Evidence based management of sports related concussion

Abstract Sports related concussion (SRC) is a common condition evaluated by healthcare professionals. In an article entitled “Return to Play After Concussion: Clinical Guidelines for Young Athletes” published in the December 2019 issue of the Journal of the American Osteopathic Association, guidelines for the management of SRC were presented to assist healthcare professionals in the management of patients with SRC. However, much of the information presented in that article is contradicted by current expert recommendations and evidence based practice guidelines. The management of SRC has evolved to a nuanced, domain driven diagnosis requiring a multidisciplinary treatment team and a customized management plan for each patient to ensure competent treatment of patients with SRC. As such, this Commentary summarizes current recommendations for diagnosis and management of SRC.

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Essentials for Best Practice: Treatment Approaches for Athletes With Eating Disorders

Journal of Clinical Sport Psychology ◽

10.1123/jcsp.2018-0013 ◽

2018 ◽

Vol 12 (4) ◽

pp. 495-507 ◽

Cited By ~ 2

Author(s):

Jenny H. Conviser ◽

Amanda Schlitzer Tierney ◽

Riley Nickols

Keyword(s):

Eating Disorders ◽

Emotional Regulation ◽

Best Practice ◽

Sport Participation ◽

Emotional Health ◽

Multidisciplinary Treatment ◽

Return To Sport ◽

Multidisciplinary Care ◽

Return To Play ◽

Treatment Team

Eating disorders (EDs) and disordered-eating behaviors (DEBs), pose a high risk of morbidity and mortality, threatening physical health, emotional health, and overall quality of life. Unfortunately, among athletes, prevalence rates continue to increase. This document summarizes the challenges of establishing and navigating the multidisciplinary care needed to effectively treat EDs and DEBs among athletes. The benefits of timely and frequent communication within the multidisciplinary treatment team (MDTT) are emphasized and discussed. Authors advise who should be selected as members of the MDTT and suggest that all personnel, including athletic coaches, athletic trainers, physical therapists, and certified fitness professionals be ED-informed and ED-sensitive. Vital components of care are noted including use of a variety of evidence-based psychotherapeutic modalities, interventions which target emotional regulation, and prioritize values based compassionate care. Authors caution that performance decrements and medical/physiological changes are not always easily observable in individuals with EDs and DEBs and therefore, attuned, consistent, and ongoing monitoring is needed. Consensus regarding previously established parameters for return to play and careful titration of physical activity throughout the ED recovery process are suggested as important for preserving health, preventing re-injury, or relapse and facilitating successful return to sport participation.

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CHALLENGES FOR PRIMARY HEALTHCARE PROFESSIONALS IN CARING FOR WOMEN WITH POSTPARTUM DEPRESSION

Texto & Contexto - Enfermagem ◽

10.1590/0104-0707201500049-14 ◽

2015 ◽

Vol 24 (3) ◽

pp. 706-712 ◽

Cited By ~ 1

Author(s):

Bianca de Macêdo Meira ◽

Pauliany Alencar de Souza Pereira ◽

Maria de Fátima Araújo Silveira ◽

Dulce Maria Rosa Gualda ◽

Hudson Pires Oliveira Santos Jr

Keyword(s):

Postpartum Depression ◽

Practice Guidelines ◽

Primary Healthcare ◽

Postpartum Period ◽

Field Observation ◽

Healthcare Professionals ◽

Descriptive Study ◽

Structured Interview ◽

Evidence Based ◽

Qualitative Descriptive

ABSTRACT The aim of this study was to explore the challenges for primary healthcare professionals in caring for women with postpartum depression, in order to learn which tools are used for the identification of these women, as well as ways of working to restore their health. This qualitative descriptive study was conducted in healthcare units in Campina Grande, Paraíba. Data were collected by field observation and a semi-structured interview, which was administered to 16 healthcare professionals. The results describe healthcare professionals' difficulties in identifying and treating women with postpartum depression, because of the limited focus on physiological developmental aspects of gestation and postpartum. The professionals reported limited knowledge on how to assess emotional changes related to the postpartum period. Primary healthcare professionals need to be educated to identify and treat women with postpartum depression, and practice guidelines and protocols must be established to guide evidence-based practice.

