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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Curve sketching is a systematic method for understanding the overall behavior of a function by analyzing its key mathematical features. A function defines a curve on the coordinate plane, where the horizontal axis represents the input variable and the vertical axis represents the output. The process begins by determining the domain, which specifies the set of input values for which the function is defined and establishes the horizontal extent of the graph.Intercepts with the horizontal and...
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Ex Vivo Treatment Response of Primary Tumors and/or Associated Metastases for Preclinical and Clinical Development of Therapeutics
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Clinical guidelines for primary sclerosing cholangitis 2017.

Hiroyuki Isayama1, Susumu Tazuma2, Norihiro Kokudo3

  • 1Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.

Journal of Gastroenterology
|June 29, 2018
PubMed
Summary

Clinical guidelines for primary sclerosing cholangitis (PSC) management were developed using expert consensus. These guidelines aim to improve patient care for this rare liver disease.

Keywords:
Benign biliary strictureCholestasisGuidelinesPrimary sclerosing cholangitisSclerosing cholangitis

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Area of Science:

  • Hepatology
  • Clinical Medicine
  • Gastroenterology

Background:

  • Primary sclerosing cholangitis (PSC) is a rare liver disease with unknown pathogenesis and treatment.
  • Current management strategies for PSC are not well-established.
  • Clinical guidelines are needed to standardize PSC patient care.

Purpose of the Study:

  • To develop clinical guidelines for the management of primary sclerosing cholangitis (PSC) in adults.
  • To provide evidence-based recommendations for PSC diagnosis and treatment.
  • To improve the medical care and outcomes for PSC patients.

Main Methods:

  • A modified Delphi method was employed for guideline development.
  • Systematic literature review and expert consensus were used to determine recommendations and evidence levels.
  • Guidelines were reviewed by an expert panel and the Japan Biliary Association (JBA) Scientific Committee, with public comments collected.

Main Results:

  • Sixteen guidelines were established, covering PSC epidemiology, pathophysiology, diagnostics, therapy, and prognosis.
  • Diagnostic and therapeutic flowcharts were created to aid clinical decision-making.
  • The guidelines provide a comprehensive framework for managing PSC.

Conclusions:

  • The developed clinical guidelines are expected to enhance the management of primary sclerosing cholangitis (PSC).
  • These guidelines aim to contribute to the improvement and development of medical care for PSC patients.
  • Standardized management protocols can lead to better patient outcomes in PSC.