Electronic medical records: A practical guide for primary care

 Primary Care  Comments Off on Electronic medical records: A practical guide for primary care
Jul 272019
 


Physician adoption of electronic medical records (EMRs) has become a national priority. It is said that EMRs have the potential to greatly improve patient care, to provide the data needed for more effective population management and quality assurance of both an individual practice’s patients as well as patients of large health care systems, and the potential to create efficiencies that allow physicians to provide this improved care at a far lower cost than at present. There is currently a strong U.S. government push for physicians to adopt EMR technology, with the Obama administration emphasizing the use of EMRs as an important part of the future of health care and urging widespread adoption of this technology by 2014. This timely book for the primary care community offers a concise and easy to read guide for implementing an EMR system. Organized in six sections, this invaluable title details the general state of the EMR landscape, covering the government’s incentive program, promises and pitfalls of EMR technology, issues related to standardization and the range of EMR vendors from which a provider can choose. Importantly, chapter two provides a detailed and highly instructional account of the experiences that a range of primary care providers have had in implementing EMR systems. Chapter three discusses how to effectively choose an EMR system, while chapters four and five cover all of the vital pre-implementation and implementation issues in establishing an EMR system in the primary care environment. Finally, chapter six discusses how to optimize and maintain a new EMR system to achieve the full cost savings desired. Concise, direct, but above all honest in recognizing the challenges in choosing and implementing an electronic health record in primary care, Electronic Medical Records: A Practical Guide for Primary Care has been written with the busy primary care physician in mind.
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Pediatric Psychopharmacology For Primary Care

 Pediatrics, Pharmacology, Primary Care  Comments Off on Pediatric Psychopharmacology For Primary Care
Jul 152019
 

Confidently prescribe, monitor, and manage medications for childhood mental health disorders.
This game-changing resource from the American Academy of Pediatrics (AAP) arms you with a unique strategic approach – plus practice-tested, condition-specific treatment recommendations.

Free bonus digital tool! Get instant answers on specific conditions and medications from your desktop or mobile device!

Evidence-based conceptual framework
A clear, straightforward methodology – based on current research and clinical experience – defines discrete levels of psychotropic agents and spells out level-specific roles and responsibilities.

Group 1:Medications FDA-approved for youth for ADHD, anxiety, and depression – disorders for which pediatric primary care providers commonly initiate treatment and assume prescribing and monitoring responsibilities.
Administration and management information for each drug agent includes:
Rationale for use
Evidence supporting efficacy and safety
Initial dosing and subsequent adjustments
Measuring therapeutic success
When to consult or refer
Group 2: Medications FDA-approved for youth, typically prescribed by specialists but often monitored in the primary care setting: antipsychotics, mood stabilizers, antidepressants, anxiolytics, and sleep aids. To support primary care clinician’s collaborative role, usage rationales, efficacy data, and adverse effect profiles are specified for all of these agents.

Group 3: Medications not FDA-approved for youth that primary care clinicians will likely encounter. To support primary care clinician’s collaborative role, efficacy data and adverse effect profiles are specified for these agents.

Proven, practice-focused guidance
Hands-on help spanning the therapeutic process:
Assessing for common disorders
Assessing for psychiatric comorbidities
Identifying medication needs
Informed consent
Monitoring patient progress
Managing side effects
Managing multiple medications
Stopping or changing medications

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Psychiatric and Mental Health Essentials in Primary Care

 Primary Care, Psychiatry  Comments Off on Psychiatric and Mental Health Essentials in Primary Care
Jul 012019
 

