scholarly journals Diagnosis and management of melanoma in a rural general practice

2018 ◽  
Vol 10 (3) ◽  
pp. 207 ◽  
Author(s):  
Tony Townsend
Keyword(s):  
Primary Care ◽  
General Practice ◽  
New Zealand ◽  
Diagnosis And Management ◽  
Melanoma Detection ◽  
The World

ABSTRACT A review covering 5 years of melanoma detection and management in a small rural New Zealand practice is presented. The incidence of both in situ and invasive melanoma was approximately four-fold the national figures, which are among the highest in the world. Most melanomas can be managed in primary care but cost remains an issue.

Atherosclerosis knowledge of general practice residents: Diagnosis and management in primary care

2019 ◽  
Vol 44 (5) ◽  
pp. 331-335
Author(s):  
M. Charasson ◽  
C. Le Brun ◽  
E. Rossignol ◽  
C. Mauger ◽  
L. Omarjee ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Diagnosis And Management

Problems affecting the pinna

2020 ◽  
Vol 13 (12) ◽  
pp. 717-721
Author(s):  
Charlotte Juman ◽  
Navdeep Singh Bhamra ◽  
Karan Jolly
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Secondary Care ◽  
Diagnosis And Management

The presentation of problems relating to the ears is common in general practice. This article considers common and significant presentations encountered in primary care including assessment, diagnosis and management of patients with guidance on when to refer to secondary care.

scholarly journals General practice evolution in New Zealand: hybridisation in action

2017 ◽  
Vol 9 (3) ◽  
pp. 220 ◽  
Author(s):  
Carol Atmore
Keyword(s):  
Primary Care ◽  
General Practice ◽  
New Zealand ◽  
Ageing Population ◽  
Patient Centred Care ◽  
Fiscal Constraint ◽  
Current Climate ◽  
Primary Care Health ◽  
History Of ◽  
Care Health

ABSTRACT This viewpoint outlines a brief history of primary care health reforms over the last 25 years, and how this history has influenced the business of caring. It also suggests where we should next look to improve the provision of equitable patient-centred care in the current climate of fiscal constraint, while meeting the challenges of an ageing population and increasing multimorbidity.

Otitis externa

2018 ◽  
Vol 11 (6) ◽  
pp. 298-304
Author(s):  
Emma Dickson
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
General Practice ◽  
Otitis Externa ◽  
External Auditory Meatus ◽  
Diagnosis And Management

Otitis externa is inflammation of the external auditory meatus. It is a common, acute and chronic presentation to general practice, with around 10% of the population suffering at least one episode. Pain and itching are common symptoms and affect quality of life. Identifying the cause of otitis externa can be a challenge. This article considers different presentations of otitis externa, their diagnosis and management in primary care.

scholarly journals Care in Chronic Diseases and in "Frail" Patients in General Practice

2020 ◽  
Vol 1 (1) ◽  
pp. 28-31
Author(s):  
Lucio Mango
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Health Service ◽  
Health Services ◽  
Chronic Diseases ◽  
Frail Patients ◽  
The World ◽  
Progressive Growth ◽  
At Home

The world of chronicity is an area in progressive growth that involves a considerable commitment of resources, requiring continuity of assistance for long periods of time and a strong integration of health services with social ones and those requiring residential and territorial services often not sufficiently designed and developed. The fundamental aim of the treatment of chronic systems is to keep as much as possible the patient at home and prevent or reduce the risk of institutionalization. GP could put their expertise to good use in the Complex of Primary Care Units and Territorial Functional Aggregations, reducing the costs of the health service.

scholarly journals How to use interpreters in general practice: the development of a New Zealand toolkit

2012 ◽  
Vol 4 (1) ◽  
pp. 52 ◽  
Author(s):  
Ben Gray ◽  
Jo Hilder ◽  
Maria Stubbe
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
New Zealand ◽  
Limited English Proficiency ◽  
Ethical Behaviour ◽  
Patient Relations ◽  
Primary Care Practitioners ◽  
The Cost ◽  
Patient Resistance

