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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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.

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.

Late-Life Depression

Author : Steven P. Roose M.D.
Publisher : Oxford University Press
ISBN 13 : 0198034849
Total Pages : 417 pages
Book Rating : 4.1/5 (98 download)

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

Download or read book Late-Life Depression written by Steven P. Roose M.D. 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.

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.

Geriatric Gastroenterology

Author : C. S. Pitchumoni
Publisher : Springer Science & Business Media
ISBN 13 : 1441916237
Total Pages : 660 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Geriatric Gastroenterology by : C. S. Pitchumoni

Download or read book Geriatric Gastroenterology written by C. S. Pitchumoni and published by Springer Science & Business Media. This book was released on 2012-07-26 with total page 660 pages. Available in PDF, EPUB and Kindle. Book excerpt: As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacology, pathology, radiology and other relevant associated topics, Geriatric Gastroenterology fills the void in the literature for a volume devoted specifically to gastrointestinal illness in the elderly. This unique volume includes provision of training for current and future generations of physicians to deal with the health problems of older adults. It will also serve as a comprehensive guide to practicing physicians for ease of reference. Relevant to the geriatric age group, the volume covers epidemiology, physiology of aging, gastrointestinal physiology, pharmacology, radiology, pathology, motility disorders, luminal disorders, hepato-biliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, cancer and medication related interactions and adverse events, all extremely common in older adults; these are often hard to evaluate and judge, especially considering the complex aging physiology. All have become important components of modern medicine. Special emphasis is be given to nutrition and related disorders. Capsule endoscopy and its utility in the geriatric population is also covered. Presented in simple, easy to read style, the volume includes numerous tables, figures and key points enabling ease of understanding. Chapters on imaging and pathology are profusely illustrated. All chapters are written by specialists and include up to date scientific information. Geriatric Gastroenterology is of great utility to residents in internal medicine, fellows in gastroenterology and geriatric medicine as well as gastroenterologists, geriatricians and practicing physicians including primary care physicians caring for older adults.

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

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.

WHO Global Report on Falls Prevention in Older Age

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241563532
Total Pages : 54 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis WHO Global Report on Falls Prevention in Older Age by : World Health Organization

Download or read book WHO Global Report on Falls Prevention in Older Age written by World Health Organization and published by World Health Organization. This book was released on 2008 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: The WHO Falls Prevention for Active Ageing model provides an action plan for making progress in reducing the prevalence of falls in the older adult population. By building on the three pillars of falls prevention, the model proposes specific strategies for: 1. Building awareness of the importance of falls prevention and treatment; 2. Improving the assessment of individual, environmental, and societal factors that increase the likelihood of falls; and 3. For facilitating the design and implementation of culturally appropriate, evidence-based interventions that will significantly reduce the number of falls among older persons. The model provides strategies and solutions that will require the engagement of multiple sectors of society. It is dependent on and consistent with the vision articulated in the WHO Active Ageing Policy Framework. Although not all of the awareness, assessment, and intervention strategies identified in the model apply equally well in all regions of the world, there are significant evidence-based strategies that can be effectively implemented in all regions and cultures. The degree to which progress will be made depends on to the success in integrating falls prevention strategies into the overall health and social care agendas globally. In order to do this effectively, it is necessary to identify and implement culturally appropriate, evidence-based policies and procedures. This requires multi-sectoral, collaborations, strong commitment to public and professional education, interaction based on evidence drawn from a variety of traditional, complementary, and alternative sources. Although the understanding of the evidence-base is growing, there is much that is not yet understood. Thus, there is an urgent need for continued research in all areas of falls prevention and treatment in order to better understand the scope of the problem worldwide. In particular, more evidence of the cost-effectiveness of interconnections is needed to develop strategies that are most likely to be effective in specific setting and population sub-groups.

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.

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.

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

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.

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.

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?

