Search Results for

*

1-100 of 160 ResultsHelp using search on aafp.org Sort by Relevance , Date , Title

Tapering Patients Off of Benzodiazepines - Curbside Consultation - American Family ...

Nov 1, 2017 - When prescribed at a low dosage for a short time (fewer than 30 days), benzodiazepines can effectively treat generalized and social anxiety, panic disorder, and sleep disorders. Long-term use for anxiety and sleep disorders is not supported by research because it is associated with the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/1101/p606.html

Physician Burnout and Stress While Interacting with Patients - Curbside Consultation - ...

Nov 1, 2019 - Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/1101/p537.html

Communicating Risk to Patients Who Get Their Information from the Internet - Curbside ...

Sep 1, 2019 - What can physicians do when our patients act on findings from the internet?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0901/p306.html

Helping Patients Cope with Grief - Curbside Consultation - American Family Physician

Jul 1, 2019 - The loss of a loved one, especially a spouse or a child, is perhaps one of the most difficult events a person will experience in a lifetime. The resulting grief can be overwhelming and incapacitating for a time. Family physicians can be sources of comfort to those who grieve the loss of...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0701/p54.html

An Unhappily Married Patient - Curbside Consultation - American Family Physician

Jun 1, 2019 - Overall, marriage enhances health. Men gain greater health benefits from marriage than their wives. Conversely, wives are more negatively affected by a bad marriage than their husbands. In general, the health benefit of marriage is maximized in a good marriage but negated in a bad ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0601/p708.html

Palliative Care in Advanced Dementia - Curbside Consultation - American Family Physician

Apr 1, 2019 - What is the best way for family physicians to determine prognosis and applicability of palliative care for patients with dementia?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0401/p456.html

Effective Advocacy for Patients and Communities - Curbside Consultation - American ...

Jan 1, 2019 - Family physicians play diverse roles in society, often bridging individual and community perspectives. Family physicians' ethics require providing care to all persons regardless of their geographic, economic, political, racial, religious, or sexual orientation status.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0101/p44.html

Practical Considerations of Caring for Patients Abroad During Short-term Medical Trips ...

Dec 1, 2018 - A 65-year-old woman presented on the second day of my week-long volunteer medical brigade to a migrant camp in Mexico. The patient had a blood pressure of 180/110 mm Hg and a heart rate of 78 beats per minute. Her presenting symptoms were itchy eyes and sneezing, which she reported were...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/1201/p673.html

The Doorknob Phenomenon in Clinical Practice - Curbside Consultation - American Family ...

Jul 1, 2018 - By definition, the doorknob phenomenon or doorknob statement occurs when patients wait until the last moment in the clinical encounter—often while the physician is grasping the doorknob to exit the examination room—to utter something that, not uncommonly, provides crucial information. ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0701/p52.html

Violence in the Health Care Setting: What Can We Do? - Curbside Consultation - American...

Sep 15, 2018 - n July 2017, Dr. Todd Graham was fatally shot by his patient's husband when Dr. Graham denied his patient's request for opioids. This case highlights that, according to the Bureau of Labor Statistics, health care professions are one of the most dangerous industries of employment in the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0915/p381.html

Clinical and Personal Utility of Genetic Risk Testing - Curbside Consultation - ...

May 1, 2018 - On April 6, 2017, the U.S. Food and Drug Administration (FDA) approved marketing of the 23andMe Personal Genome Service, the first direct-to-consumer genetic test. This test uses genomic DNA collected from mail-in saliva collection kits to provide information on a patient's genetic risk...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0501/p600.html

Medical Aid in Dying - Curbside Consultation - American Family Physician

Mar 1, 2018 - Requests for hastened death are not unusual from patients with life-limiting illness, and many primary care physicians encounter these requests over the course of their career. Medical aid in dying is the practice of a physician providing a competent, terminally ill patient—at the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0301/p339.html

Female Genital Mutilation or Cutting - Curbside Consultation - American Family Physician

Jan 1, 2018 - FGM/C involves partial or total removal of the external genitalia or other injury to the female genital organs for nonmedical reasons. It is considered a human rights violation. It has no known health benefits, but many reported harmful consequences.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0101/p49.html

Social Media Use and Mood Disorders: When Is It Time to Unplug? - Curbside Consultation...

