Screening For Hearing Loss In Adults Ages 50 Years And Older A Review Of The Evidence For The U S Preventive Services Task Force

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Screening for Hearing Loss in Adults Ages 50 Years and Older

Author :
Publisher :
ISBN 13 :
Total Pages : 66 pages
Book Rating : 4.:/5 (747 download)

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Book Synopsis Screening for Hearing Loss in Adults Ages 50 Years and Older by :

Download or read book Screening for Hearing Loss in Adults Ages 50 Years and Older written by and published by . This book was released on 2011 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Hearing loss is common in older adults. Screening could identify untreated hearing loss and lead to interventions to improve hearing-related function and quality of life. PURPOSE: To update the 1996 U.S. Preventive Services Task Force evidence review on screening for hearing loss in primary care settings in adults ages 50 years and older. DATA SOURCES: We searched Ovid MEDLINE from 1950 to July 2010, the Cochrane Database of Systematic Reviews, and the Cochrane Central Register of Controlled Trials through the second quarter of 2010 to identify relevant articles. We supplemented electronic searches with reviews of reference lists of relevant articles and solicited additional citations from experts. STUDY SELECTION: We selected randomized trials and controlled observational studies that directly evaluated effects of screening for hearing loss in older (ages 50 years) adults. To evaluate indirect evidence on screening, we also included studies on the diagnostic accuracy of screening tests for hearing loss used in primary care settings, and randomized trials and controlled observational studies that reported clinical outcomes associated with use of amplification. DATA EXTRACTION: One investigator abstracted data and a second investigator checked data abstraction for accuracy. Two investigators independently assessed study quality using methods developed by the U.S. Preventive Services Task Force. DATA SYNTHESIS: Evidence on benefits and harms of screening and treatments for hearing loss was synthesized qualitatively. One large (n=2305) randomized trial found that screening for hearing loss was associated with increased hearing aid use at 1 year, but screening was not associated with improvement in hearing-related function. There is good-quality evidence from 20 studies on diagnostic accuracy that common screening tests for hearing loss can help identify patients at higher risk for hearing loss. The whispered voice test at 2 feet and a single question regarding perceived hearing loss were comparable with a more detailed screening questionnaire or a hand-held audiometric device for identifying at least mild (>25 dB) hearing loss. Negative results using a hand-held audiometric device may be the most useful finding for ruling out at least moderate (>40 dB) hearing loss. One good-quality randomized trial found that immediate hearing aids were effective compared with wait-list control for improving hearing-related quality of life and function in patients with mild or moderate hearing loss and severe hearing-related handicap. We did not find direct evidence on harms of screening or treatments with hearing aids, but harms are likely to be small based on the non-invasive nature of screening and treatment, with no known serious adverse events. LIMITATIONS: We excluded non-English language studies, included studies of diagnostic accuracy in high-prevalence specialty settings, and did not construct outcomes tables. CONCLUSIONS: Additional research is needed to understand effects of screening compared with no screening on health outcomes, and to confirm benefits of treatment under conditions likely to be encountered in most primary care settings.

Screening for Hearing Loss in Adults Ages 50 Years and Older: a Review of the Evidence for the U. S. Preventive Services Task Force

Author : U. S. Department of Health and Human Services
Publisher : Createspace Independent Pub
ISBN 13 : 9781484871515
Total Pages : 84 pages
Book Rating : 4.8/5 (715 download)

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Book Synopsis Screening for Hearing Loss in Adults Ages 50 Years and Older: a Review of the Evidence for the U. S. Preventive Services Task Force by : U. S. Department of Health and Human Services

