American Family Physician

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Curbside Consultation

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Curbside Consultation: Caring for Unaccompanied Minors from Central America - American ...

Nov 1, 2014 - The surge of unaccompanied minors from Central America crossing the United States–Mexico border in recent months has made national headlines, creating an urgent humanitarian situation. The reasons for this migration are multifactorial, and the resultant politics are deeply complex.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2014/1101/p656.html

Curbside Consultation: The Hospice Referral - American Family Physician

May 1, 2014 - Hospice is a program of care and support for persons facing life-limiting illnesses. Hospice care involves a team-oriented approach to medical care, pain management, and emotional and spiritual support expressly tailored to the patient's needs and wishes.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2014/0501/p745.html

Curbside Consultation: Ethical Use of Diagnostic Technology: Balancing What's New and ...

Jul 1, 2014 - This case boils down to being realistic about what new screening tools and techniques can and can't do, and understanding their actual value in diagnoses. I'd argue that it is not unethical to accommodate a patient's requests, as long as the physician's approach to the patient, the ...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2014/0701/p53.html

Curbside Consultation: Inheriting Patients with Questionable Medication Regimens - ...

Jan 1, 2014 - Inheriting a patient on an inappropriate or questionable medical regimen is a scenario that every physician confronts when practicing continuity care. It can present frustrating challenges, especially for resident physicians, who, because of the nature of training programs, care for ...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2014/0101/p44.html

Curbside Consultation: Talking with Children About a Parent's Serious Illness - ...

Nov 1, 2013 - It is not uncommon for children to have parents who have cancer. Although parents may be understandably apprehensive about discussing a serious illness, children want and need to know what is happening. It is strongly recommended that children be involved and informed in the illness and...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2013/1101/p570.html

Curbside Consultation: Treating Patients with Borderline Personality Disorder in the ...

Jul 15, 2013 - The prevalence of borderline personality disorder in the general population is thought to be between 1% and 2%. As family physicians, we often treat these patients for chronic medical conditions. There are multiple obstacles to caring for these patients because of their difficult ...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2013/0715/p140.html

Curbside Consultation: A Case of Medical Uncertainty - American Family Physician

Mar 1, 2012 - Medical uncertainty (i.e., not knowing how to proceed with a patient-related problem) can stem from any number of potential situations in daily clinical practice. The causes of uncertainty are many, but the feeling of stress or discomfort it creates is a familiar constant, though it may...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2012/0301/p501.html

Curbside Consultation: Should I Be "Friends" with My Patients on Social Networking Web ...

Jul 1, 2011 - First of all, kudos for getting involved in social media with the goal of promoting the health of your patients and collaborating with colleagues.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2011/0701/p105.html

Curbside Consultation: Ethical Considerations of Patients with Pacemakers - American ...

Aug 1, 2008 - Modern medicine has increasingly become infused with technology intended to extend a person's quantity and quality of life. More than 1 million persons in the United States have implantable pacemakers and the majority of this population is older than 65 years.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2008/0801/p398.html

Curbside Consultation: Improving Sensitivity to Patients from Other Cultures - American...

Jul 1, 2010 - In this scenario, the physician is facing several challenges: making a patient from another culture feel at ease; managing a female patient's discomfort with a male physician; and recognizing the patient's chief concern. Physicians often treat patients from cultures different from their...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2010/0701/p28.html

Curbside Consultation: Discussing Treatment Options with Patients - American Family ...

Mar 1, 2010 - Sometimes it may seem easier to inject a subacromial bursa or aspirate a knee joint than to engage in shared decision making with your patients about the use of aspirin for coronary artery disease prevention or a PSA test for prostate cancer screening. The path that led to the disparate...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2010/0301/p645.html

Curbside Consultation: Dealing with the Impaired Physician - American Family Physician

Nov 1, 2009 - In 1973, the American Medical Association defined the impaired physician as one who is unable to fulfill professional and personal responsibilities because of a psychiatric illness, alcoholism, or drug dependency. Physicians face the challenge of being able to identify impairment in ...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2009/1101/p1007.html

Curbside Consultation: When a Patient's Chronic Pain Gets Worse - American Family ...

