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Biomedical subjects

A E Helfand

Publications and source records attributed to A E Helfand.

At least 19 recordsLinked to original sources
PubMed1992

Public health considerations of human immunodeficiency virus.

The full spectrum of HIV infection will touch the lives of millions of Americans. All people need to be aware of this health crisis and its implications on their own lives and society. Health care providers need to recognize the risks and take appropriate precautions. Millions need assessment of their personal behavior that may have permitted them to become infected or that may now be exposing them to significant risk of infection. Education and counseling are significant factors in prevention. It has been estimated that well over 1,200,000 people in the United States are presently infected with HIV. Given all of this, podiatrists must be a part of the public health team that offers education, prevention, and promotes early care to help prevent the spread of HIV infection and to permit those infected to have a chance for longer and healthier lives and, when all else fails, to be provided with appropriate and compassionate care. Individuals practicing in podiatric medicine can expect recommendations in the future that include, in addition to the CDC's Universal Precautions Policy, submitting to voluntary determination of serostatus for those who perform exposure-prone procedures. Practitioners who are HIV infected and perform exposure-prone procedures will have to disclose their status to local review panels who will determine their practice. Local panels will then monitor HIV-infected practitioners for compliance with practice limitations and report those who violate limitations or precautions to state licensing boards. Those who serve on review panels will be protected from legal challenges.(ABSTRACT TRUNCATED AT 250 WORDS)

Acquired Immunodeficiency Syndrome↗
PubMed1990

Health promotion and podogeriatrics. A conceptual design for preventive services.

Because the majority of practicing podiatrists' received their professional training when less emphasis was placed on geriatrics, future continuing education activities should be expanded to upgrade a practitioners' understanding of elderly patients and the diagnosis and treatment of their foot problems, particularly among the frail elderly living at home or in nursing homes or other institutional settings. Efforts should also include special emphasis on the current publications in the profession on the subject of aging, including patient care, health care delivery, and other related topics. The podiatric medical profession stands ready, as it has always done, to care for the elderly with dignity and quality. The elderly should not be allowed to waste away because of their inability to help themselves. As we strive to meet these objectives and needs, there is no doubt that they will be met, as long as there is a national recognition of the needs and appropriate changes take place in the total health care delivery system to provide the mechanism for action.

Aging↗
PubMed1990

Physical medicine considerations in managing the older patient.

Foot problems are common in elderly patients, and the relief of foot pain can increase the rehabilitative potential for patients with chronic diseases, impairments, or disabilities. The authors discuss the process of evaluation of older persons, physical modalities that can be used as part of a rehabilitation program, and special considerations for various disorders common to geriatric patients. They also present a detailed description of a technique for the clinical management of peripheral arterial insufficiency.

Age Factors↗
PubMed1990

Guidelines for podiatric services in long-term care facilities.

The inclusion of appropriate podiatric services in long-term care programs often will produce dramatic effects. Immobility can be replaced by activity. Quality of care translates into quality of life. Support and encouragement can be directed to independence and a strong sense of personal identity and worth. Isolation can be replaced by interaction. When the quality of life decreases as a result of disease, disability, or age, those precious aspects of dignity must be restored to a maximum level by caring staff and people. Because walking is a catalyst for life, podiatric care can help restore some of the lost dignity by keeping patients walking and moving about, so that they can accept and participate in the social activities provided by the facility.

Aged↗
PubMed1990

Lesser metatarsalgia in the geriatric patient.

This segment provides a classic definition of the clinical condition as it presents in the older patient. This article discusses causative considerations as they relate to aging and management and related aspects involved in the care of the older patient.

Aged↗
PubMed1989

Nail and hyperkeratotic problems in the elderly foot.

Subungual hemorrhage, onychauxis, onychogryphosis, mycotic infections, onychia and paronychia are common toenail disorders in the elderly. The many contributing factors include impaired vision, changes in gait, past foot conditions and neurovascular disease. Hyperkeratotic disorders are secondary to external or internal pressure. Many of these foot problems are chronic conditions and require continuing management for relief. If improperly treated, some conditions may lead to amputation.

Aged↗
PubMed1987

Podogeriatrics.

Explore the source record for details and available documents.

Aged↗
PubMed1984

A positive approach to rehabilitation involving the foot.

Rehabilitation represents a total approach to patient care: the relief of pain, the restoration of the maximal level of function, and the maintenance of restored function in a pain-free state, mentally, psychologically, vocationally, and spiritually. As such, it implies a multidisciplinary approach to a complex set of problems and makes the use of a team approach imperative.

Adult↗
PubMed1984

Consideration of patient evaluation and utilization.

Once the diagnosis has been established and the treatment aims have been projected, the areas of treatment should be identified along with the desired results, frequency of treatment, and other instructions and precautions to be observed.

Activities of Daily Living↗
PubMed1984

Therapeutic modalities and procedures. Part I: Cold and Heat.

Therapeutic cold, or cryotherapy, has the cooling of the tissues as its primary effect. Based on the mode of application and duration of exposure, the basic physiologic effects are sedation, refrigeration, and the possibility of tissue destruction, Therapeutic heat is usually applied for two physical effects: superficial heat and deep heat. Hyperemia, sedation, and analgesia are the primary effects.

Aged↗
PubMed1984

Therapeutic modalities and procedures. Part II: Hydrotherapy and ultraviolet.

Hydrotherapy is the external application of water for therapeutic purposes. The therapeutic devices used for producing ultraviolet radiation are the hot quartz or mercury vapor lamp, the cold quartz lamp, the sun lamp with a tungsten filament, the carbon are unit, and the black light or Wood's filter for diagnostic fluorescence.

Baths↗