Download or read book Screening for Hearing Loss in Adults Ages 50 Years and Older: a Review of the Evidence for the U. S. Preventive Services Task Force written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-05-01 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hearing loss is common in older adults, increases in prevalence and severity with age, and can affect quality of life and ability to function. The U.S. Preventive Services Task Force (USPSTF) issued a recommendation on screening for hearing loss in adults ages 50 years and older in 1996. In 2009, the USPSTF commissioned a new evidence review in order to update its recommendation. The purpose of this report is to systematically evaluate the current evidence on screening for hearing loss in adults ages 50 years and older in primary care settings. A person with normal hearing perceives sounds at frequencies between 20 and 20,000 Hz. Frequencies between 500 and 4000 Hz are most important for speech processing. There is often discordance between objectively measured deficits in tonal perception at specific frequencies and intensity levels (measured as decibels) and subjective perceptions of hearing problems. One study found that 20 percent of persons reporting hearing difficulty had normal hearing tests, while 6.2 percent of those not reporting difficulty had significant hearing loss. Hearing problems despite normal hearing tests could be caused by abnormal signal processing or sound discrimination. Because treatments for hearing loss are targeted at improving tonal perception by signal amplification, we use the term “hearing loss” in this review to refer specifically to deficits found on objective testing. The standard objective test for hearing loss is the pure-tone audiogram, in which a patient is placed in a soundproof booth and tested on ability to hear tones at a series of discrete frequencies, typically in the range of 125 to 8000 Hz, at various decibels. There is no universally accepted definition for hearing loss. Reference criteria vary with regard to the frequencies and intensity thresholds used to determine hearing loss, and whether one or both ears are affected. Many studies define mild hearing loss as inability to hear frequencies associated with speech processing less than 25 dB and moderate hearing loss as inability to hear those frequencies less than 40 dB. Commonly used reference criteria include the Ventry and Weinstein criteria (greater than 40 dB hearing loss at either 1000 or 2000 Hz in both ears, or greater than 40 dB hearing loss at 1000 and 2000 Hz in one ear), the speech frequency pure-tone average (SFPTA) criteria (greater than 25 dB average hearing loss at 500, 1000, and 2000 Hz in the better ear), and the high-frequency pure-tone average (HFPTA) criteria (greater than 25 dB average hearing loss at 1000, 2000, and 4000 Hz in the better ear). Key Questions presented in this report include: Key Question 1: Does Screening for Hearing Loss in Asymptomatic Adults Ages 50 Years and Older Lead To Improved Health Outcomes? Key Question 2: How Accurate Are the Methods for Screening for Hearing Loss in Older Adults? Key Question 3: How Efficacious Is the Treatment of Screening-Detected Hearing Loss in Improving Health Outcomes? Key Question 4: What Are the Adverse Effects of Screening for Hearing Loss in Adults Ages 50 Years and Older? Key Question 5: What Are the Adverse Effects of Treatment of Screening-Detected Hearing Loss in Adults Ages 50 Years and Older?

Screening for Hearing Loss in Older Adults

Author : Cynthia Feltner
Publisher :
ISBN 13 :
Total Pages : 163 pages
Book Rating : 4.:/5 (127 download)

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Book Synopsis Screening for Hearing Loss in Older Adults by : Cynthia Feltner

