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Primary care, grounded in the provision of continuous comprehensive
person-centred care, is of paramount importance in the delivery of
accessible and effective health care around the world. The central
notion of person-centred care, however, relies on often-unexamined
concepts of self, or understandings of what it means to be a person
and an agent. This cutting-edge book explores contemporary
pressures on the sense of self for both patient and health
professional within a consultation and argues that building new
concepts of the self is essential if we are to reinvigorate the
central tenets of person-centred primary care. Contemporary trends
such as shared decision-making between health professionals and
patients and promoting self-management assume those involved are
able to make their own decisions and take action. In practice,
however, medicine often opts for reductionist perspectives of
patients as passive mechanical systems and diseases as puzzles. At
the same time, huge political and organisational changes mean time
and resources are scarce, putting further pressure on
consultations. This book discusses how we can start to resolve
these tensions. The first part considers problems posed by the
increasing bureaucratisation of primary care, the impact of
information technology in the consultation, the effects of chronic
disease on our sense of self and how an emphasis on biology over
biography leads to over-diagnosis. The second part proposes
solutions based on a strong ontology of consciousness, concepts of
creative capacity, coherence and engagement, and will show how
these can enhance the self-esteem of patients and doctors and
benefit their therapeutic dialogue. Combining theoretical
perspectives from philosophy, sociology and healthcare research
with insights drawn from clinical practice, this edited volume is
suitable for those researching and studying primary healthcare,
communication and relationships in healthcare and the medical
humanities.
The reorganization of general practice and the NHS mean that GPs now face many new and distinctive ethical dilemmas in their practice. With pressure on resources and an increasing concern to evaluate the outcomes of health care, GPs have additional responsibilities that could conflict with the primary objective of caring for the individual patient. General Practice and Ethics explores the ethical issues that are encountered by GPs in their everyday practice, addressing two central themes; the uncertainty of outcomes and effectiveness in general practice and the changing pattern of general practitioners' responsibilities. Among the topics examined are: * the ethical implications of the use of evidence-based medicine in general practice * consent, autonomy and confidentiality in general practice * the history of patient-centredness * research ethics in general practice General Practice and Ethics presents a topical and comprehensive analysis of the kinds of ethical dilemmas faced by GPs on a daily basis which will be useful to practitioners and students alike.
This book provides up-to-date, practical information for family
doctors on how to assess and manage important mental health
problems presenting in primary care settings. Patients frequently
present with mental health problems in primary care settings around
the world, yet family doctors consistently identify gaps in their
knowledge, skills and confidence in how best to care for them.
Contributors to the book are experts in primary mental health care
and have consulted with family doctors around the world, to
identify their main learning needs. Each of the nine core chapters
will begin with a set of key points on 'how to do it' and will end
with educational material in the form of clinical scenarios and
multiple choice questions. This book describes core competencies
for primary mental health care, clarifies how to conduct a first
consultation about depression, reviews non-drug interventions for
common mental health problems, discusses the management of
unexplained physical symptoms, and advises on the physical health
care of patients with severe mental illness. It explores the mental
health needs of migrants and young people, and explains how to
manage problems of frailty, multimorbidity and dementia. This book
will be of interest to family doctors and students specialising in
family medicine worldwide.
Primary care, grounded in the provision of continuous comprehensive
person-centred care, is of paramount importance in the delivery of
accessible and effective health care around the world. The central
notion of person-centred care, however, relies on often-unexamined
concepts of self, or understandings of what it means to be a person
and an agent. This cutting-edge book explores contemporary
pressures on the sense of self for both patient and health
professional within a consultation and argues that building new
concepts of the self is essential if we are to reinvigorate the
central tenets of person-centred primary care. Contemporary trends
such as shared decision-making between health professionals and
patients and promoting self-management assume those involved are
able to make their own decisions and take action. In practice,
however, medicine often opts for reductionist perspectives of
patients as passive mechanical systems and diseases as puzzles. At
the same time, huge political and organisational changes mean time
and resources are scarce, putting further pressure on
consultations. This book discusses how we can start to resolve
these tensions. The first part considers problems posed by the
increasing bureaucratisation of primary care, the impact of
information technology in the consultation, the effects of chronic
disease on our sense of self and how an emphasis on biology over
biography leads to over-diagnosis. The second part proposes
solutions based on a strong ontology of consciousness, concepts of
creative capacity, coherence and engagement, and will show how
these can enhance the self-esteem of patients and doctors and
benefit their therapeutic dialogue. Combining theoretical
perspectives from philosophy, sociology and healthcare research
with insights drawn from clinical practice, this edited volume is
suitable for those researching and studying primary healthcare,
communication and relationships in heal
This book provides up-to-date, practical information for family
doctors on how to assess and manage important mental health
problems presenting in primary care settings. Patients frequently
present with mental health problems in primary care settings around
the world, yet family doctors consistently identify gaps in their
knowledge, skills and confidence in how best to care for them.
Contributors to the book are experts in primary mental health care
and have consulted with family doctors around the world, to
identify their main learning needs. Each of the nine core chapters
will begin with a set of key points on 'how to do it' and will end
with educational material in the form of clinical scenarios and
multiple choice questions. This book describes core competencies
for primary mental health care, clarifies how to conduct a first
consultation about depression, reviews non-drug interventions for
common mental health problems, discusses the management of
unexplained physical symptoms, and advises on the physical health
care of patients with severe mental illness. It explores the mental
health needs of migrants and young people, and explains how to
manage problems of frailty, multimorbidity and dementia. This book
will be of interest to family doctors and students specialising in
family medicine worldwide.
Part of the Reading Well scheme. 35 books selected by young people
and health professionals to provide 13 to 18 year olds with
high-quality support, information and advice about common mental
health issues and related conditions. Meet Julie - a women who
suffers from periods of depression. Julie and her family help
readers to understand what depression is, what it is like to feel
depressed and how it can affect their family life. She explains how
coping with depression can sometimes be very difficult but there is
support and help available that can relieve the feelings of
depression. This illustrated book is an ideal introduction to
depression - a condition that can be particularly difficult for
children to understand. It is suitable for readers aged 7 upwards
and shows family, friends and anyone who knows someone affected by
depression how they can offer support.
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