Oct 15, 2017 - Americans spend more time on Facebook, the world's largest online social network, than any other website. On the surface, social media networks provide an invaluable resource for fulfilling the basic human need for social connection. However, rather than enhancing well-being by ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/1015/p537.html

Providing Trauma-Informed Care - Curbside Consultation - American Family Physician

May 15, 2017 - Family physicians commonly care for survivors of trauma, but they may not always realize it. Trauma, which can affect any patient regardless of age or sex, is broadly defined as the experience of violence or victimization, including sexual abuse, physical abuse, psychological abuse, ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/0515/p655.html

Patients with Disabilities: Avoiding Unconscious Bias When Discussing Goals of Care - ...

Aug 1, 2017 - False assumptions about patients' quality of life can affect prognosis, the treatment options that we present, and the types of referrals that we offer. In this case, the physician equated complex disability with terminal illness.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/0801/p192.html

Palliative Care Through Illness Trajectory - Curbside Consultation - American Family ...

Mar 15, 2017 - Persons with multimorbidity often have unmet multidimensional needs related to their health. For example, Y.S. may also be experiencing poorly controlled symptoms, financial distress, and increasing anxiety. His family is likely distressed by his decline in health and unsure about what ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/0315/p386.html

Pet Therapy: Enhancing Patient Care Through Time with Animals - Curbside Consultation -...

Nov 1, 2016 - A 16-year-old girl and her parents presented to my office for her wellness evaluation. The patient has generalized anxiety disorder with comorbid major depression, for which she has been prescribed a serotonergic antidepressant. She is a high school student, lives with her parents, and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/1101/p737.html

Taking Care of Disadvantaged Patients - Curbside Consultation - American Family Physician

Jan 15, 2017 - No single person can be responsible for the health of a population. However, there are a number of strategies for taking care of members of disadvantaged populations. These range from targeted compassion and interventions for the individual patient to broad advocacy for disadvantaged ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/0115/p118.html

Helping Pregnant Women Keep Their Jobs - Curbside Consultation - American Family Physician

Sep 15, 2016 - At 7.5 months pregnant, my patient found herself increasingly uncomfortable at work. Her varicose veins ached from standing on the job, where she was required to work a cash register and walk prescriptions from the pharmacy to the checkout area. I wrote a note to her boss explaining ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/0915/p494.html

Caring for Patients with Job Insecurity Who Are Experiencing Chronic Work-Related Pain ...

Jul 15, 2016 - In addition to providing direct medical care, the physician can help this patient by obtaining an occupational history, formulating hypotheses about the cause of the pain and potential interventions, and establishing a therapeutic relationship.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/0715/p145.html

Evaluation of Behavior Change in Patients with Developmental Disabilities - Curbside ...

Apr 15, 2016 - A mother brought her 19-year-old nonverbal, autistic son to our clinic. She requested medication for him to reduce the number of episodes that include loud vocalizations, thrashing, and head banging. These episodes usually occur in the car. At baseline, the man has difficulty with ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/0415/p686.html

When Physician Family Members Are Involved in Patients' Care - Curbside Consultation - ...

Mar 1, 2016 - It is not unusual for physicians to care for patients who have physician family members. This can be advantageous for patients, their families, and the clinical team because physician family members often better understand the clinical situation, its severity, and the treatment options....

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/0301/p388.html

Challenges and Opportunities in the Care of Asian American Patients - Curbside ...

Oct 1, 2014 - In cases such as this, patients are often told, You don't need treatment now, but they only hear, You are fine. Subsequent failure to follow up may result from a combination of issues related to health literacy, educational attainment, linguistic barriers, and cultural differences.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2014/1001/p490.html

Late Presentation to Prenatal Care - Curbside Consultation - American Family Physician

Sep 1, 2015 - Pregnancy carries concrete and immediate risks that need to be addressed and managed in a timely fashion. Patients who initiate prenatal care late in pregnancy tend to present with a challenging variety of concerns, encompassing the full range of their medical, psychosocial, and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0901/p391.html

Addressing Suspected Labor Trafficking in the Office - Curbside Consultation - American...

Dec 15, 2015 - An estimated 18,000 persons are trafficked into the United States for labor each year. They most commonly originate from Latin America (31%), Southeast Asia (26%), and South Asia (13%), and 71% of persons enter on lawful visas. Health care may be one of the few fields in which ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/1215/p1092.html

Advance Directives: Navigating Conflicts Between Expressed Wishes and Best Interests - ...

