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Biomedical subjects

A V Graham

Publications and source records attributed to A V Graham.

24 records · Page 2Linked to original sources

Family home assessment in family practice residency programs.

Physician-patient encounters in the home setting have decreased dramatically in the United States in recent years. This has occurred in spite of the continued important role the home environment plays in family health and family illness care. Although decreasing in frequency, home visits are still an important facet of family practice. A survey of family practice residency programs revealed that home visits are being done in most programs and that faculty members have a positive outlook on their importance. Programs were found to vary widely in the types of learning experiences available to residents. There is an apparent need for residency programs to improve their teaching efforts involving family home visiting by establishing objectives, structured curricular time, clinical experience, and protocols consistent with this purpose.

Attitude of Health Personnel↗

Miracle Village: a recovery community for addicted women and their children in public housing.

Miracle Village is a comprehensive substance-abuse treatment program for women and their children with a major goal of lasting sobriety for its clients. Recovery is built upon the principles of gender sensitive therapy and uses a family-centered perspective. Miracle Village offers an initial 3 months of intensive treatment followed by 21 months of continued comprehensive services. Located within a public housing complex, its secondary goal is the development of a core group of drug-free families to help revitalize the neighborhood. After 4 years of operation, 63% of the women who completed initial treatment are sober and living in the area.

Child↗

Substance abuse education for clinical nurses: a controlled study.

BACKGROUND: A study was conducted to evaluate a substance abuse component of a workshop for nurses being promoted to the position of Advanced Clinical Nurse. METHODS: We compared whether the 88 nurses who received the educational intervention increased their knowledge and enhanced their feelings of competence regarding the care of chemically dependent patients more than a control group of nurses who received the promotion workshop without the substance abuse component. RESULTS: The nurses in the intervention group had greater increases in knowledge and competence. CONCLUSIONS: This study points out the importance of providing hospital nurses with continuing education on substance abuse to compensate for their educational deficiencies, to provide the information they need and desire, and to help them meet the ANA's practice standards.

Adult↗

Creating a substance abuse network in family medicine: lessons learned.

Family practice was one of several primary care specialties awarded federal contracts in 1985 to survey substance abuse training needs. Family medicine has since excelled in creating a viable substance abuse network. Key events were the sponsorship of a fellowship program, the formation of the Society of Teachers of Family Medicine (STFM) Substance Abuse Working Group, and the working group's pursuit of externally funded projects. Tangible measures of the network's success include collective funding exceeding $7.3 million, an increase in the number of substance abuse activities at annual STFM conferences, and a nearly four-fold growth in the group's membership and collaborative publications. Key factors underlying the vitality of the network that may be generalizable include: 1) initial emphasis on training family physician faculty; 2) making optimal use of the existing administrative channels within STFM; 3) acquisition of external funding; 4) some continuity of core persons working together; 5) active networking within and outside family medicine; and 6) promotion of individual success.

Faculty, Medical↗

Family function, respiratory illness, and otitis media in urban black infants.

Associations between maternal perceptions of family functioning and rates of infant presentation for respiratory illness and otitis media were analyzed using data collected prospectively in a sample of 114 urban black mother-infant pairs. Family functioning was evaluated using the Family APGAR, truncated versions of Olson's FACES II cohesion and adaptability subscales, and a shortened version of Hudson's Index of Family Relationships. Lower maternal scores of family function were significantly associated with higher rates of physician visits for infant respiratory illness and otitis media during the first 15 months of life. This correlation persisted when controlled for breast feeding. Maternal perceptions of family function, including those tested antenatally, may be useful in identifying infants in similar populations who are at risk for increased frequency of visits to the family physician for respiratory illness and otitis media.

Acute Disease↗