AFP DEPARTMENT COLLECTION

Curbside Consultation

This department addresses legal, psychological, and ethical issues physicians may encounter in their day-to-day practice. Each article contains a brief case scenario, followed by a commentary section written by a consultant who responds to the particular issue addressed in the scenario.

Sep 1, 2020 Issue
Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic
In public health emergencies such as the COVID-19 pandemic, some patients—especially older patients or those who have chronic health conditions—are confronted with treatment choices as they face life-threatening illness.


Jul 1, 2020 Issue
A Primary Care Approach to Adverse Childhood Experiences
A 41-year-old long-time patient presented with concerns about irritability, depression, and anxiety after getting into another fight with her mother-in-law. The patient was concerned that her symptoms were getting worse, and she was worried about lacking control over her emotions and behavior.


May 15, 2020 Issue
The Older Driver
Advancing age on its own is not a reason to stop driving. The ability to drive may enable older adults to maintain family and social interactions and to promote independence by accessing community resources, services, and volunteer opportunities.


Mar 1, 2020 Issue
Emotional Support Animals: Considerations for Documentation
Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany the owner on air travel or to live in housing that might otherwise restrict pets.


Jan 1, 2020 Issue
Tapering Long-Term Opioid Therapy
My patient is a 54-year-old construction worker who has been taking prescribed opioids for more than a decade for chronic knee and back pain.


Nov 1, 2019 Issue
Physician Burnout and Stress While Interacting with Patients
Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.


Sep 1, 2019 Issue
Communicating Risk to Patients Who Get Their Information from the Internet
What can physicians do when our patients act on findings from the internet?


Jul 1, 2019 Issue
Helping Patients Cope with Grief
The loss of a loved one, especially a spouse or a child, is perhaps one of the most difficult events a person will experience in a lifetime. The resulting grief can be overwhelming and incapacitating for a time. Family physicians can be sources of comfort to those who grieve the loss of someone close to them.


Jun 1, 2019 Issue
An Unhappily Married Patient
Overall, marriage enhances health. Men gain greater health benefits from marriage than their wives. Conversely, wives are more negatively affected by a bad marriage than their husbands. In general, the health benefit of marriage is maximized in a good marriage but negated in a bad marriage.


Apr 1, 2019 Issue
Palliative Care in Advanced Dementia
What is the best way for family physicians to determine prognosis and applicability of palliative care for patients with dementia?


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