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Management: Family Practices
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Total 14999 results found since Jan 2013.
Prescribing DOACs with specific patient populations in mind
J Fam Pract. 2023 Jul;72(6):244-252. doi: 10.12788/jfp.0631.ABSTRACTWhat prescribing considerations should be top of mind when obesity, renal disease, cancer, or thrombophilia are at play?PMID:37549400 | DOI:10.12788/jfp.0631
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Kevin Schleich Brigit E Ray Source Type: research
An STI upsurge requires a nimble approach to care
J Fam Pract. 2023 Jul;72(6):E1-E12. doi: 10.12788/jfp.0641.ABSTRACTBeing fluent in new guidelines helps you meet the challenges of changing disease prevalence, rising antibiotic resistance, and evolving social patterns.PMID:37549399 | DOI:10.12788/jfp.0641
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Kelsie Kelly Michelle Sommer Belinda Vail Source Type: research
Early Life Nutrition and the Developing Brain
J Fam Pract. 2023 Jul;72(6 Suppl):S25-S30. doi: 10.12788/jfp.0619.ABSTRACTThe developmental origins of health and disease (DOHaD) hypothesis suggests prenatal nutrition sets the stage for the developing brain, with effects that last into adulthood. Macronutrient and micronutrient requirements increase in pregnancy and deficiencies can influence fetal neurodevelopment and cognition. Foods such as eggs, meat, and seafood contain many of the nutrients needed for healthy neurodevelopment and intake should be encouraged among women of reproductive age. Family practice clinicians play an important role in providing nutrition rec...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Danielle Christifano Lara Bennett Source Type: research
Acute Pain in Perspective
J Fam Pract. 2023 Jul;72(6 Suppl):S7-S12. doi: 10.12788/jfp.0617.ABSTRACTAcute pain is a common and nearly universal experience that usually has a sudden onset and is limited in duration. It is a normal physiologic response to a noxious stimulus that can become pathologic if untreated or not treated effectively. Acute pain has a limited duration (<1 month) and often is caused by injury, trauma, or medical treatments such as surgery. Primary care practitioners (PCPs) who encounter patients with acute pain can help preserve function and quality of life and prevent progression to chronic pain by implementing appropriate ma...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Bill McCarberg Source Type: research
Reducing Ischemic Stroke in Diabetes: The Role of GLP-1 RAs
J Fam Pract. 2023 Jul;72(6 Suppl):S55-S60. doi: 10.12788/jfp.0624.ABSTRACTStroke is a significant cause of mortality worldwide, and diabetes is an independent risk factor for ischemic stroke occurrence and recurrence. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) lower the risk of ischemic stroke through beneficial effects on traditional stroke risk factors such as hyperglycemia, hypertension, and dyslipidemia. Primary care practitioners (PCPs) can play a substantial role in reducing ischemic stroke; studies have indicated that patients who have a PCP at the time of first stroke have a lower risk of stroke recurren...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: John E Anderson Javed Butler Andrei V Alexandrov Source Type: research
Use of ICS and Fast-Acting Bronchodilators in Asthma: Past, Present, and Future
J Fam Pract. 2023 Jul;72(6 Suppl):S61-S70. doi: 10.12788/jfp.0625.ABSTRACTPrimary care practitioners (PCPs) play a key role in asthma management since most patients with asthma are treated in primary care settings. Despite continual advances in asthma care, important practice gaps remain, and the high burden of asthma exacerbations persists, with 43% of children with asthma and 41% of adults with asthma in the United States experiencing an asthma exacerbation in 2020. Uncontrolled asthma, incomplete assessment of exacerbation and asthma control history, reliance on systemic corticosteroids (SCS) or short-acting beta2-agoni...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Neil Skolnik Marissa Norden Njira Lugogo Wendy Wright Source Type: research
Reducing Cardiopulmonary Risk and Exacerbations in COPD
J Fam Pract. 2023 Jul;72(6 Suppl):S49-S54. doi: 10.12788/jfp.0623.ABSTRACTNew updates in the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2023 report include major changes to initial disease assessment and pharmacologic therapy, highlighting the clinical relevance of exacerbations. The updated GOLD 2023 algorithms offer a shorter path to consideration of triple therapy, including both initial and follow-up treatment. Most mild- or moderate-severity chronic obstructive pulmonary disease (COPD) exacerbations can be successfully managed in outpatient settings; primary care clinicians have many opportunities t...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Barbara Yawn Source Type: research
Early Intervention by Family Physicians to Delay Type 1 Diabetes
J Fam Pract. 2023 Jul;72(6 Suppl):S19-S24. doi: 10.12788/jfp.0618.ABSTRACTType 1 diabetes (T1D) is an autoimmune disease mediated by T cells that target and destroy insulin-producing beta cells. Individuals with genetic risk of T1D will progress at variable rates through 3 stages of immune activation and development of islet autoimmunity. Measuring pancreatic islet cell autoantibodies predicts risk for progression that can take weeks to years before the onset of T1D. Screening options available to family physicians can identify persons at risk or in the early stages of T1D, such as first- and second-degree relatives or tho...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Steven Edelman Source Type: research
