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El. knyga: General Practice Today: A Practical Guide to Modern Consultations

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  • Formatas: 172 pages
  • Išleidimo metai: 30-Oct-2017
  • Leidėjas: CRC Press
  • Kalba: eng
  • ISBN-13: 9781351966986
Kitos knygos pagal šią temą:
General Practice Today: A Practical Guide to Modern ConsultationsDidesnis paveikslėlis
  • Formatas: 172 pages
  • Išleidimo metai: 30-Oct-2017
  • Leidėjas: CRC Press
  • Kalba: eng
  • ISBN-13: 9781351966986
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General Practice Today explores the GP consultation in the context of external 'stressors' and 'helpers' that doctors use to make best clinical decisions. Over the last 30 years there has been a move towards mandatory training on legal aspects, risk scores and guidance. Additionally, with widespread access to IT there has been a huge growth in the information doctors need to know and manage. Yet today’s GP has never been more time-poor or under so much pressure. All these outside considerations can seem challenging and remote for the doctor sat with their patient; yet in today’s reality they have never been more important. This book offers insight into the practical impact and importance of these external factors. It offers advice on everything from law, technology and time management to mental health issues, ethics, religion and culture, exploring how to determine which issues are relevant to each individual consultation.

Packing each chapter with realistic examples, author Jane Wilcock draws on her own extensive experience to help GPs make considered, contextual decisions that enhance the health and well-being of their patients. This book is essential reading for any General Practitioner, allied health care practitioner or trainee preparing to practice in our complex modern world.

Recenzijos

This book reflects the ever-changing landscape of general practice; it's a resource that can be used before, during and after a consultation to allow the busy clinician to prepare prior, or be directed to a more in-depth resource as required.Selina Walsh, Advanced Nurse Practitioner/Registered Midwife MSc, MA, BSc (hons) DPNS, Clinical ANP Manager, Silverdale Medical Practice

Practical advice is certainly forthcoming in most of the book, such as a handy list of links to the best sources of information and risk calculators that GPs would do well to have on their desktop. Id recommend reading this book sooner rather than later! Pearce Cusack, GPST1, Logan Practice, British Journal of General Practice , 2018

Introduction ix
Abbreviations xi
Acknowledgments xv
Author Bio xvii
1 Laws and regulations
1(44)
Capacity and the Mental Capacity Act (MCA) 2005
2(5)
MCA discussion
2(3)
Fraser guidelines for contraception provision in the under 16s
5(2)
Consent
7(6)
Implied consent
8(1)
Consent in an adult with capacity
9(4)
Emergencies and consent
13(1)
Difficult decisions, legal-frameworks and guidelines in end of life care
13(10)
Lasting power of attorney (LPAs)
16(1)
Advance statements (wishes) and advance care planning (ACP)
17(2)
Advance decisions to refuse treatment (ADRT) -- called advance directives in Scotland
19(1)
Do not attempt cardiopulmonary resuscitation (DNACPR)
19(1)
Implantable cardioverter defibrillator (ICD) deactivation
20(1)
Palliative therapy
21(1)
Death certification
21(2)
Confidentiality
23(5)
Other commonly encountered rules and regulations
28(12)
Patient group directives (PGDs) and patient specific directions (PSDs)
29(1)
Chaperones
30(2)
Use of social media and phones
32(1)
Complaints
33(2)
Abortion and the law
35(2)
Female genital mutilation (FGM)
37(1)
Discussion on safe-guarding, coervice behaviour, and `mandatory' training
38(2)
The Mental Health Act (MHA) 1983 (revised 2007)
40(5)
MHA discussion and sectioning
41(4)
2 The consultation
45(38)
What is a consultation?
45(2)
Accessing the general practice
47(3)
Telephone consultations
48(2)
Arrival at the practice
50(1)
Problems with consultations: Time and money
50(4)
Why have a GP consultation?
54(1)
Bringing patients back: Avoiding the revolving test door
55(2)
Consultation models
57(8)
Examination
65(3)
Diagnosing normal signs
65(1)
Diagnosing `not-normal' signs
65(1)
Expecting abnormal examination findings - targeted examination
66(1)
Continuing symptoms and negative examination findings
66(2)
The inner consultation
68(1)
Behaviours which aren't logical
69(3)
Personal experience which make patients and doctors risk averse
71(1)
Criminalisation
72(1)
Patients who won't leave the consultation
72(1)
Continuing consultations are quite different
72(8)
Patient with continuing illness
72(2)
Patients requiring repeat medication review
74(1)
Sexual, obstetric and gynaecological histories
75(1)
Mental health histories
76(2)
Breaking bad news
78(2)
Giving away consultations and curriculum
80(3)
3 Knowledge and evidence
83(30)
Size of information
83(22)
Knowing that we can't know
84(2)
Selecting information
86(4)
Using figures of benefit and risk of harm in general practice
90(2)
Risk scores
92(3)
QRISK2: A risk score for the prediction of CVD in primary prevention
95(1)
Family history, ethnicity, genes and epigenetics
96(6)
Prescribing issues and guidance integration
102(3)
Medical statistics: A brief introduction
105(8)
Standard deviation, absolute risk and relative risk
105(2)
Changes in prevalence of conditions influences statistical benefits/harms
107(1)
Sensitivity and specificity
107(3)
Positive and negative predictive values
110(3)
4 Ethics and behaviours
113(30)
Ethical models
113(8)
Aristotle, happiness, self-improvement and paths well worn
113(3)
Beauchamps-Childress framework for medical ethics
116(5)
The large picture
121(4)
On failures, errors and whistle blowing
121(1)
On change and positivity
122(1)
Apprenticeship-master model of medical education
123(2)
How we learn on the job: Teams and leaders
125(9)
Teams
126(3)
Leaders: Cops, robbers and magistrates
129(5)
Religion and culture
134(6)
Jehovah's Witnesses
136(1)
Catholicism
137(1)
Judaism
137(1)
Islam
138(2)
Interpreters
140(1)
Conscientious objection to abortion and to contraception
141(2)
Appraisal and revalidation 143(2)
Conclusion 145(2)
Index 147
Dr Jane Wilcock, BSc. (hons.) MBChB FRCGP PGCertMedEd. MA H.Ed. SFHEA is an experienced GP working at Silverdale Medical Practice, Salford CCG. She is year assessment lead and community clinical tutor at University of Liverpool School of Medicine.
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