Paying a surrogate to carry a fetus shoehorns a fourth, and fifth, party into the already tight therapeutic triangle formed by the biological mom, fetus, and physician.
REM sleep behavior disorder is commonly seen in older men, and symptoms include violent muscle movements or fighting during the night.
Discussing alcohol use with patients is important as alcohol consumption before bedtime is shown to negatively affect patient sleeping patterns.
Although the beneficial effects of drinking coffee include increased mental alertness, stamina, muscle recovery, and wakefulness, unwanted effects can include restlessness, palpitations, hypertension, insomnia, tremors, and increased urine output.
Some of the most memorable moments in medical practice are the times when a patient and clinician can chit-chat like friends.
Although clinicians must treat every patient, regardless of their illness or their past, circumstances may influence the emotional connection a care provider establishes.
Therapeutics to cool the brain may someday be a safer alternative to hypnotics.
In patients with paradoxical insomnia, also called sleep state misperception, there is a significant discrepancy between objective sleep quality and subjective perception of sleep.
Parasomnias usually occur in healthy children, but the differential can include neurologic, psychiatric, and mental disorders, so careful observation and a good history and physical are important.
An organization representing the effort to move toward autonomy has made big inroads into the AAPA, resulting in a push toward unhitching physician assistants from MD colleagues.
Patients with progressive supranuclear palsy may have difficulty with sleep/wake regulation that can lead to profound sleep deprivation.
Both CVS and Aetna care deeply about the prices of pharmaceuticals, but they are hoping to maximize company profits, not consumer savings.
The utility and effectiveness of wearable fitness devices are discussed in a clinician's opinion piece.
PAs should always keep in mind the sacred responsibility of the job: the knowledge to know what to do for our patients, and when and how to do it.
NP's take the time to listen and understand what the patient wants or is thinking, even if that means performing multimodal therapy.
A FNP reflects on his experiences working with pain management patients prescribed opioids.
Hepatitis C treatment improves outcomes and experiences for patient and provider.
A national databank is necessary and would include names of medical providers who have publicly expressed opinions indicating biases about certain populations.
Obesity is a chronic, progressive disease, and continued communication on prevention and treatment is paramount to reversing the status quo.
The cause of dermographic urticaria is unknown, but appears to be related to a mast cell abnormality and is probably autoimmune in nature.
Unknown knowns are ideas that we're aware of on some level but, for whatever reason, choose not to admit to ourselves.
It can be difficult to care for complex patients when they need services that do not exist.
Recent evidence has shown that binge watching television could lead to poor sleep.
A hospital policy to prevent video recording in the emergency department helps to prevent patients from recording clinicians without their permission.
It is essential for healthcare professionals to collaborate with other experts from all specialty areas.
Current surgical and prescribing practices may have a hand in exacerbating the nation's burgeoning opioid epidemic.
We are still not sure why we dream, but many patients are still curious about their significance.
Improving influenza vaccination rates will require a much greater commitment to preventative public health to change public perception of the importance and efficacy of flu vaccination.
The Mitrofanoff procedure is a simple yet ingenious concept that creates a passageway for the easy removal of urine in patients who self-catheterize.
The House of Delegates discussed the recertification process for PAs and the future of the PA profession.
A traumatic brain injury can change physical, cognitive, and emotional functioning, which can include changes in the patient's sleeping patterns.
Individuals with catathrenia experience a moaning, groaning, or high-pitched squeak during sleep.
Public opinion polls support the views of professional organizations, with 60% of Americans opposing the new American Health Care Act, 31% supporting it, and 9% undecided.
Working through the night and sleeping during the day can be a difficult adjustment.
Incorporating new technology in medical practices to manage outpatient medical records can sometimes be a challenge.
Patients who experience sleep paralysis may find themselves unable to move or speak and may have difficulty taking a deep breath.
"Safe consumption sites" are medically-supervised venues where heroin users can inject heroin in clean, safe, and medically-supervised facilities.
Many patients experience ongoing issues with nightmares or night terrors.
Parasomnias are undesirable physical or experiential events that occur during sleep as movements, emotions, perceptions, and dreams.
Adding another healthcare provider to the practice schedule creates additional access for the patient.
A physician assistant's stay in the hospital provides a new perspective of a patient's experience in the emergency department.
Experiencing the loss of a friend brings a new perspective to working in addiction medicine.
Some well-known sleep disorders are associated with headaches, including sleep apnea and parasomnias.
Counseling patients on the difference between a Pap smear and a pelvic exam will help them realize the importance of following up with a gynecologist for an annual visit.
The AAPA is moving forward with its push to eliminate the formal relationship between physicians and PAs.
