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Con el fin de optimizar la relación entre el médico / paciente y afianzar la confianza que depositan las personas en los sanitarios cuando acuden con sus patologías y solicitan medios para mejorar, se realiza esta guía de recomendaciones dirigida a ayudar a los profesionales, tanto de atención primaria como de urgencias hospitalarias. En su tarea diaria al considerar cuando los pacientes están preparados para ser dados de alta a su domicilio y precisan prescribir aquellas medidas y hábitos que sirvan de apoyo al tratamiento farmacológico, a la par que mejorar su calidad de vida, evitar futuros episodios de la misma patología y solventar dudas sobre aquellas acciones que pueden trascender en su salud.
Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
La obra aborda el modo de desarrollar un pensamiento crítico con sensibilidad y resiliencia para poder adquirir las habilidades clave necesarias para mantener la seguridad de los pacientes y alcanzar el éxito tanto en la práctica clínica como en los exámenes. Incluye contenido totalmente actualizado sobre las habilidades de enfermería del siglo XXI y las competencias QSEN (Quality and Safety Education for Nurses), así como numerosas situaciones prácticas con actividades que ayudan a mejorar la capacidad de razonar en el contexto clínico. Trata de forma exhaustiva la relación entre el proceso de enfermería y los modelos de juicio clínico y ayuda a garantizar que el pensamiento de enfermería y las preferencias del paciente quedan incluidos en el razonamiento clínico interprofesional y la toma de decisiones. Contiene las claves de cómo desarrollar las habilidades de liderazgo, de utilidad en situaciones clínicas, docentes y personales; de cómo afrontar la sobrecarga de información, desarrollar el aprendizaje conceptual, y aprovechar al máximo las simulaciones clínicas y las evaluaciones de las competencias; y de cómo pensar en el contexto de la tecnología de la información sanitaria.
Vitamin D deficiency, circulating levels lower than 15 ng/ml, is an epidemic disease worldwide with more than a billion people suffering of it in the beginning of the 21-century. Besides its impact on mineral and bone metabolism, these low vitamin D levels are also associated with a diversity of non-skeletal complications, among them cardiovascular disease, diabetes mellitus, multiple sclerosis, cancer, tuberculosis, and immune system dysfunction. Chronic Kidney Disease is also a very common disease, affecting more than 10% of the world population, ranging from stage 1 to stage 5 before dialysis. Approximately 1% of the population in industrialized countries is affected by end-stage renal disease (ESRD), needing a renal replacement therapy either hemodialysis or peritoneal dialysis, and ultimately by renal transplantation. Those CKD patients are more susceptible to exhibit reduced vitamin D stocks. Consequently, more than eighty percent of CKD patients have either insufficient or deficient vitamin D levels for multiple reasons.
From fundamental principles to advanced subspecialty procedures, this text is the go-to reference on the technical, scientific, and clinical challenges professionals face. Features new chapters, new authors, meticulous updates, an increased international presence, and a new full-color design.
The Atlas of Sustainable Development Goals 2018 is built around World Development Indicators--the World Bank's compilation of statistics from over 200 economies about global development and the quality of people's lives. For each of the 17 Sustainable Development Goals, selected indicators have been identified and visualized to anaylze trends and challenges, and to catalyze discussion on measurement issues. -- From back cover.