Hearing Loss

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309092965
Total Pages : 321 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Hearing Loss by : National Research Council

Download or read book Hearing Loss written by National Research Council and published by National Academies Press. This book was released on 2004-12-17 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Millions of Americans experience some degree of hearing loss. The Social Security Administration (SSA) operates programs that provide cash disability benefits to people with permanent impairments like hearing loss, if they can show that their impairments meet stringent SSA criteria and their earnings are below an SSA threshold. The National Research Council convened an expert committee at the request of the SSA to study the issues related to disability determination for people with hearing loss. This volume is the product of that study. Hearing Loss: Determining Eligibility for Social Security Benefits reviews current knowledge about hearing loss and its measurement and treatment, and provides an evaluation of the strengths and weaknesses of the current processes and criteria. It recommends changes to strengthen the disability determination process and ensure its reliability and fairness. The book addresses criteria for selection of pure tone and speech tests, guidelines for test administration, testing of hearing in noise, special issues related to testing children, and the difficulty of predicting work capacity from clinical hearing test results. It should be useful to audiologists, otolaryngologists, disability advocates, and others who are concerned with people who have hearing loss.

Ham's Primary Care Geriatrics E-Book

Author : Gregg A. Warshaw
Publisher : Elsevier Health Sciences
ISBN 13 : 0323721699
Total Pages : 743 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Ham's Primary Care Geriatrics E-Book by : Gregg A. Warshaw

Download or read book Ham's Primary Care Geriatrics E-Book written by Gregg A. Warshaw and published by Elsevier Health Sciences. This book was released on 2021-01-05 with total page 743 pages. Available in PDF, EPUB and Kindle. Book excerpt: **Selected for Doody's Core Titles® 2024 in Geriatrics**Written with first-line primary care providers in mind, Ham's Primary Care Geriatrics: A Case-Based Approach, 7th Edition, is a comprehensive, easy-to-read source of practical clinical guidance for this rapidly growing population. Using a unique, case-based approach, it covers the patient presentations you're most likely to encounter, offering key clinical information, expert advice, and evidence-based medical guidelines throughout. This highly regarded text uses a consistent format and an enjoyable writing style to keep you informed, engaged, and up to date in this increasingly important field. - Uses a case study format that is ideal for learning, retention, and rapid recall. All case studies are thoroughly up to date with current references. - Features an interdisciplinary perspective to provide team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults. - Contains a new chapter on Lesbian, Gay, Bisexual, Transgender (LGBT) Medicine in Older Adults, as well as completely revised or rewritten chapters on rehabilitation, infectious disease, and urinary incontinence. - Provides up-to-date information on key topics such as opioid management and polypharmacy, the "geriatric emergency room, cultural humility in the care of older adults, and the five signs of problematic substance abuse. - Includes key learning objectives and USMLE-style questions in every chapter. - Online extras include dizziness, gait, and balance video resources, a dermatology quiz, and a Cognitive Status Assessment with tests and patient teaching guides. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Cummings Otolaryngology E-Book

Author : Paul W. Flint
Publisher : Elsevier Health Sciences
ISBN 13 : 0323612172
Total Pages : 4393 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Cummings Otolaryngology E-Book by : Paul W. Flint

Download or read book Cummings Otolaryngology E-Book written by Paul W. Flint and published by Elsevier Health Sciences. This book was released on 2020-04-22 with total page 4393 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most comprehensive, multi-disciplinary text in the field, Cummings Otolaryngology: Head and Neck Surgery, 7th Edition, provides detailed, practical answers and easily accessible clinical content on the complex issues that arise for otolaryngologists at all levels, across all subspecialties. This award-winning text is a one-stop reference for all stages of your career—from residency and board certification through the challenges faced in daily clinical practice. Updated content, new otology editor Dr. Howard W. Francis, and new chapters and videos ensure that this 7th Edition remains the definitive reference in today's otolaryngology. - Brings you up to date with the latest minimally invasive procedures, recent changes in rhinology, and new techniques and technologies that are shaping patient outcomes. - Contains 12 new chapters, including Chronic Rhinosinusitis, Facial Pain, Geriatric Otology, Middle Ear Endoscopic Surgery, Pediatric Speech Disorders, Pediatric Cochlear Implantation, Tongue-Ties and Lip Ties, Laryngotracheal Clefts, and more. - Covers recent advances and new approaches such as the Draf III procedure for CRS affecting the frontal recess, endoscopic vidian and posterior nasal neurectomy for non-allergic rhinitis, and endoscopic approaches for sinonasal and orbital tumors, both extra- and intraconal. - Provides access to 70 key indicator (Accreditation Council for Graduate Medical Education Key Indicator Procedures), and surgical videos – an increase of 43% over the previous edition. - Offers outstanding visual support with 4,000 high-quality images and hundreds of quick-reference tables and boxes. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.