Apr 1, 2015 - Clinicians and surrogates can be faced with challenging decisions when a patient loses the capacity to participate in medical decision making. A significant number of hospitalized and critically ill adults lose decision-making capacity during hospital stays and cannot make treatment ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0401/p480.html

Menstrual Concerns in an Adolescent with Disabilities - Curbside Consultation - ...

Nov 1, 2015 - Clinicians who care for female adolescents with cognitive and physical disabilities are often consulted on the management of menstrual bleeding for purposes of hygiene, dysmenorrhea, and treatment of premenstrual symptoms. Contraception is also commonly discussed to mitigate pregnancy ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/1101/p823.html

Care of a Transgender Adolescent - Curbside Consultation - American Family Physician

Jul 15, 2015 - Although the actual number may be higher, research estimates that approximately 700,000 Americans are transgender. Many in this population have inadequate insurance to cover appropriate health care. Primary care clinicians treat transgender patients in their practices, and although not ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0715/p142.html

Counseling Patients with Unintended Pregnancy - Curbside Consultation - American Family...

Apr 15, 2015 - Nearly one-half of all pregnancies in the United States are unintended. Risk factors for unintended pregnancy include limited access to contraception, less than a college education, poor social support, age between 20 and 24 years, and black race. Family physicians are often the initial...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0415/p574.html

Caring for Muslim Patients Who Fast During Ramadan - Curbside Consultation - American ...

May 1, 2015 - A 68-year-old Muslim man who was recently diagnosed with type 2 diabetes mellitus presented for a routine health visit. His initial A1C level was 8.2%, which decreased to 6.7% after dietary changes, exercise, and treatment with metformin (Glucophage). He stated that he wanted to fast ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0501/p640.html

Screening for Hereditary Cancer Syndromes - Curbside Consultation - American Family ...

Jan 15, 2015 - Family physicians play a key role in identifying patients in need of increased cancer surveillance because of a personal or family history of cancer. How does one know if a patient warrants genetic testing for hereditary cancer predisposition?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0115/p125.html

Caring for Unaccompanied Minors from Central America - Curbside Consultation - 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

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

Complex Care: Treating an Older Patient with Multiple Comorbidities - Curbside ...

Mar 1, 2014 - Although there are guidelines for management of single chronic illnesses, the evidence base for management of multiple comorbidities is lacking. The American Geriatrics Society described a clinical approach to managing patients with multiple comorbidities in 2012.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2014/0301/p392.html

Ethical Use of Diagnostic Technology: Balancing What's New and What's Necessary - ...

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

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

The Hospice Referral - Curbside Consultation - 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

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

Breaking Bad News Over the Phone - Curbside Consultation - American Family Physician

Sep 1, 2009 - As a general rule, it is preferable to give test results to your patients in person.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2009/0901/p520.html

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

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

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

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

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

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

Treating Patients with Borderline Personality Disorder in the Medical Office - Curbside...

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

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

Undetected Childhood Sexual Trauma and Its Health Effects in Adults - Curbside ...

Sep 1, 2013 - It is essential for physicians to understand the relevance of childhood sexual trauma to adult medical conditions. Recognizing this connection can help physicians begin to manage the resulting damage. Exposure to childhood sexual trauma is highly prevalent in the United States, but is ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2013/0901/p328.html

Caring for Older Patients Who Have Significant Hearing Loss - Curbside Consultation - ...

Mar 1, 2013 - This scenario illustrates issues related to end-of-life care and placement in a long-term care facility for older individuals with significant hearing loss. An analysis of data from the 1999 to 2006 cycles of the National Health and Nutrition Examination Survey, and statistics from the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2013/0301/p360.html

Caring for Colleagues, VIPs, Friends, and Family Members - Curbside Consultation - ...

Jun 1, 2013 - There may be no higher professional honor than being asked to care for a colleague, a very important person (VIP), a friend, or a family member. However, these requests can be problematic if they are not addressed properly. The following strategies can help physicians avoid pitfalls ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2013/0601/p793.html

Demoralization: A Precursor to Physician Burnout? - Curbside Consultation - American ...