Download or read book Screening for Hearing Loss in Older Adults written by Cynthia Feltner and published by . This book was released on 2021 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: PURPOSE: To systematically review the evidence on (1) benefits and harms of screening for hearing loss in adults age 50 years or older, (2) accuracy of screening tools, and (3) benefits and harms of interventions for hearing loss that was screen detected or recently diagnosed for populations and settings relevant to primary care in the United States. DATA SOURCES: PubMed/MEDLINE, the Cochrane Library, Embase, and trial registries through January 17, 2020; reference lists of retrieved articles; outside experts; and reviewers, with surveillance of the literature through November 20, 2020. STUDY SELECTION: English-language controlled trials for hearing loss screening or evaluating interventions for screen-detected or newly detected hearing loss and studies of screening test accuracy. DATA EXTRACTION: One investigator extracted data and a second checked accuracy. Two reviewers independently rated quality for all included studies using predefined criteria. DATA SYNTHESIS: One randomized, controlled trial (RCT) enrolling veterans (2,305 participants) found that screening for hearing loss was not associated with improvements in hearing-related function at 1 year, although screening was associated with increased hearing aid use. Thirty-four studies (reported in 35 articles) evaluated the diagnostic accuracy of clinical tests, a single question, a questionnaire, a handheld audiometric device, or a mobile-based audiometric application for identifying hearing loss in older adults. For detecting mild hearing loss (>20 to 25 dB), single-question screening had a pooled sensitivity of 66 percent (95% confidence interval [CI], 58% to 73%) and a pooled specificity of 76 percent (95% CI, 68% to 83%) (10 studies, 12,637 participants); for detecting moderate hearing loss (>35 to 40 dB), the pooled sensitivity was 80 percent (95% CI, 68% to 88%) and the pooled specificity was 74 percent (95% CI, 59% to 85%) (6 studies, 8,774 participants). Too few studies reported sufficient data to pool accuracy of the Hearing Handicap Inventory for the Elderly-Screening (HHIE-S) for detecting mild hearing loss (>25); across four studies (7,194 participants), sensitivity of HHIE-S ranged from 34 to 58 percent, and specificity ranged from 76 to 95 percent. For detecting moderate hearing loss (>40 dB), the pooled sensitivity of HHIE-S was 68 percent (95% CI, 52% to 81%), and the pooled specificity was 79 percent (95% CI, 69% to 86%) (5 studies; 2,820 participants). In four studies (411 participants) assessing the AudioScope for detecting moderate hearing loss (>40 dB), sensitivities were high (range: 94% to 100%) and specificity varied widely (range: 24% to 80%). Other screening questionnaires, clinical tests (e.g., watch tick, whispered voice), and technology were assessed by few studies each, and results were often inconsistent and imprecise. Six trials (853 participants) evaluated benefits of amplification compared with no amplification among populations with screen-detected or recently detected, untreated age-related hearing loss over 6 weeks to 4 months. Five trials reported on the HHIE (838 participants), a self-report tool designed to measure perceived effects of hearing loss in older adults; four (758 participants) found statistically significant benefit in favor of hearing aids. Three of the four trials that found statistically significant benefit enrolled veterans and reported differences in HHIE scores that were greater than the minimal important difference of 18.7. One RCT (154 participants) enrolling community volunteers found statistically significant benefit on the HHIE in favor of two different hearing aids vs. a placebo device; however, differences between groups did not meet the level considered to be clinically meaningful. Four studies reported on general quality of life or function; few studies reported on the same measure. One RCT (194 participants) enrolling veterans with screen-detected hearing loss found significant benefit in favor of the intervention on the Short Portable Mental Status Questionnaire (difference between groups in change from baseline: −0.28 points [95% CI, 0.08 to 0.48]; p=0.008) and Geriatric Depression Scale (difference between groups in change from baseline: −0.80 points [95% CI, 0.09 to 1.51]; p=0.03) in addition to the HHIE. No studies of interventions reported on harms. LIMITATIONS: The one trial of screening was not designed to measure hearing-related function. There has been little reproducibility in testing specific screening tests in primary care populations; most studies of screening test accuracy enroll populations from audiology or other high-prevalence settings. Trials showing clinically meaningful benefit in hearing-related function among groups receiving hearing aids vs. controls all enrolled veterans with a relatively high prevalence of hearing loss. CONCLUSIONS: Several screening tests can adequately detect hearing loss in adults age 50 years or older. One trial of screening that enrolled veterans with a relatively high prevalence of self-perceived hearing loss did not find a benefit for hearing-related function. No controlled studies reported on the harms of screening or treatment among adults with screen-detected or newly detected hearing loss. Evidence showing benefit for hearing-related function associated with hearing aids among adults with screen-detected or newly detected hearing loss is limited to studies enrolling veterans with a high prevalence of hearing loss.

Hearing Health Care for Adults

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309439264
Total Pages : 325 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Hearing Health Care for Adults by : National Academies of Sciences, Engineering, and Medicine

Download or read book Hearing Health Care for Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-10-06 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: The loss of hearing - be it gradual or acute, mild or severe, present since birth or acquired in older age - can have significant effects on one's communication abilities, quality of life, social participation, and health. Despite this, many people with hearing loss do not seek or receive hearing health care. The reasons are numerous, complex, and often interconnected. For some, hearing health care is not affordable. For others, the appropriate services are difficult to access, or individuals do not know how or where to access them. Others may not want to deal with the stigma that they and society may associate with needing hearing health care and obtaining that care. Still others do not recognize they need hearing health care, as hearing loss is an invisible health condition that often worsens gradually over time. In the United States, an estimated 30 million individuals (12.7 percent of Americans ages 12 years or older) have hearing loss. Globally, hearing loss has been identified as the fifth leading cause of years lived with disability. Successful hearing health care enables individuals with hearing loss to have the freedom to communicate in their environments in ways that are culturally appropriate and that preserve their dignity and function. Hearing Health Care for Adults focuses on improving the accessibility and affordability of hearing health care for adults of all ages. This study examines the hearing health care system, with a focus on non-surgical technologies and services, and offers recommendations for improving access to, the affordability of, and the quality of hearing health care for adults of all ages.

