Experiential avoidance – and persistent pain
Most of us will recognise that when we experience a pain, we firstly notice where it is, and the sensory qualities of it. We automatically make judgements about that pain – some of this judgement is about whether we recognise this pain (have we had it before?), some is about whether it’s important enough to interrupt what we’re doing (should I drop this hot cup of coffee, or can I hold onto it long enough to place the cup carefully on the bench), and some is about how we feel emotionally (yes, swearing is common when we smack our thumb with a hammer!).
In our response to acute pain, we often want to a...
Source: HealthSkills Weblog - January 23, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Assessment Chronic pain Clinical reasoning Coping strategies Research Science in practice Therapeutic approaches pain management Source Type: blogs
The new rules of time management
Pediatric cardiac anesthesiologist, woman, mother, wife, friend, mentor. I can’t remember a time when I wasn’t trying to“work smarter, not harder” to get it all done and feel good about myself, only to begin climbing the mountain with a fresh list the next day. My goals were simple: peace of mind and a senseRead more …The new rules of time management originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 22, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/laura-berenstain" rel="tag" > Laura Berenstain, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs
PerfectServe Acquires AnesthesiaGo, a First-of-Its-Kind Solution for Auto-Generating Daily Case Assignments for Anesthesia Staff
With AnesthesiaGo and Provider Scheduling powered by Lightning Bolt, PerfectServe enhances position at the forefront of advanced scheduling technology PerfectServe®, a leading provider of cloud-based clinical collaboration and provider scheduling solutions, today announced the acquisition of AnesthesiaGo, purveyor of the healthcare industry’s only intelligent case scheduling platform for anesthesiology staff. “At PerfectServe, we are intent […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - January 17, 2022 Category: Information Technology Authors: Healthcare IT News Tags: Communication and Patient Experience Health IT Company Healthcare IT AnesthesiaGo Guillaume Castel Health IT Acquisitions Lightning Bolt Michael Bronson Patient Communication Acquisitions PerfectServe Provider Scheduling Source Type: blogs
Your patient has psychosocial risk factors: what now?
Congratulations! You’re an insightful clinician who’s offered your patient a screening assessment to find out if she or he has psychosocial risk factors – and yes! they do! Well done. Now what?
Do you…
send your patient to the nearest psychologist?spend at least one treatment session offering pain neurobiology education?scramble to find a “psychologically informed physio” to send them to, because it takes really highly trained and special clinicians to work with these peoplegive your patient the same exercise prescription you were going to anyway because, after all, they still have...
Source: HealthSkills Weblog - January 16, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Chronic pain Clinical reasoning Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Research Science in practice biopsychosocial healthcare pain management Therapeutic approaches Source Type: blogs
Making first contact: What to do with all that information! Part 5
People come to see us because they have a problem. So the formulation approach I’m taking today begins from “the problem” and works back and forward. It’s called a “network” model, and is something many of us do without knowing that’s what we’re doing. The network model can also be called a functional analysis where we’re looking at what happens, and what a person does, and the ongoing consequences or loops that occur over time.
Angelina comes to see you because her neck is very sore. She’s not sure why it’s sore, or what happened to start it off, but sh...
Source: HealthSkills Weblog - January 9, 2022 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Assessment Clinical reasoning Cognitive behavioral therapy Interdisciplinary teams Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Resilience/Health Therapeutic Source Type: blogs
Finger Clip for Blood Pressure Monitoring
At the University of Missouri a team of researchers developed a custom finger clip device that can continuously measure a variety of vitals, including blood pressure. The novel device represents a new way to measure vitals, and contains two commercial photoplethysmography (PPG) sensors that operate at two different points on the finger. This approach allows the researchers to simultaneously calculate pulse wave velocity and also measure blood oxygen saturation, body temperature, heart rate, and respiratory rate.
Continuous blood pressure measurements can reveal trends that a single measurement can miss. Moreover, the ve...
Source: Medgadget - January 5, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Anesthesiology Cardiology Critical Care Medicine Source Type: blogs
My 22 Oldest Jokes and Why they Still Matter in 2022
By IAN MORRISON
I have been studying American healthcare for more than 40 years and I have assembled a large number of one-liners over the years. As we enter 2022, I thought I’d share my 22 oldest jokes and why they still matter.
Coming to America
I grew up in Glasgow, Scotland. In Glasgow, healthcare is a right, carrying a machine gun is a privilege. America got it the wrong way round.
Gun violence continues to ravage the United States. We have more guns than people. Kids get gunned down in school playgrounds and classrooms routinely. ...
Source: The Health Care Blog - December 22, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy American healthcare healthcare quality Source Type: blogs
Making first contact: What to do with all that information! Part 4
In the previous few posts on what to do with all that assessment information I’ve talked about generating a formulation to guide treatment, and a little about how teams might work together to generate one. This post is a little different because I want to situation the discussion around the ultimate aim of therapy.
