Download General Practice: An Illustrated Colour Text by Ross J. Taylor PDF

By Ross J. Taylor

This atlas-style source offers issues in scientific medication and comparable components that might most likely be encountered in normal perform. Taking an evidence-based method, this article discusses the diversities among normal perform and hospital-based care. It offers a common evaluation of medical paintings generally perform.

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Extra resources for General Practice: An Illustrated Colour Text

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Time is probably the biggest barrier to prevention and health promotion in general practice. It has been argued that the consultation provides exceptional opportunities for doctors to engage in prevention and modify help-seeking behaviour (Stott and Davis 1979). The consultation length is, however, still less than 10 minutes in most general practices, leaving little time for anything other than dealing with the presenting complaint. But the opportunities, particularly for secondary prevention in general practice, are enormous, for example: « a good control of blood sugar level in diabetes « a reduction of risk factors after myocardial infarction • using inhaled steroids in asthma.

Child neglect. Children may be harmed by negligence or a lack of 'common sense', particularly when the parents are themselves of low intelligence, are poorly educated and have poor role modelling from their own deprived childhood. • Emotional abuse and deprivation. A child may be well looked after physically but suffer from a withdrawal of affection, insecurity and a general atmosphere in the household of repression and hostility. These subtle forms of abuse may be difficult to detect (see Box 1) • Munchausen syndrome by proxy is a well-publicised but rare and bizarre form of abuse in which illness in the child is falsely created by a carer, usually the mother.

Some of this research is driven by powerful statistical packages, the findings revealing associations that are both clinically unimportant and unhelpful. The data used in establishing risks generally derive from populations, which poses problems when attempts are made to translate these to the individual. The populations sometimes also comprise healthy people, which makes it even more difficult to extrapolate to a single sick patient It is, however, important to be aware of risks as some of these can be modified by the patient or the doctor.

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