Notes

Understanding health worker approval involving verification to a family event chemical use in kid hospitals providing financially deprived youngsters.
Anticipatory prescribing and medication imprest systems are valuable for access to end-of-life medications within residential aged care.
Cooperation between wholesalers and purchase limits in pharmacies have helped to ensure supply of essential medications. Therapeutic substitution by pharmacists is permitted for specific products authorised by the Therapeutic Goods Administration. Prescribers are permitted to issue digital image prescriptions, and implementation of electronic prescribing has been fast-tracked. Expanded continued dispensing arrangements introduced during the bushfire crises have been temporarily extended. Pharmacists are permitted to provide medication management reviews via telehealth. A Home Medicines Service has been introduced to facilitate delivery of medications to people who are vulnerable or elderly. Anticipatory prescribing and medication imprest systems are valuable for access to end-of-life medications within residential aged care.
As technological innovation increases the availability of novel therapeutic options in general practice, healthcare professionals will need to equip themselves with a sound understanding of their professional legal duties in light of emerging medical technologies, including virtual reality (VR).

Using a case study of VR to augment analgesia in burn treatment, this article examines how medical negligence laws apply to the use of new technology in healthcare settings.

While there is currently no positive duty on healthcare professionals to use VR when treating patients, healthcare professionals may be held liable for harm arising from negligent advice or treatment using VR technology. The case study illustrates the flexible nature of negligence principles in adapting to harms arising from new risks such as simulation sickness. Specific warnings and standards of best practice will need to be developed if VR becomes a feature of general practice.
While there is currently no positive duty on healthcare professionals to use VR when treating patients, healthcare professionals may be held liable for harm arising from negligent advice or treatment using VR technology. The case study illustrates the flexible nature of negligence principles in adapting to harms arising from new risks such as simulation sickness. Specific warnings and standards of best practice will need to be developed if VR becomes a feature of general practice.
Although Australia is a world leader in tobacco control, smoking remains the behavioural risk factor making the largestcontribution to death and disease. Smoking rates remain high in Aboriginal and Torres Strait Islander people and in people with mental health problems. Priority groups for cessation include women who are pregnant and people with cardiovascular disease.

This article, based on the recently published second edition of Supporting smoking cessation A guide for health professionals, provides an update on current evidence-based practice to support quitting. A brief, time-efficient intervention approach (Ask, Advise, Help) is proposed. New approaches to the use of pharmacotherapy are covered, as is the controversial role of nicotine-containing e-cigarettes and advice for groups with high smoking prevalence and those with special needs.

A combination of behavioural support along with pharmacotherapy to treat nicotine dependence maximises the chances of successful long-term cessation. Combination nicotine replacement therapy (patch and short-acting oral form) or varenicline are the most effective forms of pharmacotherapy.
A combination of behavioural support along with pharmacotherapy to treat nicotine dependence maximises the chances of successful long-term cessation. Combination nicotine replacement therapy (patch and short-acting oral form) or varenicline are the most effective forms of pharmacotherapy.
It has been a decade since a landmark Lancet publication declared that 'climate change is the biggest global health threat of the 21st century'. Since then, Australia has experienced unprecedented warming related to climate change and an associated increase in the frequency and intensity of extreme weather events, including heatwaves, droughts, storms, bushfires and air pollution. These events have had major impacts on community physical and mental health.

The aim of this article is to describe the health impacts of climate change and therole of general practitioners (GPs) inresponding to these impacts.

While the clinical skills that underpin general practice have not changed, the environmental and planetary context has shifted. A 'planetary health' approach is required. Climate change should now be considered a health emergency. GPs have a critical role in mitigation and adaptation. Responding to climate change aligns with principles of preventive health and can produce 'co-benefits' for individual and population health.
While the clinical skills that underpin general practice have not changed, the environmental and planetary context has shifted. A 'planetary health' approach is required. Climate change should now be considered a health emergency. GPs have a critical role in mitigation and adaptation. Responding to climate change aligns with principles of preventive health and can produce 'co-benefits' for individual and population health.
Physical inactivity is a major modifiable contributor to the global burden of cardiovascular disease (CVD) morbidity and mortality.

In this article, a clinical case study is used to provide practical approaches for general practitioners and their teams to individualise exercise prescriptions for patients with hypertension who are at risk of CVD. DT2216 manufacturer The case presented describes a sedentary, overweight male with newly diagnosed hypertension - acommon scenario in general practice.

The many benefits of exercise are supported by an expanding body of research. Blood pressure can be safely and effectively reduced through physical activity, leading to a lower CVD risk. Value-based goal setting and the 'FITT' framework may be used to facilitate sustainable physical activity among patients. The engagement of allied healthprofessionals such as exercise physiologists may also be beneficial.
The many benefits of exercise are supported by an expanding body of research. Blood pressure can be safely and effectively reduced through physical activity, leading to a lower CVD risk.
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