IAmAPAStudent Posted May 21, 2011 Share Posted May 21, 2011 Jim Hammond described PA's as such: ...[PA's] perform the most fundamental yet complex tasks in medicine - the diagnosis, treatment, and prevention of a wide array of diseases and disorders - tasks not commonly done by nursing or allied health professionals."* I definitely know that PAs diagnose and treat patients. How much do PAs in general (or you specifically) work in "prevention" ? * (p.24, Ballweg/Stolberg/Sullivan - Physician Assistant: A Guide to Clinical Practice) Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 22, 2011 Moderator Share Posted May 22, 2011 working in em I do a bit but not as much as folks in primary care. I see a lot of folks on meds who no longer have a pcp and on occasion I will do some tweaking to their med regimen. for example I saw someone last week who comes in all the time with really high blood sugars on metformin and glyburide. I took them off glyburide and started daily low dose injectable lantus insulin, got them a glucometer, strips, lancets, syringes, glucose log, etc and diabetic teaching from the local free clinic and arranged close follow up for them with a volunteer endocrinologist at the free clinic. Link to comment Share on other sites More sharing options...
medic25 Posted May 22, 2011 Share Posted May 22, 2011 Another EM guy, so not tons of prevention. I'll frequently talk to my patients about smoking cessation, and generally try and have a conversation about birth control with patients not using protection. Link to comment Share on other sites More sharing options...
KMD16 Posted May 22, 2011 Share Posted May 22, 2011 Int Med PA here. I do it almost at every encounter. It helps pump-up billing $ amt. I usually quickly review the preventive health screening section in their chart before leaving the room. e.g. for a female pt 45 or older; will check to ensure that mammogram, pap smear, HIV test, FOBT & colonoscopy etc are up-to-date. If pt are smoker, will counsel them of risk & will usually offer treatment. If pt decline, will document in chart. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted May 22, 2011 Moderator Share Posted May 22, 2011 generally try and have a conversation about birth control with patients not using protection. yup, almost daily: me: are you sexually active 15 yr old: yes, all the time me: do you use condoms or other birth control 15: no me: so you're trying to have a baby? 15: no me: well, let's talk about that..... Link to comment Share on other sites More sharing options...
marilynpac Posted May 22, 2011 Share Posted May 22, 2011 yup, almost daily:me: are you sexually active 15 yr old: yes, all the time me: do you use condoms or other birth control 15: no me: so you're trying to have a baby? 15: no me: well, let's talk about that..... Winner, winner, chicken dinner!!!! Link to comment Share on other sites More sharing options...
Zeus Posted May 22, 2011 Share Posted May 22, 2011 Our FQHC is moving towards patient centered medical home, that's prevention on steroids. We will see how it goes... Link to comment Share on other sites More sharing options...
Joelseff Posted May 22, 2011 Share Posted May 22, 2011 not much preventative in PM&R.....FML Link to comment Share on other sites More sharing options...
medic25 Posted May 22, 2011 Share Posted May 22, 2011 yup, almost daily:me: are you sexually active 15 yr old: yes, all the time me: do you use condoms or other birth control 15: no me: so you're trying to have a baby? 15: no me: well, let's talk about that..... One of my more common responses to these patients: Me: Are you using condoms? Patient: Sometimes... Me: If you were jumping out of an airplane, would you use a parachute "sometimes", or every single time you jump? Link to comment Share on other sites More sharing options...
IAmAPAStudent Posted May 22, 2011 Author Share Posted May 22, 2011 I really appreciate everyone's responses; thanks Link to comment Share on other sites More sharing options...
sbellin Posted May 22, 2011 Share Posted May 22, 2011 Our FQHC is moving towards patient centered medical home, that's prevention on steroids. We will see FQHC how it goes... Also at a rural health clinic. Curious how the medical home works out. Let me know. Link to comment Share on other sites More sharing options...
Moderator ventana Posted May 22, 2011 Moderator Share Posted May 22, 2011 counsel pregnant patients to breast feed; bikers, cyclists, motorbikers to wear a helmet; people to wear seat belt ;exercise one hour for 6 days a week; safe sex practices (always test for the whole spectrum of diseases to hopefully scare the crap out of them and get them to use a condum!) and many more..... this is the "money" for me as if I get behavioral changes now I don't have to tell them they have an STD, TBI, GC, or all the stuff they avoid..... not a large part of my day but a part of it for sure Link to comment Share on other sites More sharing options...
elisor Posted June 9, 2011 Share Posted June 9, 2011 Haha... i said the exact thing to a patient today...Great minds think alike;) Link to comment Share on other sites More sharing options...
sk732 Posted June 10, 2011 Share Posted June 10, 2011 Dole some out pretty much daily - military primary care and occupational/operational medicine. Link to comment Share on other sites More sharing options...
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