Variables that influence diagnosis and treatment of the eating disorders within primary care settings: a vignette study

2007 ◽  
Vol 17 (5) ◽  
pp. 30-30
Author(s):  
Sue Davies
Keyword(s):  
Primary Care ◽  
Eating Disorders ◽  
Diagnosis And Treatment ◽  
Vignette Study ◽  
Primary Care Settings

scholarly journals Advanced Practice Registered Nurses: Gateway to Screening for Bipolar Disorder in Primary Care

2016 ◽  
Vol 10 (1) ◽  
pp. 59-72 ◽  
Author(s):  
Ann Marie Kriebel-Gasparro
Keyword(s):  
Primary Care ◽  
Bipolar Disorder ◽  
Registered Nurses ◽  
Screening Tools ◽  
Diagnosis And Treatment ◽  
Advanced Practice ◽  
Barriers To Screening ◽  
Primary Care Settings ◽  
Advanced Practice Registered Nurses ◽  
Facilitators And Barriers

Objective: The goal of this mixed methods descriptive study was to explore Advanced Practice Registered Nurses’ (APRNs’) knowledge of bipolar disorder (BPD) and their perceptions of facilitators and barriers to screening patients with known depression for BPD. Methods: A mixed method study design using surveys on BPD knowledge and screening practices as well as focus group data collection method for facilitators and barriers to screening. Results: 89 APRNs completed the survey and 12 APRNs participated in the focus groups. APRNs in any practice setting had low knowledge scores of BPD. No significant differences in screening for BPD for primary and non primary care APRNs. Qualitative findings revealed screening relates to tool availability; time, unsure of when to screen, fear of sigma, symptoms knowledge of BPD, accessible referral system, personal experiences with BPD, and therapeutic relationships with patients. Conclusion: Misdiagnosis of BPD as unipolar depression is common in primary care settings, leading to a long lag time to optimal diagnosis and treatment. The wait time to diagnosis and treatment could be reduced if APRNs in primary care settings screen patients with a diagnosis of depression by using validated screening tools. These results can inform APRN practice and further research on the effectiveness of screening for reducing the morbidity and mortality of BPDs in primary care settings; underscores the need for integration of mental health care into primary care as well as the need for more APRN education on the diagnosis and management of bipolar disorders.

scholarly journals Triggers and Diagnosis of Parasomnias in Children –A Review

2021 ◽  
pp. 198-205
Author(s):  
Heba A. Fouad ◽  
Hussam abdulshakour Jamaluddin ◽  
Mari Osman Alwadai ◽  
Ismail Zayed Alqahtani ◽  
Nawaf Abdullah AlGhuraybi ◽  
...  
Keyword(s):  
Primary Care ◽  
Sleep Problems ◽  
Early Sign ◽  
Diagnosis And Treatment ◽  
Outpatient Clinics ◽  
Medical Assistance ◽  
Sleep Patterns ◽  
Disease Epidemiology ◽  
Primary Care Settings ◽  
Sleep Terror

The occurrence of parasomnias, which are most common during childhood, is one probable early sign of psychosis vulnerability. 6–8 Frequent nightmares have long been thought to play a role in the development of psychosis. In the outpatient clinics, sleep problems are one of the most common presentations. In fact, maladaptive sleep patterns are linked to up to 50% of major complaints in primary care settings. The etiology of parasomnias is unknown because no obvious cause has been identified; nonetheless, a variety of explanations have developed. The majority of childhood parasomnias (confessional arousals, sleepwalking, sleep terror, and nightmares) are harmless, and most children outgrow them. As a result, reassuring and educating the parents can be beneficial in those situations without the need for medical assistance. With that being said there’s also serval medical approaches that address such a disease. In this article we will be looking at the disease epidemiology, etiology, diagnosis and treatment.

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

Evaluating Accessible Treatments for Bulimic Eating Disorders in Primary Care

1998 ◽  
Vol 4 (3) ◽  
pp. 147 ◽  
Author(s):  
Susan J Banasiak ◽  
Susan J Paxton ◽  
Phillipa J Hay
Keyword(s):  
Primary Care ◽  
Eating Disorders ◽  
Bulimia Nervosa ◽  
Primary Care Settings ◽  
Self Help ◽  
Cognitive Behavioural ◽  
Evidence Based Treatments ◽  
Potential Benefits ◽  
Common Problems ◽  
Treatment Manuals

Bulimic Eating Disorders (including bulimia nervosa and binge eating disorder) are unfortunately common problems among Australian females. The scope, morbidity and chronicity of these disorders combine to make them important women's health problems. Surprisingly, while these are distressing and disruptive conditions, research suggests many sufferers are not receiving treatment despite the existence of effective psychosocial treatments. Therefore, increasing access to care is a critical contemporary issue in improving health outcomes for sufferers of these conditions. This paper discusses identified barriers to the receipt of treatment and recent refinements to existing evidence based treatments, namely, the development of Cognitive-Behavioural self-help treatment manuals and their application in the treatment of Bulimic Eating Disorders. The potential benefits of Guided and Unguided Self-Help in overcoming barriers to care are outlined and research examining the efficacy of these approaches for the treatment of Bulimic Eating Disorders reviewed. Methodological limitations of previous research indicate that the clinical utility of these approaches, particularly for bulimia nervosa, are unclear. However, previous encouraging findings and the potential benefits of these approaches support further research into the wider evaluation of these approaches particularly in primary care settings. A trial in progress is outlined and the implications of positive findings for major stakeholders discussed.

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