1) The document reports on the effectiveness of a multidisciplinary team approach in controlling HbA1c levels in patients with type 2 diabetes mellitus. It found that the approach was effective at reducing HbA1c levels compared to usual care over 6 months. 2) The document also reviews the components of patient-centered care, including understanding the patient as a whole person, enhancing the patient-doctor relationship, and tailoring care to the patient's needs and priorities. 3) Non-pharmacological and pharmacological management strategies are discussed for palliating dyspnea, including oxygen therapy, opioids, relaxation techniques, and addressing underlying causes.

4. 4
6
12
19
23
33
38
45
52
Case Report
58
63
68
70
74
76
80

5. 4

6. 5

7. Effectiveness of Multidisciplinary Team
Approach Technique on Controlling HbA1C
in Diabetes Mellitus Type 2 Patients
6

8. 2
Abstract
3
1
7

9. C)
1
8

10. Mean SD Mean SD P-value Mean SD Mean SD P-value
1
9

11. 11
7
8
4
10

12. 11

13. Preliminary Survey Report
12

14. 13

15. 14

16. 95
15

17. 16

18. 17

19. 18

20. Waist circumference value used for diagnosis
metabolic syndrome
Abstract
1
2
3 4
5
19

21. 6
7
8
9
10
11
12
20

22. Sensitivity Sensitivity
ROC Curve
ROC Curve
21

23. 22

24. 23

25. 9
1 2
3
4
5,6
7
8
24

26. 10
25

27. Allocation
26

28. p-value
2
)
27

29. p-value
28

30. p-value
29

31. 11
p-value
p-value
30

32. 12
31

33. 32

34. 1
33

35. Abstract
7
3,4
5,6
1
2
34

36. 1
35

37. 3
4
36

38. 37

39. Patient-Centred Care
1
2
3
38

40. The primary care consultation7 (1976)
(History of patient-centred care)
Client-centred therapy4 (1951)
The patient-centred clinical method: a model for the
doctor-patient interaction in family medicine8 (1984)
Patient-centred medicine with illness-centered
care5 (1957)
PATIENT PRESENTS CUES OF UNWELLNESS
DOCTOR SEARCHES
TWO PARALLEL AGENDAS
Total person approach6 (1972) DOCTOR’S AGENDA
PATIENT’S AGENDA
History Physical Examination
Laboratory Investigation Expectations Feelings Fears
DIFFERENTIAL UNDERSTANDING
DIAGNOSIS ILLNESS EXPERIENCE
INTEGRATION
The Thai Journal of Primary Care and Family Medicine 39

41. 9
10
11
10
12
13
14
15
40

42. (Components of Patient-centred care)
16
disease and illness)
17
(understanding the whole person)
The Thai Journal of Primary Care and Family Medicine 41

43. 20
(an awareness of the potential for a power dynamic)
21
Paternalistic :
prevention and health promotion)
18
19 Consumeristic :
Default :
Mutuality :
(enhancing the patient-doctor relationship)
X X
X X
X X
X X
42

44. 23
(a focus on healing) 22
realistic)
23
23
The Thai Journal of Primary Care and Family Medicine 43

45. 44

46. Dyspnea palliation: The review
1,2
3
4
5
1-6
6
6
7
8,9,44-46
The Thai Journal of Primary Care and Family Medicine 45

47. 10
1,9,10
5,9
8-11
2,10
(Burden and Coping)
9
9
10
46

48. 12
(pharmacologic management)
13
Strong opioids
13
9
17,18
(Dyspnea assessment)
17,18
19,20
21
22
23,24
14,15
25
16
The Thai Journal of Primary Care and Family Medicine 47

49. Oxygen therapy
25 25
31
9
4,5,8,9,22
31
32,33
9,22,26 32
33
27
27 34
27
35
27
31,36
28
29
29 37
30
37
48

50. (non-pharmacologic management)
9
34
38 37
39,40
4
1,41
42
43
31
The Thai Journal of Primary Care and Family Medicine 49

51. Reference
11.
50

52. 35.
The Thai Journal of Primary Care and Family Medicine 51

53. The Metabolic syndrome
1
52

54. 2
3-4
5-6
7
The Thai Journal of Primary Care and Family Medicine 53

55. 8
5.
54

56. Random Plasma glucose as a Screenting test
Random Plasma glucose Sensitivity
(mg/dl) (%) (%)
55
44
The Thai Journal of Primary Care and Family Medicine 55

57. Random BG
BG 140-199 BG<1
00
BG>2 40
2hGB>200 OGTT
DIABETES NORMAL
125
100- 2hrBG140-199
FBG
IFG IGT IGT+IFG
BEHAVIOR MODIFICATION
56

58. The Thai Journal of Primary Care and Family Medicine 57

59. 58

60. The Thai Journal of Primary Care and Family Medicine 59

61. 60

62. The Thai Journal of Primary Care and Family Medicine 61

63. 62

64. 2
3
The Thai Journal of Primary Care and Family Medicine 63

65. 64

66. The Thai Journal of Primary Care and Family Medicine 65

67. 66

68. The Thai Journal of Primary Care and Family Medicine 67

69. 68

70. The Thai Journal of Primary Care and Family Medicine 69

71. 70

72. The Thai Journal of Primary Care and Family Medicine 71

73. 72

74. The Thai Journal of Primary Care and Family Medicine 73

75. 74

76. The Thai Journal of Primary Care and Family Medicine 75

77. 76

78. The Thai Journal of Primary Care and Family Medicine 77

79. 78

80. The Thai Journal of Primary Care and Family Medicine 79