Practical Assessment And Treatment Of The Patient With Headaches In The Emergency Department And Urgent Care Clinic
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Practical Assessment And Treatment Of The Patient With Headaches In The Emergency Department And Urgent Care Clinic
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Author : Dawn A. Marcus
language : en
Publisher: Springer Science & Business Media
Release Date : 2011-07-29
Practical Assessment And Treatment Of The Patient With Headaches In The Emergency Department And Urgent Care Clinic written by Dawn A. Marcus and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-07-29 with Medical categories.
Migraine is an extremely common condition affecting 28 million Americans. Fully 1 in every 6 adult women suffers from this malady. Patients with migraine are frequently seen in the Emergency Room and Urgent Care Clinic for acute treatment of their headaches. Headache generally accounts for nearly 3 % of all ER visits, resulting in almost 3.5 million visits annually. There currently are no widely used guidelines for the treatment of patients with headache in the ER or UCC, and reducing the number of CT scans remains a key goal for administrators in many ER or urgent care settings. In one study, 35 drugs, alone or in combination, were used to treat migraine. The most common medication class used was narcotics, which were used in 25% of the visits. The next two most commonly used classes were antiemetics and NSAIDs. Only 5% of patients seen for headache received headache-specific medications during their visit. ER and Urgent Care physicians generally have little or no formal training in treating these patients. Consequently, they often feel less comfortable ruling out secondary causes of headaches and using appropriate headache treatment medications and procedures. Since many patients have received narcotics in previous visits, providers may view them as drug seekers. Patients seen in ERs and UCCs for acute treatment of their headaches often report high levels of dissatisfaction. They often end up in the ER or UCC because they don’t have a formal treatment strategy for their severe headaches. Health plans and insurance agencies are often frustrated by the high cost of fragmented care for patients with headaches. Because of the environment that most ER and UCC providers operate in, many unnecessary scans and tests are done because of uncertainty of the diagnosis and unfamiliarity of the patient. Primary care physicians are also frustrated by patients with headaches presenting to them after being seen in the ER or UCC, wanting a refill of their narcotics that they were given. Many patients don’t follow up with their PCPs and simply keep returning to the ER/UCC for their treatment. In short, all involved in the care for patients with headache are frustrated by the current system. The care for these patients is clearly not optimal. It doesn’t have to be that way. There are a wide variety of effective treatment options available, but are underutilized in the acute setting. With these treatment options, patients no longer have to be treated only with parenteral narcotics, only to perpetuate the cycle of suboptimal care described above. This concise handbook covers all aspects of acute headache care, including care of the child and adolescent with acute headaches, treatment of pregnant and breastfeeding women with acute headaches and appropriate evaluation of secondary headaches. In addition, two other novel chapters are included: one on caring for older patients with acute headaches as well as a chapter describing how to ensure a seamless transition of the patient back to a headache interested provider. Representing an important milestone in the care of patients with headache, this is the first concise handbook available to exclusively address the issue of headache treatment in the acute care setting. Including protocols and strategies that can be used right away, Management of Headaches in Emergency Room and Urgent Care Settings: Diagnosis and Management provides information about lesser known, but effective strategies such as greater occipital nerve blocks that can be easily learned and incorporated in the acute care setting. It emphasizes the continuity of care that is so vital to keep headache patients from returning to the ER and UCC for acute treatment.
Emergency Headache
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Author : Serena L. Orr
language : en
Publisher: Cambridge University Press
Release Date : 2017-10-26
Emergency Headache written by Serena L. Orr and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-10-26 with Medical categories.
Understand the approach to routine and rare headaches in an emergency setting, with this guide written by experts in neurology and emergency medicine.
Discussing Migraine With Your Patients
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Author : Dawn A. Marcus
language : en
Publisher: Springer
Release Date : 2016-10-14
Discussing Migraine With Your Patients written by Dawn A. Marcus and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-10-14 with Medical categories.
This engaging and highly practical title is designed to support healthcare professionals in providing the best possible care for their patients with migraine. Developed by two leading authorities in the field who bring wit and warmth to their writing, the book combines the valuable wisdom of their clinical expertise with cutting edge scientific synthesis and helpful clinical pearls. Replete with a plethora of instructional aids and clinical tools (such as patient handouts, questionnaires, checklists, video clips, and quick-reference boxes), Discussing Migraine with Your Patients: A Common Sense Guide for Clinicians reviews migraine treatment in an evidence-based manner -- according to the empirical data and FDA and consensus-based guidelines. Discussion topics include acute and preventive pharmacotherapy, medical interventions and devices, behavioral and psychological nonpharmacologic therapies, education, trigger management, healthy lifestyle practices, stress management, neutraceuticals, and alternative medicine offerings. In addition, this easy-to-read title covers genetics and pathophysiology, symptoms and comorbidities, and a range of essential clinical skills that are useful in achieving the best possible outcomes with patients. In invaluable addition to the literature, this title will serve as the ultimate go-to resource for primary care clinicians and trainees. Headache specialists, too, will find value in this work.
