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Adult Vaccinations and Healthier SG 2023 成人疫苗接种和更健康的 SG 2023
The Singapore family physician Pub Date : 2024-01-01 DOI: 10.33591/sfp.49.2.u2
{"title":"Adult Vaccinations and Healthier SG 2023","authors":"","doi":"10.33591/sfp.49.2.u2","DOIUrl":"https://doi.org/10.33591/sfp.49.2.u2","url":null,"abstract":"","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"296 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140521164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Supporting a Patient with Intellectual Disability in a GP Clinic: A Practical Approach 在全科医生诊所支持智力残疾患者:一种实用的方法
The Singapore family physician Pub Date : 2023-07-01 DOI: 10.33591/sfp.48.7.u6
Yujin Seow
{"title":"Supporting a Patient with Intellectual Disability in a GP Clinic: A Practical Approach","authors":"Yujin Seow","doi":"10.33591/sfp.48.7.u6","DOIUrl":"https://doi.org/10.33591/sfp.48.7.u6","url":null,"abstract":"People with intellectual disability(PwID) pose a challenge to Primary Care Physicians due to their complex care needs arising from their multiple biological, psychological, social and factors. Although the exact prevalence is not documented in Singapore, it is estimated that about 3% of the population has Intellectual Disability. The local primary healthcare landscape is due to undergo significant changes with the implementation of Healthier SG and this will see the empanelment of patients to one family physician to ensure ongoing care continuity and personalised healthcare for the local population. Primary healthcare providers are aptly placed to manage PwID, with the aim of maintaining these patients in the community and reducing the stressors that their secondary care partners are already facing. To achieve this, it is recommended that comprehensive assessments looking at the patient as well as their family, social and care network be done. There are numerous obstacles to consider, from encouraging and allowing access to healthcare providers, to managing the consultation so that effective information exchange can occur, to effective management of medical, behavioural issues and management of the patients carer, family and support network. An effective interprofessional approach in the management of PwID and support to their family/carers not only ensures their holistic well-being, but also their ability to integrate into the community.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86002933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Forms and Decisions! The Implications of Mental Capacity 表格和决定!心理能力的含义
The Singapore family physician Pub Date : 2023-07-01 DOI: 10.33591/sfp.48.7.u5
Shen Kiat Tan
{"title":"Forms and Decisions! The Implications of Mental Capacity","authors":"Shen Kiat Tan","doi":"10.33591/sfp.48.7.u5","DOIUrl":"https://doi.org/10.33591/sfp.48.7.u5","url":null,"abstract":"Much has been written about the deputyship regime in Singapore and the operation of the Mental Capacity Act 2008 (MCA) in relation to it. In addition, there are also articles on the pertinent issue of capacity assessments and writing of medical reports for deputy applications . In reality, however, there remains a significant gap in the understanding on how theory and practice meet in the area of capacity assessment and a desire for a more grounded approach towards implementing the framework set out in the MCA for capacity assessment. In particular, there is difficulty in setting the threshold of understanding required in the functional component of the test. This article aims to provide some user-friendly guidance that can be adopted in capacity assessments and a practical explanation on how we can ensure that capacity assessments are as robust and accurate as they can be. While doing so, I hope to encourage and catalyst the evolvement of a group of capacity assessors who can meet the demands and increased sophistication of how we preserve and enable autonomy, and to assist professionals, in particular doctors and lawyers, to cooperate with each other when an cross-disciplinary approach is required.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86139600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
10 Readings 10阅读
The Singapore family physician Pub Date : 2023-07-01 DOI: 10.33591/sfp.48.7.ur
Lee Gan Goh
{"title":"10 Readings","authors":"Lee Gan Goh","doi":"10.33591/sfp.48.7.ur","DOIUrl":"https://doi.org/10.33591/sfp.48.7.ur","url":null,"abstract":"","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77253129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Should Patients with Dementia and Food Refusal Be Managed? 痴呆和拒食患者应该如何处理?
The Singapore family physician Pub Date : 2023-07-01 DOI: 10.33591/sfp.49.7.up1
Lynn Ong, Deborah Foong, Jeffrey Jiang
{"title":"How Should Patients with Dementia and Food Refusal Be Managed?","authors":"Lynn Ong, Deborah Foong, Jeffrey Jiang","doi":"10.33591/sfp.49.7.up1","DOIUrl":"https://doi.org/10.33591/sfp.49.7.up1","url":null,"abstract":"Anorexia of ageing is contributed by physiological changes, comorbidities, medications, and social factors. Food refusal in older adults with dementia is one of the behavioural and psychological symptoms of dementia. Modifying diet texture, fluid consistency, feeding techniques, and environmental factors can assist in overcoming food refusal. This case illustrates the challenges encountered in patients with dementia demonstrating food refusal behaviour, measures that can be taken to optimise their nutrition, and how these challenges may impact their long-term care.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"34 Suppl 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77927884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dementia, Mental Health Disorder, or Intellectual Disability: How Do We Tell? 痴呆、精神健康障碍或智力残疾:我们如何分辨?
