Vasumathy Sivarajasingam explores domestic abuse PUNs and DENs as a relevant appraisal topic linked to mandatory safeguarding, with links to learning materials, legislation and further articles.
"Withdrawal symptoms are not a sign that a patient needs the drug, but a sign that they need to reduce the drug more slowly" – Stevie Lewis and Mark Horowitz outline how to safely aid patients to withdraw from antidepressants
So, how can GPs help their patients in facing transformative decisions? The advice, helpfully explained by Richard Armitage, is to reframe the decision-making process with which we approach them.
The Independent Pregnancy Loss Review, published in July 2023, offers recommendations to improve care for women and their families experiencing pregnancy loss, and includes specific advice for primary care.
"There is a lack of ADHD training for GPs, and GPs are often lacking accurate knowledge and confidence when dealing with ADHD in their practice. In light of this, we received 3-year funding from the ESRC to co-develop and evaluate tailored online
In general practice we can discuss end of life and treatment escalations decisions with patients before they become very unwell, and this is where the ReSPECT process could potentially give a space for a meaningful patient-centred discussion about preferences at the end
In an attempt to improve physical health outcomes in this group, patients registered at their GP practice as having a severe metal illness are eligible to undergo an annual health check in a primary care setting. Richard Armitage discusses recent progress.
So what now, given that suboptimal asthma care in the UK is increasing the morbidity and mortality of patients living with asthma coupled with rising asthma care-related carbon footprint? Vasumathy Sivarajasingam offers some useful reflections.
Yet, from speaking to other women with this condition, I have learnt that it is often their GP that they consult with first, asking: why are my periods lighter since my miscarriage? why have my periods stopped? Could something be wrong, as
Bipolar disorder (BPD) is a severe mental illness characterised by significant and sometimes extreme changes in mood and energy, which go far beyond most people’s experiences of feeling a bit down or happy. Carolyn Chew-Graham and colleagues offer an update.
Careful, caring and person-centred application of guidance is required to ensure patients benefit from, and are not harmed by, healthcare. I’d like to talk about Joan, an 86-year-old lady who had rarely visited the surgery. We threw the guidelines at her...
Adnan Saad and colleagues provide an easy-to-use 'crib sheet' for commonly issued disease-monitoring drugs in general practice ...
Ask any doctor, and they’ll tell you that talking to patients can be difficult. Mind you, ask any patient and they’ll tell you that talking to doctors can be really difficult too. Ben Hoban discusses how we address the problem.
Imagine having to relive the moment you are told that you have a life-limiting illness every time you need support; every time you feel vulnerable because of a physical or mental complaint that needs attention. Emilie Couchman argues for meaningful informational continuity.
Cyclothymia, a mood disorder, can result in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. Here, Carolyn Chew Graham and colleagues define the illness and outline how best to identify, diagnose, and manage cyclothymia in patients
"When [the animation was] presented at a recent Mesothelioma UK Patient and Carer Day, attendees broke into spontaneous applause" – Sarah Hargreaves and colleagues present two new tools to aid in early-stage engagement with palliative care for patients with mesothelioma
We attend reputable GP-training events and feel confident that the training delivered will be up to date and relevant. And yet, there's something about menopause where all this somehow falls apart.
As depression in older people can present with somatic and cognitive symptoms, it is often attributed to normal ageing and may be overlooked by the clinician and the older adult. Carolyn Chew-Graham and colleagues share insights from the latest NICE guidance.
As IBS is a chronic condition, many patients will re-present to healthcare services. Here, specialist gastroenterology dietitian's Christian Shaw and Rachel Buckle give an overview of the latest data on dietary therapies, describe findings from their own recent research on dietary therapies
Nitrous oxide is a popular recreational drug that produces transient but intense feelings of euphoria and disassociation. Nada Khan considers what GPs should know.
While it makes no contribution to mortality statistics, the morbidity, economic cost and primary care workload generated by osteoarthritis is of sufficient proportion to render the condition a significant public health problem worthy of urgent investment of resources.
Though it is widely known that kidney donation is common among living donors who are family or friends, there appears to be lower awareness of kidney donation along a non-directed pathway. Here, Rich Armitage describes the process of becoming a non-directed altruistic
Peter McNelly provides an introduction to the role of the mental health practitioner in general practice, and how they can help reduce the workload of GPs.
Some patients with medically unexplained symptoms (MUS) suffer years of referrals and inconclusive tests. Others find themselves overlooked by health care services and feel forgotten. However, diagnostic delay may be due to a disease being rare. Stephen Walker and colleagues offer a
New research into the serotonin theory of depression raises two separate, but related issues. The first is our understanding about the aetiology of depression. The second is understanding why we prescribe antidepressants. Nada Khan reflects on what this means for general practice.
Richard Armitage looks at the health needs of people who work away from home, be they itinerant telecommuters or contract-workers in haulage and construction - should general practice be evolving to meet the access needs of this group? Join the discussion!
Sharon Dixon and colleagues contend that a deeper understanding of safeguarding practices (and how these look and feel on the front-line of multi-agency encounters) is needed if future child safeguarding tragedies are to be avoided.
Richard Armitage argues that good management of hay fever represents an opportunity for general practice to reduce suffering and restore both wellbeing and economic activity to the nation!
TDR programmes consist of a low calorie (around 800 kcal/day) formula diet alongside a stepped food reintroduction as well as regular behavioural support. Yusuf Ben-Tarifite examines the evidence for TDR in Type 2 Diabetes Mellitus.
The winners are in for the Research Paper of the Year award 2021! Carolyn A Chew-Graham and Helen Leach present the winners and stand outs from this year's awards, with reflection on the importance of primary care research for GP trainees working
In April 2020, NICE published new guidance on how to help patients to safely stop antidepressant use. To help GPs to implement this guidance in their practice, Stevie Lewis from the International Institute for Psychiatric Drug Withdrawal and Mark Horowitz have published
Karen Nicholson highlights possible connections between psychological trauma fibromyalgia and chronic pain syndromes - and suggests an audit
Aaron Poppleton, Dennis Ougrin, and Yana Maksymets give a responsive overview of the health needs of Ukrainian refugees and provide a list of useful resources for GPs
Drs Laura Heath and Sheena Sharma present their bereavement toolkit, designed to aid healthcare practitioners navigate this potentially difficult space by providing real-world consultation ‘tools’.
Krishnakant Buch's GP exploded a telephonic bomb shell: ‘You have type 2 diabetes'. Here he tells us what he did about it, and how he conquered the Diabetes UK, one million step challenge.