The Journal of family practice
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Building strong relationships among physicians and staff improves the practice's ability to deal with the uncertainties of a rapidly changing environment. Interacting proactively with the economic, social, political, and cultural environment-the practice landscape-provides opportunities for adaptation and ongoing learning.
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Consider any alteration of mental status that follows a trauma to be a concussion, whether or not there is also a loss of consciousness. Don't order neuroimaging routinely; it is not necessary for diagnosing concussion. Neuroimaging is important, however, for patients who exhibit prolonged unconsciousness, focal neurologic deficits, or worsening symptoms. Treat post-concussive headache, a common complaint, with acetaminophen or ibuprofen.