The Singapore family physician Pub Date : 2023-07-01 DOI: 10.33591/sfp.48.7.u2
Shiling Chen
{"title":"Dementia, Mental Health Disorder, or Intellectual Disability: How Do We Tell?","authors":"Shiling Chen","doi":"10.33591/sfp.48.7.u2","DOIUrl":"https://doi.org/10.33591/sfp.48.7.u2","url":null,"abstract":"The identification of mental health disorders and dementia in individuals with intellectual and developmental disability is complex. This is due to possible overlapping clinical presentations and the difficulty in separating the symptoms of mental health disorders and dementia from the characteristics of intellectual and developmental disability. Furthermore, the intrinsic limitations in communication and challenges faced in elucidating accurate information in the presence of these conditions lend additional difficulty. However, differentiating between these conditions is essential for establishing accurate diagnoses and instituting appropriate treatment. Moreover, even if the patient presents with a completely unrelated complaint, being aware of the base diagnosis is vital. This is especially important so that appropriate intervention plans and community resources can be activated to support the individuals and their families. Having said that, the limited time and resources that primary care doctors have access to in their clinical practice may pose questions regarding how possible it is for them to make such a differentiation. This article aims to suggest a practical approach to differentiating between these conditions in the primary care setting.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"148 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77362114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overcoming Communication Barriers to Facilitate Healthcare Access for People with Intellectual Disability 克服沟通障碍，促进智障人士获得医疗服务
The Singapore family physician Pub Date : 2023-07-01 DOI: 10.33591/sfp.48.7.u3
Joy Teo
{"title":"Overcoming Communication Barriers to Facilitate Healthcare Access for People with Intellectual Disability","authors":"Joy Teo","doi":"10.33591/sfp.48.7.u3","DOIUrl":"https://doi.org/10.33591/sfp.48.7.u3","url":null,"abstract":"Communication barriers are one of the many reasons why People with Intellectual Disability (PWID) are prevented from accessing appropriate healthcare services. As a result, the health of this population is poorer than the general population in many countries around the world. Understanding the nature of the limitations faced by PWID in language learning and communication forms the basis of creatively developing strategies to overcome them. Building bridges of understanding between the clinician and the PWID increases the chances of accurate diagnoses of health conditions, effective treatment, and an overall improved quality of life for the patient.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77288317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intellectual Disability and Autism Spectrum Disorder: Definition, Diagnosis, and the Clinical Approach to Differentiating Between Them 智障与自闭症谱系障碍:定义、诊断与临床鉴别方法
The Singapore family physician Pub Date : 2023-07-01 DOI: 10.33591/sfp.48.7.u1
Giles Tan
{"title":"Intellectual Disability and Autism Spectrum Disorder: Definition, Diagnosis, and the Clinical Approach to Differentiating Between Them","authors":"Giles Tan","doi":"10.33591/sfp.48.7.u1","DOIUrl":"https://doi.org/10.33591/sfp.48.7.u1","url":null,"abstract":"Neurodevelopmental disorders are a diverse group of conditions that occur during the developmental period and result in functional impairments. Intellectual Disability (ID) and Autism Spectrum Disorder (ASD) belong in this group and the criteria for diagnosis is described in DSM-5. There is overlap in the clinical symptoms between the conditions and careful assessment is required to establish diagnosis and determine if there is comorbidity and to plan treatment.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74480441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Persons with Intellectual Disability in Singapore Today – An Overview 今日新加坡智障人士概况
The Singapore family physician Pub Date : 2022-07-01 DOI: 10.33591/sfp.48.6.u1
L. Goh
{"title":"Persons with Intellectual Disability in Singapore Today – An Overview","authors":"L. Goh","doi":"10.33591/sfp.48.6.u1","DOIUrl":"https://doi.org/10.33591/sfp.48.6.u1","url":null,"abstract":"Singapore has come a long way in enabling persons (people) with intellectual disability (ID) to be truly integrated into our community. In this presentation, we take a historical overview in the journey of care and integration from the time of the setting up of Singapore Children’s Society in 1952 to the first Enabling Masterplan (EMP1) for the period 2007-2011. We are now in the Third Enabling Masterplan (EMP3) for the period 2017-2021. To support persons with disabilities in acquiring relevant vocational and independent living skills and emerge stronger from the COVID-19 pandemic, the Temasek Trust-CDC Lifelong Learning Enabling Fund was launched and made available for one year only (3 Dec 2021 to 31 Dec 2022). Family physicians being the medical practitioners in the frontline of medical care are touchpoints in accessibility to healthcare services and benefit schemes for this group of people. They are key stakeholders.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41512057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing Behaviours of Concern: The Interplay of Health, Communication Limitations, and Psycho-social Factors 处理关注行为:健康、沟通限制和心理社会因素的相互作用
The Singapore family physician Pub Date : 2022-07-01 DOI: 10.33591/sfp.48.6.u4
Shiling Chen
{"title":"Addressing Behaviours of Concern: The Interplay of Health, Communication Limitations, and Psycho-social Factors","authors":"Shiling Chen","doi":"10.33591/sfp.48.6.u4","DOIUrl":"https://doi.org/10.33591/sfp.48.6.u4","url":null,"abstract":"Persons with intellectual disability commonly present to healthcare professionals with behaviours of concern, which have a significant impact on their quality of life, as well as that of their caregivers. These behaviours often result from a combination of complex factors, which includes physical and mental health conditions, psycho-emotional issues, and social-environmental difficulties, all of which are made more challenging by their inherent cognitive and communication difficulties. A comprehensive assessment is essential, and the objective will be to determine the underlying reason(s) for the behaviour. Depending on the underlying cause(s) ascertained, pharmacological and/or non-pharmacological treatment needs to be implemented promptly and appropriately in a person-centred manner. The impact of these behaviours on caregivers cannot be overlooked and they must be supported and engaged actively throughout the process. Regular review and monitoring of the effectiveness as well as adverse effects of the interventions will need to be carried out. This article aims to outline an approach to the assessment and management of these behaviours.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45267990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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