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Treating sexual assault victims. A protocol for health professionals. 治疗性侵犯受害者。卫生专业人员的协议。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-02-01
C R Beckmann, L L Groetzinger
{"title":"Treating sexual assault victims. A protocol for health professionals.","authors":"C R Beckmann,&nbsp;L L Groetzinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sexual assault victims require a multidisciplinary approach encompassing emotional, medical, and forensic care. Evaluation should include general and genital examinations, collection of forensic specimens, and culturing for sexually transmitted diseases. Obtaining a complete history is not only medically and legally crucial, but also can be a valuable therapeutic activity. Antibiotic prophylaxis, postcoital contraception, and testing for human immunodeficiency virus should be offered. An understanding of the rape trauma syndrome is the foundation for providing emotional support. The need for follow-up evaluation and counseling should be stressed.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 2","pages":"123-6, 128-30"},"PeriodicalIF":0.0,"publicationDate":"1990-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The ability of PAs to solve patients' psychosocial problems. A preliminary report on patient expectations. PAs解决患者心理社会问题的能力。关于病人期望的初步报告。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-02-01
E Elizondo, J D Blessing
{"title":"The ability of PAs to solve patients' psychosocial problems. A preliminary report on patient expectations.","authors":"E Elizondo,&nbsp;J D Blessing","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient expectations of physician assistants constitute a relatively unexplored field. A survey was designed to evaluate the expectations that patients have of PAs faced with a patient's psychosocial problems. The survey was distributed in 1987 to four practices that employ PAs in south central Kansas. Selected patients were surveyed for their expectations of the PA in dealing with a series of personal, social, psychological, and health-related items. Results indicated that patients expected the PA to be involved with these problems, but did not expect the PA to be an expert.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 2","pages":"75-6, 79-82"},"PeriodicalIF":0.0,"publicationDate":"1990-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physician assistants in ophthalmology: a national survey. 眼科医师助理:一项全国性调查。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1990-01-01
W M Wilson, G L White, R T Murdock
{"title":"Physician assistants in ophthalmology: a national survey.","authors":"W M Wilson,&nbsp;G L White,&nbsp;R T Murdock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fifty-two physician assistants employed in ophthalmologic practice throughout the United States were identified. Demographic and role-delineation data from 40 PAs agreeing to participate in the study were collected by questionnaire and telephone interviews. The data indicated that the majority of ophthalmologic PAs are employed in large practices that specialize in cataract and radial keratotomy procedures and that those practices are primarily located in the Southeast and Gulf regions of the United States. The authors conclude that most PAs are being utilized appropriately by ophthalmologists, that more formalized educational and credentialing programs may be necessary for the future, and that PAs can be positive adjuncts to ophthalmologic practice.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"14 1","pages":"57-9, 62, 64"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PA impairment due to HIV infection. Part II: Building a professional support network. Forum. HIV感染导致的PA损伤。第二部分:建立专业支持网络。论坛。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1989-11-01
M Behar, J R Bogstad, L Gage, D A James, J S Mott
{"title":"PA impairment due to HIV infection. Part II: Building a professional support network. Forum.","authors":"M Behar,&nbsp;J R Bogstad,&nbsp;L Gage,&nbsp;D A James,&nbsp;J S Mott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Several members of the AAPA's Lesbian and Gay Physician Assistants Caucus who participated in the roundtable PAs and HIV-Antibody Testing: The Need for Guidelines When the Practitioner Is at Risk (1989;13[5]:146-158) met with members of the 12-Step/Caduceus Caucus to begin developing a cooperative effort to assist PAs who test positive for antibodies to the human immunodeficiency virus, and to explore other HIV-associated impairment issues. Part II focuses on concerns of the provider who is HIV-antibody positive as well as ways PA groups can cooperate to raise the profession's conciousness further and recommend guidelines and policy.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"13 11","pages":"61-4, 66-8, 73"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health-care decision making, Part II. Choices for incapacitated patients. 医疗保健决策，第二部分。无行为能力病人的选择。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1989-07-01
K Grant, S R Huntington
{"title":"Health-care decision making, Part II. Choices for incapacitated patients.","authors":"K Grant,&nbsp;S R Huntington","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The traditional, informal approach to making medical decisions for incapacitated patients is often inappropriate today. Guidelines are needed in two major areas: assessing incapacity and seeking surrogate decision makers. Judicially declared incompetency does not necessarily imply incapacity to make medical choices. Proposed standards for determining incapacity require a multistep evaluation of the patient's abilities to understand, reason, and communicate. When decisions must be made for an incapacitated patient, priority is given to the patient's previously stated preferences. An advance directive--living will or durable power of attorney--simplifies the process. If no advance directive was prepared, a surrogate decision maker may be designated according to applicable state statutes. Standards are still evolving for protecting the autonomy and best interests of vulnerable, incapacitated patients.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"13 7","pages":"76-86"},"PeriodicalIF":0.0,"publicationDate":"1989-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21162721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health-care decision making. Part I: Legal and ethical principles. 医疗保健决策。第一部分:法律和道德原则。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1989-06-01