Hearing Loss and Healthy Aging

Author : Tracy A. Lustig
Publisher :
ISBN 13 : 9780309302265
Total Pages : 0 pages
Book Rating : 4.3/5 (22 download)

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Book Synopsis Hearing Loss and Healthy Aging by : Tracy A. Lustig

Download or read book Hearing Loss and Healthy Aging written by Tracy A. Lustig and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pages:1 to 25 -- Pages:26 to 50 -- Pages:51 to 75 -- Pages:76 to 100 -- Pages:101 to 125 -- Pages:126 to 129

Late-Life Depression

Author : Steven P. Roose
Publisher : Oxford University Press
ISBN 13 : 0195152743
Total Pages : 417 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis Late-Life Depression by : Steven P. Roose

Download or read book Late-Life Depression written by Steven P. Roose and published by Oxford University Press. This book was released on 2004-07-15 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: We live in an aging world. Illnesses that are prevalent and cause significant morbidity and mortality in older people will consume an increasing share of health care resources. One such illness is depression. This illness has a particularly devastating impact in the elderly because it is often undiagnosed or inadequately treated. Depression not only has a profound impact on quality of life but it is associated with an increased risk of mortality from suicide and vascular disease. In fact for every medical illness studied, e.g. heart disease, diabetes, cancer, individuals who are depressed have a worse prognosis. Research has illuminated the physiological and behavioral effects of depression that accounts for these poor outcomes. The deleterious relationship between depression and other illnesses has changed the concept of late-life depression from a "psychiatric disorder" that is diagnosed and treated by a psychiatrist to a common and serious disorder that is the responsibility of all physicians who care for patients over the age of 60.This is the first volume devoted to the epidemiology, phenomenology, psychobiology, treatment and consequences of late-life depression. Although much has been written about depressive disorders, the focus has been primarily on the illness as experienced in younger adults. The effects of aging on the brain, the physiological and behavioral consequences of recurrent depression, and the impact of other diseases common in the elderly, make late-life depression a distinct entity. There is a compelling need for a separate research program, specialized treatments, and a book dedicated to this disorder. This book will be invaluable to psychiatrists, gerontologists, clinical psychologists, social workers, students, trainees, and others who care for individuals over the age of sixty.

Social Isolation and Loneliness in Older Adults

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309671035
Total Pages : 317 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Social Isolation and Loneliness in Older Adults by : National Academies of Sciences, Engineering, and Medicine

Download or read book Social Isolation and Loneliness in Older Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-14 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

Oxford Textbook of Geriatric Medicine

Author : Jean-Pierre Michel
Publisher : Oxford University Press
ISBN 13 : 0198701594
Total Pages : 1393 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Oxford Textbook of Geriatric Medicine by : Jean-Pierre Michel

Download or read book Oxford Textbook of Geriatric Medicine written by Jean-Pierre Michel and published by Oxford University Press. This book was released on 2018 with total page 1393 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of the definitive international reference book on all aspects of the medical care of older persons will provide every physician involved in the care of older patients with a comprehensive resource on all the clinical problems they are likely to encounter, as well as on related psychological, philosophical, and social issues.