Jul 1, 2009 - This case encapsulates many of the significant challenges in providing care for patients with chronic noncancer pain.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2009/0701/p77.html

Curbside Consultation: Nonmalignant Chronic Pain: Taking the Time to Treat - American ...

May 1, 2009 - Nonmalignant chronic pain is a common, yet challenging, health problem.1 Numerous factors over the past decade have put primary care physicians in a central role in the management of this pain.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2009/0501/p743.html

Curbside Consultation: Communicating Effectively with Transgender Patients - American ...

Sep 1, 2008 - Transgender persons are those who consider their gender to be different from their biological sex. Hence, a male-to-female person is a biologic male who identifies as a female, and a female-to-male person is a biologic female who identifies as male.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2008/0901/p648.html

Curbside Consultation: A Morally Reprehensible Patient - American Family Physician

Apr 1, 2008 - Patients who present to the clinic without having followed the treatment plan endorsed at previous visits may frustrate us on both professional and personal levels.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2008/0401/p1021.html

Curbside Consultation: Responding to a Colleague Who Neglects Best Practices - American...

Oct 1, 2007 - The dilemma in the scenario concerns a colleague who displays a pattern of failing to perform the group's best practices.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2007/1001/p1043.html

Curbside Consultation: Pregnant Physicians and Infectious Disease Risk - American ...

Jan 1, 2007 - This scenario represents a familiar situation: a conscientious physician torn between pressing responsibilities to her patient and colleagues and her responsibility to her baby.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2007/0101/p112.html

Curbside Consultation: Obesity: Psychological and Behavioral Considerations - American ...

Sep 1, 2006 - Assuming that medical causes of weight gain (e.g., hypothyroidism, hypercortisolism) have been ruled out, the physician should consider social, psychological, and environmental factors that may explain the patient’s weight gain and his apparent indifference.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2006/0901/p867.html

Curbside Consultation: At-Home Genetic Tests - American Family Physician

Feb 1, 2006 - Current genetic tests for complex diseases are not diagnostic. They instead provide important information about susceptibility and can be key in prevention.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2006/0201/p540.html

Curbside Consultation: Physicians Who Do Not Follow Screening Guidelines - American ...

Jan 1, 2006 - This scenario asks two basic questions: (1) Why would a physician perform screening tests more often than recommended? and (2) What should a physician do if he or she has a colleague who does not follow current practice recommendations?

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2006/0101/p161.html

Curbside Consultation: Completing and Signing the Death Certificate - American Family ...

Nov 1, 2004 - This scenario is becoming less common in primary care practice because the most common place of death (in nearly 80 percent of cases) in the United States has changed from the patient’s home to a hospital or long-term care facility. This shift in death location means that family ...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2004/1101/p1813.html

Curbside Consultation: Cutting Back on High-Dosage Narcotics - American Family Physician

Mar 1, 2004 - Over the past decade, the promotion of narcotics for control of malignant and non-malignant pain has been advocated by specialists in the pain community. While most physicians accept the use of aggressive narcotic analgesia in patients with cancer-related pain, the use of opioids in ...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2004/0301/p1313.html

Curbside Consultation: Do I Have to Resuscitate This Patient Against Her Wishes? - ...

May 1, 2003 - In this case scenario, the family physician successfully performed a task that often is forgotten during physician-patient visits—the physician frequently discussed with this patient her wishes for end-of-life care. The conversations specifically included her thoughts about respirators,...

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2003/0501/p2025.html

Curbside Consultation: Disability Revisited - American Family Physician

Jul 1, 2003 - For Social Security disability claims, it is not requested of the physician to provide a disability determination.

American Family Physician : Curbside Consultation

http://www.aafp.org/afp/2003/0701/p175.html

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