problem solving and patient management in family practice.ppt
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Problem SolvingTRANSCRIPT
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Problem Solving Problem Solving andand Patient Management Patient Management
in in Family PracticeFamily Practice
Problem Solving Problem Solving andand Patient Management Patient Management
in in Family PracticeFamily Practice
Prof. Adnan Ahmad AlbarProf. Adnan Ahmad Albar
الرحمن الله بسمالرحيم
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Introduction
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Reasons for seeing the doctor include
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Management in general practice
• Assessing the pt.• Planning treatment• What are the risk and benefits of
treatment• Negotiating with the patient• Monitor progress• Making referral
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Five major tasks to Dx & Rx undifferentiated undiagnosed
problem
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Difficulty in constructing problem list
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Examination in General Practice
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What about diagnosis in general practice?
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Level of Diagnosis
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Effective use of diagnostic and therapeutic intervention
• This will require1- Knowledge of positive and negative predictive
value of symptoms and signs and finding from ancillary tests obtained in clinical data collection , and their dependency on the prevalence of the target disease
2- Understanding of cost – efficiency and cost-benefit of tests and treatment , and the number needed to treat or harm for specific treatments .
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Deciding whether to request a test
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The specific decision-making process to prevalence and incidence of
illness in the community• this will require :1- Knowledge of illnesses and diseases in
primary care , including their specific incidence and prevalence .
2- Knowledge of practice population ( age-sex distribution , prevalence of chronic diseases )
- Skill to apply specific decision –making ( using tools such as clinical reasoning and decision rules ).
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The predictive value positive of a test is the probability that the pt. with a positive test has the disease .
Interpreting Diagnostic Test Result
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Who’s for screening?
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Intervene urgently when necessary
• This will require 1- Specific decision-making skills for
emergency situation
2- Specific skills in emergency procedure in primary care situation
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Guidelines and protocol
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Management in general practice
• Assessing the pt.• Planning treatment• What are the risk and benefits of
treatment• Negotiating with the patient• Monitor progress• Making referral
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Thank You