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    • Endocrinology

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 8 8 2
      Endocrinology - General Practice the Integrative Approach Series. Endocrine problems are important in the general practice setting, for a range of reasons. First, they are common enough to occur regularly, either as new cases or in patients managing a chronic illness. Secondly, they can cause serious and life-threatening complications if not diagnosed and treated. Thirdly, they often present a challenging diagnostic problem because of their often slow onset and their capacity to produce non-specific symptoms such as weakness, tiredness or weight change, particularly in the early stages.This chapter explores the endocrinological disorders including Pituitary disorders, Thyroid disorders and Adrenal gland disorders that are important for a GP to know about and to manage. The common model of managing endocrine problems is as a shared-care model with an endocrinologist.

    • Psychiatry & Psychosocial Medicine

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 8 4 4
      Psychiatry and Psychological Medicine - General Practice: The Integrative Approach Series. The most common psychiatric disorders presenting to General Practitioners are depression, anxiety, adjustment disorders, and alcohol abuse and dependence. The prognoses of anxiety, depression and psychotic disorders are all improved by early detection and intervention, and so the GP’s role is pivotal in improving the level of functioning and quality of life of their patients. The GP is uniquely positioned to assess psychiatric symptoms, because they will have often seen a patient over an extended timeframe and so will have access to information about the patient and their premorbid functioning.

    • Child Health & Development

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 9 4 3
      Child health and development - General Practice: The Integrative Approach. While not an extensive overview of paediatric ill health, this chapter addresses a range of common problems presenting in a primary care setting including Screening, Growth monitoring, Atopy, Allergic rhinitis, Asthma, Iron deficiency, Screening for hearing loss, Screening for eye and vision problems, Infantile colic, Enuresis, Dyslexia, Developmental disorders and disabilities, Langauge development, Behaviour and psychological problems, Attention deficit hyperactivity disorder (ADHD), Autism and Autism-Spectrum Disorders, Obesity and Immunisation to illustrate the role of an integrative approach to children and their families that will support family cohesion and rally mutual physical, psychological and social supports underpinning a healthy approach to living.

    • Weight Problems & Eating Disorders

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 8 9 9
      Weight Problems and Eating Disorders - General Practice: The Integrative Approach. This chapter discusses anorexia and bulimia-like disorders. These eating disorders are characterised by the use of inappropriate behaviours to control body weight and feelings, as evidenced by low body weight, high body weight, extreme weight-control behaviours such as vomiting and starvation, excessive exercise and binge eating. Obesity - General Practice: The Integrative Approach. General Practitioners in primary care are uniquely placed to help in the management of patients in all stages of overweight and obesity, and are able to maintain a therapeutic relationship with patients over many years. General practitioners should take a long-term view of weight problems, which can mean avoiding goals for weight management that are unlikely to be achieved.

    • Managing Pain

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 9 9 8
      Managing Pain - General Practice: The Integrative Approach. One of the most common reasons for people presenting to a healthcare practitioner is the presence of pain. Taking an integrative approach to pain management is more, however, than adding in alternative or complementary treatments that merely provide another symptomatic approach to the patient’s treatment. Rather, integrative medicine means taking a holistic approach to the person’s experience of pain, assessing the relative contribution of all aspects of their pain, whether physical, psychological or spiritual, and applying the most appropriate treatment that evidence has demonstrated to be effective in the management of that aspect. Integrative pain management may therefore involve the judicious use of medications, stress reduction techniques, behavioural modification and re-examination of purpose and meaning. Any or all of these approaches may need to be considered as part of the prescription that best addresses the needs as well as the desires of the person in pain.

    • Bones

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 9 3 6
      Bones - General Practice: The Integrative Approach. Bones are complex organs with many important functions, the most obvious being structural. They provide support for the body and the means by which muscles can insert into fixed structures in order to allow movement. They are also important in hearing, through the transduction of sound via the ear’s ossicles, and they protect other soft organs that are easily damaged, such as the brain, eyes, kidneys, lungs and spleen. Bone marrow, which is largely within the medulla of the long bones, is the centre for production of blood cells (haematopoesis) and an important site for storage of fatty acids. Bones also have important metabolic functions. This chapter describes the following conditions affecting bones: osteoporosis, rickets, osteomalacia, Paget’s disease and bone cancer.

    • Men's Health

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 8 5 1
      Men's Health - General Practice: The Integrative Approach Series. This chapter discusses men’s health including erectile dysfunction, testicular cancer, prostate disease and also deals with the difficulty faced by GPs of getting male patients to present for a regular check-up.

    • Cancer

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 8 3 7
      Cancer - General Practice: The Integrative Approach Series. Integrative cancer care requires a comprehensive and well-coordinated team or virtual team approach. The general practitioner with an integrative philosophy is well placed to coordinate appropriate screening, prevention, case finding and treatment services for patients at all stages of their journey. The cancer journey begins with awareness of risk factors and preventive strategies, and continues through diagnosis of the type and stage of cancer, decisions about conventional treatment and adjunctive therapies. Ideally, the integrative approach to cancer management improves a patient’s sense of self-control, reduces anxiety and aims to maximise the body’s potential to heal.

    • Urology

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 9 2 9
      Urology - General Practice: The Integrative Approach. Symptoms suggesting urological pathology are common presentations in primary care. These include recurrent urinary tract infections, frequency and urgency of micturition, nocturia and urinary incontinence. Acute presentations to general practitioners or hospital emergency departments often involve pain: acute loin pain, testicular pain and the pain of urinary retention. Some signs may be suspicious for malignancy (e.g. haematuria). In addition, lumps in the scrotum and testes are a frequent cause for patient concern. A systematic approach to these presentations is easily followed, and history and examination will provide the diagnosis in the majority of cases.

    • Genetic Conditions

      • 1st Edition
      • October 30, 2012
      • Kerryn Phelps + 1 more
      • English
      • eBook
        9 7 8 0 7 2 9 5 8 1 9 8 1
      Genetic Conditions - General Practice: The Integrative Approach. Genetic conditions are those that are directly or indirectly due to a pathogenic variation in a person’s genome that is present at birth. The variant may be inherited from a parent, or occur for the fi rst time in the family in that person in the production of the egg or sperm or at conception (spontaneous mutation or chromosomal change). This chapter covers Epigenetics, Genetic counselling and genetic services, Genetic testing, Chromosomal conditions, Single gene conditions and Inherited genetic susceptibility.

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