Mcintyresauer8274

Presents a poem that is written from the perspective of a dying patient who is thanking the medical team that attempts to resuscitate them. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Presents a poem about a student doctor who gets a haircut from a patient with beauty school aspirations while in a drug rehab unit. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Roughly 60 years after the first questions were raised about hospitalized patients, Kaslow and colleagues (see record 2020-40858-010) articulate the importance of patient- and family-centered care and outline recommendations for hospitalist care teams. They concisely point out the need for such practices, but more important, they provide many practical examples. Some of the main recommendations include (a) form partnerships, (b) prioritize communication, (c) discuss care goals, (d) share decision-making, (e) collaborate to implement the treatment plan, (f) negotiate differences, and (g) make special accommodations for discharge planning. Within each of these areas, the authors provide specific patient-centered and family-focused practices. At a global level, none of the recommendations provided are unique to hospitalists' practice. Almost all of them are similar to patient- and family-centered care recommendations from other settings. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Traditionally, hospital medicine services have been dominated by the physician and hospital team, with significant barriers to patient- and family-centered care. This article offers principles and associated strategies to reduce those barriers and guide implementation of systemically informed, collaborative, and culturally responsive patient- and family-centered care provided by hospitalist care teams, especially regarding collaborative decision-making for treatment and discharge planning. Such an approach is associated with reduced lengths of stay and hospital costs and lowered rates of medical errors and mortality. It also is linked to improved patient and family cooperation and adherence; enhanced quality of care and clinical outcomes; and increased levels of satisfaction among health care professionals, patients, and families. Such care uses resources wisely and is effective and ethical. We hope articulating and illustrating these principles and strategies will facilitate efforts to shift the health care culture from being physician-centered to truly team-, patient-, and family-centered. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Introduction Although anxiety is highly prevalent in primary care and a top reason for referral to primary care behavioral health (PCBH) services, there are limited data on which anxiety interventions are used in routine PCBH practice. The objective of this study was to identify interventions delivered when treating anxiety in PCBH practice. Method We conducted an online survey of PCBH providers regarding their clinical practice with patients who present for treatment of anxiety symptoms. The final sample comprised 209 PCBH providers recruited from e-mail listservs of national professional organizations (59.3% psychologists, 23.4% social workers, 12.4% counselors, 4.8% other). Providers reported on use (yes/no) of 17 interventions in their most recent session with their most recent adult patient presenting with a primary concern of non-trauma-related anxiety. GLPG1690 Results On average, patients were reported to be 42.2 (14.73) years old, White (73.7%), and male (56.5%) with anxiety symptoms of moderate severity (65.6%). Most reportedly had comorbid sleep difficulties (63.6%), depressive symptoms (58.4%), and/or stress/adjustment (56.0%). Providers reported delivering an average of 5.77 (2.05, range 1-15) interventions, with psychoeducation (94.7%), relaxation training (64.1%), and supportive therapy (60.8%) being most common. Several highly efficacious evidence-based interventions for anxiety, including cognitive therapy (45.0%) and exposure (21.1%), were less common. Discussion While PCBH providers delivered numerous brief interventions for anxiety, cognitive therapy and exposure were underutilized. Furthermore, PCBH patients with anxiety symptoms were complex, with significant severity and comorbidity. These results suggest implications for research, clinical training, intervention design, and future implementation efforts. (PsycInfo Database Record (c) 2020 APA, all rights reserved).In this issue, the article "A Physician Communication Coaching Program," by McDaniel and colleagues (see record 2020-40858-007), addresses this untenable situation through the coaching of physicians as part of continuing medical education. The coaching program hopes to explode the traditional paradigm of physician-patient interaction. An alternative paradigm is the philosophy of health coaching. While McDaniel et al. (2020) describe coaching physicians, the new paradigm involves coaching patients. Health coaching can be summed up in the adage "Give a man a fish and you feed him for a day. Teach him how to fish and you feed him for a lifetime." Coaching is teaching "how to fish" by assisting patients to gain the knowledge, skills, and confidence to become informed, active participants in their care (Ghorob & Bodenheimer, 2013). Rather than telling patients what to do, coaching asks patients what they are willing and able to do to improve their health, meeting them where they are. Perhaps a patient with diabetes eats a pint of ice cream every night and cannot give it up. Rather than threatening, scolding, or imploring, physicians and other health personnel engage in a discussion of an action plan that the patient agrees to-perhaps eating only a half-pint of ice cream each night. Success with the realistic action plan breeds more success and eventually the ice cream becomes a rare treat. Randomized controlled trials demonstrate that this approach-compared with traditional care- significantly improves HbA1c levels in patients with diabetes (Thom et al., 2013; Willard-Grace et al., 2015). (PsycInfo Database Record (c) 2020 APA, all rights reserved).