Can Understanding Gut-Brain Axis Biopsychosocial Pathways Improve Clinical Reasoning?, 2021, Ford et al

Highlights

• Because most nurse practitioners practice in primary care settings, developing cognitive tools and science in the area of the gut-brain axis area is critically important.
• The gut-brain axis has mechanisms that affect biopsychosocial attributes of health.
• Health issues are complex and benefit from evidence-informed assessments, differential diagnoses, possible interventions, and collaborations.

Abstract
Most nurse practitioners (NPs) practice in primary care settings. Cognitive tools to inform and advance NP understanding of biopsychosocial mechanisms can support early recognition, interdisciplinary collaboration, interventions, and prevention of negative outcomes. We describe the development of a model to support NP consideration of gut-brain axis evidence-based pathways, contributing variables, and related health outcomes. The model’s outcomes are factors associated with homeostasis or disruption of biological, psychological, and social systems. This cognitive tool aims to support NP awareness of multidomain gut-brain axis relationships to consider with differential diagnoses and clinical treatment of the “whole body system.”

Open access, https://www.npjournal.org/article/S1555-4155(21)00410-4/fulltext

 

To use a social media vernacular: "What fresh hell is this ?" Not just a single "Theory" in which to cram the patient but seven !

 

If we actually understood these pathways in depth, then I'd say yes. But we don't.

 

Certainly a lesson in not underestimating the gut-brain axis.
It allows everyone to talk crap.

 

None of this even comes close to make any sense. It's what gets me, how no one actually stands up and say: "OK, enough, this is a word salad of such inanity I cannot accept such low standards, this is unacceptable I would not even decide what cat food to buy based on such wacky nonsense and we are supposed to make life-and-death decisions affecting millions with this crap?". No one in the system objects and doublethink dominates. Incredible that medicine is still undergoing growing pains this late.

 

The amazing thing: there's probably someone out there who is actually proud of creating this nonsense.

Oh, and if it doesn't result in a major accolade for transforming patient care, it will of course be the fault of the nurses for not implementing it properly, or the patients for not trying hard enough.