Psychiatric and Mental Health Essentials in Primary Care addresses key mental health concepts and strategies for time-pressured practitioners in various healthcare settings serving diverse populations. It offers theoretically sound and succinct guidelines for compassionate, efficient, and effective service to people in emotional and physical pain and distress, capturing the essentials of mental health care delivered by primary care providers. The text provides a theoretical overview, discussing mental health assessment, crisis care basics, alternative therapies, and vulnerable groups such as children, adolescents and older people. It includes chapters that focus on the following topics in Primary Care Practice: Suicide and Violence Anxiety Mood disorders Schizophrenia Substance Abuse Chronic illness and mental health. This invaluable text is designed for primary care providers in either graduate student or practice roles across a range of primary care practice, including nurse practitioners and physician assistants.
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Essential Primary Care (Essentials)

 Primary Care  Comments Off on Essential Primary Care (Essentials)
May 282019
 

“Essential Primary Care” aims to provide undergraduate students with a comprehensive overview of the clinical problems encountered in primary care. It covers the structure of primary care in the UK, disease prevention and the management of common and important clinical presentations from infancy to old age. Case studies are used in every chapter to illustrate key learning points. The book provides practical advice on how to consult with patients, make sense of their symptoms, explain things to them, and manage their problems.”Essential Primary Care: ” – Is structured in five sections: – The building blocks of primary care: its structure and connection with secondary care, the consultation, the process of making a diagnosis, prescribing, and ethical issues – Health promotion – Common and important presenting problems in roughly chronological order – Cancer – Death and palliative care- Gives advice on how to phrase questions when consulting with patients and how to present information to patients- Provides advice on how management extends to prescribing – often missing from current textbooks- Contains case studies within each chapter which reflect the variety of primary care and provide top tips and advice for consulting with patients- Supported by a companion website featuring MCQs, EMQs, cases and OSCE checklists

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What Matters in Medicine: Lessons from a Life in Primary Care

 Primary Care  Comments Off on What Matters in Medicine: Lessons from a Life in Primary Care
Mar 282019
 

Primary care has come into the limelight with the passage of the Patient Protection and Affordable Care Act, the unchecked and unsustainable rise in American health care expenditures, and the crest of Baby Boomers who are now Medicare-eligible and entering the most health care–intensive period of their lives. Yet how much is really known about primary care? What Matters in Medicine: Lessons from a Life in Primary Care is a look at the past, present, and future of general practice, which is not only the predecessor to the modern primary care movement, but its foundation. Through memoir and conversation, Dr. David Loxterkamp reflects on the heroes and role models who drew him to family medicine and on his many years in family practice in a rural Maine community, and provides a prescription for change in the way that doctors and patients approach their shared contract for good health and a happy life. This book will be useful to those on both sides of primary care, doctors and patients alike.

 

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Managing Osteoarthritis in Primary Care

 Primary Care  Comments Off on Managing Osteoarthritis in Primary Care
Feb 082019
 

Osteoarthritis is the most common cause of musculoskeletal disability, affecting five million people in Britain. By far the majority of cases are managed in the community. A considerable proportion of patients self-medicate, while others are treated by a GP and the primary health care team. This book provides an overview of the condition, its causes and natural history. Diagnosis of osteoarthritis is also explained including descriptions of joint examination, monitoring of progression and assessment of disability. The book advocates a practical approach to osteoarthritis care, the mainstay of which is patient education and symptom management. It provides advice on both pharmacological and non-pharmacological pain management, the use of exercise, physiotherapy and weight loss where necessary. Topics discsussed also include: informing the patient of the disease and its prognosis; ways in which patients can adapt their home and their lifestyle to work within their physical capabilities; and surgery options.Content: Chapter 1 Introduction (pages 1–3): Chapter 2 Osteoarthritis, Aetiology and Epidemiology (pages 4–18): Chapter 3 Diagnosis and Differential Diagnosis of Osteoarthritis (pages 19–32): Chapter 4 Examination of Joints (pages 33–54): Chapter 5 Assessment of Osteoarthritis Including Hand Osteoarthritis (pages 55–65): Chapter 6 Management Options?Education, Behavioural and Environmental (pages 66–77): Chapter 7 Physical Therapy and Mechanical Interventions (pages 78–84): Chapter 8 Pharmacological Treatment (pages 85–96): Chapter 9 Surgical Options and Procedures (pages 98–114): Chapter 10 Long?Term Management and Referral (pages 115–120): Chapter 11 Economic and Research Considerations (pages 121–126):
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Pharmacy and the U.S. Health Care System, Third Edition

