By Anne Stephenson

ISBN-10: 0340810521

ISBN-13: 9780340810521

Aimed toward scientific scholars and primary 12 months citizens, A Textbook of normal perform comprises the basic details scholar must recognize and comprehend approximately normal perform and being a doctor. the educational sort of the ebook is predicated on experiential and reflective rules in accordance with glossy educative idea and perform. It presents advice on sensible abilities, the speculation of offering stable medication and the bigger issues of encouraging lifestyles lengthy studying improvement. the recent variation builds at the profitable formulation of the 1st, by way of completely reviewing and revisiting all content material. Self-assessment sections were further to all chapters and a word list of phrases is incorporated on the finish of the ebook. Thinking/discussion issues were prolonged and extra scholar costs incorporated.

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Extra resources for A Textbook of General Practice, 2nd edition

Sample text

These have included a move towards integrating health and social services in primary care; primary care-led purchasing; a greater accountability of general practice to the NHS; general practice fund-holding; the development of paperless general practice systems, morbidity databases and audit; the development of general practice management; the introduction of the nurse practitioner; and experimentation with different types of integrated community care centres. THE INTERNATIONAL SITUATION It appears that primary care, internationally, is being increasingly recognized as central to a good health service and as needing to be supported by secondary and tertiary services rather than being dominated by them.

1 is a sample recording sheet and an example to help you in your task. Roles within the consultation Traditionally, society has assigned to doctors and patients certain roles or ways of behaving. Doctors have been given the power, authority Content Process Doctor: Are you sure of your dates? Patient: Pregnant, little anxious. Patient: Yes, I am 26 weeks. Doctor: Busy, but interested; trying to establish how many weeks pregnant the patient is. (leans forward) Doctor: You can't be! Patient: Very sure of dates.

Listening carefully and respectfully to a patient’s story, verbal and non-verbal, seems easy, but appears difficult for many of us. Attentive listening will, in the long term, identify and deal with problems more effectively than a hurried interrogation of the patient. We all know that what the patient presents initially at a consultation is not always the principal problem or issue. For example, somatic problems are often easier to present than 26 psychosocial problems and, in fact, the patient may use a somatic symptom in the initial presentation as a ‘ticket of entry’.

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A Textbook of General Practice, 2nd edition by Anne Stephenson

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