9,265 results match your criteria Australian Family Physician[Journal]


Occupational violence and staff safety in general practice.

Authors:
Steven Moylan

Aust Fam Physician 2017 Dec;46(12):952-956

Background: The recent death of a Victorian surgeon who was assaulted by a member of the public when leaving work has re-highlighted the risk and potential cost of violence experienced by healthcare workers.

Objective: The aim of this article is to outline the risk of occupational violence experienced by doctors, and general practitioners in particular, and to discuss practical measures that can be taken to manage this risk.

Discussion: The majority of doctors have experienced aggression or violence in their workplaces in the past 12 months. Read More

View Article and Full-Text PDF
December 2017

You should get that mole checked out: Ethical and legal considerations of the unsolicited clinical opinion.

Aust Fam Physician 2017 Dec;46(12):949-951

Background: Legal and ethical obligations do not always align when doctors become aware of a clinical situation involving a person with whom they have no pre existing therapeutic relationship. Noting a potentially malignant skin lesion, such as a melanoma on a person outside the clinical setting, provides a pertinent example.

Objective: The aim of this article is to describe the legal, ethical and professional considerations surrounding proffering a dermatological opinion in the case of suspected melanoma outside the clinical setting. Read More

View Article and Full-Text PDF
December 2017

Understanding the decision to commence a dose administration aid.

Aust Fam Physician 2017 Dec;46(12):943-947

Background: The use of dose administration aids (DAAs), such as compartmentalised boxes (eg dosette) or medicine packs (eg Webster-pak), is common, particularly among patients with chronic disease. The aim of this study was to investigate factors influencing patients' decisions to commence using a DAA with a view to summarising implications for practice for general practitioners (GPs).

Methods: Semi-structured interviews were undertaken with participants living in a regional town in South Australia. Read More

View Article and Full-Text PDF
December 2017

Psychological distress and risky sexual behaviours among women aged 16-25 years in Victoria, Australia.

Aust Fam Physician 2017 Dec;46(12):935-941

Background: Identifying factors related to risky sexual behaviour may contribute to preventive and interventional approaches to reduce negative mental health outcomes among young women. The aim of this study was to investigate the association between psychological distress and risky sexual behaviours in females aged 16-25 years in Victoria, Australia.

Methods: Data were extracted from the Young Female Health Initiative (YFHI), a study in which participants were recruited via advertisements on Facebook. Read More

View Article and Full-Text PDF
December 2017

A mixed-methods feasibility study of routinely weighing patients in general practice to aid weight management.

Aust Fam Physician 2017 Dec;46(12):928-933

MBBS, MFM (Clin), PhD, DRANZCOG, FRACGP, General Practitioner and Roberta Williams Chair of General Practice, Graduate School of Medicine, University of Wollongong, and a general practitioner, New South Wales.

Background: The optimal role of general practice in population weight management remains unclear. The aim of this mixed-methods study was to test the feasibility of routinely weighing all adult patients attending their general practice as an intervention to aid weight management in clinical practice.

Methods: Consenting patients in six general practices were weighed at each presentation over a 12-month period. Read More

View Article and Full-Text PDF
December 2017

The Australian Mid-West Coastal Marine Wound Infections Study.

Aust Fam Physician 2017 Dec;46(12):923-927

Background: Marine organism wound infections are common in coastal regions of Western Australia. Local treatment guidelines are based on studies from elsewhere. The objective of this article was to identify the causative organisms in marine wounds sustained in the subtropical and tropical coastal waters of the Indian Ocean, Gascoyne region (north-west), Western Australia. Read More

View Article and Full-Text PDF
December 2017

Management of bariatric patients beyond the scalpel.

Aust Fam Physician 2017 Dec;46(12):918-921

Background: Obesity management in general practice sometimes involves referral of patients for bariatric surgery. Integral to the success of long-term weight loss maintenance is supporting the patient's psychological, nutritional and exercise needs.

Objective: This article is written to equip general practitioners (GPs) to manage the comprehensive needs, before and after bariatric surgery, of patients who are obese. Read More

View Article and Full-Text PDF
December 2017

Growth disorders in adolescents.

Aust Fam Physician 2017 Dec;46(12):913-917

Background: Growth is one of the fundamental processes of adolescent development. Careful history and examination, and relevant tar-geted investigations, can streamline the referral process, highlighting the important role of primary healthcare clinicians.

Objective: This article will provide a guide for clinicians to categorise growth patterns in adolescents, and recognise patients who may have a growth disorder. Read More

View Article and Full-Text PDF
December 2017

Childhood constipation.

Aust Fam Physician 2017 Dec;46(12):908-912

Background: Constipation is best defined as difficulty passing stools that may be infrequent (≤2 per week), painful and associated with stool retention. Childhood constipation is common, with a prevalence of 3-30% worldwide. Most constipation in children is functional and related to behavioural withholding after an unpleasant stool event. Read More

View Article and Full-Text PDF
December 2017

Depression in children.

