Abstract：
:Shared decision making respects patient autonomy and allows patients to select how much they wish to become involved in various health care decisions. Advance care planning allows a person to document preferences that can become operative at a later time when the person has lost decision-making capacity. Structured methods exist for assessing the presence or absence of decision-making capacity, but some subjectivity cannot be eliminated from these assessments. An ethical challenge in the care of older patients who have diminished capacity is to show respect for their previously expressed wishes and for their present, experienced quality of life.
journal_name
Prim Carejournal_title
Primary careauthors
Brody Hdoi
10.1016/j.pop.2005.06.004keywords:
subject
Has Abstractpub_date
2005-09-01 00:00:00pages
645-58, viissue
3eissn
0095-4543issn
1558-299Xpii
S0095-4543(05)00052-7journal_volume
32pub_type
杂志文章相关文献
PRIMARY CARE文献大全abstract：:Providing culturally competent and medically knowledgeable care to the transgender community is increasingly falling within the realms of practice for primary care providers. The purpose of this article is to provide an overview of best practices as they relate to transgender care. This article is by no means a compre...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2018.07.007
更新日期：2018-12-01 00:00:00
abstract：:A significant minority of patients and parents are vaccine hesitant, defined as having the desire to delay or defer immunizations despite easy access to vaccines. Vaccine hesitancy exists along a spectrum, from patients who are concerned but willing to accept the recommended vaccine schedule to those who wish to use a...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2020.05.010
更新日期：2020-09-01 00:00:00
abstract：:Palliative care begins with establishing goals of care based on estimated prognosis in end-stage renal disease (ESRD). Patients with ESRD are increasingly characterized by older age and multiple comorbid illnesses, and have a mortality rate 8 times higher than the general Medicare population. Dialysis patients are app...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2011.03.009
更新日期：2011-06-01 00:00:00
abstract：:Somatoform disorders are characterized by physical complaints which have no organic basis and are commonly seen by both generalists and specialists. A case report and clinical descriptions of the major somatoform disorders are presented and recommendations for clinical management made. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1987-12-01 00:00:00
abstract：:Routine preventive health examinations for adolescents should be conducted annually, and screening tests are an important part of such periodic evaluations. This article outlines the recommended screening tests for all teenagers, and defines the additional screening tests necessary for high risk youth. Annual health s...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1987-03-01 00:00:00
abstract：:Physical therapy and manual medicine for low back pain encompass many different treatment modalities. There is a vast variety of techniques that physical therapists commonly use in the treatment of low back pain. Some of the therapies include, but are certainly not limited to, education, exercise, lumbar traction, man...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2012.06.006
更新日期：2012-09-01 00:00:00
abstract：:Medications for obesity management can be divided into 4 groups: antidepressants (naltrexone/bupropion), stimulants (phentermine, phendimetrazine, diethylpropion, phentermine/topiramate), fat blockers (orlistat), and diabetes medications (liraglutide). Each group has specific therapeutic effects, adverse effects, and ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2015.08.011
更新日期：2016-03-01 00:00:00
abstract：:Guillain-Barré syndrome and its clinical variants are a group of rapidly progressing, potentially debilitating neurologic disorders that may have significant morbidity/mortality if left unrecognized or untreated. The most common symptoms include ascending limb weakness and paralysis, which may progress to respiratory ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2015.01.001
更新日期：2015-06-01 00:00:00
abstract：:When prescribing drugs for patients who are pregnant or lactating, a clinician needs to ask the following questions: (1) Is pharmacotherapy necessary? (2) What drug can be used that has the lowest potential toxicity according to current knowledge? (3) What pharmacokinetic parameters does the drug follow during pregnan...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1990-09-01 00:00:00
abstract：:Breast self-exam, clinical breast exam and mammography are the primary screening modalities for the early detection of breast cancer. In this article, we review the epidemiology of breast cancer and methodologic considerations in screening for breast cancer. For each screening modality, we assess the evidence for its ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1989-03-01 00:00:00
abstract：:This article is intended as an overview of emergencies that could and often do present to the physician's office, especially when a hospital emergency department may not be nearby. It is not intended as an in-depth view of every problem but should be considered as a presentation of essential management in the emergenc...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1986-03-01 00:00:00
abstract：:The foot is a remarkable structure that provides stable support for the body, lessens impact loading during gait, and allows for forward motion that is energy efficient. Because of the enormous loads concentrated at the joints in the foot and ankle with normal activities, frequent injuries occur and present to the pri...
journal_title：Primary care
pub_type： 杂志文章
doi：10.1016/s0095-4543(05)70276-1
更新日期：1996-06-01 00:00:00
abstract：:Fecal occult blood testing, proctosigmoidoscopy, and digital rectal examination have been recommended as screening tests for colorectal cancer in asymptomatic people. This article evaluates the advisability of recommendations by applying accepted principles of screening to the case of colorectal cancer. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1988-03-01 00:00:00
abstract：:Cost-effectiveness and cost containment are becoming increasingly more important in medicine as health care costs continue to rise and as public attention continues to focus on these costs. This article examines the major issues and terminology of cost-effectiveness and cost containment in the context of primary care....
