Clinical Health Psychology and Primary Care: Practical by Robert J. Gatchel

By Robert J. Gatchel

Univ. of Texas Southwestern clinical heart, Dallas. textual content bargains assistance on setting up an built-in basic care overall healthiness psychology perform. every one bankruptcy covers the psychosocial, behavioral, and biopsychosocial components to a number of universal well-being lawsuits. comprises such themes as over the top drug and alcohol use, weight problems, and high blood pressure.

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Social influences can also serve as a barrier to adherence, especially if friends or family are encouraging deviations from diet, encouraging the use of alcohol or tobacco, or discouraging exercise. Some evidence suggests that men who are satisfied with their level of social support have poorer glycemic control than women who are satisfied with their social support precisely for the reason that men’s social contacts promote more nonadherence (Kaplan & Hartwell, 1987). The inconvenience of monitoring blood glucose levels, injecting insulin several times a day, monitoring calories, taking time to exercise, maintaining current knowledge, attending to foot care, and arranging regular health care appointments can also be an obstacle to adherence.

However, some specific issues that are particularly important or that have unique aspects for practice in the primary care setting are discussed. ” Psychologists working in primary care must be extraordinarily diligent not to practice beyond the services that they are qualified to provide. In our experience, some patients will not distinguish between a medical provider and a psychologist working in primary care. For example, they will sometimes ask for medication and refills. Because most psychologists do not have prescribing privileges, this boundary is easy to maintain.

Exercise should be approached with caution, however, because it may lead to hyperglycemia in people with Type I diabetes. ) Walking is 42 CLINICAL HEALTH PSYCHOLOGY AND PRIMARY CARE the exercise of choice for many people because it presents low risk to previously sedentary individuals and is typically convenient and inexpensive. Insulin Therapy Multiple injections of insulin are required each day for Type I diabetics and some Type II diabetics. Frequency of insulin depends on the intensity of therapy needed.

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