For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Does polyvagal theory have any application in general practice?
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MENTAL HEALTH
Does polyvagal theory have any application in general practice?
Wednesday 14 September 2022, 12:35 AM

Chris felt like he dropped very far and very fast down a fireman’s pole into a sense of hopelessness [Image: Raimond Spekking, CC BY-SA 4.0]
This article looks at polyvagal theory and how it can help patients presenting to primary care with physical symptoms relating to stress
Key points, Polyvagal theory is organised around a hierarchical “autonomic ladder” with three discrete levels: ventral vagal, sympathetic and dorsal vagal.
A co, Pract Green w Pale Yellow
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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