Multiple Practical Facts and Ideas to Improve Family Medicine Care

Seconds count in a study on the best electronic health note format to reduce medical record charting time and increase accuracy. Directly observed family physician work is compared with Current Procedural Terminology (CPT) coding examples and notably under-recognized. This issue contains articles from single practices that that implemented new methods of care and other reports on practice innovations that can be more broadly implemented. We have articles on opioid medication use for acute low back pain in primary care, an electronic chronic pain consult service, a key question to identify potential opioid misuse risk, and newly implemented screening for other substances of abuse. Omissions (or gaps) in care are also highlighted: from the common types of omissions identified by primary care clinicians, self-reported low levels of substance use screening by family medicine prenatal care providers, and inadequate and inadequately available hospital discharge summaries. In addition, the most important alarm symptoms for a cancer diagnosis are reported.
Source: Journal of the American Board of Family Medicine - Category: Primary Care Authors: Tags: Editors ' Note Source Type: research

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Publication date: Available online 20 September 2018Source: Science &SportsAuthor(s): A. Ardoin, B. CanotRésuméIntroductionDe nombreuses études prouvent l’intérêt de la pratique sportive dans la prise en charge curative des patients, comme dans la prévention, primaire, secondaire comme tertiaire, de nombreuses maladies chroniques. L’action « À Reims Sportez votre santé » a pour but de remettre dans une pratique sportive régulière des patients sédentarisés et présentant des pathologies chroniques. ...
Source: Science and Sports - Category: Sports Medicine Source Type: research
ConclusionOur results underscore how frequent CLBP is among police officers and how burdensome it is. Considering the importance of good physical and mental health for this occupational population, police organizations should be aware of this issue and contribute to the efforts towards CLBP prevention and management in the workplace.
Source: Safety and Health at Work - Category: Occupational Health Source Type: research
For over 20 years, Linda Buonanno lived in fear that her irritable bowel syndrome (IBS) would suddenly interrupt her daily routine with frequent trips to the bathroom and unbearable cramping. Buonanno, now a 71-year-old medical assistant and hairdresser from Methuen, Mass., tried everything from drugs to dairy-free diets. Nothing worked. She remembers a particularly tough period over 10 years ago, when she was working on the factory floor of a medical-device company for up to 10 hours a day, six days a week. When an IBS episode would strike, her co-workers would cover for her as she huddled in a corner, keeled over in pain...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized medicine Research Source Type: news
In this study, we analyzed FGF21 levels and alterations in the expression of genes encoding components of the FGF21-responsive molecular machinery in adipose tissue from aged individuals so as to ascertain whether altered FGF21 responsiveness that develops with aging jeopardizes human health and/or accelerates metabolic disturbances associated with aging. We studied a cohort of 28 healthy elderly individuals (≥70 years) with no overt signs of metabolic or other pathologies and compared them with a cohort of 35 young healthy controls (≤40 years). Serum FGF21 levels were significantly increased in elderly indiv...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Conclusions: The quality of primary care varies by clinician type, with different strengths for PCNPs and PCMDs. These comparative advantages should be considered when determining how to organize primary care to Medicare beneficiaries.
Source: Medical Care - Category: Health Management Tags: Original Article Source Type: research
Chances are, you — or someone you know — has suffered from lower back pain.It can be debilitating. It's a leading cause of disability globally.And the number of people with the often-chronic condition is likely to increase.This warning comes via a series of articles published in the medical journal Lancet in March. They state that about 540 million people have lower back pain — and they predict that the number will jump as the world's population ages and as populations in lower- and middle-income countries move to urban centers and adopt more sedentary lives."We don't think about [back pa...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
Benefits are small but significant in treating chronic non-cancer pain in adults, analysis shows Related items fromOnMedica Cold water plunge stopped prolonged pain Low back pain often wrongly treated worldwide Does evidence support doctors recommending acupuncture for pain? NSAIDs no better than placebo for spinal pain
Source: OnMedica Latest News - Category: UK Health Source Type: news
This article reviews the clinical questions and bottom-line answers from these studies. Blood pressure should be measured after a period of rest, using a bare arm, and orthostatic blood pressure is more predictive when measured after one minute of standing rather than three minutes. Intensive blood pressure lowering results in cardiovascular benefits but also renal harms in high-risk patients with an average age of 68 years. The initiation of a statin for primary prevention does not reduce cardiovascular events in adults 65 years or older. Sterile gloves do not reduce the risk of infection for common outpatient skin proced...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
Neurostimulation has the capacity to stop pain signals from traveling up to the brain, but to mask the pain effectively and for long periods of time clinicians have turned to implants. That is because conventional TENS (Transcutaneous Electrical Nerv...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Medicine Orthopedic Surgery Pain Management Source Type: blogs
“A bear, however hard he tries, grows tubby without exercise.” – A. A. Milne You don’t need to knock yourself out at the gym each day to reap the many health benefits of daily exercise. With simple planning and a determination to engage in a healthier lifestyle, you can add easy stints of exercise to your schedule without breaking too much of a sweat. Best of all, you may realize some of these 10 health benefits of daily exercise. Exercise elevates your mood When you are physically active, it stimulates brain chemicals that make you feel better and lifts your mood. Some experts say that exercise of ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Habits Health-related LifeHelper Self-Help Source Type: blogs
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