A Patient-Centered Approach to Managing IBS-C and CIC
J Fam Pract. 2023 Jul;72(6 Suppl):S1-S6. doi: 10.12788/jfp.0514.ABSTRACTAt the end of the activity, participants will be able to: Implement a staged strategy for the diagnostic evaluation of irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) based on history and physical examination, including the Rome IV criteria. Discuss the evidence and guideline recommendations for self-care as well as over-the-counter (OTC) and prescription therapies to treat IBS-C and CIC, Individualize treatment for IBS-C and CIC emphasizing patient-centered care to address patient concerns, improve outcomes...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Brian E Lacy Source Type: research
New Paradigms for CKD Management in Patients With T2D
J Fam Pract. 2023 Jul;72(6 Suppl):S37-S42. doi: 10.12788/jfp.0621.ABSTRACTAt the end of the activity, participants will be able to: Identify the risks of kidney disease and their consequences in patients with type 2 diabetes (T2D). Appropriately screen for the presence of chronic kidney disease (CKD) in patients with T2D. Initiate evidence-based therapy to slow the progression of kidney disease in patients with T2D and CKD. Become familiar with the novel nonsteroidal mineralocorticoid receptor antagonist finerenone and its role in the treatment of patients with T2D and CKD.PMID:37549415 | DOI:10.12788/jfp.0621
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Joshua J Neumiller Stephen A Brunton Source Type: research
Insomnia Management: A Review and Update
J Fam Pract. 2023 Jul;72(6 Suppl):S31-S36. doi: 10.12788/jfp.0620.ABSTRACTInsomnia is a distinct disorder that is common, yet underrecognized and undertreated in primary care. Treating insomnia has been shown to improve outcomes, including reduced risk of developing cardiovascular and mental health disorders. Insomnia is influenced by the brain's regulation of sleep and wake, which are mutually exclusive events. Insomnia should be treated as a distinct condition, even when occurring with a comorbid diagnosis such as depression or anxiety. Clinicians should implement a multimodal approach to insomnia management, including n...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: David P Shaha Source Type: research
Continuous Glucose Monitoring in Practice
J Fam Pract. 2023 Jul;72(6 Suppl):S13-S18. doi: 10.12788/jfp.0568.ABSTRACTAfter reading this review article, participants should be able to: Prepare the practice for continuous glucose monitoring (CGM). Understand options available to the practice for professional (practice-owned) and personal (patient-owned) CGM. Locate and interpret CGM data, using the ambulatory glucose profile (AGP), to determine if the patient is achieving targets established by the International Consensus on Time in Range. Modify a patient's treatment plan based on CGM data to improve patient outcomes.PMID:37549413 | DOI:10.12788/jfp.0568
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Eden M Miller Source Type: research
Optimized Management of Cardio-Renal-Metabolic (CRM) Conditions in Patients With T2D
J Fam Pract. 2023 Jul;72(6 Suppl):S43-S48. doi: 10.12788/jfp.0622.ABSTRACTDescribe cardio-renal-metabolic (CRM) conditions and their impact on health and patient-centered outcomes. Recognize current gaps in screening, risk factor management, and utilization of guideline-directed therapies in patients with CRM conditions. Select appropriate guideline-directed therapies for patients with type 2 diabetes, atherosclerotic cardiovascular disease, heart failure, and/or chronic kidney disease based on current guidelines and clinical evidence. Recognize the importance of multidisciplinary care when managing patients with CRM condi...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Jay H Shubrook Joshua J Neumiller Source Type: research
Just a simple country doctor
J Fam Pract. 2023 Jul;72(6):232-243. doi: 10.12788/jfp.0635.NO ABSTRACTPMID:37549409 | DOI:10.12788/jfp.0635
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Anthony J Viera Source Type: research
Does use of continuous or flash glucose monitors decrease hypoglycemia episodes in T2D?
J Fam Pract. 2023 Jul;72(6):271-275. doi: 10.12788/jfp.0643.ABSTRACTNO. In adults with insulin-treated type 2 diabetes (T2D), continuous glucose monitoring (CGM) and flash glucose monitoring (FGM) do not decrease symptomatic hypoglycemia episodes (strength of recommendation [SOR], B) but do lower time in hypoglycemia (SOR, C; disease-oriented evidence).CGM, in which glucose levels are sent automatically in numeric and graphic format to a patient's smart device for their potential action, did not change the hypoglycemic event rate (SOR, B; 2 prospective studies). CGM significantly reduced hypoglycemia duration in an 8-month...
Source: The Journal of Family Practice - August 7, 2023 Category: Practice Management Authors: Frances K Wen Simone Bigelow Kimberly Crosby Raye Reeder Toni Hoberecht Emrys Moreau Source Type: research
