Open Access. Powered by Scholars. Published by Universities.®

Primary Care Commons

Open Access. Powered by Scholars. Published by Universities.®

1,342 Full-Text Articles 2,330 Authors 188,507 Downloads 75 Institutions

All Articles in Primary Care

Faceted Search

1,342 full-text articles. Page 7 of 61.

Management Of Mental Health Illness: An Actionable Non-Pharmacologic Approach, Cody J. Couperus 2018 University of Vermont

Management Of Mental Health Illness: An Actionable Non-Pharmacologic Approach, Cody J. Couperus

Family Medicine Clerkship Student Projects

Mental health illness is a pervasive and incurs tremendous cost onto society. Patients benefit from a multi factorial approach to treatment including non-pharmacological methods. This project includes development of a handout utilizing compiled resources and motivational interviewing to facilitate patient use of these interventions.


Halting Progression Of Stasis Dermatitis: Community Perspectives And Strategies For Prevention, Allison B. Robbins 2018 University of Vermont

Halting Progression Of Stasis Dermatitis: Community Perspectives And Strategies For Prevention, Allison B. Robbins

Family Medicine Clerkship Student Projects

Complications of stasis dermatitis including venous ulcers, osteomyelitis, and cellulitis all significantly increase morbidity and mortality of disease. Progression beyond stasis dermatitis and avoidance of the aforementioned complications are preventable with patient education and adherence to basic therapies including compression stockings and lifestyle modification. Therefore the goals of this project were to: assess the community’s understanding of stasis dermatitis and their awareness of its complications; use this information to help healthcare providers tailor their preventative health counseling accordingly; and provide education for patients on stasis dermatitis, its complications, and therapies/behavioral changes to prevent disease progression.


Behavior Health Integration: Depression, Garyn Worrall 2018 The University of Vermont

Behavior Health Integration: Depression, Garyn Worrall

Family Medicine Clerkship Student Projects

Integration of Behavioral Health Specialists and mental health education is an important goal for the Community Health Center of Burlington (CHCB) Vermont. An educational brochure on depression was created with symptoms, definitions, self care, and ways to receive support from both CHCB, local, and national resources.


Lgbtq Inclusiveness In The Primary Care Setting, Joseph J. Lahey 2018 The University of Vermont

Lgbtq Inclusiveness In The Primary Care Setting, Joseph J. Lahey

Family Medicine Clerkship Student Projects

Despite public health efforts in recent years to provide additional care to the LGBTQ community, many health disparities still exist. It is difficult to address these problems due to the lack of organized data being received from health care institutions. Many medical offices have failed to provide a comfortable environment for LGBTQ individuals. This project illustrates a presentation given to staff at a primary care office on how to make the clinical environment more inclusive to LGBTQ individuals in order to provide adequate care.


High Dose Influenza Vaccine Utilization At Inland Hospital In Waterville, Maine, Margaret Klepack 2018 University of Vermont

High Dose Influenza Vaccine Utilization At Inland Hospital In Waterville, Maine, Margaret Klepack

Family Medicine Clerkship Student Projects

High-dose influenza vaccines are approved by the FDA for use in adults 65 years and older and have been shown to reduce the morbidity and mortality of influenza. However, the pharmacy manager and infection preventionist at Inland Hospital in Waterville, Maine identified the vaccine was not widely utilized at the institution's out-patient practices. This project reviewed the current literature on the high-dose vaccination and provided an educational presentation to family doctors about the evidence supporting the use of the high-dose vaccination. Data were collected from each practice of the number of high-dose influenza vaccines administered in the 2016-2017 and ...


Smoking Prevention Program For Adolescents: A Hands-On Approach, Sean Closs 2018 Larner College of Medicine

Smoking Prevention Program For Adolescents: A Hands-On Approach, Sean Closs

Family Medicine Clerkship Student Projects

This project is an initial pilot idea for hands-on experiences to reinforce smoking prevention in adolescents. The proposed idea is to have students specifically those identified 'at-risk', being given opportunities to interact with pathology specimens on-site at the hospital, introduce spirometry, and real-world panel discussions. The resources of the hospital provide a unique opportunity for promotion of this public health goal.


Identifying Food Insecurity And Increasing Access To Nutrition In Brandon, Vt, Jacob B. Reibel 2018 University of Vermont

Identifying Food Insecurity And Increasing Access To Nutrition In Brandon, Vt, Jacob B. Reibel

Family Medicine Clerkship Student Projects

Food insecurity is a significant problem in Vermont affecting over 10% of the population in 2016. Access to nutrition is an important social determinant of health with long term implications for our communities. In order to increase awareness of existing infrastructure to reduce food insecurity in Rutland County, a resource guide was created with information about local food pantries, community dinners, and assistance obtaining 3SquaresVT benefits.


