BIOLOGICAL FOUNDATION AND BASIS OF
CLINICAL MANAGEMENT
General Learning Objectives:
A primary health care physician must be able to discuss/explain the biological foundation and basis in the clinical management of a patient with Renal Health Problem.
Enabling objectives:
A primary health care physician must be able to answer the questions and accomplish the tasks listed below:
Epidemiology
1a. What is a Renal Health Problem?
1b. How common are Renal Health Problem as a health problem in the community? Support your answer.
2a. What are the different types/causes of Renal Health Problem?
2b. What are the 2 more common types/causes of Renal Health Problem in the community?
3a. What type(s) of persons (based on age groups, occupations, behaviors, and other factors) are at higher risk for Renal Health Problem?
3b. What type(s) of social environment (cultural practices, folk beliefs) predispose persons to Renal Health Problem?
3c. What type(s) of occupations and physical environment predispose persons to Renal Health Problem?
Pathophysiology
1. Make a diagram of a conceptual framework on the general pathophysiology of Renal Health Problem.
1.1 Make a diagram of a conceptual framework on the pathophysiology of the different types/causes of Renal Health Problem.
2. What systems, organs, tissues, and cells are usually involved in Renal Health Problem (in general and in particular types)? Draw the organs involved.
3. What are the usual functions of the different systems, organs, tissues, and cells that are usually involved in Renal Health Problem?
4. What are the usual changes in structure that may occur after the different systems, organs, tissues, and cells are involved in Renal Health Problem (in general and in particular types)?
5. What are the usual changes in structure that may occur after the different systems, organs, tissues, and cells are involved in Renal Health Problem (in general and in particular types)?
6. How does the human body respond to the Renal Health Problem, specifically, what are the endocrine, metabolic, and psychologic responses?
7a. Name three possible outcomes that may happen after a person is involved in Renal Health Problem (in general and in particular types) in the absence of a physician's intervention.
7b. Name three possible outcomes that may happen after a person is involved in Renal Health Problem (in general and in particular types) in the presence of a physician's intervention.
7c. What are the usual causes of disability in patients with Renal Health Problem (in general and in particular types)?
7d. What are the usual causes of death in patients with Renal Health Problem (in general and in particular types)?
Diagnosis
1. What are the usual presenting signs and symptoms of patients with Renal Health Problem?
2. What are the paraclinical diagnostic procedures (PCD) that are known to be done for patients with Renal Health Problem (in general and in particular types)? If there are, name at least three. Briefly describe how they are being done. Then, compare them in terms of benefit- risk-cost-availability in the community. Identify an indication for each procedure.
Treatment
1a. What are the indications for nonoperative treatment in patients with Renal Health Problem?
1b. Name at least three forms of nonoperative treatment in patients with Renal Health Problem.
Briefly describe them and give an indication for each.
2a. What are the indications for operative treatment in patients with Renal Health Problem?
2b. Name at least three forms of operative treatment in patients with Renal Health Problem.
Briefly describe them and give an indication for each.
2c. For a particular Renal Health Problem, enumerate at least three possible treatment procedures (T) or options (both operative and nonoperative). Then compare them in terms of benefit-risk-cost-availability in the community.
Management Plan, Algorithm, or Protocol
1. Outline the goals in the management of patients with Renal Health Problem.
2. Write a plan, algorithm, or protocol illustrating the general steps in the management of patients with Renal Health Problem in general.
3. Write a plan, algorithm, or protocol illustrating the general steps in the management of patients with specific kinds of Renal Health Problem.
Preventive and Promotive Health Program
1. Based on known risk factors, suggest ways to prevent Renal Health Problem.
2. Formulate (outline) a preventive and promotive health program on Renal Health Problem for yourself.
3. Formulate (outline) a preventive and promotive health program on Renal Health Problem for your community.
Identification of Issues
1. Identify at least one psychosocial factor that may promote occurrence of Renal Health Problem or that may affect recovery of patients with Renal Health Problem.
2. Identify at least one bioethical issue that may be encountered in the management of patients with Renal Health Problem.
3. Identify kinds/causes of Renal Health Problem that usually have legal implications and then briefly describe the legal implications.
4. Identify at least one medicolegal issue that may be encountered in the management of patients with Renal Health Problem.
5. Identify at least one personal research question in Renal Health Problem and briefly state the reasons why you consider it as such.
ROJ@17nov6