Religion and Spirituality in Internal Medicine

2017 ◽  
Author(s):  
Lydia S. Dugdale ◽  
Daniel P. Sulmasy
Keyword(s):  
Internal Medicine ◽  
Health Care ◽  
Best Practices ◽  
Care Setting ◽  
Religious Communities ◽  
Team Approach ◽  
Religion And Spirituality ◽  
Medicine Physician ◽  
Faith Traditions ◽  
Internal Medicine Physician

The internal medicine physician has a unique place in a patient’s life. Relationships might endure for years, sharing many of life’s struggles and joys. Doctors may know their patients on many levels, including whether they belong to faith traditions, religious communities, or participate in spiritual practices. Many internists feel religion and spirituality have a place in the health care setting, and there are various tools available for introducing conversations about such matters into the clinical setting. This chapter reviews the literature relevant to religion and spirituality within the context of the practice of internal medicine and proposes best practices for patient care. It suggests that physicians should respectfully inquire about their patients’ spiritual and religious beliefs, make time to address spiritual concerns as they would physical concerns, and make use of the team approach to medical care, drawing on the assistance of chaplains and lay clergy as needed.

scholarly journals Perrault Syndrome Diagnosis in a Patient Presenting to Her Primary Care Provider with Secondary Amenorrhea

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Leah May Roberts ◽  
Bruce Carnivale
Keyword(s):  
Internal Medicine ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Transvaginal Ultrasound ◽  
Genetic Disorder ◽  
Secondary Amenorrhea ◽  
Medicine Physician ◽  
Perrault Syndrome ◽  
Proper Diagnosis ◽  
Internal Medicine Physician

Perrault syndrome is a rare autosomal recessive genetic disorder characterized by sensorineural hearing loss and female gonadic eukaryotic dysgenesis. Here, we report the case of a 20-year-old female that presented to her internal medicine physician after suffering from secondary amenorrhea. After multiple negative pregnancy tests done with primary care physicians, a further evaluation by an internal medicine specialist showed an elevated FSH and LH as well as a small uterus and streak ovaries on transabdominal and transvaginal ultrasound. She was referred to the OB-GYN service, gonadal dysgenesis was diagnosed, and proper treatment was initiated. We intend to highlight this presentation of ovarian dysfunction and provide guidance for the proper diagnosis and management of the said disorder.

scholarly journals Considerations for the Selection and Use of Disinfectants Against SARS-CoV-2 in a Health Care Setting

2020 ◽  
Vol 7 (9) ◽  
Author(s):  
Kevin Tyan ◽  
Adriane Levin ◽  
Alejandra Avalos-Pacheco ◽  
Deborah Plana ◽  
Eleanor A Rand ◽  
...  
Keyword(s):  
Health Care ◽  
Best Practices ◽  
Infection Control ◽  
Environmental Protection ◽  
Environmental Protection Agency ◽  
Care Setting ◽  
Control Strategies ◽  
Protection Agency ◽  
Effective Surface ◽  
Respiratory Coronavirus

Abstract Proper disinfection using adequate disinfecting agents will be necessary for infection control strategies against coronavirus disease 2019 (COVID-19). However, limited guidance exists on effective surface disinfectants or best practices for their use against severe acute respiratory coronavirus 2. We outlined a process of fully characterizing over 350 products on the Environmental Protection Agency List N, including pH, method of delivery, indication for equipment sterilization, and purchase availability. We then developed a streamlined set of guidelines to help rapidly evaluate and select suitable disinfectants from List N, including practicality, efficacy, safety, and cost/availability. This resource guides the evaluation of ideal disinfectants amidst practical considerations posed by the COVID-19 pandemic.

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