Abstract:
:Sexuality is an important part of a person's life continuing into older age. Physiologic changes that occur with aging can affect sexual function and may be exacerbated by comorbid disease. To diagnose sexual dysfunction, providers must obtain a thorough history and physical examination, including psychosocial factors. The causes of sexual dysfunction along with patient preferences within the patient's social system serve as the foundation for developing person-centered strategies to address these concerns. To improve care of older adults with sexual concerns, providers should initiate discussions with, listen to, and work with patients to create a comprehensive management plan.
journal_name
Prim Carejournal_title
Primary careauthors
Morton Ldoi
10.1016/j.pop.2017.04.004subject
Has Abstractpub_date
2017-09-01 00:00:00pages
429-438issue
3eissn
0095-4543issn
1558-299Xpii
S0095-4543(17)30054-4journal_volume
44pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全abstract::The medical emergency of diabetic ketoacidosis is a particular problem for children with insulin-dependent diabetes because it is frequently associated with their initial presentation. Subsequent episodes can be prevented with proper use of personal glucose monitoring. The pathophysiology and diagnosis of diabetic ket...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1983-12-01 00:00:00
abstract::This article discusses alternative therapies for secondary prevention and treatment of major cardiac disorders: congestive heart failure, hypertension, dyslipidemias, and peripheral vascular disease. The role of various therapies (eg, herbal and botanic preparations, supplements, mind/body interventions, other alterna...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2010.02.010
更新日期:2010-06-01 00:00:00
abstract::Because patients with HIV are living longer, health maintenance and disease prevention have become important aspects of care. Clinical use of CD4 cell counts and viral load assays to monitor disease progression is reviewed. This article discusses the effect malnutrition has on disease progression and interventions to ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1997-09-01 00:00:00
abstract::Continuous subcutaneous insulin infusion has provided patients who have diabetes with a system for achieving treatment targets with a lower incidence of severe hypoglycemia. Patients prefer the flexibility, convenience, and physiologic glycemic control of continuous subcutaneous insulin infusion. Future insulin pumps ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2007.07.005
更新日期:2007-12-01 00:00:00
abstract::Urinary tract infections (UTIs) are a common infectious disease in primary care practice. This article reviews topics highlighting recent research, including UTIs in pregnancy and pediatric UTIs. The authors also discuss catheter-associated UTIs, given the large number of hospitalized patients undergoing catheterizati...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(02)00057-x
更新日期:2003-03-01 00:00:00
abstract::AIDS is a progressively debilitating disease in which the infected individual will require a diverse range and often intensive set of formal and informal services. With assistance from health care providers, community-based organizations, family, and friends, quality of life can be maintained. Community-based organiza...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1992-03-01 00:00:00
abstract::This article attempts to illustrate ways in which family physician practices are able to demonstrate high value, enhanced quality, and streamlined costs, essential components of practice sustainability. Specific examples are provided to assist practices to consider questions and information that allow for skillful eng...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/j.pop.2012.08.004
更新日期:2012-12-01 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::Most disease states giving rise to pulmonary symptoms represent a composite of physiologic changes involving ventilation and perfusion. The major initial physiologic abnormality is identified for a number of problems commonly encountered. ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1978-09-01 00:00:00
abstract::Central sleep apnea (CSA) is characterized by the periodic occurrence of apnea caused by loss of ventilatory motor output. CSA is often discussed as a minor variant of obstructive sleep apnea.However, this view obscures the critical contribution of CSA as an important manifestation of breathing instability in a variet...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2005.02.003
更新日期:2005-06-01 00:00:00
abstract::This article discusses pregnancy and nutrition in 3 main timeframes, the prepregnancy nutritional health evaluation, nutrition during pregnancy, and nutrition during the puerperium, and also includes comments on nutrition and lactation. This article begins with a brief review of the risks of obesity (increased body ma...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2011.11.003
更新日期:2012-03-01 00:00:00
abstract::Kidney stones affect more than 5% of adults in the United States, and the prevalence is rising. The fundamental cause for all stones is supersaturation of urine with respect to the stone components; factors affecting solubility include urine volume, pH, and total solute excretion. Calcium stones are the most common in...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2008.01.005
更新日期:2008-06-01 00:00:00
abstract::The inventive physician may find ways of making releasing cuts or openings with existing shoes to alleviate points of pressure. Many patients will suffer misery of pressure in shoes without giving a thought to cutting them, or opening them to allow for more freedom of movement. Releasing cuts may be made along seams, ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1977-03-01 00:00:00
