CHANGES IN BEHAVIOR
| Citations: | 2 - 0 self |
BibTeX
@MISC{Md_changesin,
author = {Jeffrey Victoroff Md and Michael Herbst Md and Rosabel Young Md},
title = {CHANGES IN BEHAVIOR},
year = {}
}
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Abstract
It is 3:30 on Friday afternoon. The front desk buzzes your nurse, announcing the arrival- without an appointment- of a 35-year-old woman accompanying her 83-year-old father. Four other patients are waiting for examining rooms. You are with a four-year-old girl whose asthma is worsening. "What's the problem? " you overhear your nurse ask the receptionist, her tone conveying the slightest hint of skepticism. "Oh, " she says. "I see, " she says. "For how long? " she asks. She sighs. Hearing that sigh, you know you're going to be seeing them This section will attempt to outline the 15 minute neurobehavior assessment. Today's pace of practice has accelerated from the epoch of luxurious 45-minute health promotion discussions to an unsettling "Beat the Clock " of frenetic juggling of priorities, hoping, in that circus act, not to drop any patient's ball. A high proportion of primary care visits involve behavioral problems, requiring us to quickly and confidently distinguish between medical/neurological causes and primary psychiatric conditions. So it is essential that we devise realistic strategies for walking into the examining room in total ignorance of the diagnosis and walking out 15 minutes later with a plan. Naturally, we need flexibility. Some things simply demand more time, perhaps not as much for diagnosis as for negotiating the exchange of human
Keyphrases
change behavior minute neurobehavior assessment front desk circus act primary psychiatric condition 35-year-old woman primary care visit realistic strategy frenetic juggling clock quot medical neurological cause friday afternoon high proportion behavioral problem unsettling quot four-year-old girl luxurious 45-minute health promotion discussion 83-year-old father total ignorance
