Australian general practice nurse involvement in mental health: A descriptive survey

We report the case of a 28-year-old male in rural Madagascar with iatrogenic hypotension induced by improper treatment of a normal grief response. The man lost both of his children in the spring of 2019 during a measles outbreak that infected at minimum 152,000 individuals on the island. After developing symptoms of chest pain, intermittent tachycardia, and widespread pain when he would think of his children in the weeks following their loss, he was prescribed gabapentin, lisinopril, and metoprolol by a general practice nurse. He subsequently developed dizziness, lightheadedness, and fatigue. After visiting Mada Clinics two weeks later, all medications were stopped, and the man’s symptoms resolved. This case demonstrates the effects of a lack of available mental health care in Madagascar, a country with sixteen available psychiatrists for a rapidly expanding population of over 26 million people.

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The advent of mental health nurses in Australian general practice

Contemporary Nurse ◽

10.5172/conu.2010.36.1-2.106 ◽

2010 ◽

Vol 36 (1-2) ◽

pp. 106-117 ◽

Cited By ~ 7

Author(s):

Michael Olasoji ◽

Phil Maude

Keyword(s):

Mental Health ◽

General Practice ◽

Mental Health Nurses ◽

Australian General Practice

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Practice nurse chlamydia testing in Australian general practice: a qualitative study of benefits, barriers and facilitators

BMC Family Practice ◽

10.1186/s12875-015-0251-8 ◽

2015 ◽

Vol 16 (1) ◽

Cited By ~ 8

Author(s):

Rebecca Lorch ◽

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Jane Hocking ◽

Rebecca Guy ◽

Alaina Vaisey ◽

...

Keyword(s):

General Practice ◽

Qualitative Study ◽

Practice Nurse ◽

Barriers And Facilitators ◽

Chlamydia Testing ◽

Australian General Practice

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Financial incentives and disincentives for providing mental health care in general practice - a survey of nine European countries

Psychiatrische Praxis ◽

10.1055/s-0031-1277918 ◽

2011 ◽

Vol 38 (S 01) ◽

Author(s):

S Scheffel ◽

B Weibold ◽

W Spiegel ◽

H Katschnig

Keyword(s):

Mental Health ◽

Health Care ◽

General Practice ◽

Mental Health Care ◽

Financial Incentives ◽

European Countries

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Associations between multimorbidity and glycaemia (HbA1c) in people with type 2 diabetes: cross-sectional study in Australian general practice

BMJ Open ◽

10.1136/bmjopen-2020-039625 ◽

2020 ◽

Vol 10 (11) ◽

pp. e039625

Author(s):

Jason I Chiang ◽

John Furler ◽

Frances Mair ◽

Bhautesh D Jani ◽

Barbara I Nicholl ◽

...

Keyword(s):

Type 2 Diabetes ◽

General Practice ◽

Cross Sectional Study ◽

Secondary Outcome ◽

Linear Regression Models ◽

Sectional Study ◽

Cross Sectional ◽

Long Term Conditions ◽

Australian General Practice

ObjectivesTo explore the prevalence of multimorbidity as well as individual and combinations of long-term conditions (LTCs) in people with type 2 diabetes (T2D) attending Australian general practice, using electronic health record (EHR) data. We also examine the association between multimorbidity condition count (total/concordant(T2D related)/discordant(unrelated)) and glycaemia (glycated haemoglobin, HbA1c).DesignCross-sectional study.SettingAustralian general practice.Participants69 718 people with T2D with a general practice encounter between 2013 and 2015 captured in the MedicineInsight database (EHR Data from 557 general practices and >3.8 million Australian patients).Primary and secondary outcome measuresPrevalence of multimorbidity, individual and combinations of LTCs. Multivariable linear regression models used to examine associations between multimorbidity counts and HbA1c (%).ResultsMean (SD) age 66.42 (12.70) years, 46.1% female and mean (SD) HbA1c 7.1 (1.4)%. More than 90% of participants with T2D were living with multimorbidity. Discordant conditions were more prevalent (83.4%) than concordant conditions (69.9 %). The three most prevalent discordant conditions were: painful conditions (55.4%), dyspepsia (31.6%) and depression (22.8%). The three most prevalent concordant conditions were hypertension (61.4%), coronary heart disease (17.1%) and chronic kidney disease (8.5%). The three most common combinations of conditions were: painful conditions and hypertension (38.8%), painful conditions and dyspepsia (23.1%) and hypertension and dyspepsia (22.7%). We found no associations between any multimorbidity counts (total, concordant and discordant) or combinations and HbA1c.ConclusionsMultimorbidity was common in our cohort of people with T2D attending Australian general practice, but was not associated with glycaemia. Although we did not explore mortality in this study, our results suggest that the increased mortality in those with multimorbidity and T2D observed in other studies may not be linked to glycaemia. Interestingly, discordant conditions were more prevalent than concordant conditions with painful conditions being the second most common comorbidity. Better understanding of the implications of different patterns of multimorbidity in people with T2D will allow more effective tailored care.

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