Nov 1, 2012 - Demoralization is a state of hopelessness and helplessness that is akin to, but separable from, depression.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2012/1101/p861.html

Care of a Sexually Active Adolescent - Curbside Consultation - American Family Physician

Sep 1, 2012 - The American Medical Association's Principles of Medical Ethics clearly state that physicians shall safeguard patient confidences and privacy within the constraints of the law. However, the laws in American jurisdictions vary with respect to a minor's ability to consent to medical ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2012/0901/p457.html

Evaluating and Treating Sexual Addiction - Curbside Consultation - American Family ...

Jul 1, 2012 - This patient’s behavior is concerning because of ongoing compulsive behavior despite significant repercussions in his home and work life. Sexual addiction has been described as a behavioral addiction (similar to gambling), a compulsive disorder (similar to obsessive-compulsive ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2012/0701/p74.html

A Case of Medical Uncertainty - Curbside Consultation - 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

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

Flaws in Clinical Reasoning: A Common Cause of Diagnostic Error - Curbside Consultation...

Nov 1, 2011 - Many medical errors have been identified as systemic and addressed with interventions, such as checklists. However, a substantial number of errors that occur in diagnosis and treatment are attributed to flaws in clinical reasoning.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2011/1101/p1042.html

Primary and Subspecialty Care: Building a Collaborative Relationship - Curbside ...

Feb 1, 2012 - For the referring physician, proper etiquette includes identifying the clinical reason for the referral, confirming the appropriateness with respect to the subspecialty, providing the subspecialist with accurate and timely information, and maintaining an open and effective line of ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2012/0201/p279.html

Should I Be "Friends" with My Patients on Social Networking Web Sites? - Curbside ...

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

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

Determining Prognoses for Patients with Terminal Illnesses - Curbside Consultation - ...

Jun 1, 2006 - Physicians often overestimate a terminal patient's life expectancy.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0601/p2062.html

Palliative Sedation for a Patient with Terminal Illness - Curbside Consultation - ...

May 1, 2011 - A patient has the right to make an informed decision about discontinuing life-prolonging treatments. The patient in this scenario is requesting palliative sedation to control her anxiety while electrolyte replacement is stopped.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2011/0501/p1094.html

Self-Injurious Behavior in an Adolescent - Curbside Consultation - American Family ...

Mar 1, 2011 - The behavior of this patient is nonsuicidal self-injury, defined as the intended destruction of body tissue without suicidal intent. Nonsuicidal self-injury is a common biopsychosocial disorder observed in adolescents.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2011/0301/p609.html

Comforting a Grieving Parent - Curbside Consultation - American Family Physician

Jan 1, 2011 - The death of a child is the most devastating loss any parent can face. If physicians can help even a little, we will have done something of lasting value. Most of the things we can do may seem small to us, but are appreciated by the parents.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2011/0101/p79.html

Spending Time with Patients in Labor - Curbside Consultation - American Family Physician

Nov 1, 2010 - This scenario raises several key questions that are important not only to patient care, but also to physicians' quality of life and satisfaction with practice. First, what are the critical roles for the family physician during prenatal care, labor, and birth?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/1101/p1132.html

Approaching an Employee About Her Weight - Curbside Consultation - American Family ...

Sep 1, 2010 - This case scenario addresses important and commonly encountered medical problems: weight gain and obesity.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/0901/p524.html

Recognizing Mental Illness in Culture-bound Syndromes - Curbside Consultation - ...

Jan 15, 2010 - Somatic symptoms often replace emotional complaints in foreign-born students from cultures where mental illness is stigmatized.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/0115/p206.html

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

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

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

Practical Considerations for Determining Patient Capacity and Consent - Curbside ...

May 1, 2010 - The core issue is whether the patient possesses decisional capacity and can provide informed consent.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/0501/p1090.html

Dealing with the Impaired Physician - Curbside Consultation - 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

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

Discussing Treatment Options with Patients - Curbside Consultation - 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

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

Ethical Considerations of Patients with Pacemakers - Curbside Consultation - 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

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

When a Patient's Chronic Pain Gets Worse - Curbside Consultation - 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

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

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

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

Communicating Effectively with Transgender Patients - Curbside Consultation - 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

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

Addressing a Patient's Refusal of Care Based on Religious Beliefs - Curbside ...

Nov 1, 2007 - This dilemma is complex. In this scenario, the patient limited the efforts to help her because of religious beliefs, and attempts at persuasion were not successful.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2007/1101/p1393.html

Why Can't I Get My Patients to Exclusively Breastfeed Their Babies? - Curbside ...

