The Importance Of A Primary Care Doctor

”The concept of primary health care was defined by the world health organisation in 1978 as both a level of health service delivery and an approach to health care practice”( Gilchrist 2002)

The patient tells me that she is unsure when her last menstrual cycle was. Her periods are very irregular and she had not been keeping track of it. She and her husband have been attempting pregnancy for the last year and a half and she tells me that as of Thursday, August 27th, she and her husband had gone through the procedures for adoption. She said that she knows she ovulated on August 18th. She was using an ovulation kit. She took a home pregnancy test on the 28th, which was positive, repeated with a different brand of test on the 29th and that was also positive. She has a regular gynecologist with York Gynecology, Robert Cervenka, MD, that she uses regularly, and she already has an appointment with him

Psoriasis: This is a common, chronic and recurring skin disorder that changes and alters the life cycle of skin cells. It causes cells to accumulate quickly on the skin surface. The extra cells from the skin forms a thick, itchy, silvery scale and a red patch. It can appear at any part of the body such as the knee, scalp, elbow etc. it is treated with drugs applied to the skin, ingested and with ultraviolet radiation. This disease has affected about 1%-5% of the world population and it is more common to the light skinned people. Psoriasis may persist throughout a person’s life as it comes and goes but it is usually reduced during the summer period when the skin is exposed to ultraviolent radiation and flare ups are common during

Patient denies history of skin disease. Reports two serious sun burns while swimming and not re-applying sun screen. Reports occasional dryness of skin during the winter. Denies any

Today, the United States is facing a shortage of about 16,000 primary care physicians and this number will continue to grow by 2025 (Amirault, 2014). Primary care physicians (PCPs) are the doctors who focus on overall health and offer the treatments and preventive screenings that save lives. A physician shortage is a situation in which there are not enough providers to treat all patients in need of medical care. The Association of American Medical Colleges (AAMC) has long pointed out that the shortage of primary care physicians will be a major setback for the American healthcare system advancing (Amirault, 2014). The shortage of primary care providers presents

Marcy is a 34-year-old female here today with her daughter for a followup regarding her chest pain and GERD. The patient tells me following her last evaluation on July 1st, she did take the Nexium as was recommended. She was taking 40 mg for about a month. She said that worked very well. Her symptoms lessened and ultimately resolved. However, when she ran out of the Nexium, the symptoms are back again. She feels a pain in the lower sternum area, as well as in the upper epigastric area and was relieved when it went away with the Nexium. She has not continued to take it and wonders what she should do next. She is eating and drinking normally. She did try to cut back on dairy as she initially thought that might be related, but found that was not the case and now has that back in her diet. She is up three pounds since I last saw her and is at her highest weight that I have in the office. She is having no nausea, no vomiting. No early satiety. There is no diarrhea. No constipation. No blood in the stool. No melena. She wonders what the next step should be. She does tell me that when she was talking with her family, her mother has had an ulcer and her sister has been diagnosed with "stress ulcers" in the past.

She reported having a normal delivery, full term with no complications; developed normally. Major events: none. Nutrition history: fair. Social history: Currently lives with 2 children in her mother’s house, separated with ex-husband, who is in jail and plans to get a divorce.

The shortage of physician primary care provider, has created public awareness bringing about the demand of the advanced practice registered nurses (APRNs). The APRN has the necessary training to assess, diagnose and treat patients. As the role of APRN begin to expand the need to prescribe medications becomes very important. According to the American Association of Nurse Practitioners (AANP), APRN practice in the United States is divided into three groups: full practice, reduced practice, or restricted practice.

The intention of this family paper was to visit and assess R.M., C.M., and their two sons, J.M. and G.M., and provide them with information to better their health or function as a family. An in home assessment was performed on R.M. and his family to evaluate the objective and subjective needs of the family. R.M., the husband, is 31 years old and is married to C.M., also 31 years old. They are a traditional nuclear family with two sons, J.M., 5 years old, and G.M., 2 years old. C.M. is currently 35 weeks pregnant (upon fourth home visit) with the couple’s first female child. C.M. has had two previous Caesarean sections, the first being an emergency

Based upon our review, you filed a grievance because you stated that you reached out to your plan’s customer service department and you spoke with several representatives regarding if you need a referral and you felt like they did not know what exactly what is the policy.

There is growing evidence showing that healthcare systems with a strong primary care system provide care that is accessible and high-quality at a good value. A strong, ongoing relationship is key to what patients need. It is important that when someone is in need, a provider is accessible, is aware of their individual circumstances, and knowledgable about their health problems and history. As will be discussed, there is a major correlation between a strong, accessible primary care network and lower healthcare costs (not to mention increased quality).

Terry is a 57 year old male who suffers from severe plaque psoriasis (L40.0), along with arthritis. His symptoms include dusky to deep erythema, very thick tenacious scale predominates on his scalp, face, arms, abdomen, back, genitalia and legs, involving more than 10% of his BSA. He has tried and failed various treatments including taclonex, cultivate, fluticasone, triamcinolone and halog, with little to no relief. He is not a candidate for PUVA or other light therapies due to location of psoriasis. Terry has been dealing with psoriasis for years and the location has caused him embarrassment and a decrease in self-esteem, not to mention affecting his quality of life. Enbrel is his best treatment option at this time. Without this treatment

During prenatal visits, the practitioner will start by asking the pregnant woman how she was feeling and whether she has any

1990: Diagnosed with peptic ulcer disease, which resolved after three months on cimetidine. She describes no history of cancer, lung disease or previous heart disease.