Family Conference In Primary Care Practice

2021 ◽  
Vol 70 (12) ◽  
pp. 243-245
Author(s):  
Retno Asti Werdhani ◽  
Dhanasari Vidiawati Trisna

From the Epidemiology Triangle, we can see that a person’s health status is influenced by 3 factors: host, agent, and the environment. The environment plays the biggest role as the cause of health problems, one of which is the family environment. Family can become a supporting factor or inhibiting factor in the successful management of patient’s cases. Therefore, a primary care physician/family physician needs to conduct family meetings to discuss and agree on solutions with the patient’s family by paying attention to inhibiting and supporting factors and find common solutions for the benefit of the patient.

2014 ◽  
Vol 4 (3) ◽  
pp. 1-6
Author(s):  
P. Ravi Shankar

Dr. David Loxterkamp has been practicing as a primary care physician for over thirty years in Belfast, Maine, United States of America. He is a frequent writer on issues related to primary care and has recently published a book titled ‘What matters in medicine; Lessons from a life in primary care'. Towards the middle of the book he puts forward fourteen aphorisms for physicians with special relevance for primary care practice. In this manuscript the author briefly examines these aphorisms and describes their profound possible influence on modern medical practice, healthcare and medical education. The author is of the opinion that Dr Loxterkamp's observations and concepts born from and honed by over thirty years of practice as primary care physician in Belfast, Maine, United States should be read by all physicians and especially by medical students in training.


2012 ◽  
Vol 40 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Timothy E. Quill

In my career as a primary care physician and as a palliative care consultant, I have assisted many patients to die with their full consent. None of them wanted to die, and all would have chosen other paths had their disease not been so severe and irreversible. To a person, none of these patients thought of themselves as “suicidal,” and they would have found that label preposterous and demeaning. In fact, the kind of personal disintegration that the label implies is just what is trying to be prevented by those choosing this possibility. So on behalf of patients who have chosen this option, I reject the title of this debate as it unnecessarily tars the discussion with the suggestion of mental illness. In my primary care practice, I have also met many patients who were “suicidal” in the mental health sense of the word, and rest assured I have assisted none of them to die. In fact, I have at times had them involuntarily hospitalized to prevent them from carrying out their wishes.


2020 ◽  
Vol 8 (3) ◽  
pp. 288-297
Author(s):  
Tyanna C. Snider ◽  
Whitney J. Raglin Bignall ◽  
Cody A. Hostutler ◽  
Ariana C. Hoet ◽  
Bethany L. Walker ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 774-774
Author(s):  
David Rein ◽  
Madeleine Hackney ◽  
Michele Dougherty ◽  
Camille Vaughan ◽  
Laurie Imhof ◽  
...  

Abstract The STEADI Options trial uses a randomized, controlled-trial design to assess the effectiveness and cost-effectiveness of the STEADI Initiative . Beginning March, 2020, we will randomize 3,000 adults ≥ 65 years of age at risk for falls seen in an Emory Clinic primary care practice to: (1) full STEADI; (2) a STEADI-derived gait, balance, and strength assessment with physical therapy referrals; (3) a STEADI-derived medication review and management; or (4) usual care. This presentation will discuss decisions made by the study team to facilitate implementation of STEADI including electronically conducting screening prior to the date of encounter, the use of dedicated nursing staff to conduct assessments, implementation of strength, balance, orthostatic hypotension, and vision testing, methods to facilitate medication review, and communication of assessment information to providers. The results from this study will be used to estimate the impact of STEADI on falls, service utilization, and costs over one year.


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