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70265-7
更新日期：1996-03-01 00:00:00
abstract：:Adolescents can be expected to inflict some pain on their environment periodically, and complete conformity of an adolescent is not necessarily a sign of mental health. With the exception of some particular behaviors such as a suicide attempt, auditory hallucinations, or a school phobia, one cannot make a prediction a...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1975-06-01 00:00:00
abstract：:Management of chronic diseases is often palliative by definition. Empowering primary care providers to manage symptoms and effectively prognosticate is necessary for this challenging population. In this article, the authors focus specifically on end-stage congestive heart failure, chronic obstructive pulmonary disease...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2019.05.008
更新日期：2019-09-01 00:00:00
abstract：:Primary care clinicians treat patients with cancer and cancer pain. It is essential that physicians know how to effectively manage pain including assessment and pharmacologic and nonpharmacologic treatment modalities. Barriers to adequate assessment of pain must be recognized and overcome. Pharmacologic regimens are b...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70073-7
更新日期：1998-06-01 00:00:00
abstract：:Peptic ulcer disease is a common gastrointestinal disease whose management and treatment has changed dramatically over the last 25 years. Treatment of peptic ulcer disease has evolved from dietary modifications and antacids to gastric acid suppression with H2-receptor antagonists and proton pump inhibitors to eradicat...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70049-x
更新日期：2001-09-01 00:00:00
abstract：:Fingertip injuries and lacerations of the hand are often dismissed as inconsequential, although this attitude can lead to more serious problems. Appropriate and timely treatment of these injuries prevents loss of function, preserves digital sensibility, and lessens the need for reconstructive surgery. ...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1980-06-01 00:00:00
abstract：:Ankle injuries are the most frequent cause of physician evaluation in a sports-oriented environment. The lateral ligaments are most commonly injured. With a detailed history, physical and radiographic examination to avoid missing underlying pathology, the primary care physician can diagnose and treat the majority of a...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1992-06-01 00:00:00
abstract：:Protocols for clinical exercise stress testing aid functional evaluation of cardiac impairment of ambulatory persons. Normal standards, criteria for functional impairment and exercise-enhanced prediction of risk of future cardiac events provide guidelines for clinical management. This review highlights development and...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1994-09-01 00:00:00
abstract：:Mosquito-borne diseases have become more common as previously geographically isolated diseases have spread globally. Chikungunya, dengue, Japanese encephalitis, malaria, West Nile, yellow fever, and Zika are a few of the common and emerging viral diseases spread by mosquitoes. A thorough patient history, physical, and...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2018.05.001
更新日期：2018-09-01 00:00:00
abstract：:As the health system shifts toward population health approach, there is increasing attention to decreasing costs and improving quality. Measuring and improving patient engagement will become a requisite core competency for health systems and care providers. Approximately 70% of deaths and 40% of costs are attributable...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2019.07.007
更新日期：2019-12-01 00:00:00
abstract：:Acute gastroenteritis is a common cause of emergency and office visits. This article reviews causes, pathogenesis, diagnosis, prevention, and treatment. The incidence of antibiotic-associated colitis is increasing worldwide as a consequence of widespread use of broad-spectrum antibiotics for various illnesses. The pat...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(02)00060-x
更新日期：2003-03-01 00:00:00
abstract：:Health and safety concerns have dramatically increased the consumption of bottled water in developed countries, including the United States. The economic and environmental impact of the many different bottled water products on the market is considerable, and the role and impact of bottled water for routine use is uncl...
journal_title：Primary care
pub_type： 杂志文章
doi：10.1016/j.pop.2008.07.008
更新日期：2008-12-01 00:00:00
abstract：:Nearly all the topics considered by medical ethics generally present themselves to those caring for cancer patients. Although most attention may be given to questions of resource allocation and limiting treatment, other issues are of equal importance. Providing respect and compassion for patients may be even more impo...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：:The 2009 influenza A (H1N1) pandemic provided a major test to the public health system in the United States and abroad. Although the virus was rapidly identified, it took longer than expected to bring an effective vaccine to market. During the interim the virus demonstrated a predilection for infecting younger persons...
journal_title：Primary care
pub_type： 历史文章,杂志文章,评审
doi：10.1016/j.pop.2011.07.007
更新日期：2011-12-01 00:00:00
abstract：:The shoulder is one of the most complex joints in the body requiring coordinated, functioning muscles and joints to have a fluid, rhythmic motion. The shoulder consists of the glenohumeral (GH) joint, the acromioclavicular (AC) joint, the scapulothoracic (ST) joint, and the sternoclavicular (SC) joint. This article wi...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1988-12-01 00:00:00
abstract：:Heart failure is a clinical syndrome that results in diminished tissue perfusion and volume overload. Because of increasing population age and improved survival after myocardial infarction, the prevalence of heart failure is likely to increase dramatically. Primary care physicians are in an ideal position to care for ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2005.09.005
更新日期：2005-12-01 00:00:00
abstract：:Development of SOGIE (sexual orientation and gender identity and expression) is not unique to minority populations, as all adolescents grapple with their sexuality and identity. Health care providers straddle the unique positions of authority figure and advocate and can help these young people establish behaviors that...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2020.02.012
更新日期：2020-06-01 00:00:00
