o.Dr. Jorgensen is a family practice doctor with a steady, yet varied, patient p
ID: 243150 • Letter: O
Question
o.Dr. Jorgensen is a family practice doctor with a steady, yet varied, patient population. 8 Practicing medicine in a small suburban community, he sees whole families ranging from newborn babies to adults well into their 80s. He prides himself on his practice of preventive medicine in particular, and, because he has such a longstanding rapport with his patients, they adhere to his counseling on healthy living and follow up regularly for anual physicals and appropriate screening test. Among other things, I particularly diligent in his screening for, and treatment of diabetes mellitus; he tests all of his patients over age 45 for diabetes and refèrs all of his diagnosed diabetie patients for annual ophthalmologic exams. Recently, Dr. Jorgensen began mentoring a new family practice physician, Dr. Sandkey. Dr. Sandkey completed her residence in family practice at a large, inner-city academic hospital, where she attended a number of lectures on cost- effective treatment. Like Dr. Jorgensen, Dr. Sandkey has a special interest in preventive medicine and is well-versed in the current recommendations regarding diabetes screening and treatment. Because Dr. Sandkey is looking to model her practice after Dr. Jorgensen's she has been going through old patient charts to see how Dr. Jorgensen tracks his patients' health practices. "Dr. Jorgensen, I have to ask you about how you choose your medical interventions and screenings. I read a study that indicated screening everyone age 45 and older for diabetes had minimal benefit but cost more than $500 per person on average. Why have you decided to screen this entire group of patients? r. Jorgensen is What approach would you consider to be most ethical. Explain wayExplanation / Answer
Adults aged 45 and older must be screened for abnormal glucose and type 2 diabetes,according to guidelines from the US preventive services task force(USPSTF).
Task force suggests that low risk individuals must be screened every 3 years and the high risk individuals those who have thefamily history and obese ,must be screened every year eventhough last year reports shows normal values.
This approach helps to rule out the diabetes early and changes in lifestyle will helps to prevent diabetes in high risk people without medication.
Screening tests to rule out diabetes includes ,
1.FASTING BLOOD SUGAR,(plasma glucose)
2.RANDOM BLOOD SUGAR ,
3.ORAL GLUCOSE TOLERANCE TEST.
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