Care of Special Populations

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 ...

Sep 1, 2008 Issue
Communicating Effectively with Transgender Patients [Curbside Consultation]

Transgender persons are those who consider their gender to be different from their biological sex. Hence, a male-to-female person is a biologic male who identifies as a female, and a female-to-male person is a biologic female who identifies as male.

Nov 1, 2007 Issue
Addressing a Patient's Refusal of Care Based on Religious Beliefs [Curbside Consultation]

This dilemma is complex. In this scenario, the patient limited the efforts to help her because of religious beliefs, and attempts at persuasion were not successful.

Nov 1, 2006 Issue
Treatment of Patients with Literacy Issues [Curbside Consultation]

Low literacy is more prevalent than previously thought. In 2003, almost 25 percent of Americans (45 million persons) who spoke English as their first language had the lowest level of literacy skills (i.e., level 1 out of 5) in reading, writing, and functioning in the English language. Persons with l...

Oct 1, 2006 Issue
The Homeless in America: Adapting Your Practice [Article]

In 2004, the National Guidelines Clearinghouse placed eight guidelines from the National Health Care for the Homeless Council on its Web site. Seven of the guidelines are on specific disease processes and one is on general care. In addition to straightforward clinical decision making, the guidelines...

Jul 15, 2006 Issue
Primary Care for Lesbians and Bisexual Women [Article]

For the most part, lesbians and bisexual women face the same health issues as heterosexual women, but they often have difficulty accessing appropriate care. Physicians can improve care for lesbians and bisexual women by acknowledging the potential barriers to care (e.g., hesitancy of physicians to i...

May 1, 2006 Issue
ACOG Recommendations for Improving Care of Homeless Women [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) Committee on Health Care for Underserved Women has released recommendations to improve health care of homeless women.

Dec 1, 2005 Issue
Cross-Cultural Medicine [Article]

Cultural competency is an essential skill for family physicians because of increasing ethnic diversity among patient populations. Culture, the shared beliefs and attitudes of a group, shapes ideas of what constitutes illness and acceptable treatment. A cross-cultural interview should elicit the pati...

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