Jul 15, 2008 - A recent report from the Agency for Health-care Research and Quality has confirmed the numerous benefits of breastfeeding to mothers and their babies.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0715/p265.html

Placebo and Placebo Effects: Practical Considerations, Ethical Concerns - Curbside ...

May 1, 2008 - First, it is important to define what is meant by placebo. Strictly, the term placebo, taken from the Latin I shall please, refers to any intervention, event, or experience that evokes positive subjective or objective outcomes in a patient (or research participant).

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0501/p1316.html

A Morally Reprehensible Patient - Curbside Consultation - 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

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

Initial Counseling of Children with Eating Disorders and Their Families - Curbside ...

Feb 15, 2008 - It can be challenging to work with adolescents and their parents when eating disorders are involved.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0215/p532.html

Combative Delirium - Curbside Consultation - American Family Physician

Feb 1, 2008 - In the context of their usual office or hospital settings, family physicians are not often called upon to deal with violent or hostile patients. However, just like advanced cardiac life support training prepares physicians for rare and unexpected cardiac arrest situations, knowing how ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0201/p363.html

Combative Delirium - Curbside Consultation - American Family Physician

Jan 15, 2008 - In the context of their usual office or hospital settings, family physicians are not often called upon to deal with violent or hostile patients. However, just like advanced cardiac life support training prepares physicians for rare and unexpected cardiac arrest situations, knowing how ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2008/0115/p237.html

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

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

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

Should Physicians Accept Gifts from Patients? - Curbside Consultation - American Family...

Aug 1, 2007 - Social norms ingrained from early child-hood usually prescribe a polite thank you when a gift is received. However, the social norms that govern the relationship between the physician and patient, called professional boundaries, may require a different and more reasoned response.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2007/0801/p437.html

Responding to a Patient's Request to Pray - Curbside Consultation - American Family ...

Jul 1, 2007 - This complex scenario poses many challenges. At first glance, it seems to just be about prayer—should the physician pray with a patient? However, on closer inspection it becomes clear that this scenario is about successfully balancing the patient's beliefs and stated needs with the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2007/0701/p133.html

How Do EHRs Affect the Physician-Patient Relationship? - Curbside Consultation - ...

May 1, 2007 - In the United States, 28 percent of primary care physicians use EHRs, and another 31 percent plan to implement the system within the next year.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2007/0501/p1385.html

Physicians as Role Models - Curbside Consultation - American Family Physician

Apr 1, 2007 - The basic questions asked in the scenario are whether physicians should always practice what they preach, and whether a physician's personal life should be accessible and relevant to patients. Professional role models are important.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2007/0401/p1089.html

Are Obese Physicians Effective at Providing Healthy Lifestyle Counseling? - Curbside ...

Mar 1, 2007 - More than 40 percent of American adults are classified as obese by the Centers for Disease Control and Prevention, and obesity is associated with many comorbidities (e.g., hypertension, type 2 diabetes, asthma, depression, orthopedic problems, sleep apnea).2 Physicians are not immune to...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2007/0301/p738.html

STDs in Patients with Multiple Partners: Confidentiality - Curbside Consultation - ...

Dec 1, 2006 - This scenario raises complex ethical questions. The physician-patient relationship is characterized by a network of obligations and expectations that becomes more complex when patients with close ties are treated by the same physician.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/1201/p1963.html

Emergency Response: Physician Training and Obligations - Curbside Consultation - ...

Feb 1, 2007 - There is no question that physician training in emergency response is available and effective, and that physicians, if properly prepared, are extremely valuable in mitigating mortality and morbidity during an emergency.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2007/0201/p401.html

Pregnant Physicians and Infectious Disease Risk - Curbside Consultation - 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

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

Treatment of Patients with Literacy Issues - Curbside Consultation - American Family ...

Nov 1, 2006 - Low literacy is more prevalent than previously thought. In 2003, almost 25 percent of Americans (45 million persons) who spoke English as their first language had the lowest level of literacy skills (i.e., level 1 out of 5) in reading, writing, and functioning in the English language. ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/1101/p1626.html

Facilitating Shared Decision Making with Patients - Curbside Consultation - American ...

