Rehearsal’s Effect on Recall and Comprehension of Orthodontic Informed Consent PDF Download
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Author: Brennan Skulski
Publisher:
ISBN:
Category : Orthodontics
Languages : en
Pages : 77
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Book Description
Introduction: Proper informed consent allows patients to take an active role in their own treatment decisions and may improve treatment outcomes due to enhanced compliance. The objective was to determine if hand-written rehearsal of core and custom consent items would increase short-term recall and comprehension. Methods: Ninety patient-parent pairs were randomly assigned to two groups. After case presentation, each subject was provided 10 minutes to read a modified informed consent document. Group A received visual printouts containing the four core elements (root resorption, decalcification, pain, and relapse/retention) likely to be encountered by all patients and up to four custom elements (e.g. impacted teeth, orthognathic surgery or other case specific treatment issues). Subjects identified and wrote what the image depicted and how it could affect treatment. Group B viewed a slideshow presentation on all 18 consent elements arranged from general to specific. All participants were interviewed, and each provided their socio-demographic data, as well as completed literacy, health literacy, and state anxiety questionnaires. The groups were compared for recall and comprehension through an ANCOVA. Results: The rehearsal intervention significantly improved recall and comprehension of the core elements (p=0.001). Rehearsal also improved custom recall and comprehension, but not significantly. Group B performed significantly better on treatment questions (p=0.001). Overall, as anxiety increased, correct responses decreased. Conclusions: The rehearsal group improved recall and comprehension of the core and custom elements of informed consent and proved a more efficient method than an audiovisual presentation to provide informed consent.
Author: Brennan Skulski
Publisher:
ISBN:
Category : Orthodontics
Languages : en
Pages : 77
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Book Description
Introduction: Proper informed consent allows patients to take an active role in their own treatment decisions and may improve treatment outcomes due to enhanced compliance. The objective was to determine if hand-written rehearsal of core and custom consent items would increase short-term recall and comprehension. Methods: Ninety patient-parent pairs were randomly assigned to two groups. After case presentation, each subject was provided 10 minutes to read a modified informed consent document. Group A received visual printouts containing the four core elements (root resorption, decalcification, pain, and relapse/retention) likely to be encountered by all patients and up to four custom elements (e.g. impacted teeth, orthognathic surgery or other case specific treatment issues). Subjects identified and wrote what the image depicted and how it could affect treatment. Group B viewed a slideshow presentation on all 18 consent elements arranged from general to specific. All participants were interviewed, and each provided their socio-demographic data, as well as completed literacy, health literacy, and state anxiety questionnaires. The groups were compared for recall and comprehension through an ANCOVA. Results: The rehearsal intervention significantly improved recall and comprehension of the core elements (p=0.001). Rehearsal also improved custom recall and comprehension, but not significantly. Group B performed significantly better on treatment questions (p=0.001). Overall, as anxiety increased, correct responses decreased. Conclusions: The rehearsal group improved recall and comprehension of the core and custom elements of informed consent and proved a more efficient method than an audiovisual presentation to provide informed consent.
Author: Alexander Robert Desman
Publisher:
ISBN:
Category : Informed consent (Medical law)
Languages : en
Pages : 90
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Book Description
Introduction: The purpose of this study was to determine if written rehearsal of informed consent improved six-months recall and comprehension compared to the current best practices. Methods: A consultation was provided and subjects read the modified informed consent. They were randomized to Group A (received the core and up to four custom elements of treatment, wrote what each image displayed) or Group B (presentation of the 18 elements with core elements chunked at the end followed by up to four custom elements). Interviews recording recall/comprehension occurred immediately and six months later. Results: Overall, no significant differences in baseline or 6-month follow-up scores were found between groups. Initially, Group A outperformed Group B in some core domains. There were no significant differences between groups in the change of scores from initial to recall. Follow-up scores were significantly lower than baseline scores (p0.05). Higher initial scores were associated with larger drops at follow-up. A decrease in knowledge 20% was common. Conclusions: Overall the methods are comparable at baseline and 6-months. Initial content retention was roughly 2/3, with 6-9% deterioration. For areas of treatment methods, risk, discomfort, and resorption at 6-months, the current processes fail the patient and leave the practitioner vulnerable to risk management issues. Results support the rehearsal method with immediate feedback for misunderstandings as the preferred method for informed consent.
