Patient Care Management

Publication Title: 
Journal of Midwifery & Women's Health

The third stage of labor usually is eclipsed by the excitement of the birth of a baby. Evidence shows that management of this stage can directly influence important maternal outcomes such as blood loss, need for manual removal of the placenta, and postpartum hemorrhage. Most of the large trials have compared active management of the third stage to expectant management. Active management includes routine use of cord traction and uterotonins, whereas expectant management can be characterized as one of watchful waiting.

Author(s): 
Brucker, M. C.
Publication Title: 
Journal of Pain and Symptom Management

Providing care for patients and caring about patients should go hand in hand. Caring implicates our fundamental attitude towards patients, and our ability to convey kindness, compassion and respect. Yet all too often, patients and families experience health care as impersonal, mechanical; and quickly discover that patienthood trumps personhood. The consequences of a medical system organized around care rather than caring are considerable. Despite technical competence, patients and families are less satisfied with medical encounters when caring is lacking.

Author(s): 
Chochinov, Harvey Max
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This study was undertaken to determine the relationship between the time spent teaching various manual procedures in each of two different chiropractic colleges and the actual practice of those procedures in the graduate clinical environment of the doctors involved. METHODS: A simple questionnaire instrument was constructed to assess the frequency of use of 9 different manual evaluation treatment procedures. All graduates from the two chiropractic colleges in the state of Texas who obtained their license between 1988 and 1993 were polled.

Author(s): 
Leone, A.
Publication Title: 
Southern Medical Journal

One of the most complex patient treatment situations encountered by the clinician is the patient who presents with the cluster of signs and symptoms that lead to the diagnosis of fibromyalgia syndrome. While physicians focus primarily on pharmacologic treatment, a number of nonpharmacologic modalities have been shown to benefit patients as well.

Author(s): 
Morris, Christopher R.
Bowen, Laraine
Morris, Alton J.
Publication Title: 
Spine

STUDY DESIGN: Postal survey. OBJECTIVES: To describe the signs and symptoms that clinicians think represent nonspecific low back pain (NSLBP) subgroups, and to report the labels that clinicians give to those subgroups. SUMMARY OF BACKGROUND DATA: The cause of most low back pain (LBP) cannot be diagnosed. Consequently, approximately 80% of primary care LBP presentations are most accurately labeled as NSLBP. Most Australian primary care clinicians think that NSLBP is heterogeneous and treat patients differently based on that heterogeneity.

Author(s): 
Kent, Peter
Keating, Jennifer L.
Publication Title: 
Southern Medical Journal

One of the most complex patient treatment situations encountered by the clinician is the patient who presents with the cluster of signs and symptoms that lead to the diagnosis of fibromyalgia syndrome. While physicians focus primarily on pharmacologic treatment, a number of nonpharmacologic modalities have been shown to benefit patients as well.

Author(s): 
Morris, Christopher R.
Bowen, Laraine
Morris, Alton J.
Publication Title: 
Spine

STUDY DESIGN: Postal survey. OBJECTIVES: To describe the signs and symptoms that clinicians think represent nonspecific low back pain (NSLBP) subgroups, and to report the labels that clinicians give to those subgroups. SUMMARY OF BACKGROUND DATA: The cause of most low back pain (LBP) cannot be diagnosed. Consequently, approximately 80% of primary care LBP presentations are most accurately labeled as NSLBP. Most Australian primary care clinicians think that NSLBP is heterogeneous and treat patients differently based on that heterogeneity.

Author(s): 
Kent, Peter
Keating, Jennifer L.
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