Annals of family medicine
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Annals of family medicine · Nov 2024
"We Haven't Even Started Crying Yet": Caring for the Family Under Occupation and War in the Occupied Palestinian Territories.
Providing care for families under occupation has always been marked by scarce resources and too many patients. The current war in Gaza has dramatically worsened conditions in the Occupied Territories of Palestine (OTP). A family physician and her team in the southern West Bank describe their own challenges and give voice to the physicians in the OTP they interviewed to better understand the professional and personal challenges of living and working during the uncertainty of war. Annals Early Access article.
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Annals of family medicine · Nov 2024
The 2023 Terror Attack on Southern Israel: Well-Being and Burnout Among Health Care Personnel Treating Traumatized Evacuees.
This study investigates the well-being, resilience, and burnout of health care personnel treating evacuees with severe trauma following a major terrorist attack in southern Israel on October 7, 2023. Longitudinal trends and factors influencing personnel's emotional states are explored. ⋯ This research addresses a crucial gap in understanding personnel's emotional resilience and guiding interventions to enhance personnel well-being and improve patient care quality. Annals Early Access article.
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Wars and conflicts appear to be a fact of life for populations across the globe, often in places where family medicine functions as the backbone of the health care system. In these situations, family physicians are frequently called on to serve in expanded roles and are witnesses to the enormous mental and physical suffering of individuals, families, communities, and populations. This article examines the lessons family medicine can learn from current wars and other terrible conflagrations. Annals Early Access article.
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Annals of family medicine · Nov 2024
Healing Amidst Conflict: The Perspective of an Israeli Family Physician During Wartime.
Family medicine is well-established in Israel and serves as the foundation of the Israeli health care system. On October 7, 2023, Israel experienced a profound shock and trauma when over 1,200 Israelis, including Jews, Christians, and Muslims of all ages, were brutally murdered, tortured, raped, burned alive, or taken hostage by Hamas terrorists from Gaza. ⋯ It touches on the horror of the conflict while proposing that family physicians can stand as beacons of hope, offering healing and solace to all in need. Annals Early Access article.
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Annals of family medicine · Nov 2024
Improving Early Detection of Cognitive Impairment in Older Adults in Primary Care Clinics: Recommendations From an Interdisciplinary Geriatrics Summit.
As the population ages, the prevalence of cognitive impairment due to neurodegenerative diseases such as Alzheimer disease (AD) is expected to double in the United States to nearly 14 million over the next 40 years. AD and related dementias (ADRD) are a leading cause of morbidity and mortality and among the costliest to society. Although emerging biomedical interventions for ADRD focus on early stages and are currently limited to AD, care management can benefit patients with ADRD across the disease course. ⋯ In this report, we present key points and gaps in knowledge about methods for detecting cognitive impairment in primary care clinics. These were developed via an interdisciplinary Geriatrics Summit hosted by the National Academy of Neuropsychology in 2022, attended by representatives of national organizations engaged in work to improve care of older adults. We propose a novel workflow to facilitate detecting cognitive impairment during routine primary care, focusing on opportunities provided by the annual wellness visit, a preventive visit available to Medicare beneficiaries, along with additional recommendations and opportunities for clinical practice and research.