A9 Flashcards
The NHS long term plans sets out these health inequalities as
-poor living environment
-poverty
-lack of life chances
-poor educational opportunities
World class care for everyone
-quicker diagnosis of cancer
-well-being programmes for patients with heart problems
-more community based physical and mental healthcare
-increased spending on mental health
-diagnosing lung complains quicker to prevent hospitalisation
-prevention of strokes, heart attacks and dementia
-more therapy for anxiety and depression
Help and support to age well
-recognition of carers
-more money for primary care
-professionals working together for more coordinated care
-supporting more people to live at home for longer
-rapid community response teams to prevent hospital admissions
-upgrading NHS staff and support to care homes
-people at end of life have more say in the care they receive
-improved care for people with dementia
How to support a persons health, comfort and well-being
-collaborative approaches across the healthcare sector
-encouraging active involvement of individuals to self manage their health and well-being
-encourage individuals to make decisions about the care, support and treatment they receive
-adopting a person centred approach to support an individuals physical, intellectual, emotional and social well-being
Collaborative approaches across the healthcare sector
Lots of healthcare workers from different professional backgrounds work together with the families patience carers to deliver the best quality of care
Encouraging active involvement of individuals to self manage their health and well being
This allows them to feel empowered by their choices making them much more likely to change their negative lifestyle and if someone else tells them they need to do so
Encourage individuals to make decisions about the care support and treatment they receive
Making decisions about their own care support and treatment is it right that individuals have in law as set out in the standard of person centred care
Adopting a person centred approach to support an individuals physical intellectual emotional and social well-being
Supporting an individual involves giving them relevant and accurate information so that they can make informed choices about their life and this is an important part of the person centred approach
Person centred care
To see the person as an individual focusing on their needs wants goals and aspirations
Key concepts of person centred care
Empowerment and power
Knowing person as an individual
Respecting the individuals values and preferences
Choice and autonomy
Respect and dignity
Empathy and compassion
Two types of pain
Chronic and acute
Acute pain
A sharp pain that comes on suddenly
Chronic pain
Ongoing pain which can last for months even after the cause of pain has gone
Physical signs
Physical ticks
Altered baseline observations
Skin condition
Repeatedly touching or guarding part of the body
Moving slowly
Wringing or clenching
Physical tics
They are in voluntary movements which can include grimacing or frowning, blinking ,jerking and coughing
Altered baseline observations
-Heart rate ~ The heart rate is normally 60 to 100 times a minute
-Respiratory rate ~ Use your breathing rate for an adult is 12 to 20 breaths per minute but infections increase the rate
-Blood pressure ~ Normal blood pressure for adults is in the range of 110/60 and 120/80
-Level of consciousness ~ Patients can be alert with eyes open or confused with eyes open. As well as verbal responses if available patients can respond to voice of pain stimulus
-Oxygen saturation ~ Normal oxygen saturation is at least 90% with 94 to 100% seen as normal
-Temperature ~ The average temperature of an adult is 36 - 37°C. A high temperature is called hyperthermia. A low temperature is called hypothermia
Oxygen saturation
Level of oxygen deliver to red blood cells through arteries and deliver to internal organs
Skin condition
Skin colour:
If skin looks blush or purple this can indicate a problem with oxygen
Paler skin the normal can be a sign of shock or dehydration
Flushed skin can be an indicator of a fever or high blood pressure
Skin temperature can indicate various health conditions:
Skin that looks cool and wet can suggest a significant problem
Skin that feels hot could be an indication of a fever
Moisture is also important:
What skin should be noted if it is dripping of feels wet to the touch. It can indicate an infection, shock or heart attack
Very dry skin is noticeable especially when is scaly. This can indicate dehydration
Repeatedly touching or guarding part of the body
An individual may repeatedly touch part of the body which is painful almost as if they can protect the painful area from further pain or massage the pain away
Moving slowly
Individuals with pain move slowly and carefully to reduce the impact of pain on their bodies
Wringing or clenching
Wringing the hands and clenching the fists can be a method that some individuals use to control pain
Verbal signs
Self report
Crying out
Groans and grunts

Self-report
A self report of pain is one individual tells a healthcare professional about their pain
Crying out
Crying and screaming can be an important indicator of pain as can groaning and sobbing