All Neurology articles – Page 2
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NICE quality standard article
New quality standards on the epilepsies will promote better care
Professor Helen Cross and Drs Colin Dunkley and Margaret Jackson explain how an integrated approach to epilepsy care could avoid misdiagnosis and improve outcomes for patients
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Implementing guidelines
NICE updates its recommendations on treatment of epilepsy
Dr Greg Rogers outlines how the NICE guideline on epilepsy will help clinicians to choose the most appropriate drug based on seizure type and syndrome
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Implementing guidelines
Prompt referral is required for suspected new epileptic seizures
Dr Simon de Groot explains how management of patients with epilepsy remains poor despite availability of guidance and recognition of the impact of the condition
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Implementing guidelines
Suspected Parkinson's disease should be referred untreated
Dr Katherine Grosset (left), Dr Graeme Macphee, and Dr Donald Grosset review the SIGN guideline on the diagnosis and pharmacological management of Parkinson’s disease
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Personal view
PD guidance from NICE has been difficult to implement
Dr Chris Taggart revisits the NICE Parkinson s disease guideline to assess whether its key priorities have been addressed locally
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Differential diagnoses
Your patient presents with facial paralysis: is it Bell's palsy?
Dr Shameen Jaunoo (left) and Mr Robert Sudderick explain what the GP should consider when identifying a case of Bell’s palsy and highlight suitable management and treatment options
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Implementing guidelines
Communication is key with your Parkinson's disease patients
Dr John Hindle discusses the PD guidance from NICE, which promotes quick referral to a specialist for diagnosis and management of non-motor symptoms
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Implementing guidelines
Parkinson's disease patients should be referred untreated
The NICE PD guideline recommends that GPs leave diagnosis and treatment to specialists, explains Dr Chris Taggart
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Personal view
Teenagers are set to lose out with the new epilepsy indicators
GPs should continue to treat patients aged 16 and 17 in primary care even though the epilepsy register now starts at 18 years, as Dr Andrew Orr explains
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Personal view
What should GPs do to improve epilepsy care?
Local GP specialists are one way to improve care for patients with poorly controlled epilepsy, argues Dr Phillip Bland
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GMS contract
Have QOF indicators improved epilepsy management?
Tackling the indicators in the nGMS contract is an important step towards providing structured care for patients with epilepsy, says Dr Andrew Orr
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Implementing guidelines
SIGN guideline will improve care in childhood epilepsy
A diagnosis of epilepsy should be made by an expert but the GP’s role in the care of children with the condition is important too, as Dr Martin Kirkpatrick explains
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Implementing guidelines
SIGN notes for discussion with patients and carers: 22. Management of epilepsies in children and you
22. Management of epilepsies in children and young people
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GMS contract
National enhanced service will benefit patients with MS
Providing an enhanced service for MS patients will enable GPs to carry out regular assessments and develop personal health plans for each patient, says Dr Neale Pimenta
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Implementing guidelines
NICE epilepsy guideline recommends regular structured reviews
Epilepsy diagnosis should be carried out by specialists but GPs have an important role to play in long-term management of the condition, says Dr Henry Smithson
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Good practice initiative
Forth Valley guideline transforms standards of epilepsy care
This year’s Guidelines in Practice Award winning team explain how epilepsy patients have benefited from a collaboration between primary and secondary care and the voluntary sector
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Personal view
Which date should we use to record the last seizure?
Dr Andrew Orr answers a reader’s question about how to record data in the epilepsy section of the new GMS contract
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GMS contract
Quality indicators are basis for improving epilepsy management
The new GMS contract will encourage GPs to take a systematised approach to epilepsy care, which should benefit patients and practices, says Dr Andrew Orr
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Implementing guidelines
NICE guideline will help to rationalise MS care
GPs have an important role to play in coordinating care for patients with multiple sclerosis, says Dr Peter Saul
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