Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the detection of dementia within a general practice (primary care) setting

2021 ◽  
Vol 2021 (7) ◽  
Author(s):  
Jennifer K Burton ◽  
Patricia Fearon ◽  
Anna H Noel-Storr ◽  
Rupert McShane ◽  
David J Stott ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Cognitive Decline ◽  
Care Setting ◽  
Primary Care Setting ◽  
The Elderly

General practice

2021 ◽  
pp. 223-244
Author(s):  
Philippa Edwards
Keyword(s):  
Primary Care ◽  
Risk Management ◽  
General Practice ◽  
Patient Compliance ◽  
Care Setting ◽  
Primary Care Setting ◽  
Diagnostic Skills ◽  
The Common

This chapter contains 34 questions that encompass all of the important areas of primary care, with detailed explanations. They will assess your knowledge in the common areas that present, testing diagnostic skills and reasoning. They also test negotiating skills to ensure patient compliance, teamworking within the primary care setting, and risk management. Unique to this series, questions are rated by difficulty and are cross-referenced to the eleventh edition of Oxford Handbook of Clinical Specialties to track revision progress and revise effectively.

scholarly journals Prevalence of dementia and cognitive impairment with no dementia in a primary care setting in southern Brazil

2021 ◽  
Vol 79 (7) ◽  
pp. 565-570
Author(s):  
Sérgio Ferreira de Ferreira-Filho ◽  
Wyllians Vendramini Borelli ◽  
Rodrigo Mantovani Sguario ◽  
Gustavo Fiorentin Biscaia ◽  
Vitória Schneider Müller ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Medical Records ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cognitive Screening ◽  
Southern Brazil ◽  
Symptoms Of Depression

ABSTRACT Background: Cognitive decline is a common condition, but is still underrepresented in studies conducted in developing countries. Objective: To calculate the prevalence of cognitive decline and depression in an elderly community-dwelling population in a city in southern Brazil. Methods: We calculated the prevalences of dementia, cognitive impairment with no dementia (CIND) and symptoms of depression in an elderly population relying on the public healthcare system. This epidemiological study in Pelotas, Brazil, was conducted within the primary care setting. It included 299 older adults (mean age = 69.75 ± 7.6 years) who presented low levels of education (mean = 4.16 ± 3.17 years of education). They underwent cognitive screening and their medical records were analyzed. Results: Among these older adults, 142 (47.5%) presented cognitive decline: 104 (34.8%) matching the cognitive criteria for CIND and 38 (12.7%) matching the cognitive criteria for dementia. Among all the individuals who completed the cognitive screening, 141 (48.4%) were positive for symptoms of depression, of whom 99 (34%) did not have any previous diagnosis in their medical records. Conclusion: There was high prevalence of cognitive impairment among these older adults in a primary care setting. A large number of older adults were found to have symptoms of depression without any diagnosis.

scholarly journals Work-Related Psychosocial Demands and Resources in General Practice Teams in Germany. A Team-Based Ethnography

2020 ◽  
Vol 17 (19) ◽  
pp. 7114
Author(s):  
Elena Tsarouha ◽  
Christine Preiser ◽  
Birgitta Weltermann ◽  
Florian Junne ◽  
Tanja Seifried-Dübon ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Setting ◽  
Primary Care Setting ◽  
Group Discussion ◽  
Working Environment ◽  
Theory Approach ◽  
Work Intensity ◽  
Work Related ◽  
General Practices

General practices are established microenterprises in Germany providing a variety of preventive and therapeutic health care services and procedures in a challenging working environment. For example, general practice teams are confronted increasingly with work-related demands, which have been associated with poor psychological and physical outcomes. It is therefore important to gain a better understanding of issues related to occupational health and safety for personnel working in the primary care setting. This study aims to gain an in-depth understanding of psychosocial demands and resources in the primary care setting. We applied an ethnographic design, comprising a combination of participating observations, individual interviews with general practitioners (GPs) (N = 6), and focus group discussion with practice assistants and administrative staff (N = 19) in five general practices in Germany. A grounded theory approach was applied to analyze all data. Our results identified psychosocial demands and resources exemplified mainly along two typical tasks in GP practices: the issuing of medical prescriptions and blood sampling. Main psychosocial demands included factors related to work content and tasks, organization of work, and the working environment. For example, daily routines across all practices were characterized by a very high work intensity including disturbances, interruptions, delegation, and the division of labor between GPs and practice staff. Work-related resources comprised the staff’s influence on aspects related to work organization and social support. The triangulation of methods and data formats allowed the disclosure of interconnectedness between these factors. Although work processes in general practices are complex and required to comply with legal regulations, there are opportunities for practice owners and practice teams to establish working procedures in ways that reduce psychosocial risks and strengthen work-related resources.

PSYCHIATRIC MORBIDITY AMONG THE ELDERLY IN A PRIMARY CARE SETTING—REPORT FROM A SURVEY IN SÃO PAULO, BRAZIL

1997 ◽  
Vol 12 (7) ◽  
pp. 728-736 ◽  
Author(s):  
OSVALDO P. ALMEIDA ◽  
ORESTES V. FORLENZA ◽  
NEREIDA K. COSTA LIMA ◽  
VALÉRIA BIGLIANI ◽  
SILVIA M. ARCURI ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychiatric Morbidity ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo

Identity, Contract and Enterprise in a Primary Care Setting: An English General Practice Case Study

Organization ◽  
2008 ◽  
Vol 15 (3) ◽  
pp. 355-370 ◽  
Author(s):  
Ruth McDonald ◽  
Stephen Harrison ◽  
Kath Checkland
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Setting ◽  
Primary Care Setting

scholarly journals General practice and brief psychotherapy: a novel psychiatric training post

1996 ◽  
Vol 20 (9) ◽  
pp. 553-555
Author(s):  
Jonathan Scott
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychiatric Training ◽  
Practice Setting ◽  
Brief Psychotherapy ◽  
General Psychiatry ◽  
Alternative Approach ◽  
Training Post

Many psychiatrists now work successfully in the primary care setting. Although a primary care post might be considered to be a useful experience by most trainees, few undertake such an attachment, owing to lacked opportunities and concern that such a placement would delay career progress or be at the expense of psychiatric subspeciality experience (Burns, 1994). For general practice posts to be integrated into psychiatric training, these concerns need to be addressed. One solution has been a post shared with general psychiatry (Balmer, 1993). This paper describes an alternative approach, a post combining subspeciality experience in psychotherapy within the practice setting, with working as a general practitioner (GP) trainee.

General practice student nurses: let's stop the poaching model

2019 ◽  
Vol 30 (6) ◽  
pp. 300-301 ◽  
Author(s):  
Shaun Heath
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Setting ◽  
Primary Care Setting ◽  
Student Nurses ◽  
Added Value

As nursing continues to experience shortages across the profession, Shaun Heath explores how the primary care setting can use student nurses on placement to remedy this issue and the added value they can bring to your practice

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