By Anne Stephenson
Aimed toward scientific scholars and primary 12 months citizens, A Textbook of basic perform contains the basic details scholar must be aware of and comprehend approximately common perform and being a physician. the training kind of the ebook relies on experiential and reflective ideas in response to sleek educative conception and perform. It offers advice on sensible talents, the idea of supplying strong medication and the bigger concerns of encouraging lifestyles lengthy studying improvement. the recent variation builds at the winning formulation of the 1st, via completely reviewing and revisiting all content material. Self-assessment sections were further to all chapters and a thesaurus of phrases is incorporated on the finish of the booklet. Thinking/discussion issues were prolonged and extra pupil prices integrated.
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Extra info for A Textbook of General Practice
Doctor: When was the last one done? Patient: Slightly interested and tells doctor about ultrasound. Patient: Today. Doctor: Relieved, slightly embarrassed. 1 What happens in a consultation: an example of a recording sheet. 19 ❚ the GENERAL PRACTIce CONSULTATION and respect to attend to a patient’s needs and make certain decisions on behalf of the patient. The patient has been encouraged to give this responsibility to the doctor and to enter into the ‘sick’ or ‘dependent’ role, at least temporarily or partially.
3). At other times, the stages of the consultation may be reached after many consultations. Even more widely, the story that is told and the actions that follow may belong to a family or a community. The narrative approach broadens our understanding of the consultation. Further reading ❚ SUMMARY POINTS To conclude, the most important messages of this chapter are: ■ ■ ■ ■ ■ ■ the consultation is the central activity of a GP; it is important to be able to distinguish between the content and process of a consultation; the roles that the patient and doctor adopt in the consultation are related to the degree of doctor or patient centredness in that consultation; the tasks of the doctor and patient in a consultation have different emphases and, for a consultation to be effective, the doctor and patient need to meet as experts; listening, getting to the real reason for presentation and understanding cultural differences are three key areas which contribute to an effective consultation; valuing the stories that we hear helps us all to make sense of the patient’s journey.
1984: Utilisation of resources and content of work. In: NHS data book. Dordrecht: Kluwer Academic Publishers, p. 129. Reproduced by kind permission from Kluwer Academic Publishers. Copyright 1984 John Fry, David Brooks and Ian McColl. What do people do when they feel unwell? ❚ signs, although there is great variation amongst individuals; symptoms perceived as serious are more likely to be brought to the attention of a healthcare professional; ■ the costs of health-seeking behaviour: possible costs include the inconvenience of attending surgery, a potential lack of sympathy from the doctor and the financial cost of a prescription; ■ the benefits of health-seeking behaviour: possible benefits include obtaining therapy to cure symptoms and legitimization of an illness by obtaining a sick certificate.
A Textbook of General Practice by Anne Stephenson