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Table of Contents
Editorial
Dementia Resource
Dermatology Resource
Back Health Educational Resource
Ear, Nose and Throat Health |
D’Arcy Little, MD, CCFP, FRCPC
Medical Director, JCCC and HealthPlexus.NET
Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.
Mainpro+® Overview
Dr. Pradeep Shenoy, MD, DLO, FRCS, FACS, is the ENT service chief, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.
Dr. Michael Aldea, MD, Anesthesiologists, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.
Dr. Jami Sridhar, MD, Anesthesiologists, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.
Abstract
Tonsillectomy is a routine surgery performed in Campbellton Regional Hospital. Before January 2012 all the tonsillectomies were one day procedure. Due to reduction in the hospital beds, there was a significant pressure on the ENT service to perform more of tonsillectomies as day case procedures.
A Prospective and retrospective study was done for the day case tonsillectomies from January 2012 till June 2013 and results are reported.
Key words: DCT (day-case-tonsillectomy), post-tonsillectomy hemorrhage (PTH), post-tonsillectomy pain (PTP),Post-operative nausea and vomiting (PONV), ASA (American Society of Anaesthesiologist) grading of patients, PACU (Post-anesthesia care Unit).
Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.
Mainpro+® Overview
Dr. Julia Alleyne, BHSc(PT), MD, CCFP, Dip. Sport Med MScCH, is a Family Physician practising Sport and Exercise Medicine at the Toronto Rehabilitation Institute, University Health Network. In addition, she trained as a physiotherapist and maintained an active license for 30 years. She is appointed at the University of Toronto, Department of Family and Community Medicine as an Associate Clinical Professor.
Greg McIntosh, MSc, completed his Masters in Epidemiology from the University of Toronto’s Faculty of Medicine. He is currently the Director of Clinical Research for CBI Health Group and research consultant to the Canadian Spine Society.
Abstract
This article helps clinicians decide on appropriate referral to rehabilitation professionals while answering some of the common questions that clinicians are often asked by low back patients. The evidence for appropriate rehabilitation techniques will be interwoven into this article to promote a critical appraisal approach to evaluating rehabilitation outcomes. At the conclusion of this paper, clinicians should be able to identify best practices for rehabilitation referral.
Key Words: Low back pain, indications, rehabilitation, inter-professional referral.
Michael Gordon, MD, MSc, FRCPC, Medical Program Director, Palliative Care, Baycrest Geriatric Health Care System, Professor of Medicine, University of Toronto, Toronto, ON.
Abstract
The end of one's life is always a challenge for all involved; the patient reaching what may be recognized as the last stages of life, family members who in general only want the best for their loved one, and health care professionals who are professionally, legally, and ethically dedicated to provide the best care possible. For health care providers who combine the philosophy of palliative and hospice care with the care of elders, even greater challenges commonly occur because of the complex nature of family dynamics, relationships, and belief systems, that often influence family expectations and thus patient care. The challenge to healthcare providers is to navigate the many potential minefields when such challenges exist. When successful, the satisfaction that result from achieving a clinically compassionate, caring, and comfortable death for the patient and give solace to the family are well worth the effort.
Key Words:Hospice care, palliative care, end-of-life care, family conflicts, ethical and legal duties of staff, palliative sedation, client-centered care, patient-centered care.
Members of the College of Family Physicians of Canada may claim one non-certified credit per hour for this non-certified educational program.
Mainpro+® Overview
Francesca Cheung, MD CCFP, is a family physician with a special interest in dermatology. She received the Diploma in Practical Dermatology from the Department of Dermatology at Cardiff University in Wales, UK. She is practising at the Lynde Centre for Dermatology in Markham, Ontario and works closely with Dr. Charles Lynde, MD FRCPC, an experienced dermatologist. In addition to providing direct patient care, she acts as a sub-investigator in multiple clinical studies involving psoriasis, onychomycosis, and acne.
Abstract
Tinea incognito is a superficial dermatophyte infection in which the clinical appearance of the symptoms has been altered by inappropriate treatments, such as topical corticosteroids.
Dermatophyte infection may result from contact with infected humans, animals, or inanimate objects. An erythematous, pruritic, annular and scaly plaque is characteristic of a symptomatic infection. A potassium hydroxide (KOH) examination of skin scrapings is usually diagnostic. If topical corticosteroids have been applied recently, the amount of surface scales may be reduced and may lead to false negative results. Topical therapy is the first line treatment for localized infections. Systemic antifungals should be used in extensive condition, immunosuppression, resistance to topical antifungal therapy.
