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Du har for nylig modtaget DSAM’s seneste vejledning om depression. Vi håber du finder den nyttig i hverdagen.

Vejledninger på vej

I august udkommer en vejledning om angst, i løbet af efteråret en vejledning om hjerteinsufficiens og omkring årsskiftet kommer en opdatering af diabetesvejledningen.

Midt i alle disse vejledninger kommer en speciel vejledning, som nærmest kan kaldes en håndbog, med titlen: ”Vejledning om håndtering af akutte symptomer i almen praksis. Visitation og behandling i dag- og vagttid.”
En håndbog i et mindre format som kan støtte visitation af akut opståede symptomer efter triageprincippet (rød, gul, grøn). Håndbogen er målrettet læger i praksis og i lægevagten, men kan selvfølgelig benyttes af andre i klinikken. DSAM arbejder på en at få etableret en elektronisk telefonvisitationsguide til praksispersonalet - også opbygget efter triageprincippet.

Der er desuden planlagt vejledninger med flg. emner: Funktionelle lidelser, osteoporose, øvre og nedre luftvejsinfektioner og en samlet vejledning om iskæmi, hypertension og hjemmeblodtryksmåling.

Ønsker/behov for vejledninger

Med denne viden vil vi gerne høre, om du har nogle områder, hvor du savner en DSAM-vejledning i dagligdagen. Vi har fra forskellige sider fået forslag til følgende vejledninger:

Geriatri, gerne med gerontopsykiatriske emner
Astma, evt. opdelt i en for børn og en for voksne
Søvnforstyrrelser
Svimmelhed evt også inddrage fald
Hovedpine

Vi vil nu gerne høre din mening.

Er du enig i, at der er behov for en eller flere af de nævnte vejledninger og evt. hvilke?
Er der nogen du slet ikke har behov for?
Har du ønsker om andre vejledninger?

Med venlig hilsen
Torsten Sørensen

Skriv kommentar

Der er 51 kommentarer til dette indlæg:

#1 15. jun '10 Kl. 15:05 skrev Torsten Risør:

Tak for jeres fine vejledninger til hjælp i det daglige arbejde.

En vejledning om søvnforstyrrelser vil være meget velkommen. Søvnproblemer er et hyppigt problem og hyppigt som del af andre problemer. Jeg tror jeg har let ved enten at bagatellisere det eller medikalisere det - og hvornår er det rimeligt at gøre det? Og hvad er der så faktisk evidens for at gøre?

Et emne - udenfor listen - som også kunne fortjene en vejledning er seksuel dysfunktion - herunder nedsat lyst, erektil dysfunktion, underlivssmerter. Hvor langt kan vi komme i almen praksis i udredning og behandling?

Tak igen

#2 15. jun '10 Kl. 17:05 skrev Jan-Helge Larsen:

Kære skrivende kolleger,
I anledning af vejledning i håndtering af akutte situationer er på vej, kom jeg til at tænke på følgende: Jeg læste artiklen om MediBOX-fraser i sidste nummer af Månedsskriftet. Den tager udelukkende udgangspunkt i Lægens del af samtalen. Hvad med Patientens del (forestillinger, frygt og forventninger), hvordan får vi det til at blive en selvfølgelig del af lægers samtaler? Men det er der forhåbentlig taget højde for?

Mange hilsener

#3 15. jun '10 Kl. 19:30 skrev Christina H. Reisenhus:

Alle vejledninger er velkomne, men som uddannelselæge er den prioriterede rækkefølge af de nævnte:
1. Svimmelhed
2. Geriatri (incl polyfarmaci)
3. Hovedpine
4. Astma
5. Søvnforstyrrelser

Andre forslag:
Børnelidelser (hvad skal jeg fange ved børneundersøgelserne og hvornår fx indenfor ortopædi og øjensygdomme, hvornår uderede videre og hvor meget ved fx adfærdsforstyrrelser mv)

OG tak for dem I har lavet;-)

Mange hilsener

#4 15. jun '10 Kl. 20:25 skrev Christina H. Reisenhus:

Og kom så også lige i tanke om:
Polyneuropati
samt
Udredning af ledsmerter (reumatologi)

#5 16. jun '10 Kl. 08:29 skrev Susanne Bülow:

Ny vejledning om kvalitet, kontinuitet, rollefordeling, fagligudvikling af de forebyggende børne og unge undersøgelser i almen praksis og kommunerne. Hilsen Susanne Bülow

#6 16. jun '10 Kl. 16:56 skrev Erik Hein:

Vi savner især vejledningen om ASTMA : Børn/ Unge/ Voksne - diagnostik, self care, behandling, kontrolstrategier i Almen Praksis.

#7 16. jun '10 Kl. 17:23 skrev Annemette Tørnæs:

Synes, I laver gode vejledninger. Jeg savner ofte vejledning i hovedpine og svimmelhed, men de øvrige emner lyder også gode.

#8 17. jun '10 Kl. 10:23 skrev Klaus Witt:

Søvnforstyrrelser!
Almen praksis møder langt de fleste patienter med søvnproblemer. Er vores viden opdateret? Hyppige problemer kan vi få erfaring med og vi bør derfor udnytte de tekniske muligheder, der er eller kunne blive til rådighed i vores praksis.

#9 17. jun '10 Kl. 11:57 skrev svend kier:

tak for mail.
en oversigt over ADHD der fylder merer og mere p.t. ikke mindst hvem må behandle hvad.

#10 19. jun '10 Kl. 17:08 skrev Elisabeth Thysen:

Træthed og funktionelle lidelser, kan være svære nødder at knække

#11 20. jun '10 Kl. 16:28 skrev Roar Maagaard:

Jeg svaner også en astma-vejledning. De internationale guidelines er ikke implementeret i Danmark - men den må være relativt nemt at udarbejde.

#12 21. jun '10 Kl. 09:46 skrev Louise Berg Krogsgaard:

Tak for alle de gode vejledninger.
Jeg har længe ønsket mig en vejledning om Astma. Derudover ville ADHD - børn og voksne og ledsmerter være meget velkomne.

#13 5. jul '10 Kl. 13:13 skrev Kamilla Rost:

Jeg kunne savne noget omkring socialmedicin samt attestskrivning.
Tak for nogle ellers gode vejledninger. Ser frem til mange flere:-)

#14 2. aug '10 Kl. 15:06 skrev Katrina Starklint:

Gerne en astmavejledning der er delt op m.h.t. behandling og kontrol ved både børn og voksne.

#15 31. aug '10 Kl. 11:32 skrev thomas alber:

Fint med den nye angstvejledning, virker meget gennemarbejdet. Dog undrer det mig at man under differentialdiagnostik har udeladt ADD/ADHD - specielt ADD patienter lider også af angst i forskellige former.

#16 31. aug '10 Kl. 21:31 skrev Kaj Sparle Christensen:

ADHD er omtalt som en mulig differentialdiagnose under de organiske psykiatriske lidelser på side 18 i angstvejledningen. I øvrigt enig i at patienter med ADHD/ADD ofte har komorbid angst.

#17 1. sep '10 Kl. 14:26 skrev Kaj Sparle Christensen:

I klinikken bruger jeg jævnligt plastarkene. Problemet kan være tilgængeligheden. Ville det være en idé om DSAM fremstiller indekserede ringbind til plastarkene?

#18 16. sep '10 Kl. 16:29 skrev jørgen skadborg:

PLO har annonceret at denne vejledning ok håndtering af akutte symptomer ER udkommet. Men hvor er den?

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