Comprehensive therapy
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Intravenous fluid administration is critical to the care of hospitalized patients. Despite the lack of a clear consensus on fluid administration, one may use the principles in this article to develop an organized framework for patient care.
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Cultural influences are often more important in the elderly and help explain the influence of nonbiological factors underlying pain appraisal, expression, and folk treatments. Five main psychological theories that underlie these cultural influences help direct supportive interventions.
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Comprehensive therapy · Jan 2005
ReviewChronic pelvic pain in women: evaluation and management in primary care.
Chronic pelvic pain (CPP) in women is a common disorder, affecting as many as 15% of adult women, and often provides both a diagnostic and therapeutic challenge. Pain in CPP may originate directly from pelvic organs, or may be referred from more distant tissue sites. A comprehensive medical history and physical examination should include special attention to gynecological, urological, gastrointestinal, psychiatric, myofascial, and neuromuscular systems. ⋯ Laboratory tests, transvaginal ultrasound, and laparoscopy may identify serious disease or provide significant reassurance to patient. Specific surgical procedures for various conditions and pain relief measures are beneficial in selected patients. A sensitive physician who is willing to spend adequate time and coordinate care with specialists can markedly diminish the suffering of these patients.
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Comprehensive therapy · Jan 2005
ReviewAspirin for the primary prevention of cardiovascular disease: a comprehensive review.
Aspirin use for the primary prevention of cardiovascular disease should be targeted to patients with a high cardiovascular risk. Physicians should assess the risks and benefits of aspirin therapy for primary prevention and incorporate patient preferences.
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Hypochondriasis (HA) involves the fear of serious illness despite appropriate reassurances. Because HA is associated with patients' personal suffering and clinical management problems, it is important for clinicians to be knowledgeable about current conceptual and treatment approaches to this problem.