Discover GP Lesson plan examples How will you manage this - PowerPoint PPT Presentation

Discover GP Lesson plan examples

How will you manage this patient? Treat in the GP Refer the patient surgery with to a hospital antibiotics for treatment

How do GPs decide? 1 A&E attendance 1 GP appointment = £36 = £148

C U R B 65 Confused? Urea level more Respiration rate Blood pressure less Age over 65 years than 7mmol/L more than than 90/60? old? 30/min? 1 1 1 1 1 Total: 0 -1 = Treat at the GP surgery with antibiotics Total: 2+ = refer to the hospital for further management

C U R B 65 Mr B: Not confused Urea = 6.6mmol/L Confused? Urea level more Respiration rate Blood pressure less Age over 65 years Respiration rate = 24 than 7mmol/L more than than 90/60? old? 30/min? Blood pressure = 110/80 1 1 1 1 1 Age = 75 years Total: 0 -1 = Treat at the GP surgery with antibiotics Total: 2+ = refer to the hospital for further management Total = ?

C U R B 65 Mr B: Not confused Urea = 6.6mmol/L Confused? Urea level more Respiration rate Blood pressure less Age over 65 years than 7mmol/L more than than 90/60? old? 30/min? Respiration rate = 24 1 1 1 1 1 Blood pressure = 110/80 Total: 0 -1 = Treat at the GP surgery with antibiotics Age = 75 years Total: 2+ = refer to the hospital for further management Total = ? Total = 1 point

PIKE P erception I nformation K nowledge E motion

Questionnaire

1) Measure and record your neighbours heart rate 2) Test your neighbours pupillary reflex

Clinical Whispers

What did I do on my holiday? … You are GP Holmes …

How many did you get ? Almost fell off Checked into riding a camel hotel and got a room upgrade Flight was Went shopping delayed by 2 in Rhodes and hours had pistachio ice cream Spent 2 nights in Egypt Went inside a 2 nights in Rhodes pyramid and got 2 nights in turkey very claustrophobic Went to see Got food poisoning Ephesus – on day 3 ancient greek site in turkey

What do GPs do?

Obesity – Alcoholism – lifestyle advice life advice and about diet and help to cut exercise down Diabetes – Liver cirrhosis diagnose, treat – diagnose, and monitor treat and monitor High blood pressure/hype Heart disease rtension – – diagnose, screen, treat and diagnose, treat monitor and monitor

Vomiting Fever Autism – liaise Macrocephaly – a with specialists large head and school Not reaching Vaccinations milestones Rash Cough Irritability/inconsolable ADHD – liaise with school

IBS Advice during pregnancy Mental health Post natal services depression Advice during pregnancy Menopausal advice

Glandular contraception fever – kissing disease Bullying – liaise with school Mental health services IBD Asthma Vaccinations Type 1 diabetes Epilepsy Teenage and Learning Meningitis childhood difficulties obesity