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First, the use of scales facilitates a quick and accurate assessment of a complex clinical problem.
In their review of the topic, Mann et al. suggest two pre-requisites to stimulate reflection: 1) an "authentic context" and 2) a complex clinical problem or anticipating an upcoming challenging situation [ 3].
Anxiety and depression are often seen in patients with chronic pain and together they constitute a complex clinical problem [ 22] Pain in itself is similarly stress-inducing, since it can cause the release of increased cortisol, which again can lead to depression [ 27].
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Context: Community-based clinical services Problem: Management of children with a chronic disease poses complex clinical problems that can seldom be used within the context of one profession only.
The coexistence of a pathogen population with an ever-increasing resistance to many antibiotics and a patient population that is characterized by increasingly complex clinical problems has contributed to an increase in bloodstream infections, particularly due to antibiotic-resistant Gram-positive bacteria [ 39].
Brent, R. L. Environmental causes of human congenital malformations: the pediatrician's role in dealing with these complex clinical problems caused by a multiplicity of environmental and genetic factors.
Findings indicated that PBL programmes may be more effective at preparing trainees for some aspects of their first medical jobs, such as dealing with complex clinical problems, working in a team, being aware of limitations and knowing when to ask a senior for help (behaviour which has been identified as a primary indicator of a trainee's competence [ 14]).
This conference is attended by all the fellows and faculty and provides the fellows with an opportunity to learn how to manage complex clinical problems in nephrology as well as to present and discuss cases with confidence.
Complex clinical problems probably benefit from a structured approach.
This is based on frequent lack of relevant scientific information, a large number of substances in several questions, and a large proportion of patient-specific questions with complex clinical problems.
A major limitation of guidelines is their poor fit to complex clinical problems, particularly in the presence of multi-morbidity, being more suited to relatively straightforward clinical decisions, [ 20].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com