40 Tests or Procedures We Dont Need.docx

40 Tests or Procedures We Dont Need.docx - News The...

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News The Essential Daily Briefing News Opinion Lifestyle Culture Sport Search Health 40 common treatments and tests that doctors say aren’t necessary (Photo: Adam Berry/Getty Images) Serina Sandhu 1 yearMonday October 24th 2016 Senior doctors have listed 40 common treatments and tests prescribed in all areas of medicine, which bring little or no benefit to patients. The advice from the Academy of Medical Royal Colleges (AMRC) comes after more than 80 per cent of doctors said they had prescribed a treatment they knew to be unnecessary because of feeling pressure from patients. The advice, part of the Choosing Wisely campaign, is aimed at reducing the number of unnecessary medical treatments and over-medicalisation, and ensuring patients are well- informed about their treatments. In some cases the treatment should not be prescribed at all, or it should only be given in certain situations. In some cases, doctors have given particular advice to improve health. Sexual and reproductive health 1). A vaginal swab is not usually necessary for women who have abnormal vaginal discharge likely to be caused by thrush or bacterial vaginosis (and if she is at a low risk of having a sexually transmitted infection). 2). Instead of giving a woman thought to be having recurrent thrush another course of treatment, they should have an examination of the skin around her vagina to exclude other conditions. 3). For women over the age of 45, a blood test is not needed to diagnose menopause. 4). Women who have a copper intrauterine device or the hormonal intrauterine system fitted – methods of birth control – should only seek advice if they cannot feel the threads which hang from the device. General Health 5). People who are particularly frail or in the last year of their life should discuss reducing their number of medicines to only those used for controlling symptoms. 6). Drugs to treat blood pressure (BP) for the prevention of heart disease or stroke should only be considered for people if their BP is above 140-159/90-99 and if they have additional risk factors. 7). If women are concerned about polycystic ovaries, a blood test to look for typical hormone patterns should be considered before imaging. 8). If people take a statin at the recommended dose, there is usually no need to routinely check cholesterol levels. Paediatricics and child health 9). For children with positional plagiocephaly (“flat head syndrome”), helmet therapy to correct the shape is not effective. 10). For children with chronic constipation, changes to diet and lifestyle should be considered first to relieve the symptoms. 11). Rather than giving rectal and intravenous diazepam to treat prolonged seizures in young people and children, the most effective treatments are medicines buccal midazolam or
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lorazepam 12). To treat mild or moderate acute bronchiolitis in children, bronchodilators (a drug to widen the bronchi) should not be used in unless there are underlying conditions.
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  • Spring '18
  • Jennifer Schnellmann
  • Prostate cancer, Uterus, Intrauterine device

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