scholarly journals The 2020 Updated KDOQI Clinical Practice Guidelines for Nutrition in Chronic Kidney Disease

2021 ◽  
pp. 1-5
Author(s):  
Talat Alp Ikizler ◽  
Lilian Cuppari
Keyword(s):  
Clinical Practice ◽  
Kidney Disease ◽  
Health Care Workers ◽  
Dietary Protein ◽  
Nutritional Assessment ◽  
Nutritional Interventions ◽  
Allied Health Care ◽  
Care Workers ◽  
New Evidence ◽  
Great Accumulation

Over the last 2 decades, there has been a great accumulation of new evidence regarding the management of nutritional and metabolic aspects of kidney disease. The 2020 update to the KDOQI Clinical Practice Guideline for Nutrition in CKD provides a comprehensive up-to-date information on the understanding and care of patients with CKD. It provides updated information on nutritional aspects of kidney disease for the practicing clinician and allied health-care workers. The current manuscript provides an overview of the updated guideline statements on major subjects including nutritional assessment, dietary protein and energy intake, nutritional supplementation, micronutrients, and electrolytes. The guidelines are focused on dietary management rather than all possible nutritional interventions.

scholarly journals Practice Guidelines for Canadian Neurophysiology Laboratories During the COVID-19 Pandemic

2020 ◽  
pp. 1-6
Author(s):  
◽  
Juan Pablo Appendino ◽  
Steven K. Baker ◽  
Kristine M. Chapman ◽  
Tamara Dykstra ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Practice Guidelines ◽  
Health Care Workers ◽  
Good Care ◽  
Canadian Society ◽  
Standards Of Practice ◽  
Canadian Association ◽  
Care Workers ◽  
Review Current

Abstract: The COVID-19 pandemic has had a major impact on clinical practice. Safe standards of practice are essential to protect health care workers while still allowing them to provide good care. The Canadian Society of Clinical Neurophysiologists, the Canadian Association of Electroneurophysiology Technologists, the Association of Electromyography Technologists of Canada, the Board of Registration of Electromyography Technologists of Canada, and the Canadian Board of Registration of Electroencephalograph Technologists have combined to review current published literature about safe practices for neurophysiology laboratories. Herein, we present the results of our review and provide our expert opinion regarding the safe practice of neurophysiology during the COVID-19 pandemic in Canada.

Hospital Medicine

2012 ◽  
Author(s):  
James S. Newman ◽  
David J. Rosenman
Keyword(s):  
Information Systems ◽  
Health Care Workers ◽  
Nutritional Assessment ◽  
Hospital Medicine ◽  
Patient Acuity ◽  
Hospital Acquired Infections ◽  
Care Workers ◽  
Complications Of Surgery ◽  
Hospital Acquired

Technologic advancements and other innovative efforts to improve the quality of hospital-based care have resulted in large and complicated networks of personnel, information systems, devices, medications, and countless other resources. In parallel with these changes, the medical acuity of the typical hospitalized patient has increased. The field of hospital medicine emerged in response to this combination of increasing hospital complexity, patient acuity, and professional demands. This chapter highlights several topics that may be unique to the hospital and are not discussed elsewhere in this textbook. They include interfaces among settings and people in the hospital, medication reconciliation, dismissal from the hospital, information systems, nutritional assessment and provision, geriatric assessment, complications of hospitalization, hospital-acquired infections, complications of surgery, the quality and safety movements, bioterrorism, and risks to health care workers.

scholarly journals Perceptions of Physicians and Allied Health Care Workers of Pharmacists’ Role In Care Optimization for Schizophrenic Patients At Federal Neuro-Psychiatric Hospital Maiduguri, North-Eastern Nigeria

2019 ◽  
Vol 30 (1) ◽  
pp. 19-23
Author(s):  
H Yusuf ◽  
A Giwa ◽  
S Mohammed ◽  
SN Aguye Abdu ◽  
FM Dungus ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Psychiatric Hospital ◽  
Health Care Workers ◽  
Health Care Professionals ◽  
Allied Health ◽  
Allied Health Care ◽  
Care Workers ◽  
Significant Difference ◽  
Schizophrenic Patients

Introduction: In clinical practice, it is required that a profession not only clearly describe their own roles and responsibilities to other professionals but should also be aware of other professions’ roles in relation to their own. The objective of this study was to assess the perceptions of physicians and allied health care workers (Other health care professionals) of the roles of pharmacists in optimizing care for schizophrenic patients. Methods: A self-administered 17-item validated questionnaire was distributed to 120 health care professionals working at Federal Neuro-Psychiatric Hospital Maiduguri from September to October 2016. Results obtained were analysed using Chi-square test. Results: Health care professionals mostly had positive perceptions with a statistically significant difference (P< 0.05) across all assessed items. However, competent and knowledge of the pharmacists accounting for 93 (83.8%), involvement of the pharmacist in patient care accounting for 91(82%) and reassuring patients to improve quality of life accounting for 98(88.3%) had the highest number of health care professionals with positive perceptions while documenting patient care, monitoring and reemphasizing physicians instructions had the lowest accounting for 69 (62.2%), 74(66.7%) and 74 (66.7%) respectively in the different sections. Conclusions: The health care professionals surveyed mostly had positive perceptions. Thus, pharmacists can leverage on this to meet their roles in optimizing care for schizophrenic patients. Bangladesh J Medicine Jan 2019; 30(1) : 19-23

scholarly journals Combining hand grip strength with nutritional screening tools in elderly patients with chronic kidney disease

