Biomedical subjects

S R Poole

Publications and source records attributed to S R Poole.

42 records · Page 3Linked to original sources

PubMed1982

Depressive equivalents in adults.

Depression is frequently unrecognized because many of its manifestations do not fit the classic picture of depressive syndrome. Common atypical presentations of depressive syndrome include: variations of typical depressive symptoms; depression without sadness; depression without an obvious source; depression and somatic symptoms; depression and chronic pain; depression and intensification of previous personality styles, and depression manifesting as substance abuse or other psychosocial disorders.

Adult↗

PubMed1982

Irritable colon syndrome of infancy.

Irritable colon syndrome of infancy is the most frequent cause of chronic diarrhea in children between eight months and three years of age who are still gaining weight at a normal rate. The diarrhea occurs in response to a wide variety of stimuli, and a strong family history of functional bowel disorders is common. The usual dietary regimens for diarrhea perpetuate the problem. A regular diet, without snacks, is recommended, with fluids restricted to unchilled beverages taken with meals.

Child, Preschool↗

PubMed1982

Pediatric health care in family practice.

This paper describes the 32,926 health care problems of 9,117 pediatric 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 (FMIS), a selectively automated system for storing and analyzing medical, family, and billing data. Age-sex distribution, visiting patterns, and morbidity are described for patients under 18 years of age. The 25 most frequent pediatric diagnoses account for 77 percent of visits, and 121 diagnoses account for 94 percent of pediatric visits. All diagnostic categories are explored in detail, and comparisons are made among urban, rural, and residency practices.

Adolescent↗

PubMed1982

Pediatric training in family practice: a core curriculum.

Official residency guidelines for pediatric training of family practice residents focus on the number of months of block time on pediatric rotations and the percentage of pediatric patients in the resident's model practice. These guidelines do not ensure competence in pediatrics. Family practice residencies need a competency-based curriculum derived from actual pediatric experience in family practice. Such a curriculum should define specific knowledge, skills, and attitudes required, define the family physician's role in handling each issue or condition, be used on a daily basis, and form a basis for evaluation of residents and curriculum. This paper describes the development and implementation of such a pediatric core curriculum at the University of Colorado Family Practice Residency.

Clinical Competence↗

PubMed1980

Hospitalization of a psychotic mother and her breast-feeding infant.

Although a nursing mother who becomes psychotic and requires hospitalization is traditionally separated from her infant, the authors successfully treated a psychotic mother by hospitalizing both mother and son. Staff members cared for the infant in the hospital nursing station and assisted the mother in understanding and caring for her son through a structured schedule of infant care. The early focus on the mother-child relationship hastened the recovery of the mother to no detriment of the child.

Adult↗

PubMed1980

The "over-anxious" parent.

This study describes the sources of anxiety in parents who report being highly anxious at pediatric visits for minor problems, despite usual management and reassurance. During a one-year period, 44 parents (0.8% of all visits; 3% of all families) were identified as "over-anxious" in a private pediatric practice. The most common sign of anxiety in these parents was the lack of satisfaction, or lack of closure, at the end of the visit. Each parent had from one to three underlying sources of anxiety in addition to the presenting complaint. The underlying sources of concern were uncovered in a brief interview and they fell into six categories: hidden agenda (28%); vulnerable child (23%); inexperienced parents (23%); psychosocially stressed parents (14%); iatrogenic anxiety (7%); and the chronically anxious parent (4%). Reassurance alone did not relieve anxiety for these parents. However, their anxiety decreased when the physician recognized and treated their specific underlying concerns. Techniques are suggested for understanding and treating "over-anxious" parents in the practice setting.

Anxiety↗