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10.1093/fampra/cmu051 http://scihub22266oqcxt.onion/10.1093/fampra/cmu051 C5942537!5942537!25192904     free     free     free Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Fam+Pract 2014 ; 31 (6): 723-32 Nephropedia Template TP {{tp|p=25192904|t=2014. Acute low back pain management in general practice: uncertainty and conflicting certainties |pdf=|usr=}}{{25192904}} gab.com Text Acute low back pain management in general practice: uncertainty and conflicting certainties JO: Fam Pract http://www.kidney.de/pget.php?&tw=1&pmid=25192904 #FOAvip Background.Low back pain (LBP) is a significant health problem and common reason to visit the GP. Evidence suggests GPs experience difficulty applying evidence-based guidelines. Objective.Explore GPs? underlying beliefs about acute LBP and how these influence their clinical management of patients. Methods.Eleven GPs from one geographical region within New Zealand were recruited by purposive sampling. Audio recordings of semi-structured qualitative interviews were transcribed verbatim. Data were analysed with an Interpretive Description framework. Results.Four key themes emerged related to the causes of acute LBP, GP confidence, communicating diagnostic uncertainty and encouraging movement and activity. Acute LBP was seen as a direct representation of tissue injury, consequently the assessment and management of patients? attitudes and beliefs was not a priority. Participants? confidence was decreased due to a perceived inability to diagnose or influence the tissue injury. Despite this, diagnoses were provided to patients to provide reassurance and meet expectations. Guideline recommendations regarding activity conflicted with a perceived need to protect damaged tissue, resulting in reported provision of mixed messages about the need to be both active and careful. Conclusions.GPs? initial focus upon tissue injury during acute care, and providing a diagnostic label, may influence patients? subsequent alignment with a biomedical perspective and contribute to consultation conflict and patients? perception of blame when discussion of psychosocial influences is introduced. Demonstrating the relevance of the biopsychosocial model to acute LBP may improve GPs? alignment with guidelines, improve their confidence to manage these patients and ultimately improve outcomes. Twit Text FOAVip Acute low back pain management in general practice: uncertainty and conflicting certainties ????Fam Pract http://www.kidney.de/pget.php?&tw=1&pmid=25192904 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25192904 #FOAvip English Wikipedia <ref>{{Cite pmid|25192904}}</ref> Acute low back pain management in general practice: uncertainty and conflicting certainties #MMPMID25192904 Darlow B; Dean S; Perry M; Mathieson F; Baxter GD; Dowell A Fam Pract 2014[Dec]; 31 (6): 723-32 PMID25192904show ga Background.Low back pain (LBP) is a significant health problem and common reason to visit the GP. Evidence suggests GPs experience difficulty applying evidence-based guidelines. Objective.Explore GPs? underlying beliefs about acute LBP and how these influence their clinical management of patients. Methods.Eleven GPs from one geographical region within New Zealand were recruited by purposive sampling. Audio recordings of semi-structured qualitative interviews were transcribed verbatim. Data were analysed with an Interpretive Description framework. Results.Four key themes emerged related to the causes of acute LBP, GP confidence, communicating diagnostic uncertainty and encouraging movement and activity. Acute LBP was seen as a direct representation of tissue injury, consequently the assessment and management of patients? attitudes and beliefs was not a priority. Participants? confidence was decreased due to a perceived inability to diagnose or influence the tissue injury. Despite this, diagnoses were provided to patients to provide reassurance and meet expectations. Guideline recommendations regarding activity conflicted with a perceived need to protect damaged tissue, resulting in reported provision of mixed messages about the need to be both active and careful. Conclusions.GPs? initial focus upon tissue injury during acute care, and providing a diagnostic label, may influence patients? subsequent alignment with a biomedical perspective and contribute to consultation conflict and patients? perception of blame when discussion of psychosocial influences is introduced. Demonstrating the relevance of the biopsychosocial model to acute LBP may improve GPs? alignment with guidelines, improve their confidence to manage these patients and ultimately improve outcomes. äAcute low back pain management in general practice: uncertainty and co(epmc).pdf DeepDyve Pubget Overpricing