3 Ounces Is All You Need

2009 ◽  
Vol 18 (4) ◽  
pp. 111-116 ◽  
Author(s):  
Debra M. Suiter ◽  
Steven B. Leder
Keyword(s):  
At Risk ◽  
Oropharyngeal Dysphagia ◽  
Clinical Implications ◽  
Negative Outcomes

AbstractAccurate screening of individuals who are at risk for oropharyngeal dysphagia is critically important because of the negative outcomes associated with the disorder. This article provides a review of a recently published study in which results of the 3-ounce water swallow test were compared with results of instrumental dysphagia testing. Clinical implications are discussed.

RESPIRATORY COMPLICATIONS IN A COHORT OF PATIENTS AT RISK FOR OROPHARYNGEAL DYSPHAGIA

CHEST Journal ◽  
2008 ◽  
Vol 134 (4) ◽  
pp. 11P
Author(s):  
Luis F. Giraldo ◽  
Ximena Miranda ◽  
Camilo Barros ◽  
Mauricio Hernandez ◽  
Nicolas Martinez ◽  
...  
Keyword(s):  
At Risk ◽  
Oropharyngeal Dysphagia ◽  
Respiratory Complications ◽  
Patients At Risk

scholarly journals Screening for psychiatric morbidity in police custody: results from the HELP-PC project

2013 ◽  
Vol 37 (12) ◽  
pp. 389-394 ◽  
Author(s):  
Iain McKinnon ◽  
Samir Srivastava ◽  
Gurpreet Kaler ◽  
Don Grubin
Keyword(s):  
At Risk ◽  
Mental Illness ◽  
Mental Disorders ◽  
Alcohol Withdrawal ◽  
Crack Cocaine ◽  
Psychiatric Morbidity ◽  
Clinical Implications ◽  
Police Custody ◽  
Moderate Depression ◽  
Screening Procedures

Aims and methodTo ascertain the efficacy of custody health screening for mental disorders. We assessed a sample of detainees for the presence of mental disorders and the need for an appropriate adult. The assessments were carried out using pragmatic interviews and examinations supported by structured tools. Where possible, we attributed a probable clinical diagnosis based on the information available to us. The need for an appropriate adult was judged based on this information and capacity assessments.ResultsExisting screening procedures missed a quarter of cases of severe mental illness and moderate depression; they also failed to detect about a half of those at risk of alcohol withdrawal and 70% of those at risk of withdrawal from crack cocaine. The need for an appropriate adult was not recognised in more than half of cases.Clinical implicationsConsideration should be given to modifying police screening procedures for mental and associated disorders so that detainees receive the appropriate attention.

A Swallowing Screening Test Enhances a Better Recognition of Patients with a Hip Fracture at Risk for Oropharyngeal Dysphagia

2021 ◽  
Vol 40 (2) ◽  
pp. 94-101
Author(s):  
Hugo Wijnen ◽  
Peter P. Schmitz ◽  
Martine Jansen ◽  
Linda Hendrix ◽  
Job L. C. van Susante ◽  
...  
Keyword(s):  
At Risk ◽  
Hip Fracture ◽  
Screening Test ◽  
Oropharyngeal Dysphagia ◽  
Swallowing Screening

Dose to the Developing Dentition During Therapeutic Irradiation: Organ at Risk Determination and Clinical Implications

2013 ◽  
Vol 86 (1) ◽  
pp. 108-113 ◽  
Author(s):  
Reid F. Thompson ◽  
Ralf A. Schneider ◽  
Francesca Albertini ◽  
Antony J. Lomax ◽  
Carmen Ares ◽  
...  
Keyword(s):  
At Risk ◽  
Clinical Implications ◽  
Organ At Risk ◽  
Therapeutic Irradiation

scholarly journals Parenteral thiamine use in the prevention and treatment of Wernicke–Korsakoff syndrome

2005 ◽  
Vol 29 (3) ◽  
pp. 94-97 ◽  
Author(s):  
Claire McIntosh ◽  
Valerie Kippen ◽  
Fiona Hutcheson ◽  
Andrew McIntosh
Keyword(s):  
At Risk ◽  
Odds Ratio ◽  
Clinical Implications ◽  
Post Intervention ◽  
Parenteral Treatment ◽  
Korsakoff Syndrome ◽  
Appropriate Treatment ◽  
Prevention And Treatment ◽  
Alcohol Detoxification ◽  
The Mean

Aims and MethodA pre-/post-intervention audit of 163 case notes was conducted to assess the efficacy of printing information about the identification and treatment of the Wernicke–Korsakoff syndrome on the hospital alcohol detoxification sheet.ResultsParenteral thiamine was indicated in 42 of 163 patients; 26 had symptoms suggestive of Wernicke's encephalopathy and 16 were at risk. The intervention increased the chance of appropriate parenteral treatment by an odds ratio of 5.9 (95% CI 1.3–27.8). Admission to a specialist alcohol unit increased the chance of appropriate treatment by an odds ratio of 7.0 (95% CI 1.52–32.25). The mean number of doses rose from 3.08 to 4.62.Clinical ImplicationsA simple intervention may lead to improved treatment of patients with Wernicke–Korsakoff syndrome.

scholarly journals Benzodiazepines and disinhibition: a review

2002 ◽  
Vol 26 (12) ◽  
pp. 460-462 ◽  
Author(s):  
Carol Paton
Keyword(s):  
At Risk ◽  
Neurological Disorders ◽  
Impulse Control ◽  
Antipsychotic Drugs ◽  
Significant Risk ◽  
Clinical Implications ◽  
Control Problems ◽  
Medline Search ◽  
Behavioural Disinhibition ◽  
High Degree

AIMS AND METHODSTo describe and attempt to quantify the incidence of disinhibitory reactions to benzodiazepines and to identify those at risk. Medline search, 1966–January 2002.ResultsThe overall incidence of disinhibitory reactions is small, but those with impulse control problems, neurological disorders, learning disabilities, the under 18s and the over 65s are at significant risk.Clinical ImplicationsIt is important to be aware of the ability of benzodiazepines to cause behavioural disinhibition and to maintain a high degree of vigilance when these drugs are administered to patients known to be at risk. In patients who have experienced behavioural disinhibition with benzodiazepines, antipsychotic drugs should be used to modify behaviour in any future emergencies.

scholarly journals Working with Family, Friends, and Allies of LBGT Youth

2015 ◽  
Vol 7 (1) ◽  
pp. 63-83 ◽  
Author(s):  
Melissa Luke ◽  
Kristopher M. Goodrich
Keyword(s):  
At Risk ◽  
Ecological Approach ◽  
Lgbt Youth ◽  
Counseling Services ◽  
Negative Outcomes ◽  
Counseling Interventions ◽  
Bisexual And Transgender ◽  
Systemic Interventions

As a historically marginalized population, lesbian, gay, bisexual, and transgender (LGBT) youth are at risk for myriad negative outcomes and as a result, seek counseling services at disproportionate rates. Although the role of family, friends, and allies (FFA) has been supported as a resiliency factor with LGBT youth, minimal attention has been given to the inclusion of FFA in counseling interventions. Building on the developmental, preventative, and wellness foundation, this manuscript utilizes an ecological approach to identify points of entry for systemic interventions with FFA across the micro, meso, exo, and macro levels (Bronfenbrenner, 2005) of LGBT youth experience.

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