基本説明
Includes guidelines and principles to help identify patients with medically unexplained symptoms.
Full Description
This brand new title addresses the complex issues faced by primary health care practitioners in treating and managing patients with 'medically unexplained symptoms'. It aims to develop guidelines and principles to help identify patients with medically unexplained symptoms, as they are typically underdiagnosed, and to manage symptoms more effectively with active patient involvement.
Contents
Contributors vii
Acknowledgements ix
1 Introduction 1
Chris Burton
2 Epidemiology and Impact in Primary and Secondary Care 5
Alexandra Rolfe and Chris Burton
3 Considering Organic Disease 7
David Weller and Chris Burton
4 Considering Depression and Anxiety 10
Alan Carson and Jon Stone
5 Medically Unexplained Symptoms and the General Practitioner 15
Christopher Dowrick
6 Principles of Assessment and Treatment 18
Chris Burton
7 Palpitations Chest Pain and Breathlessness 22
Chris Burton
8 Headache 27
David P. Kernick
9 Gastrointestinal Symptoms: Functional Dyspepsia and Irritable Bowel Syndrome 31
Henriëtte E. van der Horst
10 Pelvic and Reproductive System Symptoms 36
Nur Amalina Che Bakri, Camille Busby-Earle, Robby Steel and Andrew W. Horne
11 Widespread Musculoskeletal Pain 40
Barbara Nicholl, John McBeth and Christian Mallen
12 Fatigue 43
Alison J. Wearden
13 Neurological Symptoms: Weakness Blackouts and Dizziness 47
Jon Stone and Alan Carson
14 Managing Medically Unexplained Symptoms in the Consultation 52
Avril F. Danczak
15 Cognitive Approaches to Treatment 56
Vincent Deary
16 Behavioural Approaches to Treatment 60
Vincent Deary
17 Pharmacological Treatment 64
Killian A. Welch
18 Conclusion 68
Chris Burton
Appendix: Suggestions for Reflection and Audit 69
Chris Burton
Index 71