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FC20-01 - Cultural competent assertive community treatment team for severe and persistently mentally ill: Innovations and adaptations

European Psychiatry ◽

10.1016/s0924-9338(11)73625-2 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 1921-1921

Author(s):

W. Chow ◽

J. Sadavoy

Keyword(s):

Mental Health ◽

Cultural Differences ◽

Cultural Competency ◽

Practice Guidelines ◽

Assertive Community Treatment ◽

Competency Model ◽

Community Treatment ◽

Evidence Based ◽

Treatment Team ◽

Assertive Community Treatment Team

The Cultural Competent Assertive Community Treatment Team (ACTT) is a joint venture sponsored by Mount Sinai Hospital in partnership with Hong Fook Mental Health Association established in 1999. This is the first ever cultural diverse mental health program using the cultural competency model. It was developed in response to the cultural diverse needs from the culturally diverse communities and supported with the best evidence-based research.Since the implementation of the program, we focused on identifying key issues that have facilitated or hindered the therapeutic alliances, patients’ service utilization and treatment compliance because of cultural differences in health concepts and health care systems.We will present what we have learned in literature review and the best evidence-based practice guidelines. Key cultural issues we have encountered with our clients will be described. Methods and strategies that are effective in overcoming cultural differences will be highlighted. We will use a case illustration to demonstrate our innovations and adaptations and will highlight lessons and challenges we have learned during the process of developing the cultural competency model. Feedbacks from the audience would be also incorporated to formulate the “best practice” guidelines. The guidelines will contribute significantly to the understanding of the complexity of cultural factors in treating mental illness but also ensure the effective service delivery to cultural diverse population.Cultural Competent Assertive Community Treatment Team has won American Psychiatric Foundation Advancing Minority Mental Health Award as well as the Leading Practice Award from Ontario Hospital Association in 2007.

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The Preschool Stuttering Screen for Health Care Professionals

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd21.2.59 ◽

2011 ◽

Vol 21 (2) ◽

pp. 59-62

Author(s):

Joseph Donaher ◽

Christina Deery ◽

Sarah Vogel

Keyword(s):

Risk Factors ◽

Health Care ◽

Differential Diagnosis ◽

Preschool Children ◽

Health Care Professionals ◽

Healthcare Professionals ◽

Evidence Based ◽

Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

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Highlights of the Guidelines for Screening of Extracranial Carotid Artery Disease: A Statement for Healthcare Professionals from the Multidisciplinary Practice Guidelines Committee of the American Society of Neuroimaging; Cosponsored by the Society of Vascular and Interventional Neurology

Journal of Endovascular Therapy ◽

10.1583/1545-1550(2007)14[469:hotgfs]2.0.co;2 ◽

2007 ◽

Vol 14 (4) ◽

pp. 469-474 ◽

Cited By ~ 3

Author(s):

Adnan I. Qureshi ◽

Andrei V. Alexandrov ◽

Charles H. Tegeler ◽

Robert W. Hobson ◽

J. Dennis Baker ◽

...

Keyword(s):

Carotid Artery ◽

Practice Guidelines ◽

Healthcare Professionals ◽

Carotid Artery Disease ◽

Extracranial Carotid Artery ◽

Multidisciplinary Practice ◽

Artery Disease ◽

American Society

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Faculty Opinions recommendation of Evidence-based clinical practice guidelines for integrative oncology: complementary therapies and botanicals.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.715747811.791252814 ◽

2012 ◽

Cited By ~ 1

Author(s):

Nathan Cherny

Keyword(s):

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Complementary Therapies ◽

Evidence Based ◽

Integrative Oncology

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Clinical practice guidelines for comprehensive patient assessment in emergency care: A quality evaluation study

Nordic Journal of Nursing Research ◽

10.1177/20571585211006980 ◽

2021 ◽

pp. 205715852110069

Author(s):

Åsa Falchenberg ◽

Ulf Andersson ◽

Birgitta Wireklint Sundström ◽

Anders Bremer ◽

Henrik Andersson

Keyword(s):

