Recurrent Ischemic Stroke: Strategies for Prevention - American Family Physician
Oct 1, 2017 - Recurrent strokes make up almost 25% of the nearly 800,000 strokes that occur annually in the United States. Risk factors for ischemic stroke include hypertension, diabetes mellitus, hyperlipidemia, sleep apnea, and obesity. Lifestyle modifications, including tobacco cessation, ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1001/p436.html
Testosterone Therapy: Review of Clinical Applications - American Family Physician
Oct 1, 2017 - Testosterone therapy is increasingly common in the United States, and many of these prescriptions are written by primary care physicians. There is conflicting evidence on the benefit of male testosterone therapy for age-related declines in testosterone. Physicians should not measure ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1001/p441.html
Assessing Bleeding Risk in Patients Taking Anticoagulants - Point-of-Care Guides - ...
Oct 1, 2017 - Family physicians are often faced with the dilemma of balancing the benefit of stroke prevention with the risk of major bleeding when deciding on anticoagulation treatment in patients with atrial fibrillation. Over the past 10 years, several decision support tools have been developed ...
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2017/1001/p465.html
Technology Tools and Trends for Better Patient Care: Beyond the EHR -- FPM
Oct 1, 2017 - From remote monitoring of chronic diseases to virtual assistants in the exam room, technology will improve practice.
Family Practice Management : Articles
https://www.aafp.org/fpm/2017/0900/p28.html
Coding & Documentation - Sep-Oct 2017 -- FPM
Oct 1, 2017 - ...Diagnosis coding for hypertension and heart failure Medicare payment for telemedicine home visits ICD-10 code updates for Oct. 1 Q What changes to ICD-10 codes for 2017–2018 will affect family medicine the most? A About 750 total changes will be implemented on Oct. 1, 2017 – many...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2017/0900/p34.html
Reducing Frustration and Increasing Fulfillment: Reframing -- FPM
Oct 1, 2017 - To better handle challenging patients or situations, try modifying the way you view them.
Family Practice Management : Articles
https://www.aafp.org/fpm/2017/0900/p12.html
Finding the Bright Spots in Value-Based Care -- FPM
Oct 1, 2017 - Taking one small step at a time, primary care practices can lead the way as the health care system begins to reward value.
Family Practice Management : Articles
https://www.aafp.org/fpm/2017/0900/p21.html
Pet Therapy: Helping Patients Cope - Close-ups - American Family Physician
Oct 1, 2017 - Animal-assisted therapy and the medical use of the human-animal bond can be thought of as a form of alternative/complementary therapy.
American Family Physician : Close-ups
https://www.aafp.org/afp/2017/1001/p464.html
Clues That Your High Blood Pressure Is Due to Some Underlying and Treatable Condition -...
Oct 1, 2017 - ...related article on secondary hypertension What causes high blood pressure? Most of the time when people have high blood pressure, the cause is unknown. This is called primary hypertension. However, a few people may have something called secondary hypertension. This means that there...
American Family Physician : Patient Handout
https://www.aafp.org/afp/2017/1001/p453-s1.html
Aseptic and Bacterial Meningitis: Evaluation, Treatment, and Prevention - American ...
Sep 1, 2017 - The etiologies of meningitis range in severity from benign and self-limited to life-threatening with potentially severe morbidity. Bacterial meningitis is a medical emergency that requires prompt recognition and treatment. Mortality remains high despite the introduction of vaccinations ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0901/p314.html
Preventing Falls in Older Persons - American Family Physician
Aug 15, 2017 - The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend exercise or ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0815/p240.html
Top POEMs of 2016 Consistent with the Principles of the Choosing Wisely Campaign - ...
