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

By Anne Stephenson

Aimed toward scientific scholars and primary yr citizens, A Textbook of common perform accommodates the fundamental details pupil must recognize and comprehend approximately normal perform and being a physician. the educational kind of the publication relies on experiential and reflective rules according to sleek educative conception and perform. It offers advice on sensible talents, the speculation of delivering sturdy medication and the bigger concerns of encouraging existence lengthy studying improvement. the hot version builds at the winning formulation of the 1st, via completely reviewing and revisiting all content material. Self-assessment sections were additional to all chapters and a thesaurus of phrases is incorporated on the finish of the publication. Thinking/discussion issues were prolonged and extra scholar charges integrated.

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Sample text

Her GP referred her, urgently, to a specialist for assessment and it was discovered that she did indeed have breast cancer. Together, the GP and the patient made a long appointment to talk about what all this meant. Indeed, she did wish to talk around all of Helman’s six questions. A very moving and intense consultation took place. Not all the questions could be answered by patient or The doctor’s tasks in the consultation ❚ doctor and some of the others could be answered only partially. However, the opportunity to air these most important issues with someone she trusted went a little way towards relieving some of the profound anger and fear that she was experiencing.

Interaction: negotiation on what to do. The two models of the patient and the doctor might need to be reconciled in the development of the management plan. ■ Converting insight into action: from consultation to everyday life. The doctor and patient look at factors that may impede or facilitate the management plan in order to come to a plan that is achievable. ■ Agreement check, safety netting: The doctor and the patient check their understanding of the consultation and seek to agree their plan.

1. To connect with the patient: does this consultation feel comfortable? 2. To summarize and verbally check with the patient that the reasons for the attendance are clear: my understanding is … 3. To hand over and bring the consultation to a close, checking out with the patient: does that cover it? 4. To ensure that a safety net exists in that no serious possibilities have been missed: what if …? 5. To deal with the housekeeping of recovery and reflection: am I okay to start another consultation?

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