sleep and primary care of adults and older adults

... Edward Shahady, MD Clinical Professor, Department of Family Medicine and Community Health, University of Miami; Adjunct Professor, Department of Family Medicine, University of North Carolina; Associate ... aspect of the anatomy of the MS problems of that chapter The anatomy stressed is not the total anatomy of the area but the key anatomy most often involved in the diagnosis and treatment of MS ... excessive heat and cold are environments that can lead to problems The most important role for the primary care clinician is prevention and early recognition of these problems If the primary care clinician...

Ngày tải lên: 10/08/2014, 15:20

... of fall The primary care clinician can treat many of the proximal humerus fractures Once the diagnosis of fracture of the proximal humerus is suspected, a neurologic and vascular evaluation of ... stroke and trauma It is most common in women over age 50, and almost all patients experienced a period of immobility preceding the onset of AC There are two types of AC: primary and secondary Primary ... patient’s hand and forearm and apply steady firm traction Both you and the patient usually feel the reduction After the reduction have the patient pronate and supinate the hand and gently extend and...

Ngày tải lên: 10/08/2014, 15:20

... problem of young children between and 10 years of age and OCD occurs most commonly in 13- to 16-year-olds (see p 111) The age of occurrence of META is dependent on the skeletal maturation of the ... medial and lateral joints Figure 6.12 demonstrates the locations of the medial and lateral joints and their collateral ligaments as well as the capitellum and trochlea of the humerus and the ... of one exercises and then rotate to another exercise and a set Do not exercise past the point of pain Pain means stop Wrist range of motion (Figure 6.13A and 6.13B): Bend your wrist forward and...

Ngày tải lên: 10/08/2014, 15:20

... care because of appearance and concern about cause and further deformity Seventy-five percent of individuals over age 65 have some form of OA It is symptomatic in 26% of women and 13% of men The ... making the diagnosis of OA of the hand include arthritis of the other joints commonly afflicted by OA like the neck, back, hip, and knee, Hand Problems 155 and the classic symptoms of little to no ... possibility and needs to ruled out with a careful neurological examination and provocative testing The lack of radiation of the pain, negative Spurling’s and axial loading tests, and no signs of motor...

Ngày tải lên: 10/08/2014, 15:20

... adduction of both hips Left hip examination elicits no pain and normal flexion of 120°, internal rotation of 20°, and external rotation of 50° Right hip examination reveals pain and limitation of motion ... towel Keep about in of space between the back of your knee and the edge of your seat 12.2 When Using a Computer ● ● ● ● Keep the keyboard and monitor directly in front of you and the monitor should ... satisfaction ratings and primary clinicians and orthopedist receive lower ratings Lack of recognition and/ or treatment of the behavioral or psychosocial issues account for most of the dissatisfaction...

Ngày tải lên: 10/08/2014, 15:20

... and a positive Ober’s test now raise the suspicion of trochanteric bursitis and tightness of his ITB Both of these entities commonly accompany OA of the hip Iliotibial band tightness and OA of ... the primary care provider They can be quiet disabling and lead to a loss of work and recreational time The site of the tear in patients over age 25 is usually at the junction of the muscle and ... the lateral part of his leg, and causes a limp He also notes a burning type of pain at night in his hip and lower leg His work demands that he be on his feet most of the day and he is less able...

Ngày tải lên: 10/08/2014, 15:20

... of acute trauma, gradual onset of symptoms, and recent onset of intense physical activity The location of the pain over the posterior medial tibia area is characteristic of stress fractures and ... with their running and biking Symptoms and conditioning guide this process Stretching of the ITB and strengthening of the medial abductors should start with the diagnosis and should be continued ... Septic patients complain of sudden onset of redness, warmth and swelling, fever, and/ or chills Examination reveals erythema and swelling over the patella with surrounding soft tissue edema All patients...

Ngày tải lên: 10/08/2014, 15:20

... is an incomplete tear of the ATFL and stretching of the CFL with moderate pain and swelling There is ecchymosis, more swelling and tenderness, and some loss of function and motion The patient ... raise the cost of initial care and lack of appropriate rehabilitation delays return to activity and increases the risk of recurrent ankle injury Other ankle problems like fractures and osteoarthritis ... partial tears of the posterior talofibular and the tibiofibular ligaments There is immediate and significant swelling The ecchymosis is more significant The patient loses function and motion and is...

Ngày tải lên: 10/08/2014, 15:20

... first of a range of NICE public health guidance on the health and wellbeing of older people The guidance is for NHS primary care and other professionals who have a direct or indirect role in, and ... working with older people, carers and older people themselves What action should they take? • In collaboration with older people and their carers, offer a range of walking schemes of low to moderate ... wellbeing of older people and changes over time could be used consistently across studies? What is the association between standardised measures of emotional and social wellbeing and quality of life and...

Ngày tải lên: 05/03/2014, 18:20

... serve as a standard of medical care Standards of care are determined on the basis of all clinical data available for an individual case and are subject to change as scientific knowledge and technology ... directory of alcohol services and accommodation should be developed for the benefit of NHSScotland staff, patients and their families, friends and carers n 35 THE MANAGEMENT OF HARMFUL DRINKING AND ... AVAILABLE FROM THE PRIMARY CARE TEAM The range of advice, treatment and referral available from the GP and the primary care team includes: n n n n n n n n n n initial discussion and support advice...

