A practical guide to stopping medicines in older people
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The majority of older people who require drug therapy take multiple medicines. Polypharmacy increases the risk of adverse effects and medicine interactions. Individual review of the need for each medicine can simplify treatment regimens and reduce the potential for harm. Practical guidance for stopping medicines includes only stopping or reducing one medicine at a time and tapering the dose to reduce the likelihood of an adverse withdrawal event. Specific guidance for discontinuing common medicines is included.
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| Medicines for weight loss – do they work? |
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Improving diet and increasing physical activity are the main strategies for weight loss. Weight loss medicines may be considered for some people who have not attained a healthy weight with lifestyle changes alone, especially if they still have central obesity related risk factors. Weight loss medicines only produce modest reductions in weight and must be used in conjunction with lifestyle changes. Weight loss medicines are not effective long-term.
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Common issues in paediatric oral health
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How to recognise and manage common oral health issues in younger children including: what to expect inside the mouth, teething pain, gingivitis, oral thrush, angular cheilitis, eruption cysts, gum boils, ulcers, herpes simplex virus, non-nutritive sucking, mouth breathing, tooth grinding, fraenal attachments, “tongue-tie” and tooth trauma.
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Care of stroke survivors
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The aim of stroke rehabilitation is for the patient to regain the best level of health, activity and participation possible within the limits of any persisting stroke impairment. Many stroke survivors are left with significant changes to physical, emotional, cognitive and social function. Recovery of function varies depending on the part of the body affected. Best outcomes after stroke are associated with prompt specialist multidisciplinary in-patient care in a stroke rehabilitation unit. General practice is ideally placed to undertake comprehensive reviews and coordinate after stroke care in the community.
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| Essentials |
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