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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/pocket-cards-4x6-skin-infections.pdf
June 01, 2021 - Skin and Soft Tissue Infections in Nursing Home Residents
Signs and Symptoms Associated
With … drainage with culture of pus
• If clinically unstable (hypotension, fever, tachycardia) or severe symptoms … intravenous
o Discuss hospital transfer if hospital admission is part of goals of care
Signs and Symptoms
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-guide.docx
September 01, 2022 - Patients with viral pharyngitis have other signs and symptoms suggesting a viral infection such as low-grade … You may consider treating with antibiotics if the patient is experiencing severe symptoms. … Antibiotic treatment can potentially reduce symptoms of bacterial pharyngitis by about half a day, and … It explains the symptoms and symptomatic treatment of pharyngitis and emphasizes that antibiotics are … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of pharyngitis
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-4.pdf
January 01, 2011 - Rating scales or specific questionnaires containing the
Diagnostic and Statistical Manual (DSM) symptoms … If a
parent reports that the patient suffers from any symptoms of ADHD
that induce impairment or if … the patient scores in the clinical range for
ADHD symptoms on a rating scale, then a full evaluation … Treatment of ADHD Should Continue as
Long as Symptoms Remain Present and Cause Impairment. … In pre-adolescent children with ADHD/HKD and comorbid symptoms
of oppositional defiant disorder and/
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-4.pdf
January 01, 2011 - Rating scales or specific
questionnaires containing the Diagnostic and Statistical Manual (DSM)
symptoms … If a parent reports that the patient suffers from any symptoms of
ADHD that induce impairment or if … the patient scores in the clinical range for
ADHD symptoms on a rating scale, then a full evaluation … Treatment of ADHD Should Continue as Long as Symptoms
Remain Present and Cause Impairment. … In pre-adolescent children with ADHD/HKD and comorbid symptoms of
oppositional defiant disorder and/
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-one-pager.pdf
September 01, 2022 - • Upper respiratory tract infections or “the common cold” are caused by viruses and present with symptoms … asthma, chronic obstructive pulmonary disease
(COPD), or heart failure
• For recurrent or chronic symptoms … period for most viral causes of the common cold is 1–3 days and patients may be
infectious as long as symptoms … • Antibiotic treatment does not prevent complications.9
• Symptoms usually last about 1 week and up … • Patients should be instructed to contact the clinic or go to the emergency department if symptoms
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-slides.pptx
September 01, 2022 - She is uncomfortable and frustrated with the duration of her symptoms.
5
Sinusitis
AHRQ Safety Program … 1,2
Common symptoms:
Purulent nasal discharge
Facial pain or pressure
Nasal congestion
Reduced sense … Treatment should be directed at relief of symptoms such as with decongestants. … Symptoms suggestive of orbital cellulitis or central nervous system infection include–
Limited ocular … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of sinusitis and
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-respiratory-infections.pdf
June 01, 2021 - syndromes caused by respiratory viruses include:
− Common cold3
− Uncomplicated sinus infections with symptoms … rhinovirus, parainfluenza, human metapneumovirus, and respiratory syncytial virus (RSV)3
Signs and Symptoms … Respiratory Infections
Respiratory virus infections typically present with several of the following symptoms … If a resident is diagnosed with influenza, start antiviral treatment and screen other residents for symptoms … Reliability of
nonlocalizing signs and symptoms as indicators of the
presence of infection in nursing-home
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - She does not have any other symptoms, including fever, chills, or fatigue. … Since she is experiencing symptoms, she should be started on a course of antibiotics. … He is not able to verbalize any symptoms. … denies any urinary symptoms. … Since she has no symptoms, she has asymptomatic bacteriuria.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
June 01, 2021 - Every resident with these symptoms should be screened for influenza. … Her symptoms are more consistent with a viral infection. … Even for those with up to 4 days of symptoms, oseltamivir may be helpful. … That usually helps with these types of symptoms. … If his symptoms do not improve or he gets worse, he should be evaluated further.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/NH-WPS-Pilot-Study-Overall-Results-2023.pdf
January 01, 2023 - (Item WPH1) (MI = 6%)
I have no symptoms of burnout. 34%
I am under stress, and don’t always have … as much energy as I did, but I don’t feel
burned out.