Aust Fam Physician 2017 Dec;46(12):901-907

Background: Major depressive disorder (MDD) in children (5-12 years of age) is a confronting and serious psychiatric illness. MDD has significant ramifications for the psychosocial development of the child, yet it remains under-recognised and undertreated. General practice is where these children and their parents will first present. Read More

View Article and Full-Text PDF
December 2017

Eczema management in school-aged children.

Aust Fam Physician 2017 Dec;46(12):896-899

Background: Atopic eczema is a relapsing inflammatory skin condition that can be lifelong. Management of eczema is often focused on infants, with many school-aged children undertreated. Uncontrolled eczema has a significant impact on the quality of life of the child and their family. Read More

View Article and Full-Text PDF
December 2017

Acne in adolescents.

Authors:
Kurt Gebauer

Aust Fam Physician 2017 Dec;46(12):892-895

Background: Acne vulgaris affects more than 90% of Australian adolescents aged 16-18 years. It may have a significantly deleterious effect on their self-esteem and emotional state. Moderate-to-severe acne can lead to scarring. Read More

View Article and Full-Text PDF
December 2017

Patients' attitudes towards chaperone use for intimate physical examinations in general practice.

Aust Fam Physician 2017 Nov;46(11):867-873

Background: The objective of this article is to investigate patients' attitudes to the use of chaperones for intimate physical examinations (IPEs) in a sample of Australian general practices.

Methods: A cross-sectional survey of adult patients from 13 randomly selected general practices in regional New South Wales was conducted between September and November 2012. Generalised linear mixed models were used for analysis. Read More

View Article and Full-Text PDF
November 2017

The challenge of liver cancer surveillance in general practice: Do recall and reminder systems hold the answer?

Aust Fam Physician 2017 Nov;46(11):859-864

Background: Hepatocellular carcinoma (HCC) surveillance reduces mortality in at-risk people living with chronic hepatitis B (CHB), but is difficult to achieve in practice. The objective of this study was to measure participation and adherence to liver cancer HCC surveillance in eligible patients in a community health centre, following support from the Integrated Hepatitis B Service (IHBS).

Methods: A retrospective analysis of the medical records of patients with CHB who met the indications for HCC surveillance over a 4. Read More

View Article and Full-Text PDF
November 2017

Osteosarcopenia: A new geriatric syndrome.

Aust Fam Physician 2017 Nov;46(11):849-853

Background: Longevity, the increase in the ageing population and a lifestyle of minimal physical activity come with a hefty price. Consequently, two diseases are increasingly becoming a concern for the welfare of patients and the health industry: osteoporosis and sarcopenia. These conditions are usually interrelated through several mechanisms and metabolic pathways, and comprise a syndrome called osteosarcopenia. Read More

View Article and Full-Text PDF
November 2017

Unilateral diffuse lung opacification in an asymptomatic woman.

Aust Fam Physician 2017 Nov;46(11):845-846

MBBS, MD, DM, FAMA, FAMS, is Associate Professor, Department of Internal Medicine, International Medical University Clinical School, and consultant pulmonologist, Department of Internal Medicine, Hospital Tuanku Ja'afar, Seremban, Negeri Sembilan, Malaysia.

View Article and Full-Text PDF
November 2017

Early detection of eating disorders in general practice.

Authors:
Elizabeth Rowe

Aust Fam Physician 2017 Nov;46(11):833-838

Background: General practitioners (GPs) are often the first health professional consulted in regard to eating disorders and their varied presentations. Given the prognostic significance of early detection of, and intervention for, such conditions, it is important that GPs feel confident to do so.

Objective: The aim of this article was to heighten awareness of the role of early identification and diagnosis of eating disorders, especially anorexia nervosa and bulimia nervosa, in the primary care setting. Read More

View Article and Full-Text PDF
November 2017

Diverticular disease practice points.

Aust Fam Physician 2017 Nov;46(11):829-832

Background: Diverticular disease and its spectrum of complications are increasingly encountered in the Australian population. Accurate management of patients before and after an acute episode entails extension beyond the acute event to include dietary advice and colonoscopy.

Objective: The objectives of this article are to evaluate the literature regarding dietary factors and diverticular disease, routine colonoscopy and antibiotic treatment in acute diverticulitis, to enable primary care physicians to manage patients and provide sound advice after hospital admission. Read More

View Article and Full-Text PDF
November 2017

Troponin testing in the primary care setting.

Aust Fam Physician 2017 Nov;46(11):823-826

Background: Chest pain is a common presenting complaint in general practice. Serum troponin testing is an important clinical tool to help identify patients who present with suspected acute coronary syndrome (ACS).

Objective: This article will discuss the role of troponin testing in the diagnosis of ACS, and the role of high-sensitive troponin, which is now in widespread use. Read More

View Article and Full-Text PDF
November 2017

Pulmonary embolism An update.

Authors:
Steven Doherty

Aust Fam Physician 2017 Nov;46(11):816-820

Background: Pulmonary embolism is a common condition and can be the source of significant morbidity and mortality.

