Los síntomas en medicina de familia no son síntomas de enfermedad, sino síntomas de vida

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.

The Biopsychosocial Approach Gives Relevance to General Medicine as a Tool of Public Health

“…The goal of the GP as a community doctor is to offer comprehensive services to patients and communities. GPs form strong ties with patients and citizens, as well as with social service providers and specialty health care providers in the area (16).…”

“…Information on emerging epidemics, the impact of environmental hazards, and the consequences of changes in the social role and economic status of a community are available through the intelligent awareness and observation of general practitioners (GPs) (15). General medicine is defined in terms of relationships, which makes it unique in the main fields of clinical medicine (16). What characterizes and marks the difference in the work of the GP is the systemic approach (17,18).…”

“…Comprehensiveness implies understanding the patient, inserted in different contexts, from biopsychosocial, cultural and spiritual dimensions, focused on individual needs (12,(35)(36)(37)(38). For theGP biopsychosocial approach skills are crucial.…”

O uso do Miniex como ferramenta de feedback continuado para residente de medicina de família e comunidade em estágio na atenção primária à saúde

“…2,3 Por todo o tempo do estágio acontecem, pontualmente, discussões sobre modelo de entrevista motivacional e mecanismo de mudança de comportamento, além de ferramentas verbais e não verbais de comunicação.…”

Post Covid-19 Doctor-Patient Relationship Model. Creation of Social Connection Contexts With Physical Distancing

“…Further, the telecare avoid travel, waiting in the biomedical results, but also to social, psychological, and existential experience of the patient. It is time to change our way of thinking about the doctor-patient relationship [27][28][29].…”