I usually work with people who have long-standing pain that hasn’t changed much and doesn’t seem to be disappearing. I’m not a nihilist, but I do wonder if clinicians are trying too hard to “change pain” when the body doesn’t seem to respond all that much to whatever...
Source: HealthSkills Weblog - December 12, 2021 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Assessment Clinical reasoning Coping strategies Interdisciplinary teams Occupational therapy Pain conditions Physiotherapy Psychology Science in practice Uncategorized Source Type: blogs
An obstetrician recommends midwifery care [PODCAST]
“By denigrating midwifery care, pathologizing the natural process of birth, and instilling fear of complications and pain, doctors persuaded women to give birth at the hospital under their care. By touting the benefits of anesthesia, forceps delivery, episiotomy and promoting in-hospital birth, doctors and hospitals were able to capitalize on the new specialty. Interventions ofRead more …An obstetrician recommends midwifery care [PODCAST] originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 10, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast OB/GYN Source Type: blogs
Making first contact: what to do with all that information! Part 3
In my last post I described the “4 P” model (sometimes called the 5P!) of formulation for pain. In today’s post I want to talk about an integrated approach for a team.
Teamwork in pain management is an enormous thing – IASP (International Association for the Study of Pain) endorses multidisciplinary (I prefer interprofessional) teamwork but gives little information on how teams best work together. In fact, research exploring teamwork processes in pain management is remarkably absent, even though there’s considerable research elsewhere in healthcare showing that effective teamwork is quite ...
Source: HealthSkills Weblog - December 5, 2021 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Interdisciplinary teams Professional topics Psychology Research Science in practice biopsychosocial case formulation Health healthcare pain management teamskills teamwork Source Type: blogs
Making first contact: What to do with all that information! part 2
Last week I described some of the reasons for using a case formulation approach when working through initial assessment information, and today I’m going to describe one approach for organising a formulation. This is the “4 P” formulation, and it’s one that’s often used in mental health (Bolton, 2014).
In the 4 P model, there are four questions to ask yourself:
Preconditions – Why is this person vulnerable to this problem?Precipitating factors – Why now? This can mean “why is this person having symptoms now?” or “why is this person presenting to this person ...
Source: HealthSkills Weblog - November 28, 2021 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Pain conditions Professional topics Research Science in practice biopsychosocial case formulation Occupational therapy pain management Therapeutic approaches Source Type: blogs
Making first contact: what to do with all that information! part 1
Last post I wrote I said I’d continue with a process for structuring and synthesising the information we gather from the initial contact we make with the person. This process is integral to clinical reasoning, and somewhat surprisingly, there’s not a great deal of research to give us guidance on the best way to do this – and it’s even more challenging for those of us working in an interprofessional team setting, where different professions, personalities and assumptions are part of it.
If we work backwards from the end point, we might get some clues about what to do. Our end point is to help this...
Source: HealthSkills Weblog - November 21, 2021 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Assessment Clinical reasoning Interdisciplinary teams Occupational therapy Pain Pain conditions Physiotherapy Professional topics Psychology Science in practice Uncategorized Source Type: blogs
Patients Occasionally Experience Sexual Hallucinations While Under Conscious Sedation
By Emma L. Barratt
Since anaesthetics were first used in 1846 there have been reports of sexual hallucinations during medical procedures. And, though there’s been much discussion about the relationship between anaesthesia and these hallucinations, awareness of this side effect amongst both clinicians and academics remains somewhat low. The consequences of clinicians being accused of sexual misconduct that was in actuality a hallucination can extremely be serious; some have lost their licenses to practice, despite being acquitted.
But even with the high-stakes consequences of sexual hallucinations, there has been r...
Source: BPS RESEARCH DIGEST - November 16, 2021 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Health Perception Sex Source Type: blogs
You ’re a doctor when you’re not giving anesthesia?
One recent afternoon in the GI endoscopy suite (not my favorite place to work, but that ’s a topic for another day), I walked up to the bedside of my next patient and introduced myself as I always do. “Hi,” I said, holding up my name badge for the patient and his wife to see. “I’mRead more …You ’re a doctor when you’re not giving anesthesia? originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 5, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/karen-s-sibert" rel="tag" > Karen S. Sibert, MD < /a > < /span > Tags: Physician Anesthesiology Source Type: blogs
Reign in Your Busy Mind to Live More Consciously
Too often, as we move through our daily lives, we pack more than we need — and I’m referring to mental baggage. No matter where we’re going or what we’re doing, we allow our minds to run rampant and never stop. Recent research shows that humans tally more than 6,000 thoughts each day. Those thousands of thoughts are an irrefutable consequence of our society’s obsessive need to be busy and distracted.
Yet if we don’t stop, even occasionally, from our obsessive mental planning, rehashing and cataloguing, we become disconnected and removed from a source greater than us. Instead of busily looking for ...
Source: PickTheBrain | Motivation and Self Improvement - November 2, 2021 Category: Consumer Health News Authors: Ora Nadrich Tags: creativity depression featured happiness meditation philosophy psychology busy mind calm choas stress Source Type: blogs
