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Development of Psychopharmacology in Borderline Personality Disorder (BPD)
No full textThis presentation strives to help providers diagnose Borderline Personality Disorder and decide on a treatment option shown to be most efficacious for their patient\u27s symptoms. Currently, no medications are indicated in the treatment of BPD, so information was compiled on researched treatment options. The issue of polypharmacy is also discussed, as an effort to avoid this issue in future clinical practice
Motivational Interviewing for the Healthcare Provider
Get PDFHealthcare providers are tasked with a seemingly simple mission: make people’s lives better. But, when well-intentioned recommendations are met with patient resistance, this task becomes challenging. Motivational interviewing (MI) is an evidence-based communication approach focused on championing patients to identify their own motivations for health behavior change, rather than providers authoritatively directing. Physician Assistants can make meaningful changes to how they counsel and educate patients by delivering carefully crafted language and reflections. With a partnership approach, patients and providers work together to identify modifiable health behaviors, develop therapeutic plans or goals, and see improved results. The utilization of motivational interviewing has shown high rates of smoking cessation, decreased cholesterol levels, increased psychiatric medication compliance, and even reduced pediatric BMI. Healthcare providers can use MI in any setting to contribute to the larger goal of improving patient lives
Integrating Transgender and Gender Diverse Content into PA Program Curricula
No full textObjective: Transgender and gender diverse (TGD) people have substantial barriers to accessing healthcare, one of the most cited being provider inexperience and lack of comfort with treating TGD patients. Current integration of transgender and gender diverse (TGD) content in physician assistant (PA) curricula is severely lacking. Incorporating content to address these deficits while overcoming bias could create a profound impact in improvinghealthcare outcomes for TGD people.
Methods: Review the current status of content implementation, and review literature pertaining to current interventions in medical curricula with measured outcomes specific to trans content.
Results: The majority of PA programs perceive TGD content as important, yet few consider their execution as satisfactory. Interventions best suited for PA programs involve longitudinal changes that incorporate content into existing courses, implementation of intergroup contact theory to reduce prejudice, addressing both barriers and facilitators to interventions, and overcoming bias in medicine that perpetuates inequality for TGD patients.
Conclusion: The best avenue for widespread TGD content integration is through official guidance from PAEA that outlines interventions optimized for PA curriculua described here
Autosomal Dominant Polycystic Kidney Disease: Diagnosis, Genetic testing, and Screening for Intracranial Aneurysm
No full textReceiving a diagnosis of ADPKD can be anxiety inducing. Current imaging guidelines are designed to help clinicians diagnose ADPKD, but imaging does little to determine how severe a patient\u27s disease course may be. Due to the familial nature of ADPKD clinicians need to be informed and prepared to counsel patients on the risks and benefits of screening at a young age. As more tools become available to predict an individual\u27s disease prognosis, it is important for clinicians to consider implementing genetic testing to provide the best individualized patient care. More specific prognostic information in the hands of the patient can ease uncertainty and give the patient a better sense of control over their disease. This presentation helps to display what information can be gleaned from genetic testing and which patient populations it may benefit. It also outlines how tracking certain parameters of kidney function could help predict disease course. Another topic that has remained controversial for clinicians is whether patients should be universally screened for intracranial aneurysm. This article aims to identify subsets of patient’s with ADPKD that would benefit from intracranial aneurysm screening and why screening a larger population should be considered
Evaluation of Diagnosis and Treatment Protocol for Early Skin Cancers: Skin of all Color
No full textSkin cancer is a common medical condition that can be encountered in a multitude of clinical settings. Early detection and prompt treatment are critical to optimize patient outcome and quality of life. It is important to keep in mind that people of all skin colors can suffer from malignant skin lesions. Due to the unique presentation of such lesions, it is necessary for all medical professionals to have the clinical ability to detect potentially dangerous neoplasms on all skin tones as early as possible
Contemporary management of acute appendicitis: A patient-centered approach
No full textAppendicitis remains one of the most common causes of acute abdominal pain in the adult patient. Associated morbidity and mortality are significantly mitigated by prompt diagnosis and treatment, making the maintenance of clinical acuity a priority for medical providers in various settings. Recent clinical trials demonstrating the efficacy of nonoperative management with antimicrobials promise to change the course of clinical decision-making in treating uncomplicated acute appendicitis. Therefore, it is now imperative that the most recent data and changing practices be understood in order to provide the most evidence-based and patient-centered care
Exploring Factors Contributing to Compassion Fatigue in Emergency Departments and Possible Interventions
No full textThe ED is a fast paced, busy, and unpredictable environment. Increased exposures to death, suffering, and trauma can make the ED a stressful environment and makes providers more susceptible to a phenomenon called compassion fatigue (CF), a diminished ability to feel compassion towards those they are tasked to care for. Three main contributors to CF in the ED are a poor workplace environment, workplace aggression/violence, and traumatic events. Exploring what contributes to these stressors and proposing ways to reduce them can help ED providers combat CF
Queer Theory in the Metal Music Scene: How These Cultures Influence Each Other
Get PDFQueer theory has existed in the metal music scene since its beginning. In this paper, many aspects of both topics are dissected. Focusing on metal fashion and its crossover into queer armor, Queer coding, and its translation to metal archetypes on television. And the analysis of queer comfortability in metal music spaces by using queer theory as it applies to mass cultures and subcultur
Advocating for the Provision of First-Trimester Abortions by Physician Assistants
No full textAbortion is a safe and common medical procedure. The stigma surrounding abortion in the United States has resulted in hundreds of restrictions on the procedure at both the state and federal level. Altogether, these restrictions are referred to as Targeted Regulation of Abortion Provider (TRAP) laws because they limit access to abortion by placing unnecessary, and in some cases insurmountable, barriers on both providers and patients. One example of a TRAP law that is particularly relevant to the Physician Assistant (PA) profession is the requirement in many states that only a physician may perform abortions. Studies have shown similar efficacy and complication rates for abortion procedures completed by both physicians and advanced practice clinicians (APCs). There is no evidence-based rationale to prohibit PAs and other APCs from providing abortion with proper training, particularly in the first trimester
Inaction and Executive Power as Policy Decisions: The Reagan Presidency and its Response to the AIDS Crisis, 1981-1989
No full textThis project examines the ways Reagan utilized different modes of presidential power and authority to respond to the outbreak of HIV/AIDS in the 1980s. Recent public health issues have been handled primarily by Republican administrations, which has uniquely shaped the pathology and public response to epidemics. In addition to analyzing presidential power and responses to public health issues, I will examine scholarly theories on the modes of presidential action and will analyze governmental communications to determine how and to what extent is the federal response to major public health crises shaped and/or affected by Federalism, the complicated interactions between the Federal government and the states. Federal level responses to major public health crises are dictated almost entirely by the adherence of individual Presidential administrations to different modalities of Federalism, and it is my belief that this administration has relied on a more unitary means of executive powers in hopes of justifying a derelict devolution of authority to the states