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Author: Jacob Kean
Publisher:
ISBN:
Category :
Languages : en
Pages : 300
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Book Description
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: Jacob Kean
Publisher:
ISBN:
Category :
Languages : en
Pages : 300
Get Book Here
Book Description
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
ISBN: 1585623792
Category : Medical
Languages : en
Pages : 1202
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Book Description
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:
Publisher:
ISBN:
Category : Dissertations, Academic
Languages : en
Pages : 800
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Book Description
Author: Robert D. Stevens
Publisher: Cambridge University Press
ISBN: 1107434424
Category : Medical
Languages : en
Pages : 457
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Book Description
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: Barry S. Fogel
Publisher: Oxford University Press
ISBN: 0190226293
Category : Medical
Languages : en
Pages : 1813
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Book Description
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: Bradford Dickerson
Publisher: Oxford University Press
ISBN: 0199928460
Category : Medical
Languages : en
Pages : 705
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Book Description
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: Olivier Godefroy
Publisher: Cambridge University Press
ISBN: 1139461893
Category : Medical
Languages : en
Pages : 637
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Book Description
The care of stroke patients has changed dramatically. As well as improvements in the emergency care of the condition, there have been marked advances in our understanding, management and rehabilitation of residual deficits. This book is about the care of stroke patients, focusing on behavioural and cognitive problems. It provides a comprehensive review of the field covering the diagnostic value of these conditions, in the acute and later phases, their requirements in terms of treatment and management and the likelihood and significance of long-term disability. This book will appeal to all clinicians involved in the care of stroke patients, as well as to neuropsychologists, other rehabilitation therapists and research scientists investigating the underlying neuroscience.
Author:
Publisher: American Bar Association
ISBN:
Category : Psychology
Languages : en
Pages : 152
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Book Description
Author: A. J. Larner
Publisher: Springer
ISBN: 3319447750
Category : Medical
Languages : en
Pages : 351
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Book Description
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: Annah N. Abrams
Publisher: Springer
ISBN: 3319213741
Category : Medical
Languages : en
Pages : 413
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Book Description
This textbook walks clinicians through the psychosocial issues and challenges faced by children and adolescents with cancer and their families. Through a developmental lens, the text provides guidance and resources that will enable clinicians to understand the physical and emotional impact of the disease from diagnosis onwards, to work with families in distress, and to diagnose and treat a range of behavioral, psychological, and psychiatric issues. The book also addresses the burgeoning fields of social media, complementary therapies, palliative care, and survivorship. Among the variety of useful resources supplied are assessment tools, websites, and additional reading materials. The psychosocial issues that arise for children and their families during the course of treatment are an important yet often overlooked aspect of pediatric oncology care. The reader will find that Pediatric Psychosocial Oncology: Textbook for Multidisciplinary Care covers these issues at the forefront of clinical care in a direct and approachable way, integrating research literature with practical clinical guidance.