Aug 15, 2017 - A challenge in the Choosing Wisely campaign is to identify low-value clinical actions supported by high-quality evidence. We applied a method based on crowdsourcing the Daily POEM (patient-oriented evidence that matters) to identify low-value clinical actions from research studies ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0815/p234.html
Drop in Number of FPs Who Deliver Babies May Create Rural Crisis
A projected shortage of obstetricians and a declining percentage of family physicians who provide maternity care could create a crisis for women in underserved areas.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20170815lv-ruralob.html
HIV-Associated Complications: A Systems-Based Approach - American Family Physician
Aug 1, 2017 - Persons with human immunodeficiency virus (HIV) infection often develop complications related directly to the infection, as well as to treatment. Aging, lifestyle factors, and comorbidities increase the risk of developing chronic conditions such as diabetes mellitus and chronic kidney ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0801/p161.html
Coding & Documentation - Jul-Aug 2017 -- FPM
Aug 1, 2017 - ...Coding for Hypertension: Painting a Picture of the Severity of Illness Immunizations: How to Protect Patients and the Bottom Line Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Immunization codes MOST RECENT ISSUE Sep-Oct 2020...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2017/0700/p37.html
Racial Differences in Outcomes Demand Greater Vigilance
Black men are twice as likely as their white peers to die from a first heart attack. Ada Stewart, M.D., writes that enhanced education and prevention could change that.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20170717lv-heartattack.html
Primary Care for Refugees: Challenges and Opportunities - American Family Physician
Jul 15, 2017 - Since 1975, more than 3 million refugees have settled in the United States, fleeing unrest, conflict, and persecution. Refugees represent diverse ethnic, cultural, religious, socioeconomic, and educational backgrounds. Despite this heterogeneity, there are commonalities in the refugee ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0715/p112.html
Screening for Obstructive Sleep Apnea in Adults - Putting Prevention into Practice - ...
Jul 15, 2017 - R.K. is a 52-year-old white man who presents to your office for a preventive health visit. He is overweight and has a history of hypertension and hyperlipidemia, which are stable and well controlled with medication. One of his coworkers was recently diagnosed with obstructive sleep ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2017/0715/p123.html
Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and ...
Jun 15, 2017 - Alzheimer disease comprises a syndrome of progressive cognitive and functional decline. Treatments should target cognitive and functional symptoms. Cholinesterase inhibitors, memantine, and a combination of a cholinesterase inhibitor and memantine have produced statistically significant...
American Family Physician : Article
https://www.aafp.org/afp/2017/0615/p771.html
Sleep Disorders in Children - American Family Physician
Jun 15, 2017 - ...Hypertension Musculoskeletal Care Respiratory Tract Infections Urinary Tract Infections/Dysuria Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Sign Up Now Legend Algorithm Point of Care Resource...
- Overview
- Screening, Diagnosis, and Prevention
- Treatment
- Editorials and Letters
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=84
Using Alcohol Screening and Brief Intervention to Address Patients' Risky Drinking -- FPM
Jun 1, 2017 - Asking patients about their drinking habits is a straightforward way to boost health and revenue.
Family Practice Management : Articles
https://www.aafp.org/fpm/2017/0500/p12.html
A Simple Approach to Shared Decision Making in Cancer Screening -- FPM
Jun 1, 2017 - When screening decisions aren't clear, this process can help you help your patients.
Family Practice Management : Articles
https://www.aafp.org/fpm/2017/0500/p5.html
Bare Arm Best for Blood Pressure Measurement - POEMs - American Family Physician
Jun 1, 2017 - To get the most accurate measure, let patients sit for a few minutes, and then measure their blood pressure on a completely bare arm. Does a difference of 4 mm systolic and 6 to 7 mm diastolic matter?
American Family Physician : POEMs
https://www.aafp.org/afp/2017/0601/p733.html
Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common ...
May 15, 2017 - Several medications have been used perioperatively in patients undergoing noncardiac surgery in an attempt to improve outcomes. Antiplatelet therapy for primary prevention of cardiovascular events should generally be discontinued seven to 10 days before surgery to avoid increasing the ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0515/p645.html
Venous Leg Ulcers - Clinical Evidence Handbook - American Family Physician
May 15, 2017 - What are the effects of treatments for venous leg ulcers? What are the effects of various interventions for venous leg ulcers?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2017/0515/p662.html
Free Clinics Need Our Help to Heal Patients, Communities
Leonard Reeves, M.D., shares a patient story that illustrates the powerful impact free clinics can have for those in dire need of help.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/free_clinics_need_our_help.html
Pharmacologic Treatment of Hypertension: ACP and AAFP Release Recommendations for ...
