Scandinavian journal of primary health care
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Scand J Prim Health Care · Sep 2010
Use of proton-pump inhibitors and their associated risks among frail elderly nursing home residents.
The aim of this study is to investigate the use of proton-pump inhibitors (PPI) and their associated risks among frail elderly nursing home residents. ⋯ Physicians should avoid unnecessary long-term use of PPIs, particularly among frail elderly long-term care patients.
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Scand J Prim Health Care · Sep 2010
Attachment in the doctor-patient relationship in general practice: a qualitative study.
To explore why interpersonal continuity with a regular doctor is valuable to patients. ⋯ Attachment theory may provide an explanation for patients' need to see a regular GP. The vulnerability of being a patient creates a need for attachment to a caregiver. This need is fundamental and is activated in adults when they are sick or scared.
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Scand J Prim Health Care · Sep 2010
Comparative StudyVitamin D status in patients with musculoskeletal pain, fatigue and headache: a cross-sectional descriptive study in a multi-ethnic general practice in Norway.
To investigate vitamin D levels in patients with non-specific musculoskeletal pain, headache, and fatigue. ⋯ Our study shows a high prevalence of hypovitaminosis D in patients with non-specific musculoskeletal pain, headache, or fatigue for whom the GP had suspected a low vitamin D level. Hypovitaminosis D was not restricted to immigrant patients. These results indicate that GPs should maintain awareness of hypovitaminosis D and refer patients who report headaches, fatigue, and musculoskeletal pain with minimal sun exposure and a low dietary vitamin D intake for assessment.
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Scand J Prim Health Care · Sep 2010
Comparative StudyAssociations between successful palliative trajectories, place of death and GP involvement.
General practitioner (GP) involvement may be instrumental in obtaining successful palliative cancer trajectories. The aim of the study was to examine associations between bereaved relatives' evaluation of palliative cancer trajectories, place of death, and GP involvement. ⋯ This study indicates that home death is positively associated with a higher likelihood that bereaved relatives will evaluate the palliative trajectory at home as successful. No specific GP services that were statistically significantly associated with higher satisfaction among relatives could be identified, but contact between GPs and relatives seems important and the impact needs further investigation.