Comprehensive therapy
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Cultural influences are often more important in the elderly and help explain the influence of nonbiological factors underlying pain appraisal, expression, and folk treatments. Five main psychological theories that underlie these cultural influences help direct supportive interventions.
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Comprehensive therapy · Jan 2005
ReviewChronic pelvic pain in women: evaluation and management in primary care.
Chronic pelvic pain (CPP) in women is a common disorder, affecting as many as 15% of adult women, and often provides both a diagnostic and therapeutic challenge. Pain in CPP may originate directly from pelvic organs, or may be referred from more distant tissue sites. A comprehensive medical history and physical examination should include special attention to gynecological, urological, gastrointestinal, psychiatric, myofascial, and neuromuscular systems. ⋯ Laboratory tests, transvaginal ultrasound, and laparoscopy may identify serious disease or provide significant reassurance to patient. Specific surgical procedures for various conditions and pain relief measures are beneficial in selected patients. A sensitive physician who is willing to spend adequate time and coordinate care with specialists can markedly diminish the suffering of these patients.
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Hypochondriasis (HA) involves the fear of serious illness despite appropriate reassurances. Because HA is associated with patients' personal suffering and clinical management problems, it is important for clinicians to be knowledgeable about current conceptual and treatment approaches to this problem.
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Primary care physicians can intervene to reduce perioperative complications due to comorbid medical illness in patients hospitalized with hip fracture. We review the role of the primary care physician in the treatment and prevention of perioperative morbidity and mortality.
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This is a review of current concepts in lung cancer prevention including primary or smoking prevention, secondary prevention or smoking cessation and tertiary prevention or chemoprevention of lung cancer.