Care of the College Student.

Approximately 19 million students attend college in the United States. Although they are generally healthy, about 20% of youth have special health care needs, including asthma, diabetes mellitus, and learning, mental health, and substance use disorders. Physicians can facilitate the transition of a youth to an adult model of health care by using structured processes to orient the youth to self-care before entry into college.

Attitudes and Barriers Encountered in Training Family Medicine Residents in Nursing Home Care: A National Survey of Program Directors: A CERA Study.

Background And Objectives: The purpose of this study is to evaluate program director perceptions of influences on resident decisions to practice long-term care (LTC) medicine. Family physicians are well suited to provide nursing home care, but limited available data suggests a decline in the number of family physicians who do so. Family medicine residencies need to address the need for long-term care providers.

Diagnosis and Management of Osteoporosis.

Osteoporosis-related fractures affect approximately one in two white women and one in five white men in their lifetime. The impact of fractures includes loss of function, significant costs, and increased mortality. The U.

Mental health, help seeking, and stigma and barriers to care among 3- and 12-month postdeployed and never deployed U.S. Army Combat Medics.

U.S. Army Combat Medic serves as both Soldier and provider of combat casualty care, often in the heat of battle and with limited resources.

Delirium in older persons: evaluation and management.

Delirium is defined as an acute, fluctuating syndrome of altered attention, awareness, and cognition. It is common in older persons in the hospital and long-term care facilities and may indicate a life-threatening condition. Assessment for and prevention of delirium should occur at admission and continue throughout a hospital stay.

Care of the college student.

There are approximately 20 million students in U.S. colleges and universities.

Gender differences in combat medic mental health services utilization, barriers, and stigma.

Military health care providers experience considerable stressors related to their exposure to death and traumatic injuries in others. This study used survey data from 799 active duty U.S.

House calls.

House calls provide a unique perspective on patients' environment and health problems. The demand for house calls is expected to increase considerably in future decades as the U.S.

Nursing home care: part II. Clinical aspects.

Understanding the distinctions between the management of clinical problems in nursing homes compared with the community setting helps improve the overall care of nursing home residents. Liberalizing diets helps avoid unintentional weight loss in nursing home residents, although the use of feeding tubes usually does not improve nutrition or decrease aspiration risk. Medical assessment, treatment of comorbidities, and appropriate use of rehabilitation therapies minimize the frequency of falls.

Nursing home care: part I. Principles and pitfalls of practice.

Approximately 1.5 million Americans reside in nursing homes. A family physician often leads the interdisciplinary team that provides for the medical, functional, emotional, nutritional, social, and environmental needs of these patients.

Practice tools to meet the complex needs of older vulnerable military beneficiaries.

The elderly military beneficiary is a valued, high-risk, high-cost, and complex individual with unique medical needs. Attention to common geriatric syndromes (such as incontinence) and quality end-of-life care is critical in this population. Care of older adults is part of every adult medical and surgical specialty and represents a significant portion of the care rendered by the Military Health System (MHS)--a system that is currently oriented to warrior care and the care of young adults and families.

Therapeutic home adaptations for older adults with disabilities.

Family physicians commonly care for older patients with disabilities. Many of these patients need help maintaining a therapeutic home environment to preserve their comfort and independence. Patients often have little time to decide how to address the limitations of newly-acquired disabilities.

Polymyalgia rheumatica and giant cell arteritis.

Polymyalgia rheumatica and giant cell arteritis are common, closely related vasculitic conditions that almost exclusively occur in patients older than 50 years. They may be manifestations of the same underlying disease and often coexist. Patients with polymyalgia rheumatica usually present with acute onset of stiffness and pain in the shoulder and pelvic musculature, which may be accompanied by fever, malaise, and weight loss.

Implementation of the Beers criteria: sticks and stones--or throw me a bone.

Sticks and Stones Or Throw Me a Bone BOGSAT. While not very flattering, BOGSAT (Bunch of Old Guys Sitting Around Talking) accurately describes traditional decision making across many disciplines, including medicine. In an attempt to validate expert opinion panels using the BOGSAT method, the Evidence-Based Medicine (EBM) movement sprang up from the original writings of Dr.