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Titolo:
The assessment and management of adult patients with epilepsy - the role of general practitioners and the specialist services
Autore:
Lambert, MV; Bird, JM;
Indirizzi:
Inst Psychiat, Dept Psychol Med, Sect Neuropsychiat, London SE5 8AF, England Inst Psychiat London England SE5 8AF ropsychiat, London SE5 8AF, England Frenchay Hosp, Burden Ctr, Bristol BS16 1JB, Avon, England Frenchay Hosp Bristol Avon England BS16 1JB istol BS16 1JB, Avon, England GKT Med Sch, London SE5 8AF, England GKT Med Sch London England SE5 8AFGKT Med Sch, London SE5 8AF, England
Titolo Testata:
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY
fascicolo: 5, volume: 10, anno: 2001,
pagine: 341 - 346
SICI:
1059-1311(200107)10:5<341:TAAMOA>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARE; DIAGNOSIS; PROGNOSIS; SEIZURES; NEEDS;
Keywords:
epilepsy care; general practice; epilepsy nurse specialist; education; co-operation card; audit;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Lambert, MV Inst Psychiat, Dept Psychol Med, Sect Neuropsychiat, De Crespigny Pk,Denmark Hill, London SE5 8AF, England Inst Psychiat De Crespigny Pk,Denmark Hill London England SE5 8AF
Citazione:
M.V. Lambert e J.M. Bird, "The assessment and management of adult patients with epilepsy - the role of general practitioners and the specialist services", SEIZURE-E J, 10(5), 2001, pp. 341-346

Abstract

Recommendations have been made that all patients developing seizures should be referred to specialist services for full investigation and assessment and re-referred for issues such as inadequate seizure control, consideration of drug withdrawal and for pre-conceptual counselling. Bristol area general practitioners (GPs) were sent a questionnaire to determine their referral practices for adult patients with epilepsy. Details of their current management of these patients and their requirements from the specialist services were also obtained. Questionnaires were completed and returned by 67.8% of the GPs. Most referred their patients to the neurological or neuropsychiatric services. More than 70% wanted their new patients to be assessed within 4 weeks. Approximately, half at least sometimes treated their patients before this assessment of which a third never or only rarely sought advice asto the most suitable anticonvulsant. Most (71.5%) believed they had consultations with their patients with epilepsy at least yearly; however, only 34.3% had a recall system for non-attendees. Two-thirds either currently audited their practices or were willing to consider doing so, and 64.4% recognized a need for regular seminars on epilepsy. Few welcomed the introduction of joint clinics but two thirds believed co-operation cards could be useful. GPs in practices with an epilepsy nurse specialist were more supportive of the use of co-operation cards and were more likely to be involved in audit. Recommendations to improve the care provided by the Primary Health Care teams and aid communications with the specialist epilepsy services are made. (C) 2001 BEA Trading Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 10:40:15