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= Registered usersCPD frameworks
These frameworks, associated with all articles, prompt drafting of personal learning, reflection and planning.
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Reflection on a journal article
Stages of reflection on a situation
Reflection of a team, practice or group
External reference on reflection
Reflective practice in health care and how to reflect effectively
Koshy K, Limb C et al. International Journal of Surgical Oncology. 2017 2:e20
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Duncan C, Watson D. Diagnosis and management of migraine in primary care. Practitioner May 2018;262(1815):23-26
Diagnosis and management of migraine in primary care
22 May 2018
The Landmark study, from 15 countries, reported that 94% of patients attending a GP with episodic disabling headache had migraine. Generally, an untreated migraine headache is moderate to severe and lasts for more than four hours. It is often pulsating, but patients may describe a feeling of ‘expanding pressure’ within the head. Most sufferers experience nausea although fewer patients actually vomit. Acute treatment should be taken as soon as a migraine headache starts to develop as later in the attack central sensitisation occurs and treatments become less effective.
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