May 1, 2017 - The American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) have made recommendations for all clinicians to treat hypertension in persons 60 years and older, based on the benefits and harms of higher (less than 150 mm Hg) and lower (140 mm Hg or less) ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2017/0501/p588.html
Top 20 Research Studies of 2016 for Primary Care Physicians - American Family Physician
May 1, 2017 - This article summarizes the top 20 original research studies and four practice guidelines of 2016, based on regular literature surveillance and as selected by members of the Canadian Medical Association. The studies, known as POEMs (patient-oriented evidence that matters), were rated ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0501/p572.html
Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older: A Guideline ...
May 1, 2017 - A high standard must be met when guidelines recommend lifelong preventive medications, knowing that at best, a small minority of patients will benefit and that all are risking harm.
American Family Physician : Editorials
https://www.aafp.org/afp/2017/0501/p547.html
Health Maintenance in Postmenopausal Women - American Family Physician
May 1, 2017 - Cardiovascular disease is the leading cause of death and disability in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator every three to five years to estimate a woman’s 10-year risk of atherosclerotic ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0501/p561.html
Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician
May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2017/0501/p580.html
Beta2 Agonists for Acute Cough or a Clinical Diagnosis of Acute Bronchitis - Cochrane ...
May 1, 2017 - There is insufficient evidence to determine whether beta2 agonists can improve symptoms for children with acute cough or bronchitis with wheeze. Beta2 agonists are not likely to benefit and may cause adverse effects in adults who do not have evidence of airflow restriction (number ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2017/0501/p551.html
One-Third of Adults with Diagnosed Asthma Can Be Weaned Off All Asthma Medications - ...
May 1, 2017 - This study found that current asthma was ruled out after repeated testing in one-third of adults with physician-diagnosed asthma. Patients ruled out for current asthma were less likely to be using asthma medications or daily controlling medications and less likely to have undergone ...
American Family Physician : POEMs
https://www.aafp.org/afp/2017/0501/p586.html
Waterborne Illnesses - American Family Physician
May 1, 2017 - ...Previous: Pharmacologic Treatment of Hypertension: ACP and AAFP Release Recommendations for Adults 60 Years and Older Next: Oral NSAIDs for Perineal Pain in the Early Postpartum Period View the full table of contents >> Home / Journals / afp / Vol. 95/No. 9(May 1, 2017) /...
American Family Physician : Patient Handout
https://www.aafp.org/afp/2017/0501/p554-s1.html
AAFP News - May 1, 2017 - American Family Physician
May 1, 2017 - Selected policy and health issues news briefs from AAFP News.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2017/0501/p546.html
Severe Asymptomatic Hypertension: Evaluation and Treatment - American Family Physician
Apr 15, 2017 - Hypertension affects one-third of Americans and is a significant modifiable risk factor for cardiovascular disease, stroke, renal disease, and death. Severe asymptomatic hypertension is defined as severely elevated blood pressure (180 mm Hg or more systolic, or 110 mm Hg or more ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0415/p492.html
Peritonsillar Abscess - American Family Physician
Apr 15, 2017 - Peritonsillar abscess is the most common deep infection of the head and neck, occurring primarily in young adults. Diagnosis is usually made on the basis of clinical presentation and examination. Symptoms and findings generally include fever, sore throat, dysphagia, trismus, and a hot ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0415/p501.html
Preventing Sports Injury and Illness: Key Resources for Family Physicians - Editorials ...
Apr 15, 2017 - Given the limited attention paid to the role and importance of physical activity in medical schools and the limited exposure to sports medicine and musculoskeletal problems during residency, many physicians would likely benefit from additional knowledge to improve their ability to ...