BACKGROUND AND CONTEXT: New Zealand is becoming more ethnically diverse, with more limited English proficiency (LEP) people. Consequently there are more primary care consultations where patients have insufficient English to communicate adequately. Because effective communication is essential for good care, interpreters are needed in such cases. ASSESSMENT OF PROBLEM: The literature on the use of interpreters in health care includes the benefits of using both trained interpreters (accuracy, confidentiality, ethical behaviour) and untrained interpreters (continuity, trust, patient resistance to interpreter). There is little research on the actual pattern of use of interpreters. RESULTS: Our research documented a low use of trained interpreters, despite knowledge of the risks of untrained interpreters and a significant use of untrained interpreters where clinicians felt that the communication was acceptable. A review of currently available guidelines and toolkits showed that most insist on always using a trained interpreter, without addressing the cost or availability. None were suitable for direct use in New Zealand general practice. STRATEGIES FOR IMPROVEMENT: We produced a toolkit consisting of flowcharts, scenarios and information boxes to guide New Zealand practices through the structure, processes and outcomes of their practice to improve communication with LEP patients. This paper describes this toolkit and the links to the evidence, and argues that every consultation with LEP patients requires clinical judgement as to the type of interpreting needed. LESSONS: Primary care practitioners need understanding about when trained interpreters are required. KEYWORDS: Communication barriers; primary health care; New Zealand; quality of health care; professional–patient relations; cultural competency

scholarly journals Disclosing violence in calls for help

2021 ◽  
Author(s):  
Emma Tennent ◽  
Ann Weatherall
Keyword(s):  
New Zealand ◽  
Conversation Analysis ◽  
Violence Against Women ◽  
Direct Reference ◽  
Shared Knowledge ◽  
Practical Applications ◽  
The World ◽  
Victim Support ◽  
Effects Of Violence

© 2019, equinox publishing. Violence against women is a pervasive problem, both in New Zealand society and around the world. Yet assessing the scale and effects of violence is difficult, as many women face barriers to disclosure. This paper examines women's disclosures of violence in calls for help to a victim support agency. We use conversation analysis and focus on membership categorisation to describe the different ways disclosures are built and understood in situ. It was only in a minority of cases (around 20%), that callers made direct reference to violence, or categorised themselves explicitly as victims, albeit with indications of problems in speaking. However, for the majority, women did not mention the words 'victim' or 'violence' at all. Instead, culturally shared knowledge associated with categories of people (e.g. ex-partners) and places (e.g. home and jail) were used to build and interpret a description as a disclosure of violence. Our work contributes to an understanding of women's disclosures of violence by examining them directly in the setting where they occur. We discuss some of the insights gained from examining interactions in situ, and the practical applications of our work for improving services for women who have experienced violence.

The relevance of the study of psychiatry as a crossdiscipline at the stage of general practice doctors postgraduate training

2019 ◽  
pp. 7-12
Author(s):  
Esedulla M. OSMANOV
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Postgraduate Training ◽  
Psychiatric Symptoms ◽  
Federal State ◽  
Initial Stage ◽  
Number Of Patients ◽  
Mental Diseases ◽  
The World ◽  
Simultaneous Decrease

We consider the questions of psychiatry study as a crossdiscipline at the stage of general practice doctors postgraduate training. The relevance of the study of psychiatry as a crossdiscipline is that knowledge of psychiatry basics is necessary for any doctor, as most patients at the initial stage do not turn to psychiatrists, but most often to primary care specialists. Each doctor in his practical work is faced with various mental health disorders. He should know the basics of diagnosis of the most common psychiatric symptoms and syndromes. In modern conditions around the world there is an increase in the number of patients with neuropsychiatric disorders. If in the world on average about 15 % of people need psychiatric care, in Russia their number reaches 25 %. Despite certain distortions in the statistics of Russian Federal State Statistics Service (the growth of mental diseases with a simultaneous decrease in the number of patients taken under dispensary observation), it should be noted that up to 40 % of patients who turn to primary care specialists do not need any medical care, except for psychotherapeutic help.

The ageing population

2021 ◽  
pp. 175573802199281
Author(s):  
Jenny Walton ◽  
Angus Kaye
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Older People ◽  
Healthcare Professionals ◽  
Ageing Population ◽  
Huge Amount ◽  
Older Population ◽  
The World ◽  
The Individual

As we all age, the demographic of the world changes. Looking after older people well can bring a huge amount of pleasure and satisfaction, not just to the individual, but also to their family, friends and indeed healthcare professionals. How we care for our elderly now is likely to set a precedent for our own care in the future. This article highlights some of the features of ageing and discusses the role of primary care in the management of the older population, within the context of the general practice curriculum.

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