Dementia
This harmonious approach to management of behavioral disturbances in patients with dementia can reduce general restlessness, wandering, repetitive speech and verbal aggression.
What is music therapy?
This score should be calculated for initial assessment of a patient’s risk of thromboembolic events and updated at least annually.
What is the CHA2 DS2-VASc? ("chadsvasc" is acceptible)
Replacing this every 3-4 weeks is considered a safe and effective form of contraception and menstrual cycle suppression.
What is the NuvaRing (etonogestrel/ethinyl estradiol vaginal ring)?
This is the most effective way to prevent the spread of measles.
What is vaccination?
This former anesthetic, once known more for operating rooms and club scenes, is now used to help patients whose depression hasn’t responded to standard treatments or is associated with suicidal ideation.
What is ketamine?
This intervention for people with dementia makes a lot of scents - and has been shown to have beneficial impacts on patient agitation and caregiver stress.
What is aroma therapy?
Patients with newly diagnosed AFib considering anticoagulation therapy should have an evaluation for their bleeding risk using a tool such as this.
What is HAS-BLED?
Who are Black women?
Visual inspection and the Adams forward bend test are used to screen adolescents for this condition.
What is scoliosis?
This cholesterol-carrying particle in the blood increases ASCVD risk independent of LDL level, is mostly genetically determined, and should be checked once when initially assessing ASCVD risk.
What is Lp(a)/lipoprotein(a)?
While it may seem childish, this non-pharmacologic intervention has been shown to reduce challenging behaviors and demands for caregiver attention in people with dementia.
What is doll therapy?
Along with labs, these two heart-focused tests should be ordered in patients with suspected or newly diagnosed Afib.
What are EKG and echocardiogram?
Earlier DEXA screening for osteoporosis should be considered in those with increased risk, including those with menopause before this age.
What is 45?
This injectable form of PrEP can be given every 6 months - but because insurance coverage is a question, and the drug stays in the system for up to a year, causing concern for resistance, Truvada is still considered our first-line recommendation.
What is lenacapavir (Yeztugo)?
This tool is recommended over the Epworth Sleepiness Scale (ESS) when screening for obstructive sleep apnea (OSA) because it identifies anatomic and clinical risk factors for OSA with higher sensitivity, whereas ESS measures only subjective daytime sleepiness and lacks diagnostic accuracy for OSA.
What is the STOP-BANG questionnaire?
What are SSRIs?
Younger, active patients and those with significant life expectancy may want to consider this afib control strategy, which has evidence for improving long-term cardiovascular outcomes.
What is rhythm control?
This depression screening tool is recommended for postpartum use because it better assesses postnatal mood, anhedonia, and anxiety symptoms without somatic items that are confounded by pregnancy such as sleep, appetite, fatigue - core parts of the PHQ-9.
What is the Edinburgh Postnatal Depression Scale (EDPS)?
What is bipolar disorder?
This is a computerized cognitive assessment platform available to One Medical patients that measures attention, working memory, executive function, and processing speed through gamified tasks, and can sometimes be useful in the assessment of patients for ADHD.
What is Creyos?
Any clinician can evaluate a patient's capacity to make medical decisions, but a only a court can determine the ability for someone to overall manage their affairs, also known as this.
What is competence?
This time of year especially, it's important consider this underlying cause of new afib, often a result of excessive seasonal partying.
What is "holiday heart syndrome"?
This method of cervical cancer screening avoids the need for a speculum, though positive results will require a return visit and speculum exam.
What is primary HPV testing (vaginal self-swab)?
This topic should not be asked about in routine clinical encounters, because it is not considered protected health information under HIPAA.
What is immigration status?
Expanded preconception carrier testing screens for hundreds of genetic conditions across all ethnicities, including this autosomal recessive condition that can cause dark urine and corneal rings.
What is Wilson's Disease?