Benzodiazepines: Primary Care’s New Drug Problem
Curtailing prescription opioid use has led to an increase in prescribing benzodiazepines to manage pain.
Opinion
The Case of Theresa S, An Undocumented Immigrant With Lung Cancer
With soaring healthcare costs in the United States, the added burden of caring for people who do not live in the country legally can be overwhelming for healthcare providers and institutions.
The Future of the Affordable Care Act: Will the Much-Debated Policy Survive?
The future of the Affordable Care Act remains unknown, but the results of the 2018 midterm elections almost certainly prevent its repeal during the current presidency.
Are Advanced Practice Clinicians Up to Speed on LGBT Care?
Although physician assistant curricula focused on treating the LGBT community has increased, more work is needed to expand the research on this population.
The Role of Sleep in Daily Effectiveness
Although the volume of articles on sleep medicine has increased in medical journals and consumer publications, patients still fail to recognize the importance of sleep on overall health and wellness.
When Opioid Prescribing Guidelines Become Rules
Understanding the current opioid prescribing rules is necessary for clinicians to safely and effectively treat patients with chronic pain conditions.
Is Bed Rest Necessary in Pregnancy?
Although bed rest was once frequently advised in pregnancy, clinicians today routinely warn against bed rest for most pregnant patients due to potential negative effects.
Patient Management During the Holiday Season: What Clinicians Should Know
Although the holiday season may be joyous for some, others may feel the sting of depression; therefore, it is important to monitor patients during this time of year.
Obesity Medicine: Time for a Paradigm Shift?
Overweight patients often experience bias from the medical community, which may prevent them from seeking medical attention, even when it’s necessary.
Symptom Management for Restless Leg Syndrome
Restless leg syndrome is one of the most difficult sleep disorders to manage.
Mistaking Legal Recourse for Evidence-Based Medical Practices in Surrogacy
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: A Clinical Challenge
REM sleep behavior disorder is commonly seen in older men, and symptoms include violent muscle movements or fighting during the night.
Assessing the Risks of Using Alcohol as a Sleep Aid
Discussing alcohol use with patients is important as alcohol consumption before bedtime is shown to negatively affect patient sleeping patterns.
Might Coffee Be Causing Your Poor Sleep?
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.
Food Talk is Good Medicine
Some of the most memorable moments in medical practice are the times when a patient and clinician can chit-chat like friends.
When Prejudice Influences Patient Care
Although clinicians must treat every patient, regardless of their illness or their past, circumstances may influence the emotional connection a care provider establishes.
Will a New Cooling Device Benefit Patients With Insomnia?
Therapeutics to cool the brain may someday be a safer alternative to hypnotics.
Discrepancy of Sleep in Patients with Paradoxical Insomnia
In patients with paradoxical insomnia, also called sleep state misperception, there is a significant discrepancy between objective sleep quality and subjective perception of sleep.
Frightening parasomnias of childhood 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.
Navigating the Waters of Independently Practicing Physician Assistants
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.
Sleep wake regulation in progressive supranuclear palsy
Patients with progressive supranuclear palsy may have difficulty with sleep/wake regulation that can lead to profound sleep deprivation.
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