Care of Special Populations

May 1, 2015 Issue
Caring for Muslim Patients Who Fast During Ramadan [Curbside Consultation]

A 68-year-old Muslim man who was recently diagnosed with type 2 diabetes mellitus presented for a routine health visit. His initial A1C level was 8.2%, which decreased to 6.7% after dietary changes, exercise, and treatment with metformin (Glucophage). He stated that he wanted to fast during Ramadan ...

Nov 1, 2014 Issue
Caring for Unaccompanied Minors from Central America [Curbside Consultation]

The surge of unaccompanied minors from Central America crossing the United States–Mexico border in recent months has made national headlines, creating an “urgent humanitarian situation.” The reasons for this migration are multifactorial, and the resultant politics are deeply complex.

Oct 1, 2014 Issue
Challenges and Opportunities in the Care of Asian American Patients [Curbside Consultation]

In cases such as this, patients are often told, “You don't need treatment now,” but they only hear, “You are fine.” Subsequent failure to follow up may result from a combination of issues related to health literacy, educational attainment, linguistic barriers, and cultural differences.

Oct 1, 2014 Issue
Appropriate Use of Medical Interpreters [Article]

Find out how to decrease malpractice risk by using professional interpreters for patients with limited English proficiency, and learn tips for using interpreters effectively and how to avoid common pitfalls.

Apr 15, 2014 Issue
Care of the Homeless: An Overview [Article]

Learn about the approach to therapy for a variety of conditions in this population.

Mar 1, 2013 Issue
Caring for Older Patients Who Have Significant Hearing Loss [Curbside Consultation]

This scenario illustrates issues related to end-of-life care and placement in a long-term care facility for older individuals with significant hearing loss. An analysis of data from the 1999 to 2006 cycles of the National Health and Nutrition Examination Survey, and statistics from the National Inst...

Jan 1, 2013 Issue
Caring for Latino Patients [Article]

Latinos comprise nearly 16 percent of the U.S. population, and this proportion is anticipated to increase to 30 percent by 2050. Latinos are a diverse ethnic group that includes many different cultures, races, and nationalities. Barriers to care have resulted in striking disparities in quality of h...

Feb 15, 2011 Issue
Primary Care for Refugees [Article]

Over the past decade, at least 600,000 refugees from more than 60 different countries have been resettled in the United States. The personal history of a refugee is often marked by physical and emotional trauma. Although refugees come from many different countries and cultures, their shared pattern ...

Jul 1, 2010 Issue
Care of the Returning Veteran [Article]

Veterans returning from combat in Iraq and Afghanistan should be screened for posttraumatic stress disorder, substance abuse, and depression. Symptoms associated with traumatic brain injury from blast injuries can overlap with those of posttraumatic stress disorder. Suicide prevention is an important part of postdeployment care, as is recognizing problems with reintegration into family and society.

Mar 15, 2009 Issue
Treatment of the Post-ICU Patient in an Outpatient Setting [Article]

The care of a patient in the intensive care unit extends well beyond his or her hospitalization. Evaluation of a patient after leaving the intensive care unit involves a review of the hospital stay, including principal diagnosis, exposure to medications, period spent in the intensive care unit, and ...

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