Author: Ragina C. Schwartz
Publisher:
ISBN:
Category : Informed consent (Medical law)
Languages : en
Pages : 160
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Book Description
Author: NANDA International
Publisher: John Wiley & Sons
ISBN: 1118914929
Category : Medical
Languages : en
Pages : 521
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Book Description
Nursing Diagnoses: Definitions and Classification is the definitive guide to nursing diagnoses, as reviewed and approved by NANDA-I. The 2015–2017 edition of the classic and internationally recognised text has been rigorously updated and revised, and now provides more linguistically congruent diagnoses as a result of the Diagnostic Development Committee’s attentiveness to understanding the translation of the diagnostic label, definition, defining characteristics, related factors, and risk factors. Each of the 235 diagnoses presented are supported by definitions as well as defining characteristics and related factors, or risk factors. Each new and revised diagnosis is based on the latest global evidence, and approved by expert nurse diagnosticians, researchers, and educators. New to this edition: 26 brand new nursing diagnoses and 13 revised diagnoses Updates, changes, and revision to the vast majority of the nursing diagnosis definitions, in particular the Health Promotion and Risk Diagnoses A standardization of diagnostic indicator terms (defining characteristics, related factors, and risk factors) to further aid clarity for readers and clinicians All introductory chapters are written at an undergraduate nursing level, and provide critical information needed for nurses to understand assessment, its link to diagnosis, and the purpose and use of taxonomic structure for the nurse at the bedside A new chapter, focusing on Frequently Asked Questions, representing the most common questions received through the NANDA-I website, and at global conferences Five nursing diagnoses have been re-slotted within the NANDA-I taxonomy, following a review of the current taxonomic structure Coding of all diagnostic indicator terms is now available for those using electronic versions of the terminology Companion website featuring references from the book, video presentations, teaching tips, and links to taxonomy history and diagnosis submission/review process description www.wiley.com/go/nursingdiagnoses
Author:
Publisher:
ISBN:
Category : Nicotine addiction
Languages : en
Pages : 22
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Book Description
This booklet for schools, medical personnel, and parents contains highlights from the 2012 Surgeon General's report on tobacco use among youth and teens (ages 12 through 17) and young adults (ages 18 through 25). The report details the causes and the consequences of tobacco use among youth and young adults by focusing on the social, environmental, advertising, and marketing influences that encourage youth and young adults to initiate and sustain tobacco use. This is the first time tobacco data on young adults as a discrete population have been explored in detail. The report also highlights successful strategies to prevent young people from using tobacco.
Author: Kathrin LaFaver
Publisher: Springer Nature
ISBN: 3030864952
Category : Medical
Languages : en
Pages : 455
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Book Description
This book is a practical manual for clinical practitioners seeking to take an interdisciplinary and multidisciplinary approach to the diagnosis and management of functional movement disorder (FMD). It discusses case vignettes, reviews the diagnostic approach, provides an update on available treatments, highlights clinical pearls and details references for further reading. Organized into three parts, the book begins with a framework for conceptualizing FMD - including its historical context, the biopsychosocial model and an integrated neurologic-psychiatric perspective towards overcoming mind-body dualism. Part II then provides a comprehensive overview of different FMD presentations including tremor, dystonia, gait disorders, and limb weakness, as well as common non-motor issues such as pain and cognitive symptoms. The book concludes with chapters on updated practices in delivering the diagnosis, working with patients and care partners to achieve shared understanding of a complex condition, as well as an overview of evidence-based and evolving treatments. Supplemented with high-quality patient videos, Functional Movement Disorder is written for practicing neurologists, psychiatrists, psychologists, allied mental health professionals, and rehabilitation experts with an interest in learning more about diagnosis and management of FMD.
Author: Caroline Campbell
Publisher: Springer
ISBN: 3319487299
Category : Medical
Languages : en
Pages : 255
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Book Description
This book is a comprehensive guide to pediatric dental fear/anxiety (DFA) and phobia that will provide practitioners with a full understanding of the etiology, prevalence, assessment, and management of these conditions. The coping styles of children when under stress are explored, with discussion of their relevance to the assessment visit and treatment allocation. Practical treatment techniques are comprehensively covered, from non-pharmacological behavioral strategies relevant for children with no or mild DFA to those approaches more appropriate for children with severe DFA/phobia. The importance of the use of language and communication skills to build rapport and allay anxiety is explored. Relaxation and hypnosis techniques are described, with guidance on how to introduce these to patients and their parents/carers. Techniques that help children cope when receiving injections are detailed, including systematic needle desensitization ; these provide practitioners with options to help resolve DFA and phobia regarding needles. Intravenous sedation, including the challenge of cannulation, is covered comprehensively. Furthermore, cognitive behavioral therapy is presented, with suggestion of practical self-help material when appropriate. The closing chapter looks to the future, discussing the barriers to and the changes required for the creation of more child-centered DFA services.
