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Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Drug Dosing: Obese Patients01:21

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In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
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Drug Dosing: Geriatric Patients01:15

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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

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Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
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Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

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In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
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Pharmacodynamics in Geriatric Patients: Effects of Age01:27

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Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
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Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
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Identifying Meaningful Patient Outcomes After Lower Extremity Injury, Part 1: Patient Experiences During Recovery.

Tricia Majewski-Schrage1, Todd A Evans1, Kelli R Snyder1

  • 1Athletic Training Program, University of Northern Iowa, Cedar Falls.

Journal of Athletic Training
|August 7, 2019
PubMed
Summary

Collegiate athletes experiencing lower extremity injuries find physical, psychological, personal, and support changes most meaningful. Understanding these aspects is key for comprehensive care beyond athletic demands.

Keywords:
evidence-based practicehealth-related quality of lifepatient valuespatient-centered carequalitative research

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Area of Science:

  • Sports Medicine
  • Rehabilitation Science
  • Qualitative Health Research

Background:

  • Assessing health outcomes requires understanding patient-defined meaningful aspects.
  • Limited research exists on health aspects meaningful to athletic populations.

Purpose of the Study:

  • To identify experiences and meaningful outcomes following lower extremity (LE) musculoskeletal injury in collegiate athletes.

Main Methods:

  • Qualitative study utilizing semistructured interviews.
  • Purposive sample of 20 collegiate athletes (NCAA Division I) with LE injuries.
  • Inductive data analysis with member checks and peer debriefing for trustworthiness.

Main Results:

  • Four major themes emerged: physical, psychological, personal/lifestyle changes, and support.
  • These themes encompassed 21 subthemes, highlighting the multifaceted impact of LE injuries.
  • Athletes identified these changes as the most meaningful outcomes of their injury experience.

Conclusions:

  • Care for the whole person is crucial for athletic patients.
  • Athletic trainers should consider life demands outside of sports for optimal patient care.
  • Identified themes can inform the selection of health markers and outcome measures.