This article covers the symptoms of concussion and the key roles that GPs play in early management. It discusses factors that affect recovery and the advice GPs should give to patients to help prevent escalation of symptoms and to promote earlier recovery. Finally, it describes the ACC funded Concussion Service
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A collection of Practice and How to Treat articles made freely available. For access to our complete Educate library, think about taking out a subscription to New Zealand Doctor Rata Aotearoa
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Nurses may also find that reading these articles and reflecting on their learning can count as a professional development activity with the Nursing Council of New Zealand.
Human papillomavirus vaccinations have dropped as the COVID-19 pandemic has disrupted the school-based immunisation programme. In this article, specialist GP Cathy Stephenson and registered nurse Robyn Kooperberg outline some ways you can help ensure children and young people don’t miss out.
New Zealand can draw on the experiences of health systems around the world that have been caring for COVID-19 patients in the community much longer than us. This article outlines the evidence-based processes and protocols written by Professor Dee Mangin for the hfam.ca website, which is the basis for the COVID-19 primary care pathway in Ontario, Canada. The information and resources provided here can be adapted and used alongside New Zealand-specific guidance.
In this article, interventional cardiologist Jonathon White writes about the contemporary management of aortic stenosis. He covers the importance of detecting AS early, challenges surrounding diagnosis, indications for treatment, and how management pathways are decided on by the heart team. The definitive treatment for AS – aortic valve replacement – is described in detail.
Haemorrhoids are very common in patients presenting to general practice and can significantly impact on quality of life. This article, written by colorectal and general surgeon Sze-Lin Peng, summarises the treatment of haemorrhoids after careful history and accurate examination have been performed.
Myalgic encephalomyelitis/chronic fatigue syndrome is a common, debilitating and costly disease. Diagnosing and managing complex chronic conditions such as this is not easy with a 15-minute consultation, but this article, written by specialist GP Cathy Stephenson and clinical psychologist Rose Silvester, provides a framework of evidence-based information for GPs working with patients with ME/CFS.
New asthma guidelines were released by the Asthma and Respiratory Foundation NZ in 2020. In this article, pharmacist prescriber Helen Cant outlines the new recommendations for asthma management and the reasons behind these changes.
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