Oct 1, 2006 - American society values autonomy and the belief that competent adults have the right to make virtually any decision pertaining to their health care. As health care professionals, we have a responsibility to try to make sure that our patients are mentally capable, well-informed, and free...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/1001/p1209.html

Obesity: Psychological and Behavioral Considerations - Curbside Consultation - 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

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

Usefulness of Online Medical Information - Curbside Consultation - American Family ...

Aug 1, 2006 - Patients are not trained to diagnose illnesses across a wide spectrum of diseases and are not familiar with presentations that physicians are trained to detect. However, patients are highly motivated to determine their diagnoses, are more intimately familiar with their own symptoms, and...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0801/p482.html

Discussing Terminal Illness with a Patient - Curbside Consultation - American Family ...

Jul 1, 2006 - Communication training stresses that breaking bad news is more about listening and asking questions than it is about relaying information.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0701/p175.html

Determining Eligibility for Gastric Bypass Surgery - Curbside Consultation - American ...

May 1, 2006 - This case scenario brings up two issues: (1) whether the patient should undergo a risky procedure that might benefit her and (2) responsible allocation of health care resources. First, American College of Physicians (ACP) guidelines1 recommend optional bariatric surgery for those who ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0501/p1638.html

Confronting a Colleague Who Covers Up a Medical Error - Curbside Consultation - ...

Apr 1, 2006 - In the past, physicians had no formal medical ethics training and learned that the best way to deal with medical errors and possible malpractice lawsuits was to say as little as possible, deny everything, and never to apologize or acknowledge error. Today, physicians receive very ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0401/p1272.html

Implementing the New Model of Family Medicine - Curbside Consultation - American Family...

Mar 1, 2006 - The New Model of family medicine, introduced in the Future of Family Medicine report,1 offers physicians the opportunity to increase the efficiency and reliability of their practices and improve clinical care, patient satisfaction, and the bottom line.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0301/p910.html

At-Home Genetic Tests - Curbside Consultation - 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

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

Physicians Who Do Not Follow Screening Guidelines - Curbside Consultation - 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

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

Nonmedical Ultrasonography During Pregnancy - Curbside Consultation - American Family ...

Dec 1, 2005 - The quality and detail of ultrasonography has advanced to the point of providing easy-to-interpret, striking fetal images, especially with newer three-dimensional (static) and four-dimensional (real-time three-dimensional) imaging.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2005/1201/p2362.html

A Sex Offender as a Patient - Curbside Consultation - American Family Physician

Oct 1, 2005 - Before addressing the particulars of this scenario, it may be helpful to review the current status of notification laws, which have evolved in the last decade. It is important to keep in mind that the presumptive purpose of community notification through registration is solely to inform...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2005/1001/p1386.html

Patients' Preconceptions and Convictions About Antibiotics - Curbside Consultation - ...

Nov 1, 2005 - Multiple studies have demonstrated that patients who seek care for respiratory ailments often expect to receive antibiotics, and that patients or parents who expect antibiotics receive them more often than those who do not.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2005/1101/p1900.html

Patient-Choice Cesarean Delivery - Curbside Consultation - American Family Physician

Aug 15, 2005 - Patient-choice cesarean delivery, although uncommon in the United States, has become controversial in the medical literature and among pregnant women and their maternity care providers over the past three years.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2005/0815/p697.html

HIV Testing on Demand - Curbside Consultation - American Family Physician

May 1, 2005 - Two valuable questions are raised by this clinical dilemma in primary care. The first is whether it is appropriate to perform tests at a patient’s request without clear indications. The second is whether billing the insurance carrier for these tests is proper.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2005/0501/p1823.html

Completing and Signing the Death Certificate - Curbside Consultation - 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

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

Is This Patient Really Incompetent? - Curbside Consultation - American Family Physician

Jan 1, 2005 - This physician is trying to balance his duty to the patient and the legally appointed guardian and finds it difficult to know how to approach the patient. The physician is particularly puzzled because of his near-normal interactions with her. This commentary will discuss the legal role ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2005/0101/p198.html

When Patients Cannot Afford Their Medications - Curbside Consultation - American Family...

Aug 1, 2004 - For physicians who realize that drug costs can be a problem, we offer some practical solutions and discussion about how to help these patients.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/0801/p605.html

Cutting Back on High-Dosage Narcotics - Curbside Consultation - 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

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

Page  1 2 Next

25 50 100 results per page