Advances in Audiology and Hearing Science

Author : Stavros Hatzopoulos
Publisher : CRC Press
ISBN 13 : 1000012468
Total Pages : 417 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Advances in Audiology and Hearing Science by : Stavros Hatzopoulos

Download or read book Advances in Audiology and Hearing Science written by Stavros Hatzopoulos and published by CRC Press. This book was released on 2020-06-09 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: With chapters from audiology professionals from around the world, Advances in Audiology and Hearing Science presented in two volumes—provides an abundance of information on the latest technological and procedural advances in this ever-improving field. Volume 1 primarily focuses on revised clinical protocols and provides information on new research to help guide decisions and criteria regarding diagnosis, management, and treatment of hearing-related issues. Topics include new clinical applications such as auditory steady-state response, wideband acoustic immittance, otoacoustic emissions, frequency following response, noise exposure, genomics and hearing loss, and more. Volume 2: Otoprotection, Regeneration, and Telemedicine includes sections with material related to hearing devices, hearing in special populations, such as the children and the elderly, as well chapters on the fast-growing subfields of otoprotection and regeneration, including pharmacologic otoprotection, stem cells, and nanotechnology.

Noise and Military Service

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309099498
Total Pages : 339 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Noise and Military Service by : Institute of Medicine

Download or read book Noise and Military Service written by Institute of Medicine and published by National Academies Press. This book was released on 2006-01-20 with total page 339 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine carried out a study mandated by Congress and sponsored by the Department of Veterans Affairs to provide an assessment of several issues related to noise-induced hearing loss and tinnitus associated with service in the Armed Forces since World War II. The resulting book, Noise and Military Service: Implications for Hearing Loss and Tinnitus, presents findings on the presence of hazardous noise in military settings, levels of noise exposure necessary to cause hearing loss or tinnitus, risk factors for noise-induced hearing loss and tinnitus, the timing of the effects of noise exposure on hearing, and the adequacy of military hearing conservation programs and audiometric testing. The book stresses the importance of conducting hearing tests (audiograms) at the beginning and end of military service for all military personnel and recommends several steps aimed at improving the military services' prevention of and surveillance for hearing loss and tinnitus. The book also identifies research needs, emphasizing topics specifically related to military service.

Handbook of Life Course Health Development

Author : Neal Halfon
Publisher : Springer
ISBN 13 : 3319471430
Total Pages : 667 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Handbook of Life Course Health Development by : Neal Halfon

Download or read book Handbook of Life Course Health Development written by Neal Halfon and published by Springer. This book was released on 2017-11-20 with total page 667 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY 4.0 license. This handbook synthesizes and analyzes the growing knowledge base on life course health development (LCHD) from the prenatal period through emerging adulthood, with implications for clinical practice and public health. It presents LCHD as an innovative field with a sound theoretical framework for understanding wellness and disease from a lifespan perspective, replacing previous medical, biopsychosocial, and early genomic models of health. Interdisciplinary chapters discuss major health concerns (diabetes, obesity), important less-studied conditions (hearing, kidney health), and large-scale issues (nutrition, adversity) from a lifespan viewpoint. In addition, chapters address methodological approaches and challenges by analyzing existing measures, studies, and surveys. The book concludes with the editors’ research agenda that proposes priorities for future LCHD research and its application to health care practice and health policy. Topics featured in the Handbook include: The prenatal period and its effect on child obesity and metabolic outcomes. Pregnancy complications and their effect on women’s cardiovascular health. A multi-level approach for obesity prevention in children. Application of the LCHD framework to autism spectrum disorder. Socioeconomic disadvantage and its influence on health development across the lifespan. The importance of nutrition to optimal health development across the lifespan. The Handbook of Life Course Health Development is a must-have resource for researchers, clinicians/professionals, and graduate students in developmental psychology/science; maternal and child health; social work; health economics; educational policy and politics; and medical law as well as many interrelated subdisciplines in psychology, medicine, public health, mental health, education, social welfare, economics, sociology, and law.

Ham's Primary Care Geriatrics

Author : Richard J. Ham
Publisher : Elsevier Health Sciences
ISBN 13 : 0323186513
Total Pages : 777 pages
Book Rating : 4.3/5 (231 download)

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Book Synopsis Ham's Primary Care Geriatrics by : Richard J. Ham

