Literature DB >> 21782291

[The symptoms in family medicine are not symptoms of disease, they are symptoms of life].

José Luis Turabián1, Benjamín Pérez Franco, José Luis Turabián Fernández, Benjamin Pérez Franco.   

Abstract

The symptoms in family medicine are not signs of disease, but "signs of life"; in the consultation "all patient life comes together with him". Every consultation is primarily a biopsicosocial problem: the person perceives a dysfunction or alteration in relation with himself and his context. To do a diagnosis only with physical symptoms, can be a mistake because these do not identify the real problem. The different types of symptoms are "entangled" or chained some in others: the symptoms can be fitted or inevitable; to be expressions of biochemical alterations, symbols for the patient, group context expressions, or kinds of facing the facts; and they depend on the previous psychological patient performance, the severity of the deficit of the psychological function associated with the disease, the residual skills, the adjustment and the confrontation of the functional limitations, the relation doctor-patient, as well as on the influence of the context.
Copyright © 2011 Elsevier España, S.L. All rights reserved.

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Year:  2011        PMID: 21782291      PMCID: PMC7025203          DOI: 10.1016/j.aprim.2011.02.016

Source DB:  PubMed          Journal:  Aten Primaria        ISSN: 0212-6567            Impact factor:   1.137


  5 in total

1.  Narrative and medicine.

Authors:  Rita Charon
Journal:  N Engl J Med       Date:  2004-02-26       Impact factor: 91.245

2.  Comprehensive primary care for older patients with multiple chronic conditions: "Nobody rushes you through".

Authors:  Chad Boult; G Darryl Wieland
Journal:  JAMA       Date:  2010-11-03       Impact factor: 56.272

3.  [The diagnostic concept in family medicine: a view of the landscape. The diagnosis in family medicine].

Authors:  José Luis Turabián; Benjamín Pérez Franco
Journal:  Aten Primaria       Date:  2009-11-25       Impact factor: 1.137

4.  Symptoms and science: the frontiers of primary care research.

Authors:  K Kroenke
Journal:  J Gen Intern Med       Date:  1997-08       Impact factor: 5.128

5.  The nature of suffering and the goals of medicine.

Authors:  E J Cassel
Journal:  N Engl J Med       Date:  1982-03-18       Impact factor: 91.245

  5 in total

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