K Grant, S R Huntington
{"title":"Health-care decision making. Part I: Legal and ethical principles.","authors":"K Grant,&nbsp;S R Huntington","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The growing elderly population and the acquired immunodeficiency syndrome (AIDS) epidemic have focused attention on ethical and legal issues surrounding health-care decision making. It is becoming increasingly critical to involve patients in the decisions that affect their care. Legal frameworks are evolving to protect the rights of both \"competent\" and \"incompetent\" patients. By writing instructions in advance, patients can increase their control and autonomy over health-care decisions. Physician assistants can facilitate the process by incorporating a patient value history into the chart and explaining legally recognized documents. Living wills generally apply in the context of terminal illness or irreversible coma; however, definitions of terminal conditions, imminent death, or life-sustaining procedures can be problematic. A number of states recognize the health-care durable power of attorney, which establishes a surrogate decision maker to act with specific instructions and limitations should the patient become incompetent or incapacitated.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"13 6","pages":"93, 96, 98 passim"},"PeriodicalIF":0.0,"publicationDate":"1989-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The need to expand minority recruitment. 扩大少数族裔招聘的必要性。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1989-06-01
K Bass
{"title":"The need to expand minority recruitment.","authors":"K Bass","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Involvement of minorities in the PA profession does not match the changing demographics of the United States. A concrete affirmative action plan should be developed to recruit more minorities into the profession to help meet the health care needs of underserved populations.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"13 6","pages":"12-3"},"PeriodicalIF":0.0,"publicationDate":"1989-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HIV antibody-positive. A new cause of impairment. 艾滋病毒抗体阳性。损害的新原因。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1989-05-01
L Hadley
{"title":"HIV antibody-positive. A new cause of impairment.","authors":"L Hadley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The American Academy of Physician Assistants Subcommittee on the Impaired Physician Assistant has begun to receive requests for help from PAs who fear that their ability to practice may be hindered because they are at risk of infection with human immunodeficiency virus (HIV). The American Medical Association and the Centers for Disease Control have already developed some guidelines for all health care providers. The special concerns of PAs are also being addressed by our national leadership. In response to specific concerns by some PAs directly affected, the former chairperson of the Task Force on the Impaired PA helped develop questions that the profession needs to address.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"13 5","pages":"16, 18, 21"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PAs and HIV-antibody testing. The need for guidelines when the practitioner is at risk. Discussion. PAs和hiv抗体检测。当从业者处于危险中时，需要指导方针。讨论。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1989-05-01
M Behar, D A James, S D Harris, L Gage, R Vachon
{"title":"PAs and HIV-antibody testing. The need for guidelines when the practitioner is at risk. Discussion.","authors":"M Behar,&nbsp;D A James,&nbsp;S D Harris,&nbsp;L Gage,&nbsp;R Vachon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The PA profession should establish guidelines for PAs at risk for infection with the human immunodeficiency virus (HIV) who wish to be tested for HIV antibody. Confidentiality and anonymity are critical factors, along with the employer's established policies. PAs working in emergency and surgical settings may be at greater professional risk of exposure to HIV; those with personal risk factors may consider being tested if their work exposes them to opportunistic infections. A clearinghouse for information should be established through the American Academy of Physician Assistants and state chapters.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"13 5","pages":"146, 148, 150-2 passim"},"PeriodicalIF":0.0,"publicationDate":"1989-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk management for physician assistants. 医师助理的风险管理。
Physician assistant (American Academy of Physician Assistants) Pub Date : 1989-04-01
S S Tozzini
{"title":"Risk management for physician assistants.","authors":"S S Tozzini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Until recently, physicians traditionally assumed malpractice liability for those to whom they delegated responsibility. Evolution of malpractice law during the past years has seen dependent practitioners held accountable to a standard of care expected to be provided by peers. Physician assistants are no longer protected from liability or suit. The most common action of liability is professional negligence; other actions include breach of contract, battery, informed consent, defamation of character, and invasion of privacy. Accurate diagnoses, good interpersonal skills, and proper documentation of the medical record at all times are the clinician's most effective tools in avoiding a malpractice lawsuit.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"13 4","pages":"127-8, 131-4, 143-4"},"PeriodicalIF":0.0,"publicationDate":"1989-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21185561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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