Objective: This article reviews the approach to the diagnostic assessment and management of patients with suspected pulmonary embolism.

Discussion: Various clinical decision rules and algorithms are available to assist in the diagnosis of pulmonary embolism, and the Wells score and Pulmonary Embolism Rule-out Criteria rule are presented in this article. Read More

View Article and Full-Text PDF
November 2017

Pericarditis.

Aust Fam Physician 2017 Nov;46(11):810-814

FRACP, FCSANZ, Clinical Director of Coronary Care Unit, Gold Coast University Hospital, Associate Professor, Griffith University School of Medicine and Bond University, Gold Coast, QLD.

Background: Pericarditis is an important diagnosis to consider, along with various other differential diagnoses, in a patient who presents with chest pain.

Objective: This article describes in detail the common features, management and complications of pericarditis in the general practice setting.

Discussion: Characteristic clinical findings in pericarditis include pleuritic chest pain and pericardial friction rub on auscultation of the left lower sternal border. Read More

View Article and Full-Text PDF
November 2017

Practice-based research networks.

Aust Fam Physician 2017 Oct;46(10):793-795

PhD, BSc, Honorary Research Fellow at Mater Research Institute, The University of Queensland, Brisbane, QLD.

Background: Practice-based research networks (PBRNs) are collaborations between clinical practitioners and academics. PBRNs aim to foster research in general practice through opportunities to learn more about how to undertake and participate in research, and assist in translating new knowledge into practice. Critically, PBRNs also offer clinicians the chance to contribute to research by posing questions of importance to quality clinical care. Read More

View Article and Full-Text PDF
October 2017

Transport on prescription: How can GPs contribute to the promotion of active transport?

Aust Fam Physician 2017 Oct;46(10):783-788

Background: Active transport (ie walking, cycling, using public transport) can play a part in reducing non-communicable diseases (NCDs). Very little is known about how general practitioners (GPs) can contribute to promoting active transport. We explored GPs' ideas around active transport, and potential barriers and facilitators to its promotion in the clinical setting. Read More

View Article and Full-Text PDF
October 2017

Morphine use in cancer care: A survey of attitudes and perceptions in general practice patients.

Aust Fam Physician 2017 Oct;46(10):775-780

Background: Morphine is widely prescribed for patients with cancer, although a number of attitudes have been cited as barriers to its use, including fear, addiction and associations with death. The aim of this study was to explore the nature of these beliefs, and assess the extent to which these attitudes exist in a general practice patient population that may require morphine in the future.

Methods: A 30-item survey was distributed through general practices in Victoria, Australia. Read More

View Article and Full-Text PDF
October 2017

Barriers to effective conversations regarding overweight and obesity in regional Victoria.

Aust Fam Physician 2017 Oct;46(10):769-773

Background: General practitioners (GPs) have a crucial role to play in engaging patients in discussions about overweight and obesity. However, such discussions are currently uncommon. The aim of this study was to examine how GPs in rural areas talk about overweight and obesity with their patients, specifically to identify key barriers to effective conversations. Read More

View Article and Full-Text PDF
October 2017

Electronic clinical decision support tool for the evaluation of cardiovascular risk in general practice: A pilot study.

Aust Fam Physician 2017 Oct;46(10):764-768

Background: Cardiovascular disease (CVD) is a major cause of death in Australia. Electronic medical record (EMR)-based clinical decision support (CDS) tools have the potential to support absolute CVD risk (ACVDR) evaluation and management. The objective of this study was to test the acceptability and feasibility of the Treat to Target CVD (T3CVD), an EMR-based CDS tool, for the evaluation of ACVDR in general practice. Read More

View Article and Full-Text PDF
October 2017

Growing and retaining general practice research leaders in Australia: How can we do better?

Aust Fam Physician 2017 Oct;46(10):757-762

Background: The aim of this study was to explore the experiences of Australian general practitioners (GPs) with a Doctor of Philosophy (PhD) about their choice to abandon or pursue an academic career.

Methods: A qualitative study of 18 GPs (PhD obtained between 2006 and 2016) was conducted. Semi-structured telephone interviews were transcribed and analysed using concurrent thematic analysis. Read More

View Article and Full-Text PDF
October 2017

Lifestyle risk factors and corresponding levels of clinical advice and counselling in general practice.

Aust Fam Physician 2017 Oct;46(10):751-755

Background: The objective of this study was to examine prevalence rates of lifestyle risk factors in the Western Victorian Primary Health Network (WV PHN) general practice patient population and the corresponding levels of clinical advice and counselling.

Methods: Analysed data from the Bettering the Evaluation and Care of Health (BEACH) program from April 2011 to March 2015 were examined, providing a comparison of three geographical areas of general practice patients: WV PHN, Victoria and Australia.

Results: Rates of clinical advice and counselling for diet and exercise provided by general practitioners (GPs) in the WV PHN network were significantly lower than Victorian and Australian rates, despite the region's higher obesity rates. Read More

View Article and Full-Text PDF
October 2017