Author: Elie M. Ferneini
Publisher: Springer Nature
ISBN: 303022371X
Category : Medical
Languages : en
Pages : 373
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Book Description
This book is a comprehensive, step-by-step guide to maxillofacial surgical procedures typically performed in an office setting. It comprises three sections, the first of which provides an overview of general and basic perioperative topics such as medical and facial assessment, laboratory indications, local anesthesia, and oral and parenteral sedation. In the second section, a wide range of dentoalveolar procedures are described in detail. The final section is devoted to maxillofacial cosmetic procedures. Here, readers will find stepwise guidance on scar revision, chemical peel, laser resurfacing, dermabrasion, use of neuromodulators and fillers, neck procedures, blepharoplasty, and hair transplant surgery. The book is written by acknowledged experts and is multi-institutional and multispecialty based. It will meet the needs of multiple surgical professionals, including oral and maxillofacial surgeons, plastic surgeons, otolaryngologists, cosmetic surgeons, dentists, and medical and dental students. Health care providers will also be able to use the book as a resource to expand their knowledge on common maxillofacial surgical procedures.
Author: Andrew Hadler
Publisher: John Wiley & Sons
ISBN: 1119129524
Category : Medical
Languages : en
Pages : 550
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Book Description
Against a global backdrop of problematic adherence to medical treatment, this volume addresses and provides practical solutions to the simple question: “Why don’t patients take treatments that could save their lives?” The Wiley handbook of Healthcare Treatment Engagement offers a guide to the theory, research and clinical practice of promoting patient engagement in healthcare treatment at individual, organizational and systems levels. The concept of treatment engagement, as explained within the text, promotes a broader view than the related concept of treatment adherence. Treatment engagement encompasses more readily the lifestyle factors which may impact healthcare outcomes as much as medication-taking, as well as practical, economic and cultural factors which may determine access to treatment. Over a span of 32 chapters, an international panel of expert authors address this far-reaching and fascinating field, describing a broad range of evidence-based approaches which stand to improve clinical services and treatment outcomes, as well as the experience of users of healthcare service and practitioners alike. This comprehensive volume adopts an interdisciplinary approach to offer an understanding of the factors governing our healthcare systems and the motivations and behaviors of patients, clinicians and organizations. Presented in a user-friendly format for quick reference, the text first supports the reader’s understanding by exploring background topics such as the considerable impact of sub-optimal treatment adherence on healthcare outcomes, before describing practical clinical approaches to promote engagement in treatment, including chapters referring to specific patient populations. The text recognizes the support which may be required throughout the depth of each healthcare organization to promote patient engagement, and in the final section of the book, describes approaches to inform the development of healthcare services with which patients will be more likely to seek to engage. This important book: Provides a comprehensive summary of practical approaches developed across a wide range of clinical settings, integrating research findings and clinical literature from a variety of disciplines Introduces and compliments existing approaches to improve communication in healthcare settings and promote patient choice in planning treatment Presents a range of proven clinical solutions that will appeal to those seeking to improve outcomes on a budget Written for health professionals from all disciplines of clinical practice, as well as service planners and policy makers, The Wiley Handbook of Healthcare Treatment Engagement is a comprehensive guide for individual practitioners and organizations alike.
Author: Jared M. Diamond
Publisher: Harper Collins
ISBN: 0060845503
Category : Social Science
Languages : en
Pages : 434
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Book Description
The Development of an Extraordinary Species We human beings share 98 percent of our genes with chimpanzees. Yet humans are the dominant species on the planet -- having founded civilizations and religions, developed intricate and diverse forms of communication, learned science, built cities, and created breathtaking works of art -- while chimps remain animals concerned primarily with the basic necessities of survival. What is it about that two percent difference in DNA that has created such a divergence between evolutionary cousins? In this fascinating, provocative, passionate, funny, endlessly entertaining work, renowned Pulitzer Prize–winning author and scientist Jared Diamond explores how the extraordinary human animal, in a remarkably short time, developed the capacity to rule the world . . . and the means to irrevocably destroy it.
