for the patient to plan for escape and telephone numbers of shelters or crisis lines, as indicated. Some patients seem unaware of their abusive situat...
for the patient to plan for escape and telephone numbers of shelters or crisis lines, as indicated. Some patients seem unaware of their abusive situation. It is helpful to tell such persons that you see the situation as abusive, make them aware of their options, and, if necessary, help them reach a safe place. Discussion.—Situations vary, so it is wise to screen all women and children for IPV. Asking questions to obtain information is a good start. It may be necessary to provide helpful information to ensure safety for those involved. It is also wise to remember that not all persons are ready to acknowledge the abuse. Although you can offer help, it is the patient who will need to take action.
Clinical Significance.—Getting involved in domestic problems confronts us with moral and ethical issues. Presented are suggestions on how to approach suspicious signs when a patient is reticent to share.
Furst I, Furst S: A 25-year-old woman presents for treatment with a chipped front tooth and a black eye. Should I ask about domestic violence and, if it is occurring, what should I do? Calif Dent Assoc J 72:534-535, 2006 Reprints not available
EXTRACTS WAITING TO WORK OUT For people with asthma, a workout late in the afternoon can reduce their huffing and puffing. According to a 5-year study conducted at Long Island Jewish Medical Center, the lungs were found to be strongest in the late afternoon for 4835 study participants. Boris Medarov, the study’s author, found that lung function is governed by circadian rhythms, the body’s internal timekeepers. It isn’t certain that evening workouts for individuals without asthma are most beneficial, according to Medarov. But his findings may indicate that asthma medications taken at midday may result in improved lung function. Check with your doctor before altering your medication routine. [Breathe-easier exercises. Prevention, April 2005, p 34.]
EXTRACTS STARCH AND DIABETES The risk of type 2 diabetes increases nearly 20% if you consume potatoes once a day or French fries twice a week according to the 20-year Nurses’ Health Study. Years of eating starchy foods such as potatoes may release so much sugar into your blood that your body quits producing sufficient insulin to handle the sugar. The result is diabetes. Sweet potatoes, brown or wild rice, and beans are better choices. [Too many potatoes may lead to diabetes. Health Sept 2006, p. 82]