2021 ◽  
Vol 16 (1-2) ◽  
pp. 47-53
Author(s):  
Anja Vukomanović ◽  
Ivica Vrdoljak ◽  
Ines Panjkota Krbavčić ◽  
Tea Vrdoljak Margeta ◽  
Martina Bituh
Keyword(s):  
Chronic Kidney Disease ◽  
Clinical Practice ◽  
Kidney Disease ◽  
Elderly Patients ◽  
Receiver Operating Characteristic ◽  
Grip Strength ◽  
Operating Characteristic ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
Hand Grip

Malnutrition in vulnerable patient populations must be rapidly detected using techniques that are easy to incorporate into everyday clinical practice. The new recommendations defined the 7-point Subjective Global Assessment (SGA) as optimal for nutritional assessment in chronic kidney disease (CKD), while Geriatric Nutrition Risk Index (GNRI) demands additional examination in elderly. This study aimed to determine the accuracy of several concise tools used in the clinical practice and the correlation of this tools with functional method hand grip strength (HGS) in elderly patients with CKD. In this cross-sectional study, anthropometric and functional data for 50 elderly hemodialysis patients were analyzed using numerous survey-based tools for screening nutritional status (Malnutrition Screening Tool – MST, Nutritional Risk Screening 2002 - NRS2002, Malnutrition Universal Screening Tool - MUST, Mini Nutritional Assessment - MNA, GNRI), which we compared to the standard 7-point SGA nutritional assessment tool. The sensitivity, specificity, and accuracy of these tools for detecting malnutrition were compared with the standard by using receiver operating characteristic (ROC) curve analysis. 7-point SGA classified 36.6% of participants as well nourished, and 63.4% as mildly to moderately malnourished, while the simplest alternative methods showed lower accuracy, classifying much higher proportions of participants as well nourished (MST, 92.0%; NRS2002, 80.4%). MNA had the highest accuracy based on receiver operating characteristic curves. HGS correlated moderately with 7-point SGA (r = 0.331), MNA (r = 0.410), and GNRI (r = 0.320). Our small study suggests that MNA is the best tool for malnutrition risk screening in elderly with CKD. Combining HGS with concise tools, such as GNRI, may provide better results and unburden healthcare professionals.

A critical review analysis of the issues arising out of the clinical practice by an infected health care worker

2021 ◽  
pp. 147775092110572
Author(s):  
Raghvendra K Vidua ◽  
Nisha Dubey ◽  
Punit Kumar Agarwal ◽  
Daideepya C Bhargava ◽  
Parthasarathi Pramanik
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Status ◽  
Health Care Worker ◽  
Health Care Workers ◽  
Infectious Agent ◽  
Control Policy ◽  
Care Workers ◽  
The Individual ◽  
Care Worker

The way communicable diseases do spread from one person to another, depending upon the specific disease or causative infectious agent. Out of these diseases, some are incurable and the health care workers during their practice or otherwise acquire such infections and transmit them further to innocent patients who are unaware of about the health status of health care workers. The rights of an infected health care worker and patients are protected by many laws but in case of conflict of interests between the individual right of the health care worker and life of a patient, then obviously by the principle of natural justice, saving the life of a person from such incurable infection gets the privilege. Therefore, there is a lot of ethical and professional dilemma, arising out, in such a type of scenario, irrespective of concealed or disclosed health status and the question mark is raised on whether clinical practice may be allowed in such cases. Some of the studies show the actual but very little risk of transmission from infected health care workers to patients. Therefore, in the current scenario, many western countries such as USA and UK are following different guidelines in this regard but the same is lacking in India. So, this article critically analyses the various issues arising out of it and thereby justifies the need to have a uniform infection control policy in this regard apart from legal and ethical binding on infected health care workers.

scholarly journals A web survey to assess the use efficacy of personnel protective materials among allied health care workers during COVID-19 pandemic at North-East India

2020 ◽  
Author(s):  
Rahul P Kotian ◽  
Manna Debnath ◽  
Zosangliani ◽  
Brayal D’souza ◽  
Disha Faujdar
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Control Measures ◽  
Protective Equipment ◽  
Web Based ◽  
North East India ◽  
Allied Health Care ◽  
North East ◽  
Care Workers ◽  
Effective Use

AbstractThe rising pandemic is resulting in increased usage of personnel protective equipment in the hospital and community. The efficient and effective use of appropriate personal protective equipment will help assure its availability and healthcare provider safety. The purpose of this study was to assess the use efficacy of PPE among health care workers through a web based survey during the pandemic. the response rate of the survey was 66.75%. 35.2% gave a full rating on a point of 5 regarding the control measures taken by the hospital, 39% of respondents did not use the PPE, 90.6% used a surgical mask while 65.9% wore the disposable gloves and only 47.6% wore the goggles/face shield More than half the respondents did not wear the shoe-cover. 97.4% used the hand sanitizer and around 97% maintained hand hygiene practice.

Organizational Factors and Health Care Workers' Physical Safety

2013 ◽  
Author(s):  
Jane Lipscomb ◽  
Jeanne Geiger-Brown ◽  
Katherine McPhaul ◽  
Karen Calabro
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Organizational Factors ◽  
Care Workers
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