 Primary Care  Comments Off on Pharmacy and the U.S. Health Care System, Third Edition
Jan 272019
 

The healthcare field is rapidly evolving, compelled by technological strides, pressure to increase efficiency, and demand to contain costs. Pharmacy and the U.S. Health Care System, Third Edition is the classic text used to prepare pharmacists for independent practice in today’s unpredictable environment since the first edition was published in 1991. This new edition is now streamlined and tailored for a one-semester course, completely updated with the most recent data, statistics, and emerging issues relevant to today’s pharmacy professional, with new chapters devoted to the political realities of the industry and the future of pharmacy.
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Primary Progressive Multiple Sclerosis

 Primary Care  Comments Off on Primary Progressive Multiple Sclerosis
Jan 192019
 

“Why are there no effective treatments for my condition? Why do researchers exclude patients with primary progressive multiple sclerosis from enrolling in clinical trials? Please let me know if you hear of studies that I might be allowed to enter or treatments that I could try for my condition. ” Thus, in recent years, the sad lament of the patient with primary progressive MS (PPMS). This variant, often in the guise of a chronic progressive myelopathy or, less commonly, progressive cerebellar or bulbar dysfunction, usually responds poorly to corticosteroids and rarely seems to benefit to a significant degree from intensive immunosuppressive treatments. In recent years, most randomized clin­ ical trials have excluded PPMS patients on two counts. Clinical worsening devel­ ops slowly in PPMS and may not be recognized during the course of a 2-or 3-year trial even in untreated control patients. This factor alone adds to the potential for a type 2 error or, at the very least, inflates the sample size and duration of the trial. In addition, there is mounting evidence that progressive axonal degeneration and neuronal loss (rather than active, recurrent inflammation) may be important components of the pathology in this form of the disease. Although contemporary trials are evaluating whether PPMS patients may benefit from treatment with the ~-interferons and glatiramer acetate, preliminary, uncontrolled clinical experi­ ence suggests that the results may not be dramatic.
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Primary Care: Understanding Health Need and Demand

 Primary Care  Comments Off on Primary Care: Understanding Health Need and Demand
Jan 042019
 

The National Primary Care Research and Development Centre series provides policy makers, commissioners, managers, primary care professionals and user organizations with up-to-date multi-disciplinary research on important issues that inform future decision making for primary care development. This book examines the key factors shaping the relationship between demand for, and use of, primary care. It provides a detailed picture with which to inform the planning of appropriate, acceptable and responsive primary care services. Patients’ perceptions are important, not only because they are a barometer of the appropriateness and effectiveness of services, but because they are a unique source of knowledge about the way in which people use services when they do, for the reasons that they do. This book concisely presents empirical findings and summarizes key policy and conceptual issues. Other titles in the National Primary Care Research and Development Centre series: NPCRDC: What is the Future for a Primary Care-led NHS? NPCRDC: Primary Care and Social Services: developing new partnerships for older people NPCRDC: Better Building for Better Services NPCRDC: Specialist Outreach Clinics in General Practice NPCRDC: Primary Health Care and the Private Secto
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What Is The Future For A Primary Care Led Nhs?

 Primary Care  Comments Off on What Is The Future For A Primary Care Led Nhs?
Jan 042019
 

Other titles in the National Primary Care Research and Development Centre series: NPCRDC: Primary Care and Social Services: developing new partnerships for older people NPCRDC: Primary Care: Understanding Health Need and Demand NPCRDC: Better Building for Better Services NPCRDC: Specialist Outreach Clinics in General Practice NPCRDC: Primary Health Care and the Private Secto
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