Red Flags in Geriatric Medicine: Assessing Risk and Managing It in Primary Care

The shift of power from specialist services to the primary care teams has forced the former to examine the value of their hallowed traditions. In psychiatry, and geriatric medicine, the catchment area is a favoured restrictive practice, enabling demand to be regulated to suit the resources of each team. It is time to decide whether this is a practice to be defended and retained or whether, like many other restrictive practices, it is harmful to the consumer.

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Recognizing Gynecological Cancer in Primary Care: Risk Factors, Red Flags, and Referrals

Advances in Therapy ◽

10.1007/s12325-018-0683-3 ◽

2018 ◽

Vol 35 (4) ◽

pp. 577-589 ◽

Cited By ~ 13

Author(s):

Garth Funston ◽

Helena O’Flynn ◽

Neil A. J. Ryan ◽

Willie Hamilton ◽

Emma J. Crosbie

Keyword(s):

Risk Factors ◽

Primary Care ◽

Gynecological Cancer ◽

Red Flags

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Clinical evaluation and red flags of acute low back pain in primary care

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20220006 ◽

2022 ◽

Author(s):

Marwah Y. Abdullah ◽

Reem A. Bana ◽

Seham O. Aldogil ◽

Mutlaq A. Alsolami ◽

Reem A. Alshihri ◽

...

Keyword(s):

Primary Care ◽

Low Back Pain ◽

Back Pain ◽

Physical Examination ◽

Clinical Evaluation ◽

Low Back ◽

Red Flags ◽

Acute Low Back Pain ◽

Primary Care Settings

Back pain has been reported as a common cause for various patients to present in an emergency or primary care settings. Besides, the management of back pain has been associated with a huge economic burden and remarkably impacts the quality of life of the affected patients. The diagnosis of acute low-back pain can be adequately achieved by conducting proper clinical evaluation and knowing the characteristics of each condition. The present review discusses the clinical evaluation and red flags for diagnosing patients presenting with acute low-back pain. An adequate examination of patients is conducted by obtaining a thorough history and successful physical examination. It should be noted that obtaining an adequate history might not be enough in some cases, and physical examination might not show any diagnostic clues. However, we also reported various red flags for detecting serious conditions, including malignancy, infections, inflammation, and others. These might help establish a further assessment of these patients, including imaging and laboratory studies. Therefore, these cases should be managed as early as possible to enhance the prognosis and intervene against any potential complications.

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Geriatric Medicine: A True Primary Care Discipline

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.1993.tb06471.x ◽

1993 ◽

Vol 41 (10) ◽

pp. 1157-1157 ◽

Cited By ~ 1

Author(s):

Duncan Robertson ◽

Barry J. Goldust ◽

B. Lynn Beattie

Keyword(s):

Primary Care ◽

Geriatric Medicine

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Triage bei Kopfschmerz in der Hausarztpraxis: Wann einweisen?

DMW - Deutsche Medizinische Wochenschrift ◽

10.1055/a-0759-8052 ◽

2019 ◽

Vol 144 (10) ◽

pp. 651-658

Author(s):

Solveig Carmienke ◽

Dagny Holle-Lee

Keyword(s):

Primary Care ◽

Emergency Department ◽

General Practitioner ◽

Hospital Care ◽

Secondary Headache ◽

Red Flags ◽

Secondary Headaches ◽

Specialist Treatment ◽

Yellow Flags ◽

Headache Patients

AbstractHeadache is one of patients’ most common reasons to consult their general practitioner and covers about 2 – 5 % of the consultations in primary care. Often, the general practitioner is the first to be contacted by patients with headache. Mostly, headaches are primary and only 2 % of the patients have secondary headaches. The distinction between primary and secondary headache is the most important step in the management of patients with headache in primary care. Therefore, this article shows important elements of anamnesis and examination of headache patients in primary care. Furthermore, this article focuses on identification of red flags and yellow flags in the consultation of patients with headache and suggests recommendations for referral to emergency department, hospital care or specialist treatment.

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A new political anatomy of the older body? An examination of approaches to illness in old age in primary care

Ageing and Society ◽

10.1017/s0144686x12000293 ◽

2012 ◽

Vol 33 (6) ◽

pp. 964-987 ◽

Cited By ~ 5

Author(s):

SUSAN PICKARD

Keyword(s):

Primary Care ◽

General Practice ◽

Chronic Disease ◽

Disease Management ◽

Old Age ◽

Older Patients ◽

Chronic Disease Management ◽

Geriatric Medicine ◽

Evidence Based ◽

Practice Nurses

ABSTRACTThis paper examines the new approaches to older bodies found within primary care, with the purpose of determining whether they represent a significant disjunction from established approaches in geriatric medicine. A genealogical review of clinical approaches to certain conditions commonly found in old age is undertaken utilising (a) key texts of pioneering British geriatricians and (b) three editions of a key textbook of general practice, published between 1989 and 2009. The discourses and practices established by the Quality and Outcome Frameworks in England are then examined, focusing on evidence-based guidance for these same conditions. Following this excavation of written texts, empirical data are analysed, namely the accounts of general practitioners and practice nurses regarding application of the technologies associated with chronic disease management to older patients. Continuities and changes identified by these practitioners are explored in terms of three specific consequences, namely conceptualising and treatment of older bodies and interaction with patients. The paper's conclusion considers whether these changes are significant enough to warrant describing them as representative of an epistemic rupture or break in the way older bodies are perceived, both in medicine and also in society more generally, and thus of constituting a new political anatomy of the older body.

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