Pain Evaluation for Acute Otitis Media in Children PDF Download
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Author: Angela A. LaRuffa
Publisher: ProQuest
ISBN: 9780549505587
Category : Acute otitis media
Languages : en
Pages : 41
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Book Description
Acute otitis media (AOM) is the most common infection for which antibiotics are prescribed for children in the United States. Evidence based guidelines such as those developed by the American Academy of Pediatrics, and Cincinnati Children's Hospital Medical Center, help provide the most up-to-date care for children with AOM including assessment and treatment of pain. The purpose of this study was to determine if clinicians in primary care settings, were assessing and treating pain symptoms during the office visit. Charts (n=172) were reviewed for 24 pediatric providers. There were no validated assessment tools identified for pain assessment in this primary care setting. Forty eight percent of charts had documentation of pain symptoms, 52% did not. Nurse practitioners and pediatricians more often asked about behaviors affected by pain than did the general practitioners or physician assistants. Fifty one children or 29.7% of patients were treated for pain. Clinicians were more likely to make a recommendation of pain medication or treatment for patients where pain was documented (p = .003). Contrary to evidence based guidelines, 24% of patients received cold and allergy medications for AOM symptoms. Suggested future research projects may include quantifying pain responses with the use of validated assessment tools and clinician's adherence to evidence based practice guidelines.
Author: Angela A. LaRuffa
Publisher: ProQuest
ISBN: 9780549505587
Category : Acute otitis media
Languages : en
Pages : 41
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Book Description
Acute otitis media (AOM) is the most common infection for which antibiotics are prescribed for children in the United States. Evidence based guidelines such as those developed by the American Academy of Pediatrics, and Cincinnati Children's Hospital Medical Center, help provide the most up-to-date care for children with AOM including assessment and treatment of pain. The purpose of this study was to determine if clinicians in primary care settings, were assessing and treating pain symptoms during the office visit. Charts (n=172) were reviewed for 24 pediatric providers. There were no validated assessment tools identified for pain assessment in this primary care setting. Forty eight percent of charts had documentation of pain symptoms, 52% did not. Nurse practitioners and pediatricians more often asked about behaviors affected by pain than did the general practitioners or physician assistants. Fifty one children or 29.7% of patients were treated for pain. Clinicians were more likely to make a recommendation of pain medication or treatment for patients where pain was documented (p = .003). Contrary to evidence based guidelines, 24% of patients received cold and allergy medications for AOM symptoms. Suggested future research projects may include quantifying pain responses with the use of validated assessment tools and clinician's adherence to evidence based practice guidelines.
Author: Neil L. Schechter
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781726443
Category : Medical
Languages : en
Pages : 924
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Book Description
This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Author: David L. Simel
Publisher: McGraw Hill Professional
ISBN: 0071590315
Category : Medical
Languages : en
Pages : 940
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Book Description
The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine
Author: Susan M. Schappert
Publisher:
ISBN:
Category : Middle ear
Languages : en
Pages : 20
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Book Description
Author: Richard M. Rosenfeld
Publisher: PMPH-USA
ISBN: 9781550092547
Category : CD-ROMs
Languages : en
Pages : 552
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Book Description
Evidence-Based Otitis Media offers one-stop shopping for the best current evidence to guide management decisions at the individual, organizational, and societal levels. This text details the importance of evidence-based data in interpreting the ever-enlarging body of literature on otitis media. The editors have assembled an impressive group of experts on all aspects of otitis media and addressed comprehensively many issues related to methodology, clinical management, and consequences of this disease. The eight chapters comprising the methodology section provide the necessary background and detail to allow physicians and other health professionals to understand and appreciate the value of evidence-based medicine. Updates include: the incorporation of new original research, systemic reviews, and evidence reports to existing chapters. New chapter topics include: evidence-based medicine, professional evidence reports, molecular and translational research, complementary and alternative medicine, bacteriologic efficacy of antimicrobials, vaccine prevention, international management perspectives, meta-analysis of speech and language sequelae, suppurative complications, host susceptibility to sequelae, and judicious use of systemic and topical antimicrobials. FEATURES: *Maturation of evidence-based medicine as a foundation for clinical care is reflected throughout the text. *Extensive evidence tables summarize study characteristics and quantitative outcomes for clinically relevant endpoints *Internationally distinguished contributors selected based on both their clinical expertise and their ability to write for an evidence-based text
Author: Sics Editore
Publisher: SICS Editore
ISBN: 8869306232
Category : Medical
Languages : en
Pages : 47
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Book Description
Treatment is based on careful diagnosis . If acute otitis media (AOM) is only suspected antimicrobial drugs are not indicated.Treatment is always individual: antimicrobials will hasten recovery and relieve ear-related symptoms, but AOM can also resolve without antimicrobials .
Author: Sylvan E. Stool
Publisher: DIANE Publishing
ISBN: 9780788148224
Category :
Languages : en
Pages : 126
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Book Description
Otitis media with effusion is one of the most common problems of infancy and early childhood. Because the prevalence, incidence, and management of this condition varies with age, this guideline focuses on the group at high risk for long-term effects: children ages 1-3 years. These recommendations are based on an extensive review of medical and health-related literature and expert opinion. They are given for diagnosis and hearing evaluation; control of environmental factors; and sequencing of interventions, including observation, use of antibiotics and other medications, and the appropriateness and timing of surgery.
Author: Julie M. Hauer
Publisher: JHU Press
ISBN: 1421409380
Category : Health & Fitness
Languages : en
Pages : 480
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Book Description
Hauer offers hope and practical coping strategies in equal measure.
Author: Maya Clark
Publisher:
ISBN:
Category : Acute otitis media
Languages : en
Pages : 122
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Book Description
Author: Nupur Kapoor Nerurkar
Publisher: Thieme
ISBN: 9382076069
Category : Medical
Languages : en
Pages : 1216
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Book Description
Otology and Neurotology provides guidance on the clinical and practical management of diseases of the ear and lateral skull base.It discusses the latest techniques and technologies that encompass the complex nature of the specialty.Topics important to the otologist and neurotologist, such as chronic ear disease, cochlear and brainstem implants, robotic surgery, and many others, are covered by experts in their fields. This book is an invaluable reference for residents, fellows, allied health professionals, comprehensive otolaryngologists, otologists, neurotologists, and skull base surgeons. Key Features: Applied anatomy and physiology of the ear and lateral skull base Evidence-based approach to diseases of the ear and lateral skull base Practical presentation of cutting-edge concepts in otology and neurotology The contributors to this volume are internationally recognized experts in otology, neurotology, and lateral skull base surgery.