Ngày tải lên: 08/03/2014, 14:20

... other primary care professionals, and as an opportunity for specialists to expand their primary care knowledge and skills Particular emphasis will be placed on principles of primary care; office-based ... Professor of Anesthesia and Perioperative Care; Medical Assistant Chief, Director of Quality, Kaiser Permante, San Francisco George F Sawaya, MD Associate Professor of Obstetrics, Gynecology and ... management of the most common problems seen in primary care practice; and expanded skills in clinical examination and common office procedures The course will utilize formal lectures, hands-on workshops,...

Ngày tải lên: 14/03/2014, 14:20

... awareness and examination .13 1.3 Care of women in primary care 13 1.4 Care of women in specialist (secondary and tertiary) care 18 1.5 Risk factors 37 Notes on the scope of the ... breast cancer: the classification and care of women at risk of familial breast cancer in primary, secondary and tertiary care ) gives details of the methods and the evidence used to develop the ... will be cared for in primary care, as they will not be at a risk level that requires specialist care Provision of information, reassurance and support from primary care are crucial aspects of caring...

Ngày tải lên: 15/03/2014, 00:20

... process and procedure and an hospital and personal care – featured significantly apparent indifference of NHS staff to deplorable more often in complaints about the care of standards of care older people ... and values of the NHS Constitution and the felt reality of being an older person in the care of the NHS in England Report of the Health Service Ombudsman on ten investigations into NHS care of ... by bags of dirty laundry, much of which was not her own Underlying such acts of carelessness and neglect is a casual indifference to the dignity and welfare of older patients 10 Care and compassion?...

Ngày tải lên: 28/03/2014, 16:20

... intergenerational and comparative microRNA profiling of the primary melanocytic neoplasms of adults and young adults We observed distinct miRNA profiles in the primary melanocytic neoplasms of adults and young ... Microrna profiling analysis of differences between the melanoma of young adults and older adults Journal of Translational Medicine 2010 8:27 Submit your next manuscript to BioMed Central and take ... from adults and from young adult patients, respectively) A total of 26 lesions (20 test specimens + controls) were analyzed Primary diagnostic workup and verification of the diagnosis of primary...

Ngày tải lên: 18/06/2014, 16:20

... in older adults Following Stewart and King's [16] conceptual framework of quality of life (QOL), we view QOL as consisting of both function and well-being Furthermore, well-being consists of ... resistance training and a control on changes in measures of quality of life and selfefficacy in older adults The data indicate that the mode of training resulted in a differential pattern of change Whereas ... Journal of Cardiology 1997, 80:841-846 Chin APMJ, Van Poppel MN, Twisk JW, Van MW: Effects of resistance and all-round, functional training on quality of life, vitality and depression of older adults...

Ngày tải lên: 18/06/2014, 19:20

... severity A cut-off value of 10 has been Page of (page number not for citation purposes) Health and Quality of Life Outcomes 2009, 7:19 reported to have a sensitivity of 0.88 and a specificity of 0.88 ... among older adults with arthritis Health and Quality of Life Outcomes 2004, 2:5 Mili F, Helmick CG, Moriarty DG: Health related quality of life among adults reporting arthritis: analysis of data ... several chronic conditions care should focus on the best possible management of the disease and additional impairments on daily life instead of recovery and health [2,20] For older patients improvements...

Ngày tải lên: 18/06/2014, 19:20

... significant differences between young and older adults were observed in terms of maximal torque of the right and left knee extensors and flexors (all p < 01) Further, young adults needed significantly ... between young and older adults In this study, significant baseline differences between young and older adults were found for maximal torque Granacher et al Journal of NeuroEngineering and Rehabilitation ... reduced level of maximal torque in old compared to young adults Differences in fatigue-resistance between young and older adults Findings of this study indicated that the older adults needed...

Ngày tải lên: 19/06/2014, 08:20

... Suppl 2:S59-S68 Peat G, McCarney R, Croft P: Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care Ann Rheum Dis 2001, 60:91-97 Regulla ... Spitzer RL, Kroenke K, Williams JB: Validation and utility of a selfreport version of PRIME-MD: the PHQ primary care study Primary Care Evaluation of Mental Disorders Patient Health Questionnaire ... musculoskeletal pain in older adults Pain 2005, 116:332-338 Thomas E, Peat G, Harris L, Wilkie R, Croft PR: The prevalence of pain and pain interference in a general population of older adults: cross-sectional...

Ngày tải lên: 20/06/2014, 00:20

... for each hand and the sum of the maximal strength of each hand was recorded [23] In a previous study of Spanish adults, the reliability coefficient for this test was ICC= 0.99 [24] Upper and lower ... attached on the walls of primary care centers, nursing homes, city halls, social centers for the elderly, sport centers, and local park entrances; and f) information stands at regional and local health-, ... consisting of "perceive problems" and "do not perceive problems" Physical Fitness Each participant completed a multi-component battery of PF tests for middle-aged and older adults The duration of this...

Ngày tải lên: 20/06/2014, 15:20

... risperidone and paroxetine on mood, the side effects of Parkinsonism of both risperidone and paroxetine, and the side effects of hyperprolactinaemia, which can exacerbate osteoporosis, and weight gain of ... aged/elderly, and had a significant burden of motor side effects Our patients' experience of worsening of symptoms and antipsychotic withdrawal syndromes is of particular concern Re-emergence of symptoms ... £324,511 While the usage and cost of conventional and depot medications remained constant, the usage and cost of atypical antipsychotic drugs, particularly olanzapine and risperidone, increased...

Ngày tải lên: 08/08/2014, 21:20