Download or read book Ham's Primary Care Geriatrics written by Richard J. Ham and published by Elsevier Health Sciences. This book was released on 2013-12-01 with total page 777 pages. Available in PDF, EPUB and Kindle. Book excerpt: Employing a unique case-based approach, Ham's Primary Care Geriatrics continues to be your comprehensive source of clinical solutions for this challenging population. This gerontology medical reference book features an interdisciplinary perspective that empowers you with team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults."Overall this is a useful, well written, practical elderly medicine book, ideal for use in primary care. It is reasonable priced and an excellent addition to the bookshelf, virtual or real".Reviewed by: Dr Harry Brown, July 2014 Effectively treat your geriatric patients, and provide helpful guidance to their families, through engaging geriatric case studies that illustrate the principles and key clinical information you need. Form a definitive diagnosis and create the best treatment plans possible using the evidence-based medicine guidelines throughout. Find the information you need quickly and efficiently with a 2-color layout and consistent format, and test your knowledge with USMLE-style questions in every chapter. Offer your geriatric patients the most up-to-date treatment options available with six new chapters addressing Principles of Primary Care of Older Adults, Interprofessional Team Care, Billing and Coding, Frailty, Pressure Ulcers, and Anemia. Access the complete geriatric text online anytime, anywhere at Expert Consult, along with an online Cognitive Status Assessment with four tests and patient teaching guides, a dermatology quiz, and informative videos on Gait and Balance and Dizziness.

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis

Author : David L. Simel
Publisher : McGraw Hill Professional
ISBN 13 : 0071590315
Total Pages : 940 pages
Book Rating : 4.0/5 (715 download)

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Book Synopsis The Rational Clinical Examination: Evidence-Based Clinical Diagnosis by : David L. Simel

Download or read book The Rational Clinical Examination: Evidence-Based Clinical Diagnosis written by David L. Simel and published by McGraw Hill Professional. This book was released on 2008-04-30 with total page 940 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

The Promise of Assistive Technology to Enhance Activity and Work Participation

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030945784X
Total Pages : 503 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis The Promise of Assistive Technology to Enhance Activity and Work Participation by : National Academies of Sciences, Engineering, and Medicine

Download or read book The Promise of Assistive Technology to Enhance Activity and Work Participation written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-01 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.

Gerontology and Geriatrics for NPs and PAs - E-Book

Author : Jill R. Beavers-Kirby
Publisher : Elsevier Health Sciences
ISBN 13 : 0323608469
Total Pages : 719 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Gerontology and Geriatrics for NPs and PAs - E-Book by : Jill R. Beavers-Kirby

Download or read book Gerontology and Geriatrics for NPs and PAs - E-Book written by Jill R. Beavers-Kirby and published by Elsevier Health Sciences. This book was released on 2023-03-23 with total page 719 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by NPs and PAs who have a wealth of experience in the care of older adults across all practice settings, Gerontology and Geriatrics for NPs and PAs takes an evidence-based approach to both gerontology and geriatrics, incorporating the latest national and international guidelines and standards of care. This first-of-its-kind text takes an interprofessional, teamwork-based approach that reflects Interprofessional Education Collaborative (IPEC) core competencies, as well as the unique perspectives that NPs and PAs each bring to the collaborative care of older adults. Covers both primary care and acute care of older adults and fully addresses both graduate-level and practitioner core competencies necessary for optimal care of older adults. Places a strong emphasis on wellness (including nutrition and the Healthy People 2020 targets), normal aging, common syndromes of aging, disease management, patient safety (particularly in acute care settings), and a patient-centered care approach. Features vibrant, full-color illustrations, a full-color design for ease of navigation, and graduate-level learning features that include Key Points at the end of each chapter for quick reference and exam preparation. Addresses a wide range of topics specifically focused on the common medical problems of older adults, with chapters logically organized for efficient study and quick clinical reference. Evolve Instructor site with an image collection and test bank is available to instructors through their Elsevier sales rep or via request at https://evolve.elsevier.com.

