ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Osteoporosis is an increasingly prevalent chronic and debilitating disease. It is a metabolic disorder characterized by decreased bone mass that subsequently leads to bone fractures. Osteoporotic fractures occur most commonly in the hip, spine, distal radius, and ribs. Historically, pharmacologic options for the treatment of osteoporosis have been limited to hormone replacement therapy, vitamins, and mineral supplements. These previous treatments have been effective for many patients with osteoporosis. However, for many other patients, treatment with hormone replacement therapy, calcium, and vitamin D has been con-traindicated or ineffective. Recently, several newly developed medications have become available for the treatment of osteoporosis in the United States. These new therapies have expanded the choices of pharmacologic options for primary health care providers and their patients. Pharmacologic therapy coupled with individualized diet, exercise, and fracture prevention counseling can help to decrease the severity and consequences of osteoporosis for growing numbers of Americans.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Anxiety is one of the most common yet underdiagnosed mental health problems of Americans; as many as 20% of people seeking primary care have symptoms of treatable anxiety disorders. Untreated anxiety Increases costly visits to urgent care. Clinicians need to screen for anxiety among patients at risk who have physical symptoms such as shortness of breath, nervousness, gastrointestinal upset, palpitations, muscle aches, tension, and insomnia. Other diagnostic clues include restlessness, nervousness, phobias, trembling, fatigue, and shaking. Onset typically occurs in the 20s but may occur at any age. Symptoms of two anxiety disorders, generalized anxiety disorder (GAD) and panic disorder, are discussed. A combination of treatments including antidepressant and anxiolytlc medications, behavioral treatments, education (e.g., self-management, relaxation), and counseling (e.g., coping strategies) have high success rates; psychiatric consultations or referrals are useful.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Panic disorder is a psychiatric condition that is infrequently diagnosed correctly. People with untreated panic are most often seen in primary care settings. Panic is a debilitating condition that affects approximately 10% of the population and is eminently treatable when identified. Without treatment, clients are at risk for complications such as phobias, substance abuse, and depression. The purpose of this research study was to develop a valid, reliable tool to assist health care practitioners in identifying and assessing persons who have panic disorder. With the use of theAnxiety Inventory, information can be elicited to identify these people. In addition, data regarding the presence of phobias and depression and self-medication for any of the aforementioned behaviors can be collected. The tool also addresses any familial history of anxiety, panic attacks, depression, and drug and alcohol abuse. With the use of theAnxiety Inventory, practitioners can diagnose panic disorder in their clients and refer them for appropriate treatment.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Supporting the spiritual dimension of life is essential to high-level wellness and wholeness. It helps one respond to the potential fullness of life despite problems that arise from illness and longevity. However, health care providers frequently fail to inquire about spiritual well-being and thus fail to nurture the spirit. This oversight has especially strong consequences when health care providers treat older adults. This article defines wellness spirituality. It discusses clinical presentation of the conditions in life and illness that indicate that an aging client's spiritual well-being is being challenged. Wellness spirituality activities to consider with history taking, both within and outside the context of religion, are outlined. Management approaches are offered to support and restore aging clients' ability to achieve spiritual well-being. The article also describes virtues clinicians must hold to create a spiritually nurturing environment in all settings. A protocol is offered as a clinical guideline for clinicians to use in their assessment and management of the wellness spirituality of older adults.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Chronic musculoskeletal pain, a common problem seen in the primary care setting, is often frustrating for both the patient and the clinician. Despite its prevalence, chronic pain is often poorly understood and inconsistently managed by health care providers. Unlike acute pain, chronic pain serves no biologic function and persists long after the tissue has healed from injury. Patients with chronic pain may become isolated from friends and family, lose their jobs, and develop depression. Nonpharmacologic techniques such as acupuncture, massage, and relaxation may be helpful to the patient with chronic pain. In addition to nonsteroidal anti-inflammatory drugs, antidepressants and opioid analgesics are useful for treating chronic musculoskeletal pain.This article explains that patho-physiology of chronic pain, lists aspects of chronic pain that distinguish it from acute pain, and develops a general primary care plan for patients with chronic musculoskeletal pain.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Imperforate hymen is a rare occurrence in young women resulting in hydrocolpos and hydrometrocolpos. Though imperforate hymen may be diagnosed in infancy, females ages 9 to 15 years most often present with the problem. Imperforate hymen usually is a congenital anomaly, but has been reported as a result of sexual abuse. This case report reviews the presentation and treatment of a 13-year-old female with imperforate hymen.

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1996

数据来源: OVID