abstract::Colorectal cancer causes significant morbidity and mortality in the United States. The incidence of colorectal cancer increases at age 50, approximately. Risk factors that have been identified include a personal history of colorectal cancer or adenomas, a family history of colon cancer or adenomas, inherited colorecta...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70059-2
更新日期:2001-09-01 00:00:00
abstract::Language disorder is often mistaken for confusion, psychosis, or memory loss, and thorough evaluation may require much time. A simple beside examination can often separate aphasic syndromes, and the anatomic location of the lesion can be inferred. Speech therapy, although not entirely satisfactory, is helpful in most ...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1979-12-01 00:00:00
abstract::There are many types of miscellaneous primary headache, but two groups have been selected for discussion: trigeminal autonomic cephalalgias (TAC) and cephalalgias without autonomic dysfunction(CWAD). TAC are strictly unilateral and CWAD are usually bilateral. Sudden onset and relatively short duration characterize mos...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2004.02.006
更新日期:2004-06-01 00:00:00
abstract::Mental health and primary care delivery systems have evolved to operate differently. For example, attention to multiple medical issues, health maintenance, and structured diagnostic procedures are standard elements of primary care rarely incorporated into mental health care. A multidisciplinary treatment approach, gro...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2007.05.007
更新日期:2007-09-01 00:00:00
abstract::The diagnostic criteria for eating disorders are described, including assessment of complications related to semi-starvation, binge eating, and purging. The key components of treatment are presented, including normalization of eating, individual and family therapy, and cognitive behavioral therapy. The role of the pri...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(03)00075-7
更新日期:2002-03-01 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::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 ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1989-06-01 00:00:00
abstract::Gallstone disease continues to be one of the more common abdominal problems that prompts medical evaluation, particularly in the elderly population. The presentation is diverse, and the treatment options varied. Primary care physicians need to be familiar with the differential diagnosis, evaluation, and therapeutic op...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70343-2
更新日期:1996-09-01 00:00:00
abstract::Anorectal disorders are very common among a wide population of patients. Because patients may be embarrassed about the anatomic location of their symptoms, they may present to care late in the course of their illness. Care should be taken to validate patient concerns and normalize fears. This article discusses the dia...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.07.012
更新日期:2017-12-01 00:00:00
abstract::Cleaning and disinfection are two necessary and equally important steps to prevent transmission of infection from patient to patient by the endoscope and accessories. There is no evidence that complete sterility is necessary; high-level disinfection is recommended. Controversy remains as to how "high level" this disin...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1995-09-01 00:00:00
abstract::All patients with pain must be taken seriously, and both organic and emotional factors investigated. Cultural aspects, early developmental experience, and highly personal meanings may influence the individual's perception of and reaction to pain; specific psychiatric pain states may be identified as well. Treatment is...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
abstract::In summary, it is important for physicians dealing with neck pain in an athletic population to understand the differences between serious and mild cervical injuries. This is best facilitated by a thorough understanding of the signs and symptoms of serious cervical injury, familiarity with the basic anatomy of the neck...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2004.11.005
更新日期:2005-03-01 00:00:00
abstract::Heart failure (HF) often presents as dyspnea either with exertion and/or recumbency. Patients also experience dependent swelling and fatigue. Measurement of the left ventricular ejection fraction (LVEF) identifies HF patients who may respond to pharmacologic therapy and/or electrophysiologic device implantation. Angio...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2012.11.010
更新日期:2013-03-01 00:00:00
abstract::The relationships between oral health conditions, dietary practices and nutritional status, and general health status in the older American are complex, with many interrelating factors. Just as inadequate nutrition can affect oral health, poor oral health status affects food choices and, thus, nutritional status. It i...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1994-03-01 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::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::The diagnosis for an acute monarthritis may still be elusive, even after an extensive initial evaluation. For example, what should be done for a patient who has a paucity of extra-articular findings on physical examination and an inflammatory synovial fluid with negative Gram's stain, cultures, and crystals? Conservat...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2006.06.010
更新日期:2006-09-01 00:00:00