Clinical Care Pathways
Abdominal symptoms are common in the general population, up to 40% have dyspepsia or GERD (indigestion and reflux) while 15% have irritable bowel syndrome (IBS). Many of these concerns require a multi-model approach, with dietary interventions central to symptom improvement, as well as exercise, adequate sleep and stress control (very complex in and of itself).
There are long waits to see gastroenterology for these common problems, particularly when patients do not report concerning symptoms (that is, no 'red flags' such as weight loss, rectal bleeding, anemia or iron deficiency), and therefore, either WHILE PATIENTS WAIT or alternatively, they may experience improvement in their symptoms under the care of their primary care physician, if the following clinical care support tools or algorithms are used to guide management.
We have jointly developed five clinical care pathways that can be downloaded here, to help guide the care of your patients:
IRRITABLE BOWEL SYNDROME
GASTROESOPHAGEAL REFLUX DISEASE (GERD)
The Calgary Liver Unit has recently developed several algorithms for common liver issues:
Screening for Chronic Liver Disease
Testing and Treatment of Hepatitis B
Management of Hepatitis B in Immunosuppressed Patients
These are meant as clinical care SUPPORTS and physician judgment and assessment is a fundamental part of the care provided - these do NOT replace this judgement and act only as TOOLS in management.