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Emergency Care ◽

Quality Evaluation ◽

Evaluation Study ◽

Evidence Based ◽

Patient Assessment ◽

Care Needs ◽

Home Based

Emergency care nurses (ECNs) face several challenges when they assess patients with different symptoms, signs, and conditions to determine patients’ care needs. Patients’ care needs do not always originate from physical or biomedical dysfunctions. To provide effective patient-centred care, ECNs must be sensitive to patients’ unique medical, physical, psychological, social, and existential needs. Clinical practice guidelines (CPGs) provide guidance for ECNs in such assessments. The aim of this study was to evaluate the quality of CPGs for comprehensive patient assessments in emergency care. A quality evaluation study was conducted in Sweden in 2017. Managers from 97 organizations (25 emergency medical services and 72 emergency departments) were contacted, covering all 20 Swedish county councils. Fifteen guidelines were appraised using the validated Appraisal of Guidelines for Research & Evaluation II (AGREE II) tool. The results revealed that various CPGs are used in emergency care, but none of the CPGs support ECNs in performing a comprehensive patient assessment; rather, the CPGs address parts of the assessment primarily related to biomedical needs. The results also demonstrate that the foundation for evidence-based CPGs is weak and cannot confirm that an ECN has the prerequisites to assess patients and refer them to treatment, such as home-based self-care. This may indicate that Swedish emergency care services utilize non-evidence-based guidelines. This implies that ECN managers and educators should actively seek more effective ways of highlighting and safeguarding patients’ various care needs using more comprehensive guidelines.

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Monitoring and Treatment of Juvenile Idiopathic Arthritis-associated Uveitis: Brazilian Evidence-based Practice Guidelines

Ocular Immunology and Inflammation ◽

10.1080/09273948.2021.1876886 ◽

2021 ◽

pp. 1-15

Author(s):

LM Neves ◽

LM Haefeli ◽

LM Hopker ◽

F Ejzenbaum ◽

H Moraes do Nascimento ◽

...

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Practice Guidelines ◽

Evidence Based Practice ◽

Evidence Based

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The hospital telemedicine TELEMED database: Providing information on evidence-based telemedicine services to hospital managers and healthcare professionals

Journal of Telemedicine and Telecare ◽

10.1177/1357633x211015585 ◽

2021 ◽

pp. 1357633X2110155

Author(s):

Kristian Kidholm ◽

Ida W Svendsen ◽

Knud Yderstræde ◽

Anne M Ølholm ◽

Kathrine Rayce ◽

...

Keyword(s):

Literature Search ◽

Healthcare Professionals ◽

Economic Effects ◽

Control Group ◽

Evidence Based ◽

Implementation Challenges ◽

Hospital Managers ◽

Pubmed Database ◽

Significant Difference ◽

Hospital Patients

Background Increased use of telemedicine in the healthcare system is a political goal in Denmark. Although the number of hospital patients using interventions such as the video consultation has increased in recent years only a small proportion of the outpatient and inpatient visits involve telemedicine. The TELEMED database ( https://telemedicine.cimt.dk/ ) has been launched at the Center for Innovative Medical Technologies in Denmark to ensure that hospital managers and healthcare professionals have access to information about telemedicine services and their effectiveness. This article describes the development and the content of the TELEMED database. Methods A structured literature search was made in the PubMed Database for randomised controlled trials or observational studies with a control group that investigated the effect of telemedicine interventions for hospital patients. Data were extracted from each article on the clinical effectiveness, patient perceptions, economic effects and implementation challenges. As the database should only provide inspiration to healthcare professionals regarding possibilities for use of telemedicine, the risk of bias in the studies was not assessed. Results The literature search resulted in 2825 hits. Based on full text assessment, 331 articles were included for data extraction and assessment. These articles present telemedicine services used in 22 different medical specialities. Forty-eight percent of the studies found a positive, statistically significant clinical effect, while 47% showed no statistically significant difference. In 48% of the studies, patients’ experiences were examined and of these 68% found positive patient experiences. Fifty-four percent of the articles included information on the economic effects and, of these, 51% found reduction in healthcare utilization. In the majority of studies between two and four types of implementation challenges were found. Conclusions and recommendations: The TELEMED database provides an easily accessible overview of existing evidence-based telemedicine services for use by hospital managers and health professionals, who whish to to implement telemedicine. The database is freely available and expected to be continuously improved and broadened over time.

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