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Use of Patient Care Device Data for Clinical Surveillance
Published in John R. Zaleski, Clinical Surveillance, 2020
Of these groups of findings, the vital signs, metabolic, and radiographic contributions represent principally objective information (i.e., least susceptible to subjective interpretation). Yet, metabolic and radiographic information are not continuous sources of data. A set of findings obtained from a Comprehensive Metabolic Panel (CMP) may occur several times per day (e.g., in the case of an ICU patient being managed on mechanical ventilation), and can consist of blood serum analyses or analyses of other bodily fluids (e.g., urine, feces, and various cultures). Comprehensive metabolic panels provide important information regarding pH balance and metabolism, as referred to in Table 2.1. Yet, findings from comprehensive metabolic panels are not collected as frequently as vital signs measurements from PCDs.
Life Care Planning Resources
Published in Roger O. Weed, Debra E. Berens, Life Care Planning and Case Management Handbook, 2018
Diagnostic testing may include any or all of the following tests in addition to others not listed: EEG, EKG, pulmonary function testing, renal scan, renal ultrasound, sleep study, swallow study, urodynamic studies, CT, MRI, X-ray, bronchoscopy, colonoscopy, cystoscopy, or another endoscopy. Diagnostic testing costs can be obtained through the hospital setting, at area radiology facilities, or by utilizing one of the databases such as American Hospital Directory. It is important to have the CPT codes when obtaining costs and to remember such details as a radiologist reading fee or technical fee associated with the test. The life care planner needs to determine all of the information associated with each diagnostic test when calling for charges. Lab testing may include such tests as a CBC, comprehensive metabolic panel (CMP), creatinine, culture, and sensitivity (i.e., blood or urine), liver function tests (LFT), lipid panel, urinalysis (UA), and chemical levels (i.e., magnesium or calcium). It is important to know what tests are included in the panels such as the CMP to avoid getting costs for duplicate tests. Cost for the lab tests can be obtained through the hospital setting or in the local community at such labs as Quest Diagnostics or Lab Corp. As with the diagnostic testing, it is helpful to have the CPT codes or lab test codes when calling for costs.
The magnitude of the problem
Published in Kirsti Malterud, Steinar Hunskaar, Chronic Myofascial Pain, 2018
He suggests lumping the conditions together rather than looking at them as separate entities. Clauw and Chrousos (1997) have established the hypothesis that genetic and environmental factors interact in developing such multisymptom syndromes through a common pathway, a central nervous system dysfunction. Theoretically, the cause might be biological stressors as well as psychosocial ones affecting particularly vulnerable persons, or the sum of several stressors ending up in a situation intolerable for the affected individual, whether they have an increased vulnerability or not. This might help to explain the finding of an association between chronic pain, a series of signs and symptoms of discomfort and some biological parameters. If such hypotheses gain support from future research, one implication would be to focus less on the musculoskeletal system, and rather look upon CWP as one of several indications of disturbed bodily functions. For the patients, the CMP is often the most bothering symptom, and hence the symptom most frequently presented to the doctor. Some patients with chronic widespread musculoskeletal pain, including fibromyalgia, might thus have a multisymptom syndrome. Perhaps we should reintroduce other signs and symptoms of discomfort in the definition. It might be that such symptoms are more important than the tender-point criterion.
How chronic pain changes a person’s life story in relation to participation in occupational roles: A narrative exploration
Published in Scandinavian Journal of Occupational Therapy, 2022
P. Strub, T. Satink, B. E. Gantschnig
Participants who met the inclusion criteria were aged between 18 and 75 years, were diagnosed with CMP that is lasting at least for three months or more, and were willing to participate in the study. Five participants met the inclusion criteria and were recruited for this study. An overview of the participants is given in Table 1. Arthur is married and lives with his two children and wife in an apartment. He was self-employed for a long time and is currently working as a part time security officer. He suffers from chronic pain, specifically RA, which started over 10 years ago. Laura is living on her own. She struggles with Rheumatism and the pain that accompanies this illness for the past 15 years of her life. Maddie is divorced and has two children, whom are living with her previous husband. Currently, she lives on her own. She suffers from pain since she was 35 years old. She worked in part time capacity as a salesperson, however currently she is unemployed. Patrick is newly married and shares a home with his wife. The onset of his pain manifested after an accident in 2013.
Chronic musculoskeletal pain experiences in marginalized populations: a mixed methods study protocol to understand the influence of geopolitical, historical, and societal factors
Published in Physical Therapy Reviews, 2020
Alicia J. Emerson, Tess Hegedus, Ramakrishnan Mani, G. David Baxter
CMP is an invisible disease disproportionately affecting overlooked invisible populations during a period of time of income inequity, migration, and polarized politics. Through survey data and focus group interviews, this study will explore the broader spectrum of the geopolitical, historical, and societal influences which impact marginalized populations’ CMP experiences and the clinical conversation. The study will attempt to identify a profile of the marginalized populations’ experiences with CMP. In addition, the study will provide a more richly detailed understanding of patients’ experiences with CMP. Results of this study can be used to educate and inform clinicians to screen for those potentially confounding factors to ultimately improve upon the quality of clinical conversations and positively impact more equitable practice.
Acute Oral Ingestion of a Multi-ingredient Preworkout Supplement Increases Exercise Performance and Alters Postexercise Hormone Responses: A Randomized Crossover, Double-Blinded, Placebo-Controlled Trial
Published in Journal of Dietary Supplements, 2020
Neil A. Schwarz, Sarah K. McKinley-Barnard
Separate 2 × 3 (trial × time) two-way repeated measures analysis of variance (ANOVA) were run for each variable to determine the effect of each trial over time on hemodynamics and serum hormone concentrations. If a significant interaction was observed, simple main effects were analyzed using one-way repeated-measures ANOVA for trial and time. Pairwise comparisons for ANOVA were performed using Fisher’s least significant difference (LSD) test. Paired-samples t tests were employed to compare exercise performance measures and dietary analyses. Each CMP and CBC variable was characterized as in range or out of range according to the laboratory criteria. A chi-square test of independence was performed between time point (entry, 30 PS, and 30PX for PLA, and 30 PS and 30PX for BMB) and test results (classified as in range or out of range) for each CMP and CBC variable to determine any association between time point and/or trial for occurrence of out-of-range safety markers. Statistical analyses were performed using IBM SPSS Statistics 22.0 and a probability level of < .05 was adopted.