Abstract：
:The disease of addiction is upon us and it is obvious that the elderly are not immune. There is every reason to believe from early reports that the elderly respond favorably to treatment, perhaps more so than their younger counterparts. It is believed that treating chemical dependency as a primary disease rather than as a symptom of something else has been a great boon in terms of improving recovery rates. Furthermore, group therapy is the main component of treatment in rehabilitation, as it affords the greatest opportunity to shift the dependence on chemical to a dependence on human beings. The physician is in a key position to help the elderly, because so many elderly need and use medical care. Intervention is highly recommended if the doctor is knowledgeable and skilled in this area and is willing to kindly confront the patient with a somewhat undesirable diagnosis. Rehabilitation regimens are becoming more plentiful throughout the country. If services are unavailable, however, there is always AA to fall back on or to recommend initially. Remember, fully one third of all AA members are older than 50 and that it is a source of acceptance, support, and an opportunity to depend on human beings instead of psychoactive chemicals. Remember too that few patients with addiction recover by themselves. It is worth remembering that this is an incurable disease in that once addicted, it is unlikely that anyone can ever use socially psychoactive chemical substances again. Use of psychoactive chemicals is fraught with danger for the physician and the patient and indeed may place the physician at risk for malpractice. There is great satisfaction to be gained from helping those afflicted with alcoholism and other drug dependencies. The gratitude displayed by those receiving help for this affliction is truly remarkable and one that will leave the clinician with a sense of "a job well done."
journal_name
Prim Carejournal_title
Primary careauthors
Haugland Ssubject
Has Abstractpub_date
1989-06-01 00:00:00pages
411-29issue
2eissn
0095-4543issn
1558-299Xjournal_volume
16pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全abstract：:This article addresses advance directives and methods to establish the goals of care for remaining life in the decisional and nondecisional patient. Without these discussions, patient autonomy is negated, and the opportunity to provide patient-centered care using shared decision making is lost. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70027-0
更新日期：2001-06-01 00:00:00
abstract：:Medical decision making (MDM) contains tools that can contribute to the skill and expertise of physicians. MDM is especially useful for primary care physicians. Practicing in this clinical world is practicing in a world of great uncertainty--the world in which many of these tools were designed to be useful. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1995-06-01 00:00:00
abstract：:Coronary heart disease (CHD) is prevalent and often related to an unhealthy diet and hyperlipidemia. The diagnosis of hyperlipidemia should be carefully made, using more than one measurement in the manner described. An assessment of risks allows one to decide whom to treat. Patients with CHD should be treated aggressi...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70164-0
更新日期：2000-09-01 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：: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：:The groin, the lowest portion of the abdominal wall near the junction with the thigh, is the site of a disproportionately large amount of dermatologic disease. Because of its close proximity to the genitalia it is the site of numerous sexually transmitted disorders. Maceration of the skin, which can occur quite readil...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1978-06-01 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：:Child abuse is a common pediatric problem that can be recognized and treated appropriately by all primary care physicians who care for children. One of the necessary skills in this process involves being prepared to interface with the legal system. The physician is mandated to report suspected child abuse according to...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1993-06-01 00:00:00
abstract：:Depression, chronic fatigue, and premenstrual syndrome often coexist in women seeking treatment for premenstrual distress. A reliable diagnosis can be made by prospectively rating symptoms for two cycles, taking a careful history, performing physical and gynecologic examinations, and obtaining basic laboratory test re...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1991-06-01 00:00:00
abstract：:This article explains the proposed pathophysiology, evidence of efficacy, and adverse effects of several complementary and alternative medicine modalities, for the treatment of allergic conditions, such as traditional Chinese medicine formula, herbal treatments, acupuncture, and homeopathy. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2016.04.012
更新日期：2016-09-01 00:00:00
abstract：:Various forms of vegetarian diets are discussed and evaluated for their nutritional adequacy. Health, philosophical, religious, ecological, and economic concerns are suggested as possible reasons for these alternate dietary lifestyles. Nutrients of specific concern ot the vegetarian are highlighted and suggestions giv...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1982-09-01 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：: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 primary care medical home continues to adapt by applying new research to population health approaches to care. With the discovery that life experiences trigger a chain of biologic events linked to chronic illnesses, the role of patient-centered multidisciplinary care teams becomes of paramount importance. Subseque...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2016.01.003
更新日期：2016-06-01 00:00:00
abstract：:There can be no question that smoking is a modern version of plague; that, as Camus points out, the public does not comprehend its true nature. As in the metaphorical community in Camus' narrative, the struggle of individuals against the pestilence (including official obstruction) is imperative. Physicians have multip...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1992-09-01 00:00:00
abstract：:Sound without external stimuli may warn of serious conditions. Accurate history and physical examination along with ancillary testing, including audiograms, are essential in evaluation of these patients. Evaluation of sudden tinnitus may save hearing. Extra-auditory tinnitus may arise from respiratory, vascular, and m...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1990-06-01 00:00:00
abstract：:Medical management may be beneficial for certain types of cataracts, depending on the visual needs of the patient and concomitant ocular or systemic conditions. Surgical intervention and postoperative visual rehabilitation with the use of glasses or contact lenses has a high success rate, although the patient should b...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1982-12-01 00:00:00
abstract：:Adolescence is marked by complex physical, cognitive, social, and emotional development, which can be stressful for families and adolescents. Before the onset of puberty, providers should clearly lay the groundwork for clinical care and office visits during the adolescent years. This article addresses the guidelines a...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2014.05.001
更新日期：2014-09-01 00:00:00
abstract：:The nature and treatment of the three major types of juvenile rheumatoid arthritis--systemic, polyarticular, and pauciarticular--are presented. ...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1984-06-01 00:00:00
abstract：:More people are employed in the health care sector than in any other industry in the United States. Health care workers are exposed to a wide variety of hazards, including biological, chemical, physical and psychological stressors. Concerns about exposure to contagious diseases such as HIV, Hepatitis B and C, and tube...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/s0095-4543(05)70190-1
更新日期：2000-12-01 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：:A significant portion of the adult population uses one or more medications on a regular basis to manage chronic conditions. As the number of medications that patients are prescribed increases, an increase in pharmacologic-related issues and complications may occur, such as polypharmacy, inappropriate prescribing, medi...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2012.03.007
更新日期：2012-06-01 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：:The major differences that have been recognized between black and white hypertensives are primarily epidemiologic, with hypertension being more prevalent, having an earlier onset, and having more severe sequelae in the black population. The cause of the problem in both black and white people remains obscure, but it ap...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1991-09-01 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：:Care of the patient with tracheostomy is not difficult if care is taken to define clearly the needs of the particular patient. An awareness of the goals of care, daily maintenance, and possible complications is necessary to successful management. ...
journal_title：Primary care
pub_type： 杂志文章
doi：
更新日期：1978-09-01 00:00:00
abstract：:Benign prostatic hyperplasia (BPH) is the most common benign adenoma in men, affecting nearly all of them. BPH represents a clinically significant cause of bladder outflow obstruction in up to 40% of men. The growing frequency of diagnosis is due to increasing life expectancy and a trend toward seeking medical advice ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：10.1016/j.pop.2010.04.004
更新日期：2010-09-01 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：: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：:Motivational approaches that build on the concepts of risk and harm reduction are new developments in the application of behavioral sciences to health promotion and disease prevention. This article develops a generic approach for helping practitioners motivate patients to change unhealthy behaviors. ...
journal_title：Primary care
pub_type： 杂志文章,评审
doi：
更新日期：1995-12-01 00:00:00
