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Evidence-Based Nursing is a peer-reviewed healthcare journal covering the field of evidence-based nursing. It is published quarterly by the BMJ Publishing Group and RCN Publishing. It is abstracted and indexed by Index Medicus , Scopus and Excerpta Medica/EMBASE. The journal performs systematically searches of nursing and medical journals.
Shared decision-making in medicine (SDM) is a process in which both the patient and physician contribute to the medical decision-making process and agree on treatment decisions. [1] Health care providers explain treatments and alternatives to patients and help them choose the treatment option that best aligns with their preferences as well as ...
Plates vi & vii of the Edwin Smith Papyrus (around the 17th century BC), among the earliest medical guidelines. A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare.
Pulmonary aspiration is the entry of solid or liquid material such as pharyngeal secretions, food, drink, or stomach contents from the oropharynx or gastrointestinal tract, into the trachea and lungs. [1] When pulmonary aspiration occurs during eating and drinking, the aspirated material is often colloquially referred to as "going down the ...
BMJ Best Practice is an online decision-support tool made for clinical decision making support. It was created in 2009 by BMJ. [1] Development
Cardiac arrest and death are possible complications if a sudden complete obstruction occurs and immediate medical care is not performed. [7] The most common complication from a foreign body aspiration is a pulmonary infection, such as pneumonia or a lung abscess . [ 7 ]
Chronic inflammation of the lungs is a key feature in aspiration pneumonia in elderly nursing home residents and presents as a sporadic fever (one day per week for several months). Radiological review shows chronic inflammation in the consolidated lung tissue, linking chronic micro-aspiration and chronic lung inflammation.
In a large PSP (>50%), or in a PSP associated with breathlessness, some guidelines recommend that reducing the size by aspiration is equally effective as the insertion of a chest tube. This involves the administration of local anesthetic and inserting a needle connected to a three-way tap; up to 2.5 liters of air (in adults) are removed.