Read these tips that could help patients improve their sleep hygiene.
Socioeconomically disadvantaged children have a higher rate of sleep difficulties than children from high-income households.
Using powder makeup containing talc may increase the risk of ovarian cancer.
An FNP reflects on the lessons he has learned in practice throughout the year.
Patients increase their chances of carbon monoxide exposure during the winter months.
Dreaming may allow us to learn and process emotional issues while we sleep.
Citizen responders assess and comfort patients in the aftermath of a car accident.
Lidocaine patches may be effective for patients who are in pain but are looking to avoid drugs that could be addictive.
Lack of sleep may be one reason for the increase in diabetes in the United States.
Commenting about patient behaviors on Facebook is becoming a common practice among clinicians.
Prescription drug monitoring programs allow prescribers to perform a statewide search to determine when a patient last had a controlled substance prescribed.
Melatonin has few side effects and could be a good alternative for those suffering from insomnia.
Patient evaluations performed through teleconferencing may lack the accuracy of a physical exam.
If used appropriately, caffeine can help medical personnel stay alert throughout the day.
Activity trackers may help transfusion-dependent patients estimate hemoglobin levels.
Treating patients at high risk of an STI before the culture results are available could lead to overtreatment.
Many physician assistants come to the profession after working as certified athletic trainers.
Alternative anesthetics can be used for patients who have a lidocaine allergy.
When clinicians write informal prescriptions, their supervising physicians may also suffer the consequences.
Some patients may be reluctant to seek care after sustaining an injury.
In the last few years, clinicians have overwhelmingly moved to recognize the implicit biases in their practice of medicine.
Different illnesses require that patients stay home from school or work for different lengths of time.
Patients who experience nocturia, or frequent urination during the night, may have increased mortality rates.
As the volume of patients in emergency departments across the country rise, more EDs are experimenting with appointment reservation systems.
Sunburn, mosquito bites, and fireworks all present dangerous hazards during the summer months.
Clinicians can help patients by providing information on pharmacies that offer discounts, coupons, and affordable prescriptions.
Sleep deprivation can cause hallucinations, decreased cognitive function, and anxiety.
Both PAs and NPs who practice addiction medicine have seen progress made in 2016 to increase practice authority.
Patients presenting with depression should be evaluated for sleep disorders.
Emergency department clinicians are faced with a number of challenges as ED's become more crowded.
Hyperarousal is linked to an increased likelihood of a patient using prescription sleep aids.
Patients facing addiction aren't from another planet - they're our parents, our siblings, our neighbors, and our friends.
Sometimes, stepping into a new professional role takes longer than expected.
The sleep concerns of female patients are often diagnosed as depression rather than obstructive sleep apnea, leading to increased risks for certain diseases.
When patients don't get enough sleep, lipid levels in their blood may make it more difficult for them resist overeating.
A form of male birth control called Vasalgel, which works by injecting a polymer gel into the vas deferens, is being developed in the United States.
Facing dementia with strength and courage can inspire and comfort patients' families.
Patients who are sedentary, obese, or smokers have an increased risk of developing restless leg syndrome.
Identifying the type of conjunctivitis that a patient has is the key to identifying the most effective course of action.
Clinicians should be able to diagnose age-related macular degeneration and distinguish between dry and wet presentations.
A national push to decrease opioid prescription rates has not led to a net decrease in overdose deaths. Has progress been made?
Understanding the link between vitamin D deficiency and obstructive sleep apnea can be challenging.
As the PA profession continues to grow, the NCCPA looks to the future with new recertification guidelines.
Although people who sleepwalk may injure themselves, they often do not feel pain until they are awake.
The AAPA has again proposed calling physician assistants PAs despite pushback from the House of Delegates.
A new study found that dietary intake of fiber, saturated fats, and carbohydrates can influence sleep quality.
Clinicians should trust their intuition when a patient's injuries don't match up with their story.
The Mallampati score is a simple, quick test that can be a good predictor of obstructive sleep apnea.
For clinicians who struggle with substance abuse and other mental health problems, impaired provider programs offer a safe, supportive space where they can recover.
When patients present with concerning behavior, an explanation of patient-provider confidentiality can help clinicians provide effective treatment more quickly.
A growing number of adults in the United States are not getting the recommended 7 to 8 hours of sleep per night.
In the wake of mass shootings, the issue of gun control continues to divide the AAPA House of Delegates regarding the organization's policies.
The patient flow may slow down during the holidays, but some people come to the emergency department for more than just physical reasons.
Look for symptoms like headaches, daytime sleepiness, and forgetfulness when diagnosing obstructive sleep apnea.
Using the correct names for parts of the reproductive system can lead to better knowledge and care of the body.