Pain Management And Palliative Care
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Author : Kimberly A. Sackheim
language : en
Publisher: Springer
Release Date : 2015-12-09
Pain Management And Palliative Care written by Kimberly A. Sackheim and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-12-09 with Medical categories.
This comprehensive book covers the knowledge needed to diagnosis and treat patients with acute and chronic pain. Sections dedicated to patient evaluation, medication management, treating patients with more complex circumstances and interventional management provide clinically-relevant information on an array of topics relevant to both the generalist and specialist. Some sections being organized in a diagnosis based approach help to focus on these topics and serve as a quick reference. A practical and easy-to-use guide, Pain Management and Palliative Care provides a broad foundation on pain assessment and management and is an invaluable daily companion for those managing patients experiencing pain.
Headache Simplified
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Author : Dawn Marcus,
language : en
Publisher: tfm Publishing Limited
Release Date : 2008-09-01
Headache Simplified written by Dawn Marcus, and has been published by tfm Publishing Limited this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-09-01 with Medical categories.
This practical book provides a handy reference for the doctor confronted with patients complaining of headache. Headache is one of the most common complaints seen in the outpatient or ambulatory care setting, and may be caused by a wide variety of conditions. This book clearly explains up-to-date headache epidemiology, impact, and pathogenesis, and walks the reader through the steps to evaluating and treating the patient presenting with primary or secondary headache disorders. Also included are reviews of common headache comorbidities, including cardiovascular disease and stroke, epilepsy, fibromyalgia and mood disturbance. Copious use of easy-to-understand figures, tables, and algorithms make this book a useful and practical tool in the clinic. Guidance on selecting diagnostic tests and specific treatment protocols are provided. Treatment recommendations are evidence-based with full referencing and include emerging therapies. Sections on evaluating and treating headaches in children, women during pregnancy, and the elderly complete this comprehensive reference. The likely readership will include the following: neurologists, general physicians, doctors in training, hospital pharmacists, primary care physicians, nurses and nurse practitioners.
Handbook Of Medicine In Psychiatry
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Author : Peter Manu
language : en
Publisher: American Psychiatric Pub
Release Date : 2020-05-10
Handbook Of Medicine In Psychiatry written by Peter Manu and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-05-10 with Medical categories.
Poverty, substandard medical care, social neglect or withdrawal, unhealthy lifestyle -- these are just some of the contributors to the substantial morbidity of patients with severe mental illness. Medical deteriorations are often unexpected and severe, and particularly difficult to evaluate in the context of psychotic disorders. For this new edition, the Handbook of Medicine in Psychiatry has been updated and streamlined to provide a realistic approach to the medical issues encountered in psychiatric practice by helping clinicians answer whether their patient: Is at risk of dying or becoming severely disabled. Requires an immediate therapeutic intervention for a potentially life-threatening condition. Needs to be transferred to an emergency medicine setting. Requires urgent investigations. Must have changes made in the current medication regimen. Clinical vignettes for each chapter illustrate the complexity of the presentation of abnormal vital signs and somatic disorders in psychiatric settings, including fever, hypertension, seizures, and nausea and vomiting. The guide also provides risk stratification for major complications -- from abnormal thyroid function and acute kidney injury to myocarditis and venous thromboembolism -- enabling readers to determine the need for a transfer of the patient to an emergency medicine setting. A brand-new section features thorough discussions of topics requiring interdisciplinary collaboration with geriatricians, neurologists, anesthesiologists, addiction medicine, and adolescent medicine specialists. Clinicians working in today's busy inpatient and outpatient psychiatric settings will find in these pages a cognitive framework and knowledge base that will aid them in accurate decision making in the conditions of uncertainty created by potentially major medical deteriorations of the vulnerable populations under their care.
The Practice Of Emergency And Critical Care Neurology
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Author : Eelco F.M. Wijdicks
language : en
Publisher: Oxford University Press
Release Date : 2016-04-11
The Practice Of Emergency And Critical Care Neurology written by Eelco F.M. Wijdicks and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-04-11 with Medical categories.
