greater Trochanteric Pain Syndrome: Cost
  • Corticosteroid Injection for Treatment of Greater Trochanteric Pain Syndrome: Conclusion
  • DE QUERVAIN TENOSYNOVITIS
  • Corticosteroid Injection for De Quervain Tenosynovitis: Efficacy
  • De Quervain Tenosynovitis: Safety
  • De Quervain Tenosynovitis: Cost
  • De Quervain Tenosynovitis: Conclusion
  • DISEASES OF THE LUMBAR SPINE
  • Treatment of Lumbar Spine Disease with Corticosteroid Injection: Efficacy
  • Treatment of Lumbar Spine Disease with Corticosteroid Injection: Safety
  • Treatment of Lumbar Spine Disease with Corticosteroid Injection: Cost
  • Treatment of Lumbar Spine Disease with Corticosteroid Injection: Conclusions
  • REFERENCES
  • Utilization and Safety of Common Over-the-Counter Dietary/Nutritional Supplements, Herbal Agents, and Homeopathic Compounds ...
  • Key points
  • INTRODUCTION
  • DISEASES OF ALLERGY AND IMMUNOLOGY
  • UROLOGICAL DISEASES: BENIGN PROSTATIC HYPERPLASIA AND URINARY TRACT INFECTION
  • BONE HEALTH
  • VIRAL UPPER RESPIRATORY TRACT INFECTIONS AND INFLUENZA (COLDS AND FLU)
  • CARDIOVASCULAR DISEASE
  • DEPRESSION
  • DIABETES MELLITUS
  • OBESITY
  • INTERACTION OF NUTRITIONAL SUPPLEMENTS WITH PRESCRIPTION MEDICATIONS
  • HOMEOPATHIC COMPOUNDS
  • SUMMARY
  • REFERENCES
  • Cancer Screening in Older Adults
  • Key points
  • INTRODUCTION
  • CANCERS COMMONLY AFFECTING THE ELDERLY
  • COSTS OF COMMON CANCER SCREENING TESTS
  • USING LIFE EXPECTANCY TO DETERMINE BENEFIT IN CANCER SCREENING
  • REVIEWING CURRENT SCREENING GUIDELINES
  • Breast Cancer Screening
  • Colorectal Cancer Screening
  • Prostate Cancer Screening
  • Lung Cancer Screening
  • HAVING THE DISCUSSION
  • MAKING AN EVIDENCED-BASED, HIGH-VALUE CANCER SCREENING DECISION: AN EXAMPLE
  • SUMMARY
  • HELPFUL LINKS FOR CLINICIANS
  • REFERENCES
  • Symptom Control at the End of Life
  • Key points
  • INTRODUCTION
  • PATIENT-CENTERED END-OF-LIFE CARE
  • COMMUNICATION IN SERIOUS ILLNESS
  • SYMPTOM ASSESSMENT, MANAGEMENT, AND BURDENS OF TREATMENT
  • Pain
  • Dyspnea
  • SPIRITUAL DISTRESS
  • Depression
  • ANXIETY
  • Fatigue
  • Anorexia/Cachexia
  • Delirium
  • Nausea/Vomiting
  • BURDENS OF END-OF-LIFE TREATMENT
  • SUMMARY AND FUTURE DIRECTION
  • REFERENCES
  • Treating Dyspnea
  • Key points
  • INTRODUCTION
  • PATHOPHYSIOLOGY OF DYSPNEA
  • Mechanism of Dyspnea
  • Symptoms of Dyspnea
  • MANAGEMENT GOALS AND TREATMENT OPTIONS: REDUCING DYSPNEA AND IMPROVING QUALITY OF LIFE
  • Dyspnea Secondary to Hypoxemia
  • Dyspnea in the Patient with no Hypoxemia
  • Negative Effects of Oxygen Therapy
  • EVALUATION
  • FUTURE CONSIDERATIONS/SUMMARY
  • REFERENCES
  • The Role of Intravenous Fluids and Enteral or Parenteral Nutrition in Patients with Life-limiting Illness
  • Key points
  • INTRODUCTION
  • EVALUATION OF PATIENTS FOR USE OF ARTIFICIAL NUTRITION OR HYDRATION
  • SETTING THE STAGE FOR THE DISCUSSION: 2 CASES
  • Case 1: A Case of Advanced Dementia
  • Case 2: A Case of Malignancy
  • OPTIONS FOR ARTIFICIAL NUTRITION OR HYDRATION
  • Total Enteral Nutrition
  • Parenteral Nutrition
  • BRINGING IT ALL TOGETHER: REVISITING THE CASES
  • Case 1: A Case of Advanced Dementia
  • Case 2: A Case of Malignancy
  • BARRIERS TO NOT PROVIDING ARTIFICIAL NUTRITION OR HYDRATION
  • The Do-something Mindset
  • Regulatory Considerations
  • Financial Considerations
  • Lack of Health Care Provider Education
  • METHODS FOR ENCOURAGING ORAL FEEDING
  • Oral Assisted Comfort Feeding
  • Discontinuation of Nonessential Medications
  • Therapeutic Management of Swallowing Disorders
  • Dental and Oral Care
  • A SPECIAL CASE: WHEN A PATIENT IS ACTIVELY DYING
  • SUMMARY
  • REFERENCES
  • Index

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