Category: Clinical

Pain, opioids, and syringe drivers: a practical guide

Pain, Opioids and Syringe Drivers: A Practical Guide for the GP in the Wake of Gosport This article is written by Daniel Knights, Felicity Knights and Stephen Barclay and is published as a companion piece to their editorial in the October 2018 issue of the BJGP. The publication of the Jones Report investigating the excess mortality at Gosport Memorial Hospital is one in a series of end-of-life care issues that have hit the UK news. The underlying system failures are unfortunately far from new to the NHS; with the report echoing inter alia, the Kennedy Report and the Berwick Report, highlighting the need for...

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Diagnosing dementia in younger people: A decision-making guide for GPs

Shona Lucitt (right) is currently studying for a Masters in Public Health at Imperial College London. She previously worked at the Alzheimer’s Society supporting a pilot project for people living with YOD. More recently she has been working for Public Health England in cancer analysis. Melanie Davis-­Hall (left) is a GP trainee on the Imperial VTS scheme and editorial fellow at the BJGP.   A typical story “I knew something was wrong, I just didn‘t know what. Maybe it’s just me, I thought, maybe I’m a bit stressed.” “I knew something was wrong, I just didn‘t know what. Maybe it’s...

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Feeling blue, sad or depressed: how to manage these patients?

Peter Lucassen has been working as a GP for 35 years in a small village in the Netherlands and has just retired. He is still working as a senior researcher at Radboud University Nijmegen Medical Centre. He is interested in medically unexplained symptoms, depression and generalism​. In primary care lots of patients present with the complaint of feeling blue, sad or depressed. High and rising prescription rates for antidepressants(1) suggest that GPs work more or less from a biomedical point of view and start questioning the patient about the list of symptoms of depression as described in the disease-focused...

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The British Journal of General Practice and BJGP Open are bringing research to clinical practice. This is where we add the debate and opinion to help ensure everyone benefits from that research.

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