Answer Plans for the MRCGP, 1st Edition by Kilburn, J.

By Kilburn, J.

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Is housing adequate? g. nursery teacher. • Additional input from health visitor. • Need to strongly consider specialist referral for behavioural therapy etc. Wider issues • • • • Availability of resources and proper supervision of appropriate prescribing. Are there support groups available locally? Awareness of new treatments. The need to keep up-to-date regarding a common but difficult area. RELEVANT LITERATURE The management of hyperactive children. DTB 33(8), 1995 Attention deficit deficit hyperactivity disorder—a review.

Organized stroke rehabilitation improves short and long term mortality by 25% and reduces long term disability. • Greatest recovery occurs in the first 3 months and rehabilitation should be started as soon as the patient’s condition permits. • Home care plans have not been shown to influence admission rates or improve outcome at 6 months. • Long term aspirin reduces further serious vascular events by 25%. It should be prescribed as early as possible in ischaemic stroke. 40 PRACTICE QUESTIONS RELEVANT LITERATURE Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke.

Problems for the partnership • Additional burden on other staff. • Concerns for the future of the practice. • The need to maintain supportive relationship between all partners. PRACTICE QUESTIONS 53 Practice organization • • • • • May impact provision of out of hours care. May require temporary leave of the partner. Communication strategy for staff and patients. The need for a locum. Are there underlying problems within the practice which should be reexamined? Medico-legal and ethical issues • Duty of confidentiality.

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