Alcohol Support Groups: Alternative To The Aa Model, Tim Fields 2018 University of Vermont

Alcohol Support Groups: Alternative To The Aa Model, Tim Fields

Family Medicine Clerkship Student Projects

Alcohol abuse accounts for 88,000 deaths and $249 billion annually in the United States. At this point there is not a great evidence based model for the best form of group support. While AA and the twelve step model is the most frequently used group format, it has many limitation especially in small Vermont towns. This proposes an alternative model designed to work well in smaller communities.


Determination Of Return To Play In Infectious Mononucleosis, Tessa R. Barclay 2018 University of Vermont

Determination Of Return To Play In Infectious Mononucleosis, Tessa R. Barclay

Family Medicine Clerkship Student Projects

Splenic rupture is a rare, but potentially life-threatening, complication of infectious mononucleosis. Splenic rupture is generally uncommon four weeks after infection onset, however given the long incubation period and prodromal symptomatology characteristic of infectious mono, it can be difficult to determine an individual patient's risk in the clinical setting. Additionally, diagnostic labs have high false negative rates in the first 1-2 weeks of infection. To help alleviate diagnostic uncertainty and protect patients against outcomes such a splenic rupture, an evaluation and consolidation of the available literature yielded a simplified schematic of advisable activity levels for each stage of infection.


Intimate Partner Violence: Updated Screening Tool And Approach To Screen Positive Patients, Michael J. Hall 2018 The University of Vermont, Larner College of Medicine

Intimate Partner Violence: Updated Screening Tool And Approach To Screen Positive Patients, Michael J. Hall

Family Medicine Clerkship Student Projects

Intimate partner violence screening is recommended in all women of child-bearing age. Ensuring validated screening tool utilization and employing strategies to identify risk while providing non-judgmental support is critical to identifying patients and optimizing appropriate resource referral.


Prostate Cancer Screening Guidelines: Providing Patient Education, Michael Burton 2018 University of Vermont

Prostate Cancer Screening Guidelines: Providing Patient Education, Michael Burton

Family Medicine Clerkship Student Projects

The United States Preventative Services Task Force (USPSTF) is planning to update their prostate cancer PSA screening guidelines to a category C from category D grade. This could potentially lead to confusion among both providers and patients as they have become accustomed to the previous guidelines and there has always been much discussion among providers about whether to offer the test. This project seeks to provide information to patients about the upcoming change so that they are more informed and able to better participate in discussion with their doctor about the pros and cons of PSA testing.


Osteoporosis Education: An Insight Into Risk Factors & Prevention, Alan Lee 2018 Larner College of Medicine at the University of Vermont

Osteoporosis Education: An Insight Into Risk Factors & Prevention, Alan Lee

Family Medicine Clerkship Student Projects

In longitudinal studies of women residing in northern latitudes (i.e. Vermont), bone loss was most pronounced during winter months when sun exposure and weight-bearing activities are more limited. Although information about screening and treatments for osteoporosis are widely available to patients, there appears to be a gap in education about risk factors that predispose one to this silent yet deadly disease as well as strategies for prevention according to several community interviews that I conducted. In response to my conversations about osteoporosis, I decided to focus my intervention on educating the community about osteoporosis risk factors, recommended weight-bearing exercises ...


Gender Nonconforming Children: Education For Rural Vermont Families, Zachary Silberman 2018 University of Vermont

Gender Nonconforming Children: Education For Rural Vermont Families, Zachary Silberman

Family Medicine Clerkship Student Projects

Trans and Gender Nonconforming children and adolescents make up an increasing percentage of today's youth. Many of their families, parents, and healthcare providers lack information on how to address the topic. Additionally, the lack of research in the field, and the ever changing definitions, can make it difficult to navigate and, as a result, there are several persistent myths and misconceptions. This project seeks to address these myths, the terminology as currently used, and local community resources from a patient and family perspective, specifically targeted at rural Vermont.