American Family Physician : Editorials
https://www.aafp.org/afp/2017/0415/p479.html
Postpartum Hemorrhage: Prevention and Treatment - American Family Physician
Apr 1, 2017 - Postpartum hemorrhage is common and can occur in patients without risk factors for hemorrhage. Active management of the third stage of labor should be used routinely to reduce its incidence. Use of oxytocin after delivery of the anterior shoulder is the most important and effective ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0401/p442.html
Chronic Obstructive Pulmonary Disease: Diagnosis and Management - American Family ...
Apr 1, 2017 - The diagnosis of chronic obstructive pulmonary disease (COPD) should be suspected in patients with risk factors (primarily a history of smoking) who report dyspnea at rest or with exertion, chronic cough with or without sputum production, or a history of wheezing. COPD may be suspected ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0401/p433.html
Coding & Documentation - Mar-Apr 2017 -- FPM
Apr 1, 2017 - ...those that affected management decisions at the current encounter are pertinent to medical decision-making (e.g., a patient's controlled hypertension has little to no impact on treatment decisions if a patient presents with sore throat). You should be able to alter the documentation...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2017/0300/p36.html
Effects of Altered Dietary Salt Intake in Patients with Chronic Kidney Disease - ...
Apr 1, 2017 - Reducing salt intake lowers blood pressure and reduces proteinuria in patients with CKD, but there is no evidence to determine whether lowering salt consumption leads to clinically significant reductions in end-stage renal disease, cardiovascular events, or all-cause mortality.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2017/0401/p423.html
What Is the Best Approach to Annual Wellness Visits for Seniors? -- FPM
Apr 1, 2017 - Maybe it is time to change the way I do things - yet again.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2017/0300/p3.html
AHCA Won't Help Patients Who Need It Most
We asked our new physician bloggers how the American Health Care Act would affect their patients. Most said the legislation would hurt the poor, the elderly and the disabled.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/ahca_won_t_help_patients.html
Preterm Labor: Prevention and Management - American Family Physician
Mar 15, 2017 - In the United States, preterm delivery is the leading cause of neonatal morbidity and is the most common reason for hospitalization during pregnancy. The rate of preterm delivery (before 37 weeks’ gestation) has been declining since 2007. Clinical diagnosis of preterm labor is made if ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0315/p366.html
Palliative Care Through Illness Trajectory - Curbside Consultation - American Family ...
Mar 15, 2017 - Persons with multimorbidity often have unmet multidimensional needs related to their health. For example, Y.S. may also be experiencing poorly controlled symptoms, financial distress, and increasing anxiety. His family is likely distressed by his decline in health and unsure about what ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2017/0315/p386.html
Eye Pain in a Contractor Working in Iraq - Photo Quiz - American Family Physician
Mar 15, 2017 - A contractor in Iraq presents with unilateral eye pain and redness a cloud of dust blew into his face while fixing an old generator
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2017/0315/p389.html
Semaglutide Reduces CV Events in High-Risk Patients with Type 2 Diabetes Mellitus - ...
Mar 15, 2017 - Semaglutide significantly reduced the composite outcome of CV death, nonfatal myocardial infarction, and nonfatal stroke (number needed to treat [NNT] = 43 over 2.1 years). It was generally well tolerated, and it reduced body weight by approximately 6.4 to 9.5 lb (2.9 to 4.3 kg).
American Family Physician : POEMs
https://www.aafp.org/afp/2017/0315/p396.html
AAFP News - Mar 15, 2017 - American Family Physician
Mar 15, 2017 - Selected policy and health issues news briefs from AAFP News.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2017/0315/p348.html
Primary Care Needs a Raise -- All of Us
Family physicians and the rest of the primary care team deserve better compensation. Natasha Bhuyan, M.D., writes that investing more money in primary care would benefit not only physicians, but also their patients, staff and communities.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/primary_care_needs_a_raise.html