182636 - check, unit 552, Neurology, August 2018
This edition of check considers the diagnosis and management of various neurological conditions in general practice.Relevance to General Practice
Neurological presentations accounted for 4.3% of Australian general practice consultations in 2013–14. Parkinson’s disease affects 294 per 100,000 of the general Australian population and 867 per 100,000 Australians aged over 50 years. Another common neurological presentation in older patients is dementia, with 74% of patients aged over 75 years. There were 298,000 Australians with dementia in 2011, and approximately 0.5% of GP consultations involved management of dementia. Patients with Bell’s palsy present with unilateral facial weakness; although prognosis is good, investigation is required to rule out diagnoses such as stroke or tumours. Muscle weakness that is asymmetrical, progressive and devoid of sensory symptoms can be indicative of motor neurone disease, which affects 1500 Australians. Peripheral neuropathy refers to pain, weakness and numbness in extremities, caused by nerve damage. This can be due to chemotherapies, vitamin deficiencies and diabetes.
References on file.
D1. Communication skills and the patient-doctor relationship
Communication with family, carers and others involved in the care of the patient is appropriate and clear
D2. Applied professional knowledge and skills
Diagnosis and management is evidence-based and relevant to the needs of the patient
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensionsCurriculum Contextual Units
- Aboriginal and Aboriginal Torres Strait Islander health
- Adult health
- Care of older people
- Psychological health