A Patient's Guide To Smart Research, Zachary Winston Ehret 2018 University of Vermont

A Patient's Guide To Smart Research, Zachary Winston Ehret

Family Medicine Clerkship Student Projects

Patients may not know where to look when researching a health issue. This may lead them to resources that are not supported by research and may become an issue for their own health. Some websites may be filled with medical jargon, which can potentially exacerbate anxiety about a particular condition or cause concern for unrelated health issues. A handout compiling a list of resources would be helpful to providers and beneficial to patients.


Healthcare Workers Understanding Of Food Insecurity In Hinesburg Vt, Nate Benner 2018 University of Vermont

Healthcare Workers Understanding Of Food Insecurity In Hinesburg Vt, Nate Benner

Family Medicine Clerkship Student Projects

Food insecurity is a worldwide public health issue, and is even pervasive among relatively affluent communities in the United States. This project evaluated healthcare workers comfort in the topics of epidemiology and locally available resources with respect to food insecurity before and after an informational presentation. Results showed overall improvement in comfort on these topics following the presentation. Future research should be aimed at understanding if this changes referral rates.


Improving Advance Directive Use Through Provider Education At Newtown Primary Care, Timothy Wong 2018 University of Vermont

Improving Advance Directive Use Through Provider Education At Newtown Primary Care, Timothy Wong

Family Medicine Clerkship Student Projects

Nationally, there seems to be a discrepancy between a patient's desire to talk about end-of-life care and their act of doing so. An advance directive is a legal document that enables an individual facilitate an end-of-life care discussion with someone. For many patients, primary care is their first contact with healthcare on many occasions. Educating primary care providers about common misconceptions of advance directives and advance care planning may increase the amount patients that have talked to someone about their goals and desires at end of life. This project uses a handout and an oral presentation to educate providers ...


Addressing Exercise Education In Clinton County, Ny, Amanda M. Kardys 2018 UVM Larner College of Medicine

Addressing Exercise Education In Clinton County, Ny, Amanda M. Kardys

Family Medicine Clerkship Student Projects

In Clinton County, NY residents state that obesity, chronic disease, physical inactivity and low wages are top concerns. Many of these identified problems are tightly integrated and exacerbated by a lack of exercise education in this population. To address this, an exercise education pamphlet was created to be distributed to individuals in the community. The pamphlet focuses on discussing barriers such as time and cost of exercise, as well as enabling individuals with stretching information and local resources.


Providing A Health And Wellness Resource Guide To Senior Patients In Western Connecticut, Pooja T. Desai 2018 Robert Larner College of Medicine at The University of Vermont

Providing A Health And Wellness Resource Guide To Senior Patients In Western Connecticut, Pooja T. Desai

Family Medicine Clerkship Student Projects

Senior patients (>60 years) have a higher prevalence of chronic diseases, physical disabilities, mental illnesses, and other co-morbidities, when compared with younger patient populations. In the Primary Care setting, prevention and control of health problems of elderly patients necessitates a multifaceted approach incorporating active collaboration of health, social welfare, rural and urban development, and legal sectors. Through research and community outreach, I found that identifying available senior resources was an important need in the Western Connecticut community. My interviews and research guided the creation of an informational handout on the available resources for senior patients. Resources incorporate many aspects of ...


Promoting Health Literacy About Added Sugars, With A Focus On Patients With Limited English Proficiency, Megan Kawasaki 2018 University of Vermont

Promoting Health Literacy About Added Sugars, With A Focus On Patients With Limited English Proficiency, Megan Kawasaki

Family Medicine Clerkship Student Projects

Excess consumption of added sugars has been linked to the development of obesity, diabetes, and cardiovascular disease. The sequelae of such health conditions accrue significant public health costs - both in terms of healthcare spending as well as associated co-morbidities and mortality. Chittenden County, Vermont is home to at least 6,300 new Americans, many of whom have limited English proficiency (LEP). Although office visits can provide crucial advice regarding proper nutrition, written resources available for LEP patients are lacking. This project aimed to meet that need through development of an infographic-rich handout that both promotes healthier grocery store choices and ...


Seasonal Affective Disorder In Vermont, Hannah Johnson 2018 University of Vermont

Seasonal Affective Disorder In Vermont, Hannah Johnson

Family Medicine Clerkship Student Projects

A large proportion of major depression in Vermont has a seasonal pattern. The most common form of Seasonal Affective Disorder is winter depression. Several evidence-based treatments exist for SAD including light therapy, CBT, and antidepressant medications. Adjunct therapies, like exercise and social interaction, can also help patients feel better during the winter. In the primary care setting, an educational handout/poster will aid in educating patients about SAD and treatment options, and encourage them to seek help.


Digital Commons powered by bepress