Download Mental Health Issues in Primary Care: A Practical Guide by Elizabeth Armstrong PDF

By Elizabeth Armstrong

This e-book units out to demystify fundamental psychological future health care. It appears to be like on the significant psychological illnesses encountered by way of medical professionals and neighborhood nurses in most cases perform, health and wellbeing centres and different basic care settings. It offers a down-to-earth consultant for successfully assembly the wishes of sufferers and consumers and is predicated on either present study and useful adventure. Written for fundamental care nurses this e-book can also be important for overall healthiness merchandising officials, facilitators, FHSA advisers, GPs and an individual wishing to enhance the first care contribution to assembly the future health of the country psychological ailment goals.

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Making a diagnosis, or eliciting symptoms needs more directive questioning, but it is important that questioning is relevant to the cues given. Such an interview can go on to negotiating and agreeing a management strategy with the patient. Gask and her colleagues (1992) have devised ways of teaching psychiatric interview skills to general practitioners , skills which have been shown to persist over time. A training package for GPs based on Gask's work has been produced by the Defeat Depression Campaign and is available through local GP tutors.

LHow long for? 2. Have you lost interest in things? 3. Are you more tired than usual? 4. Have you lost confidence in yourself? 5. Do you feel guilty about things ? 6. Do you find it difficult to concentrate ? 7. How are you sleeping? 8. Have you lost your appetite/weight? 9. Do you feel that life is not worth living any more ? 2 Most of these in severe form and/or 'yes ' to questions 5 and 9 Recognising depression In mild depression, the patient is usually distressed by the symptoms and has some difficulty with ordinary work and social activities.

It may be possible to discuss the issue with the doctor afterwards, but not all doctors will respond positively to perceived criticism from a non-medical person. The facilitator will need to have in place a good personal support system to help handle such difficulties before exposure to this kind of risk. Ideally, the impetus for the next step should come from the practice rather than the facilitator, but this mayor may not be feasible, depend ing on the sophistication of the practice team . Audit The main aims of the audit are to answer three basic questions: 1.

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