A conceptual model for educating primary care providers in the diagnosis and treatment of depression

1987 ◽  
Vol 9 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Herbert C. Schulberg ◽  
Maureen McClelland
Keyword(s):  
Primary Care ◽  
Conceptual Model ◽  
Primary Care Providers ◽  
Diagnosis And Treatment ◽  
Care Providers ◽  
Treatment Of Depression

Improving diagnosis and treatment of benign paroxysmal positional vertigo

2021 ◽  
pp. 42-46
Author(s):  
Larry D. McIntire ◽  
Kindall Martin ◽  
Kunal Shah ◽  
Lauren Malinowski ◽  
John Paulson
Keyword(s):  
Primary Care ◽  
Population Health ◽  
Healthcare Costs ◽  
Benign Paroxysmal Positional Vertigo ◽  
Primary Care Providers ◽  
Diagnosis And Treatment ◽  
Care Providers ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Background: Vertigo is defined as an illusion of motion caused by a mismatch of information between the visual, vestibular and somatosensory systems. The most common diagnosis associated with whirling vertigo is benign paroxysmal positional vertigo (BPPV), which affects approximately 3.4% of patients older than 60 years of age. Objective: This paper aims to educate primary care providers on how to diagnose BPPV by performing canalith repositioning maneuvers at the initial point of care. Timely treatment of BPPV in the primary care office is believed to reduce healthcare costs by way of limiting unnecessary diagnostic testing and lowering referrals for specialty care. Immediate treatment is also believed to improve the quality of healthcare delivery for the vertigo patient by reducing morbidity and resolving the condition without the need for referrals or imaging. Population Health: A review of the literature finds that delayed diagnosis and treatment of BPPV is associated with a host of deleterious effects on patients. Population health impacts include increased rates of anxiety and depression; loss of work and/or change of career paths; inappropriate use of medications or emergency care resources; decreased access to healthcare services; increased healthcare costs; and reduced quality of care. Diagnosis: A history of positional vertigo and evidence of nystagmus with Dix-Hallpike positioning confirms the diagnosis. A detailed description of the performance of this test is elucidated. Treatment: The observed nystagmus is analyzed and classified based on directionality. Treatment can be initiated immediately with canalith repositioning maneuvers.

scholarly journals Hemophagocytic Lymphohistiocytosis for the Internist and Other Primary Care Providers

2021 ◽  
Vol 12 ◽  
pp. 215013272110537
Author(s):  
Tanmayi Srinivas Pai ◽  
Fernando F. Stancampiano ◽  
Candido Rivera
Keyword(s):  
Primary Care ◽  
Immune System ◽  
Hemophagocytic Lymphohistiocytosis ◽  
Immunosuppressive Treatment ◽  
Primary Care Providers ◽  
Outpatient Setting ◽  
Adult Patients ◽  
Diagnosis And Treatment ◽  
Care Providers ◽  
Life Threatening

Hemophagocytic lymphohistiocytosis (HLH) syndrome is a hyperinflammatory state that leads to life-threatening, disproportionate activation of the immune system and may be confused for and concomitantly exist with sepsis. However, its treatment differs from sepsis, requiring early initiation of immunosuppressive treatment. While HLH syndrome is more commonly diagnosed in children, internists and other primary care providers must be familiar with the diagnosis and treatment of adult patients with HLH in the hospital and outpatient setting. In this article, we review the essentials that an internist and other primary care providers managing adult HLH patients should know.

Neuropathic pain: a narrative review of etiology, assessment, diagnosis, and treatment for primary care providers

2017 ◽  
Vol 33 (8) ◽  
pp. 1361-1369 ◽  
Author(s):  
Bill McCarberg ◽  
Yvonne D’Arcy ◽  
Bruce Parsons ◽  
Alesia Sadosky ◽  
Andrew Thorpe ◽  
...  
Keyword(s):  
Primary Care ◽  
Neuropathic Pain ◽  
Primary Care Providers ◽  
Narrative Review ◽  
Diagnosis And Treatment ◽  
Care Providers

scholarly journals Eating Disorders in Males: How Primary Care Providers Can Improve Recognition, Diagnosis, and Treatment

2019 ◽  
Vol 13 (3) ◽  
pp. 155798831985742
Author(s):  
Simrin Sangha ◽  
John L. Oliffe ◽  
Mary T. Kelly ◽  
Fairleth McCuaig
Keyword(s):  
Primary Care ◽  
Eating Disorders ◽  
Primary Care Providers ◽  
Diagnosis And Treatment ◽  
Care Providers

Depression in primary care: part 2—management

BMJ ◽  
2019 ◽  
pp. l835 ◽  
Author(s):  
Parashar Ramanuj ◽  
Erin K Ferenchick ◽  
Harold Alan Pincus
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Primary Care Providers ◽  
Organizational Level ◽  
Psychological Interventions ◽  
Care Providers ◽  
Individual Level ◽  
Treatment Of Depression ◽  
The Individual

AbstractDepression is a common and heterogeneous condition with a chronic and recurrent natural course that is frequently seen in the primary care setting. Primary care providers play a central role in managing depression and concurrent physical comorbidities, and they face challenges in diagnosing and treating the condition. In this two part series, we review the evidence available to help to guide primary care providers and practices to recognize and manage depression. The first review outlined an approach to screening and diagnosing depression in primary care. This second review presents an evidence based approach to the treatment of depression in primary care, detailing the recommended lifestyle, drug, and psychological interventions at the individual level. It also highlights strategies that are being adopted at an organizational level to manage depression more effectively in primary care.

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