Primary Care Reports
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Recognizing Personality Disorders in Patients Presenting to the Primary Care Provider
Often not well understood by the medical community and surrounded in stigma, patients with personality disorders frequently are labeled difficult. Understanding that the behaviors responsible for this label may be the result of a personality disorder allows the provider to adopt a more nuanced approach to treatment.
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Diabetes Self-Management Education and Support Delivered Through Digital Health
The digital world offers a wide array of health tools to improve the participation of patients with diabetes in diabetes self-management education and support (DSMES). DSMES provides knowledge, proficiency, and resources to assist people with diabetes in integrating newfound skills and understanding toward effective management of this complex condition psychologically, biologically, and physically. -
Treating Anxiety Disorders in Primary Care
Anxiety disorders are the most prevalent mental health problem worldwide. Collectively, these disorders are at the core of 20% of primary care visits in the United States. This article reviews in-depth several common disorders of anxiety — GAD, PD, and SAnD — with a focus on diagnosis and treatment relevant to the primary care provider.
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A Real Clinical Case: Before and After Starting a Continuous Glucose Monitoring and Insulin Pump System
Incorporating all the encompassing data to support decision-making and treatment plan adjustments can be a daunting task for healthcare professionals. A real clinical case illustrating a patient with full insulin replacement therapy is described here.
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Diabetes Technology: The Present and the Future
Diabetes-specific support and guidance from healthcare professionals can be amplified and strengthened through incorporating diabetes technology into delivering care to those for whom an educational and motivational boost is warranted. The various technological advances explored in this article include smart insulin pens and accessories, continuous glucose monitoring systems, insulin pumps, diabetes mobile applications, and remote glycemic monitoring platforms.
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2021 Update on Adult Vaccinations with a Focus on SARS-CoV-2/COVID-19
Vaccination in adults remains one of the most important means of preventing disease in vulnerable populations. Certain vaccines, such as influenza, tetanus/diphtheria/pertussis, and the new COVID-19 vaccine are recommended for all adults, while others are recommended in subsets of adults depending on age, comorbidities, and certain risk factors.
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Religion and Spirituality in Primary Care
Religious commitment is intrinsically connected to cultural, mental, spiritual, and societal aspects of wellness, and, thus, should be better recognized by the medical community, whose goal is to provide culturally competent, relationship-centered healthcare. As physicians strive to provide care that is culturally competent and patient-centered, they must be careful to take into account their patients’ deepest human commitments.
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Pharmacological Therapies in HFrEF: Is Quadruple Therapy a New Standard of Care?
Approximately 50% of patients with heart failure have heart failure with reduced ejection fraction (HFrEF). HFrEF morbidity and mortality are altered favorably with the use of guideline-directed medical therapy. Multiple drug therapies have informed evidence-based therapies for the treatment of HFrEF.
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Pharmacogenetics in Primary Care: An Update
Advancements in the area of personalized medicine and understanding how one’s genetics affect health outcomes is an evolving science. The addition of pharmacogenetic testing to the armamentarium of primary care providers presents an opportunity to improve patient care.
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Diagnosis, Treatment, and Management of Depression: The Role of the Primary Care Provider
More than half of the 8 million depression-related provider visits in the United States occur in a primary care setting. The primary care provider is the most likely practitioner responsible for the detection and management of the disorder.