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 based on the World Health Organization's "ladder of analgesia," beginning with nonopioid medications and adding the opioid narcotics and adjuvant medications as necessary. Inclusion of nonpharmacologic treatments, physical and psychological are important for effective management.
journal_name
Prim Carejournal_title
Primary careauthors
Cutson TMdoi
10.1016/s0095-4543(05)70073-7subject
Has Abstractpub_date
1998-06-01 00:00:00pages
407-21issue
2eissn
0095-4543issn
1558-299Xpii
S0095-4543(05)70073-7journal_volume
25pub_type
杂志文章,评审相关文献
PRIMARY CARE文献大全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::The kidney has anatomic and physiologic features that prevent protein from reaching the urine. In disease processes, this natural mechanism is disrupted, causing protein to leak into the urine. Proteinuria can be used as a marker for disease and disease progression. The general anatomy of the glomerulus along with pre...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.08.010
更新日期:2014-12-01 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::Atopic dermatitis is a complex, chronic inflammatory skin disease. Affected individuals, particularly those with moderate to severe disease, often suffer from significant morbidity, such as sleep loss, skin infections, and school or work disruption. Treatment for these patients can be especially challenging. Restoring...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2007.09.006
更新日期:2008-03-01 00:00:00
abstract::Cardiovascular disease is the most prevalent health challenge to the global health care industry. The goal of prevention is compression of morbidity and enhancement of quality of life through modification of lifestyle and environmental risk factors. Treatment of established cardiovascular disease is expensive and inef...
journal_title:Primary care
pub_type: 杂志文章
doi:10.1016/j.pop.2008.07.007
更新日期:2008-12-01 00:00:00
abstract::The rational use of laboratory testing to investigate early, undifferentiated joint pain depends heavily on a detailed history and careful physical examination. Nevertheless, several diagnostic tests have some discriminatory function in the initial evaluation of soft tissues and joint complaints, given the correct cli...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2010.07.010
更新日期:2010-12-01 00:00:00
abstract::Musculoskeletal disorders of the workplace include the acute, cumulative and chronic injuries or illnesses of the soft tissues which are caused by mechanical stress, strain, sprain, vibration, inflammation, or irritation. The successful management of occupational musculoskeletal disorders must account for workplace co...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1994-06-01 00:00:00
abstract::With multiple vaccines for adolescents recommended, it is imperative providers remain up to date with the current recommendations. With misinformation of vaccine safety and effectiveness in the mainstream media and social media, adolescents are a vulnerable population that needs to be reviewed and educated. Adolescent...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2020.02.002
更新日期:2020-06-01 00:00:00
abstract::Kidney transplant recipients (KTRs) commonly present with complex medical issues that are best managed jointly by both their primary care physician and the kidney transplant center. Hypertension, diabetes, dyslipidemias, and obesity are frequently present in the KTR population and the successful management of these co...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2014.08.009
更新日期:2014-12-01 00:00:00
abstract::Evidence for the effectiveness of lipid-lowering therapy in reducing CHD risk continues to emerge. In primary prevention, clinical trials have demonstrated a benefit for middle-aged, high-risk men with high LDL cholesterol and, more recently, for men and women with "average" LDL and low HDL cholesterol. Although low H...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(03)00095-2
更新日期:2003-12-01 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::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::Anaphylaxis is a clinical syndrome and is caused by many different agents. Acute therapy is epinephrine. Chronic therapy depends on the agent causing the anaphylaxis, but usually consists of avoidance of the agent only. Individuals who suffer from this problem should be issued epinephrine and wear or carry medical ale...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70089-0
更新日期:1998-12-01 00:00:00
abstract::An approach to preconception health promotion by obtaining a history and through physical examination and laboratory investigation is outlined. The controversies are explained, and the current programs that have been developed in the United Kingdom, Canada, and the United States are described. All women of childbearin...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:
更新日期:1993-09-01 00:00:00
abstract::There have been important expansions in knowledge about alcohol recently. In this chapter a number of advances pertinent to the family practitioner are summarized. However, technology is not our focus. We are talking first about troubled people. The applications of research may help such people in practice. However, o...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1979-06-01 00:00:00
abstract::Gastroesophageal reflux disease (GERD) is a gastrointestinal motility disorder that results from the reflux of stomach contents into the esophagus or oral cavity resulting in symptoms or complications. The typical symptoms of GERD are heartburn and regurgitation of gastric contents into the oropharynx. GERD affects qu...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2017.07.001
更新日期:2017-12-01 00:00:00
abstract::The results of cardiac tests must always be interpreted through the lens of pretest probabilities created by the history and the physical examination. Tests should be chosen with a clear diagnostic and prognostic purpose in mind. A clear understanding of the relationship between the history and physical examination an...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70174-3
更新日期:2000-09-01 00:00:00
abstract::Urinary tract infections, including cystitis and pyelonephritis, are the most common bacterial infection primary care clinicians encounter in office practice. Dysuria and frequency in the absence of vaginal discharge and vaginal irritation are highly predictive of cystitis. Urine culture is recommended for the diagnos...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.01.001
更新日期:2019-06-01 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::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::Classification of patients with prostatic complaints into one of the categories of bacterial or nonbacterial prostatitis or prostatodynia (see Table 3) enables a physician to give rational advice to men with confusing symptoms. By examining the prostatic fluid of patients with prostatic symptoms, a physician may easil...
journal_title:Primary care
pub_type: 杂志文章
doi:
更新日期:1985-12-01 00:00:00
abstract::Foot and ankle injuries account for a significant volume of primary care office visits each year. Given the incidence of injury and concern for long-term sequelae, it is imperative that primary care physicians familiarize themselves with commonly encountered foot and ankle injuries. Coupling a sound understanding of k...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/j.pop.2019.10.007
更新日期:2020-03-01 00:00:00
abstract::Anthroposophically Extended Medicine (AEM) is a truly integrative healing system. AEM represents an expansion, not an alternative to conventional medicine. Its unique understanding of the interplay among physiological, soul and spiritual processes in healing and illness serves to bridge allopathy with naturopathy, hom...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70314-6
更新日期:1997-12-01 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::Most patients with diabetes are managed in an outpatient primary care setting. This article reviews common dilemmas in outpatient insulin therapy and presents the evidence regarding the rational use of insulin therapy and combination oral agent-insulin therapy. ...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(03)00037-x
更新日期:2003-09-01 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::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::Psoriasis is a common affliction that family practitioners and other primary care physicians are certain to encounter in their daily practice. This disease presents in many manifestations and in a diffuse patient population. The therapeutic tools available to combat this disease are numerous, as are their untoward eff...
journal_title:Primary care
pub_type: 杂志文章,评审
doi:10.1016/s0095-4543(05)70202-5
更新日期:2000-06-01 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::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