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Biomedical subjects

S R Poole

Publications and source records attributed to S R Poole.

At least 37 records · Page 2Linked to original sources
PubMed1985

Persistent lower respiratory disease in children.

Recurrent or persistent lower respiratory disease in children may present in various ways. The differential diagnosis includes reactive airways disease (asthma), prolonged viral pneumonia (in the young infant) and foreign body aspiration-the most common causes of persistent respiratory symptoms. The differential diagnosis also includes a long list of rare conditions. Because of the many diagnostic possibilities, the evaluation of a child with persistent lower respiratory disease should be carried out in a systematic, stepwise fashion.

Asthma↗
PubMed1984

Recurrent abdominal pain in childhood and adolescence.

Most children and adolescents with recurrent abdominal pain (three or more episodes over three months) have psychophysiologic pain. This diagnosis can be based on specific criteria. Features include periumbilical or epigastric pain that occurs in the context of stressful events; a review of systems that does not point to organic disease; a family history of psychophysiologic gastrointestinal symptoms; a physical examination that reveals only abdominal tenderness, and negative laboratory tests.

Abdomen↗
PubMed1984

Hyperactivity.

Overactivity and poor attention span are symptoms for which there are several possible causes. The physician's role is to assist the family and school in recognizing the specific cause of the hyperactivity, institute appropriate treatment, and document and evaluate that treatment is effective.

Amphetamines↗
PubMed1984

Patients with delusional and bizarre thinking.

Patients with delusional or other types of bizarre thinking are often incorrectly labeled as schizophrenic. This error has significant medical and social implications to the patient. Delusional thinking has been linked with a variety of nonschizophrenic problems including the use of licit and illicit drugs, a wide variety of medical diseases, and nonschizophrenic psychiatric disturbances. A series of case studies in which the diagnosis of schizophrenia was incorrectly made elucidates the problem and helps the physician consider the alternatives.

Adolescent↗
PubMed1983

Bibliotherapy: an adjunct to care of patients with problems of living.

Bibliotherapy, or the selected use of reading as an adjunct to the treatment of medical and psychological problems, has a long history in the library science literature. However, the use of bibliotherapy by practicing physicians has not been significant. Many patients who see family physicians are candidates for bibliotherapy as adjunctive treatment. In the past five years numerous well-written books that address various patient problems of living have been made available. The authors surveyed a variety of health care specialists in the Denver area to develop a reading list for people with life problems. These problems have been categorized under the following headings: dealing with life crises and transitions, parents and children, parenting, coping with illness and disability, death and dying, lifestyle modification, sexuality, and coping with feelings. The resulting annotated bibliography may be used as a guide for practicing physicians who feel that appropriate reading material may be beneficial to their patients with such problems.

Adjustment Disorders↗
PubMed1983

The nurse practitioner's role in adolescent health care.

This study describes the 12,414 health care problems of 3,657 adolescent patients visiting 12 family practices over a one-year period. Age-sex distribution, visiting patterns and all categories of morbidity are described for patients between 13 and 20 years of age. Significant sex differences and differences among early, middle and late adolescents are also described. The results of this study have important implications for the training of nurse practitioners. Traditionally, nurse adolescent patients in their clinical setting to determine what conditions they learn about. This paper proposes the need for a competency-based curriculum and offers a list of topics to form the core of such a curriculum.

Adolescent↗
PubMed1983

Pediatric behavioral science in family practice.

Behavioral science is a well-accepted component of family practice, but official guidelines and proposed curricula have a predominantly adult focus. This paper describes a pediatric behavioral science curriculum for family practice residents that has been successfully integrated into the three-year family practice residency curriculum at the University of Colorado. Details of development and implementation are presented: the requisite knowledge base, skills, and attitudes; the core pediatric behavioral science topics and diagnoses; the family physician's role in handling each core diagnosis; guidelines for making management decisions; suggested approaches to teaching the curriculum; and a reference list for behavioral science faculty.

Attitude of Health Personnel↗
PubMed1983

Stepfamilies in family practice.

Stepfamilies have several important structural features and developmental milestones that differ from the nuclear family: complex relationships, ambiguous roles and expectations for family members, wide variety of previous family experiences for the various members, changes in support group and living arrangements, unresolved grief, and lack of institutional support. These features influence physical and mental health. The family physician must be aware of how stepfamily problems are likely to present and how to assist the stepfamily members with their problems. This paper describes an approach to recognition and management of stepfamily problems, anticipatory guidance for prevention of problems, and a number of patient education resources.

Competitive Behavior↗
PubMed1983

The infant with unexplained fever.

Managing the infant who has fever without an obvious source can be difficult. The clinician should know how the infant's age, temperature, degree of toxicity and white blood cell count relate to the risk of occult bacterial disease, particularly bacteremia. In many instances, presumed bacteremia can be managed initially with outpatient blood culture and antibiotics. Close follow-up and early reexamination are necessary if blood cultures are positive.

Age Factors↗
PubMed1983

Newborn care in family practice.

Official guidelines regarding the training of family practice residents in newborn medicine have been meager and general. Guidelines have traditionally focused on defining the requisite duration rather than the content of nursery rotations. A competency-based curriculum in newborn medicine is needed that defines requisite knowledge, skills, and attitudes; defines the appropriate role for the family physician in managing newborn problems; reflects the actual newborn experience of family physicians; is incorporated into residency training on a daily basis; and can be utilized in documenting resident competency in newborn health care. This paper describes the development, content, and daily implementation of a newborn curriculum that addresses these issues.

Family Practice↗
PubMed1983

Adolescent health care in family practice.

This paper describes the 12,414 health care problems of 3,657 adolescent patients visiting 12 Colorado family practices (4 rural, 3 urban, and 5 residency practices) over a one-year period. All 12 practices utilize the Family Medicine Information System, a selectively automated system for storing and analyzing medical, family, and billing data. Age-sex distribution, visiting patterns, and morbidity are described for patients between 13 and 20 years of age. The 25 most frequent adolescent diagnoses account for 74 percent of visits, and 134 diagnoses account for 95 percent of pediatric visits. Significant sex differences and differences among early, middle, and late adolescent age groups are described. All diagnostic categories are explored in detail, and comparisons are made between urban, rural, and residency practices.

Adolescent↗