The Senses: A Comprehensive Reference

Author :
Publisher : Academic Press
ISBN 13 : 0128054093
Total Pages : 5215 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis The Senses: A Comprehensive Reference by :

Download or read book The Senses: A Comprehensive Reference written by and published by Academic Press. This book was released on 2020-09-30 with total page 5215 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Senses: A Comprehensive Reference, Second Edition, Seven Volume Set is a comprehensive reference work covering the range of topics that constitute current knowledge of the neural mechanisms underlying the different senses. This important work provides the most up-to-date, cutting-edge, comprehensive reference combining volumes on all major sensory modalities in one set. Offering 264 chapters from a distinguished team of international experts, The Senses lays out current knowledge on the anatomy, physiology, and molecular biology of sensory organs, in a collection of comprehensive chapters spanning 4 volumes. Topics covered include the perception, psychophysics, and higher order processing of sensory information, as well as disorders and new diagnostic and treatment methods. Written for a wide audience, this reference work provides students, scholars, medical doctors, as well as anyone interested in neuroscience, a comprehensive overview of the knowledge accumulated on the function of sense organs, sensory systems, and how the brain processes sensory input. As with the first edition, contributions from leading scholars from around the world will ensure The Senses offers a truly international portrait of sensory physiology. The set is the definitive reference on sensory neuroscience and provides the ultimate entry point into the review and original literature in Sensory Neuroscience enabling students and scientists to delve into the subject and deepen their knowledge. All-inclusive coverage of topics: updated edition offers readers the only current reference available covering neurobiology, physiology, anatomy, and molecular biology of sense organs and the processing of sensory information in the brain Authoritative content: world-leading contributors provide readers with a reputable, dynamic and authoritative account of the topics under discussion Comprehensive-style content: in-depth, complex coverage of topics offers students at upper undergraduate level and above full insight into topics under discussion

Clinical Nursing Skills and Techniques

Author : Anne Griffin Perry, RN, EdD, FAAN
Publisher : Elsevier Health Sciences
ISBN 13 : 0323083838
Total Pages : 1219 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Clinical Nursing Skills and Techniques by : Anne Griffin Perry, RN, EdD, FAAN

Download or read book Clinical Nursing Skills and Techniques written by Anne Griffin Perry, RN, EdD, FAAN and published by Elsevier Health Sciences. This book was released on 2013-02-14 with total page 1219 pages. Available in PDF, EPUB and Kindle. Book excerpt: Known for its clear, comprehensive coverage of over 200 evidence-based skills, Clinical Nursing Skills & Techniques is today's leading nursing skills reference. It features nearly 1,000 full-color photographs and drawings, a nursing process framework, step-by-step instructions with rationales, and a focus on critical thinking and evidence-based practice. This edition includes new coverage of patient-centered care and safety guidelines, an emphasis on QSEN core competencies, and links to valuable online resources. Written by the trusted author team of Anne Griffin Perry and Patricia A. Potter, and now joined by new author Wendy Ostendorf, this reference helps you perform nursing skills with confidence. Coverage of QSEN core competencies includes delegation and collaboration, guidelines for reporting and recording, and pediatric, geriatric, home care, and teaching considerations. Unique! Using Evidence in Nursing Practice chapter covers the entire process of conducting research, including collecting, evaluating, and applying evidence from published research. Comprehensive coverage includes 212 basic, intermediate, and advanced nursing skills. Clinical Decision Points within skills address key safety issues or possible skill modifications for specific patient needs. Icons indicate video clips related to skills and procedures in the book and related lessons in Nursing Skills Online. Rationales for each skill step explain why steps are performed in a specific way, including their clinical significance and benefit, and incorporate the latest research findings. The five-step nursing process provides a framework for the description of skills within overall client care. Unique! Unexpected outcomes and related interventions alert you to what might go wrong and how to appropriately intervene. Online checklists and video clips may be downloaded to mobile devices. NEW Patient-Centered Care sections address issues unique to people of specific cultural, ethnic, and demographic backgrounds - a QSEN core competency. NEW Safety Guidelines sections cover the global recommendations on the safe execution of skill sets - also a QSEN core competency. UPDATED Adverse Event Reporting (AER) procedural guideline covers the correct response to Serious Event Reporting within the healthcare facility. NEW! Safe Transfer to a Wheel Chair procedural guideline focuses on the safety aspect of this common maneuver. NEW! Communicating with the Cognitively Impaired Patient skill provides the understanding and protocol for dealing with patients who are unable to communicate in a typical manner. NEW! Assessing the Genitalia and Rectum skill includes complete information and rationales. NEW! Caring for Patients with Multi-Drug Resistant Organisms (MDRO) and C. difficili skill covers this growing challenge to patient welfare and to healthcare providers.