False positives (identifying people who do not have the disorder as having it) tend to increase as sensitivity increases, and false negatives (missed cases) tend to increase as specificity increases. Because screening instruments are imperfect, balancing sensitivity against specificity is a situation-specific issue.
What are the 4 P’s for substance abuse screening?
The 4Ps stand for Parents, Partner, Past, and Present To conduct the 4Ps Screening: ASK: Parents: Did any of your parents have problems with alcohol or other drug use?
What are the 4 Ps of pregnancy?
The 4Ps (Parents, Partners, Past and Pregnancy) was developed for use with pregnant women and women of child bearing age.
What is 4Ps plus?
The 4Ps Plus© is the only validated behavioral health screening instrument designed specifically for pregnant women. It screens for alcohol, tobacco, marijuana, and illicit drug use. In addition, validated screening questions for depression and domestic violence can be included.
Why is it a good idea to administer a substance abuse screening?
The goal of substance abuse screening is to identify individuals who have or are at risk for developing alcohol- or drug-related problems, and within that group, identify patients who need further assessment to diagnose their substance use disorders and develop plans to treat them (see Chapter 4).
What is screening and assessment?
Screening is a process for evaluating the possible presence of a particular problem. The outcome is normally a simple yes or no. • Assessment is a process for defining the nature of that problem, determining a diagnosis, and developing specific treatment recommendations for addressing the problem or diagnosis.
When are general screening assessments?
Types of assessments. To monitor student progress, schools and individual teachers conduct different types of assessments with students in Grades K-3: Screening assessments are given to all students at the start of the school year to determine which students are at risk of struggling with reading.
What is a Bandl’s ring?
A pathologic retraction ring (Bandl’s ring) of the uterus is a constriction located at the junction of the thinned lower uterine segment and the thick retracted upper uterine segment that is associated with obstructed labor.
What are the 4 Ps or the four integrated concepts to a successful labor?
These 4 components to the birth process are: the passageway (pelvis), the passenger, the powers and the psyche. All of these must work together in synchronicity to achieve a successful, vaginal birth.
What is a breech presentation and why is it a complication?
A major complication of breech presentation is cord prolapse (where the umbilical cord drops down below the presenting part of the baby, and becomes compressed). The incidence of cord prolapse is 1% in breech presentations, compared to 0.5% in cephalic presentations. Other complications include: Fetal head entrapment.