Fully updated and revised, the second edition of The Practice of Emergency and Critical Care Neurology puts a more modern approach on the practice of emergency neurological care. When most texts within the field focus on the theoretical aspects, this book concentrates on the management of neurologic conditions, recognition of deterioration of neurologic functions, neurosurgical procedures, and immediate interventions. This text also presents hard data to explain why we do what we do. Dr. Wijdicks condenses essential information into several sections comprising of the principles in recognizing critically ill neurologic patients in the emergency department, the evaluation of symptoms indicating critical emergency, general principles of managing critically ill patients, monitoring devices and diagnostic tests, complete management of specific disorders in the neurosciences intensive care unit, postoperative neurosurgical and neurointerventional complications, management of medical complications, and end of life care. Key Features of the New Edition include 1. Additional chapters on critical consults in surgical and medical ICUs, critical care management, and comprehensive monitoring and biomarkers to reflect new research; 2. Rich illustrations using color photos of patients and drawings of important basic concepts of mechanism of acute neurologic disease; 3. Fully updated and comprehensive reference list; 4. A pocket book of selected tables and figures covering all essential points for quick reference and as a survival guide for house staff. This is the go-to guide for every physician, staff neurologist, neurointensivist, resident, and fellow in training with managing acutely ill neurologic patients.
Common Pitfalls In The Evaluation And Management Of Headache
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Author : Elizabeth W. Loder
language : en
Publisher: Cambridge University Press
Release Date : 2014-04-10
Common Pitfalls In The Evaluation And Management Of Headache written by Elizabeth W. Loder and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-10 with Medical categories.
Discussing real-world cases, this practical guide highlights areas of diagnostic uncertainty and shows common pitfalls in headache diagnosis and treatment.
Handbook Of Headache
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Author : Paolo Martelletti
language : en
Publisher: Springer Science & Business Media
Release Date : 2011-08-14
Handbook Of Headache written by Paolo Martelletti and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-08-14 with Medical categories.
Headache disorders are among the most common disorders of the nervous system. They are pandemic and, in many cases, they are recurrent and can accompany the patient for the whole life. These disorders impose a substantial burden on headache sufferers, on their families and on society: the individual impact is measured by the frequency and severity of attacks, while the societal burden is measured in terms of loss of activity at work and school as well as of costs for the health system. As a matter of facts, headaches are ranked in the top ten, and maybe the top five, causes of disability worldwide: they are therefore extraordinarily common. Population-based studies have mostly focused on migraine, which, even if it is the most frequently studied headache disorder, is not the most common . Other types of headache, such as the more prevalent TTH and sub-types of the more disabling chronic daily headache, have so far received less attention and need to be better investigated. This book will provide a useful tool to a wide medical population, who is required specific skills to diagnose and manage these frequent and often disabling disorders .Furthermore, it could also represents a compendium for medical students who are usually introduced to this topic through multidisciplinary university programmes.
Pediatric Headache
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Author : Christopher B. Oakley
language : en
Publisher: Springer Nature
Release Date : 2023-01-01
Pediatric Headache written by Christopher B. Oakley and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-01-01 with Medical categories.
Pediatric headache is the most common neurological complaint that presents to the general pediatrician, urgent care and emergency rooms, and to pediatric neurology. Despite how common headaches are in the pediatric population and how many children continue to suffer from their headaches on a daily basis, there remains a tremendous disconnect for those tasked with being the first-line providers (general pediatric providers). This stems from the fact that headache patients can be so variable and challenging, with numerous comorbid concerns, all the while requiring an individualized treatment approach without a cure. The purpose of this proposed book is to help foster a better understanding of how to approach, assess, and ultimately treat pediatric headache for the general pediatric provider in an attempt to make what once was a daunting, overwhelming complaint from patients and their families into something each general pediatric provider can conquer with confidence. With the aid of experts in the field of pediatric headache, this book will begin by providing the foundation as to what types of headaches, primary and secondary as well as their precursors, are commonly seen in the pediatric population. From there, the focus will turn to when should the provider worry about a patient who presents with headaches. The clinic visit -- from the history to the “red flags” to the pertinent exam -- will be reviewed in depth to help distinguish between primary and secondary headaches as well as who warrants an evaluation. Additionally, comorbid concerns will be covered as these may have direct impact on the evaluation and subsequent treatments offered. The next section will delve into the treatment of pediatric headache with a comprehensive approach covering everything from lifestyle to complementary and alternative therapies/treatments, to medications, both acute and prophylactic. Other more specialized treatment options such as procedures and devices will also be discussed albeit these options are more likely to be offered by a specialist rather than a general provider. A subsequent section will highlight the unique challenges for the older adolescent patients as they transition into young adulthood. The closing section will highlight the future of pediatric headache.