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01:26Methods of Documentation II: POMR
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
01:31Discharge Summary Forms
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
01:10PPE Use in Healthcare Settings II: Doffing
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
01:21Methods of Documentation III: PIE
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
01:22PPE Use in Healthcare Settings I: Donning
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
01:05Data Collection III
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
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Physician Withdrawal Checklist (PWC-20).
Karl Rickels1, Felipe Garcia-Espana, Laura A Mandos
1Mood and Anxiety Disorders Section, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. krickels@mail.med.upenn.edu
Journal of Clinical Psychopharmacology
|July 16, 2008
Summary
A new 20-item Penn Physician Withdrawal Checklist (PWC) effectively assesses discontinuation symptoms from anxiolytic medications. This tool aids in developing safer anxiety disorder treatments.
Area of Science:
- Psychiatry
- Pharmacology
- Clinical Psychology
Background:
- Anxiety disorders are prevalent, with current treatments like benzodiazepines (BZs) and antidepressants showing limited remission rates (35% after 8 weeks).
- Assessing discontinuation symptoms is crucial for developing novel anxiolytics, especially those targeting the gamma-aminobutyric acid system.
- Existing assessment tools may be lengthy, necessitating a more concise and validated measure.
Purpose of the Study:
- To develop and validate a shorter version of the Penn Physician Withdrawal Checklist (PWC).
- To evaluate the psychometric properties of the 20-item PWC for assessing anxiolytic discontinuation symptoms.
Main Methods:
- Development of a 20-item Penn Physician Withdrawal Checklist (PWC) from an original 35-item version.
- Assessment of validity, internal consistency, test-retest reliability, and interrater reliability.
- Orthogonal factor analysis of PWC scores from 143 patients at peak withdrawal severity.
Main Results:
- The 20-item PWC demonstrated strong psychometric properties, including validity and reliability.
- Factor analysis confirmed the structure of the PWC for assessing discontinuation symptoms.
- The checklist provides a simple and accurate method for evaluating medication withdrawal effects.
Conclusions:
- The 20-item Penn Physician Withdrawal Checklist is a reliable and valid instrument.
- This tool facilitates the assessment of discontinuation symptoms for new anxiolytic drug development.
- The PWC aids in improving patient safety and treatment outcomes for anxiety disorders.