S3M1 behav

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Author:
sweetlu
ID:
154742
Filename:
S3M1 behav
Updated:
2012-05-28 13:38:11
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S3M1 behav
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S3M1 behav
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  1. aggressive patient
    • - confrontation in a non aggressive manner can be used
    • - restraint may have to be used if the situation elevates "We"
  2. dependent patients
    • - set clear limits
    • - do not react negatively
    • - work for patient autonomy, but you may have to help making decisions
  3. depressed patients
    • - SIGECAPS > 2 weeks
    • - explore for suicidal ideation and intent
  4. non verbal patient
    • - more direct and active questioning
    • - use of reflection if patient falls silent
  5. somatoform paient
    • - be prepared to be supportive and work to improve the patients insights
    • - patient resonds positively to empathy
    • (psychological issues manifest physically)
  6. histrionic patients
    • - do NOT respond to flirtation
    • - explore for what may be behind the behavior
    • - professional statement
    • (flirtatious and attention seeking patient)
  7. demanding, boderline patients
    • - set limits
    • - define acceptable and non acceptable behaviors at the beginning of your clinical work with the patient
    • (patients have difficulty in delaying gratification)
  8. obsessive patients
    • - provide careful explanation, but do NOT be defensive
    • (patient is critical, evasive and suspicious)
  9. anti social pesonality disorder
    • - be respectful but vigilant
    • - set boundaries
    • - confrontation may be necessary
  10. drug abusers
    - confrontation may be used, but only when the clinical hx, physical exam and lab tests point to the likely dx of substance abuse
  11. children
    • - understand the childs cognitive development is key
    • - develop rapport and determine what the child knows about the reason for being there
    • - parents should be present with young children
  12. adolescents
    • - theraputic alliance is key
    • - pts tend to be more testing and distrustful of the physician
    • - show honesty and respect
    • - do NOT patronize
  13. geriatrics
    • - be formal and professional
    • - asses hearing and cognitive difficulties
    • - check for understanding
    • - offer clear clinical guidance
  14. standardized scores
    • mean=average= Z-score = 0, T-score=50, IQ= 100
    • +/- 1SD= 68.3%, 2SD=95.5%, 3SD= 99.7% of data
  15. reliability
    • refers to consistency
    • reliability >80% is acceptable, >90% for important decisions
  16. standard error
    • SEM= SD x sqrt(1-reliability)
    • 68% confidence= X +/- 1SEM
    • 95% confidence= X +/- 1.96 SEM
  17. Prevalence vs incidence
    incidence= new cases/ at risk pop'n

    prevalence= persons with disease/ pop'n at risk
  18. risk vs odds
    risk=number of new cases/ pop'n initially at risk

    odds= number of new cases/ (pop'n at risk-new cases)
  19. rate
    • actual cases/ potential cases(pop'n at risk)
    • -expressed per 100,000 most of the time
    • majority of diseases in US < 100/100K
    • - 90% are <50/100K
  20. rate ratio
    RR= rate in exposed/ rate in unxposed

    ex: (6848/26)/(8384/6)= 3.8/0.7= 5.43
  21. rate ratio, risk red and prevented frac
    • rate ration= (8.4/100K)/(14.0/100K)= 0.6
    • risk reduction= 14/100k-8.4/100K= 5.6/100K
    • preventer fraction= ((5.6/100K)/(14/100K))x100= 40%

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