33%
67%
Experienced no
symptoms of
burnout … I am beginning to burn out and have one or
more symptoms of burnout, e.g., emotional
exhaustion. … 21%
The symptoms of burnout that I am
experiencing won’t go away. … I am at the
point where I may need to seek help. 2%
33%
Experienced
symptoms of
burnout
Note: (1)
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
June 01, 2021 - • Symptoms of a respiratory infection that may indicate the need for an
antibiotic are a fever with … • We will take her temperature and ask about her symptoms regularly. … • If something changes and she shows other signs or symptoms of a
bacterial infection, an antibiotic
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
September 01, 2022 - Slide 4
Moment 1: Diagnosis of CAP
SAY:
The symptoms of CAP are similar in adults and children. … Other associated symptoms include fatigue or chest pain. … Patients with Legionella pneumonia generally present with acute signs and symptoms such as those described … Both children and adults with a recent case of influenza or recent flulike symptoms (with fevers) who … It explains the symptoms and treatment of community-acquired pneumonia.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-slides.pptx
September 01, 2022 - vary by age and comorbidities
Older children and adults: coldlike symptoms
RSV in children <2 years … 18
35
Expectations:
Symptoms peak around the fifth day of illness and should start to improve by 7 to … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of influenza and … Flu Symptoms & Diagnosis. Centers for Disease Control and Prevention: Influenza (Flu). … https://www.cdc.gov/flu/symptoms/index.html. Accessed June 22, 2022.
Weekly U.S.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdf
March 01, 2017 - People can have bacteria in the
urine that do not cause symptoms or harm; asymptomatic bacteriuria … Urine culturing can actually harm residents
who have no CAUTI symptoms.
4. … Urine cultures should only be ordered if one
or more CAUTI symptoms are present. … CAUTI signs and symptoms are the following:
■ Fever (even if the resident has another possible cause
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-one-pager.pdf
September 01, 2022 - Community-Acquired Pneumonia
Community-Acquired Pneumonia
Diagnosis
Symptoms: Cough … tachypnea, or decreased oxygen saturation with rhonchi or crackles
• In patients with obvious signs and symptoms … Followup
• Remind patients that some symptoms such as fatigue and cough may persist for months. … Patients should be instructed to return to medical attention if they do not have some improvement in symptoms
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-246-section-2.pdf
March 01, 2016 - • A depression case management encounter that documents assessment for
symptoms of depression or … – Documentation of additional depression screening indicating either no
depression or no symptoms … The PHQ-9 tool assesses the nine DSM, Fourth Edition, Text Revision (DSM-IV-TR) criteria symptoms
and … Table DMS-A-1/2/3: Metadata Elements for Utilization of the PHQ-9 to Monitor
Depression Symptoms for … Numerator 2 Members who achieve remission of depression symptoms, as demonstrated by
the most recent
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-influenza.pdf
June 01, 2021 - should be suspected during influenza season (October–March) in nursing home
residents with typical symptoms … myalgias, rhinorrhea.1-3
• Influenza testing should occur for residents with recent onset of signs and symptoms … Infection with SARS CoV-2 should be considered in the differential for a resident with
respiratory symptoms … Testing and Management Consideration
for Nursing Home Residents with Acute
Respiratory Illness Symptoms
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
September 01, 2022 - the treatment of viral upper respiratory tract infections
Describe treatment options to manage the symptoms … Azithromycin helps my symptoms.
Everyone in my office is ill. … using effective communication strategies
Common patient concerns include:
Wanting to feel that their symptoms … Antibiotic Use – Ambulatory Care
Communication: Validate Patient Concerns
Assure patients that their symptoms … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of acute viral upper
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-6-table-12.pdf
April 17, 2019 - CHIIPRA 194: Section 6, Table 12
Table 12: ICD-9-CM Codes to Identify Signs and Symptoms of Increased … unspecified 379.50
Pupillary function Anisocoria 379.41
Vertigo of central origin 386.2
General symptoms
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-3.pdf
January 17, 2017 - record where this info may be
located
Option 1 Option 2
10 Evidence of the assessment of Core Symptoms … Note or
scanned
Attached rating scale
11 Evidence of the assessment of Core Symptoms:
(6 of 9 … record where this info may be
located
Option 1 Option 2
12 Evidence of the assessment of Core Symptoms … or
statement in the report that
information was obtained
about behaviors in school and
home
15 Symptoms