Consultation and clinical assessment of the genitourinary system for advanced clinical practitioners

2021 ◽  
Vol 30 (22) ◽  
pp. 1288-1294
Author(s):  
Karen Powell
Keyword(s):  
Quality Of Life ◽  
Clinical Assessment ◽  
High Demand ◽  
Genitourinary System ◽  
Specialist Knowledge ◽  
Advanced Skills

Assessment of symptoms affecting the genitourinary system is in high demand as they can significantly impact on quality of life. Nurses with advanced skills in communication, consultation and specialist knowledge play a key role in improving the experience for patients presenting with genitourinary symptoms.

scholarly journals Enthesitis in psoriatic arthritis (Part 3): clinical assessment and management

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_1) ◽  
pp. i21-i28 ◽  
Author(s):  
Philip Mease
Keyword(s):  
Quality Of Life ◽  
Physical Examination ◽  
Clinical Assessment ◽  
Janus Kinase ◽  
Clinical Feature ◽  
Phosphodiesterase 4 ◽  
Significant Efficacy ◽  
Synthetic Dmards ◽  
The Impact

Abstract Enthesitis is a common clinical feature of PsA, which is characterized by inflammation at the site of insertion of tendons, ligaments and joint capsule fibres into bone. Enthesitis is relatively unique to the spondyloarthritides, setting this group of diseases apart from other rheumatological conditions. The pathophysiological underpinnings of this clinical domain, and the imaging assessment of it, are described in accompanying articles in this supplement. The focus of this article is on the assessment of enthesitis by physical examination, the impact of enthesitis on function and quality of life, the impact of concomitant FM on clinical assessment, and the evidence for therapy of enthesitis garnered in trials of biologic and targeted synthetic DMARDs. Several physical examination measures of enthesitis have been developed and have proved reliable in assessment of enthesitis. Enthesitis has a significant deleterious impact on function and quality of life. The presence of concomitant FM in ≤20% of patients may result in artefactual worsening of assessment of disease severity and hinder achievement of the goal of low disease activity or remission. Several targeted therapies, which, for example, target the TNF, IL-17, IL-23, phosphodiesterase 4 or Janus kinase pathways, have shown significant efficacy in the treatment of enthesitis, resulting in improvement of function and quality of life for patients with PsA.

scholarly journals Amniotic Membrane as a Scaffold for Melanocyte Transplantation in Patients with Stable Vitiligo

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Pedro Redondo ◽  
Ana Giménez de Azcarate ◽  
Laura Marqués ◽  
María García-Guzman ◽  
Enrique Andreu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Treatment ◽  
Effective Treatment ◽  
Success Rate ◽  
Amniotic Membrane ◽  
Clinical Assessment ◽  
Skin Disease ◽  
Response To Treatment

Vitiligo is an acquired skin disease that significantly impacts the quality of life of patients. Medical treatment of vitiligo includes the use of melanocyte transplant, but the results are variable. We have treated 4 patients with either focal or generalized stable vitiligo using a graft of autologous melanocytes' culture on a denuded amniotic membrane (AM). A culture biopsy was obtained in every patient and grown in melanocytes' media for 10–14 days after which cells were transferred to a denuded AM and transplanted into the achromic lesions. Patients were followed for up to 6 months using clinical assessment of achromic lesions. Treated areas ranged between 4 cm2and 210.6 cm2. Response to treatment was excellent in all patients with 90–95% repigmentation success rate. Our results demonstrate that transplantation of autologous melanocytes cultured on AM is a new, simple, and effective treatment for stable vitiligo.

scholarly journals Clinical assessment and health-related quality of life in patients with non-cardiac chest pain

2015 ◽  
Vol 80 (2) ◽  
pp. 121-129
Author(s):  
O. Ortiz-Garrido ◽  
N.X. Ortiz-Olvera ◽  
M. González-Martínez ◽  
S. Morán-Villota ◽  
G. Vargas-López ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chest Pain ◽  
Clinical Assessment ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Chemosensory Impairment After Traumatic Brain Injury

Neurotrauma ◽  
2018 ◽  
pp. 145-156
Author(s):  
Shanna Williams ◽  
Nathan Zasler
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Clinical Assessment ◽  
Daily Life ◽  
Management Strategies ◽  
Sensory Loss ◽  
Risk Marker ◽  
Smell Loss

Posttraumatic olfactory and gustatory impairments following traumatic brain injury (TBI) are more common than many clinicians appreciate and have a variety of different causes. It is important to fully assess this class of posttraumatic impairments due to the implications of such sensory loss on daily life functions that we otherwise take for granted. Additionally, smell loss in and of itself may be an indicator of dysexecutive impairments and/or a risk marker for anterior parenchymal contusional injury. This chapter provides an overview of chemosensory impairments following traumatic brain injury (TBI) and examines the incidence, etiology, clinical assessment, and management strategies of these disorders, including neurorehabilitative interventions as well as neuroprognosis. Issues regarding the functional impact of chemosensory impairments will be discussed, including quality of life ramifications, vocational implications, and medicolegal perspectives, with the latter focusing on impairment rating of chemosensory impairment.

A Short Form for Clinical Assessment of Quality of Life among Hypertensive Patients

1989 ◽  
Vol 5 (2) ◽  
pp. 82-89 ◽  
Author(s):  
Marcia A. Testa ◽  
Abraham Sudilovsky ◽  
Robert M. Rippey ◽  
Gordon H. Williams
Keyword(s):  
Quality Of Life ◽  
Clinical Assessment ◽  
Short Form ◽  
Hypertensive Patients

scholarly journals Impact of the psychosocial aspects of work on the quality of life of teachers

2009 ◽  
Vol 31 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Marcos Henrique Fernandes ◽  
Vera Maria da Rocha
Keyword(s):  
Quality Of Life ◽  
Psychosocial Aspects ◽  
High Demand ◽  
Cross Sectional ◽  
Promotion Policies ◽  
Municipal Schools ◽  
Overall Evaluation ◽  
Cross Sectional Design ◽  
The Impact

OBJECTIVE: To investigate the impact of psychosocial aspects on the quality of life of teachers from municipal schools in Natal, Brazil. METHOD: descriptive study with a cross-sectional design and a sample of 242 elementary school teachers. We used the WHOQOL-bref to assess the quality of life as well as questions about the level of control and the psychological demand of work from the Job Content Questionnaire. RESULTS: the overall evaluation of quality of life showed that the physical and environmental domains had the lowest mean scores. According to the psychosocial aspects, most of the subjects (67 individuals = 32.1%) were characterized as having active work (high demand and control), followed by 54 teachers (25.8%) with demanding work (high demand and little control). These two groups have shown to be more affected in the assessment of physical (p < 0.001), psychological (p < 0.001), and environment (p < 0.001) domains of quality of life. CONCLUSIONS: Teachers who had tasks characterized as active and demanding were more affected in the quality of life domain. This finding suggests the need for greater investment in health-promotion policies among teachers.

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