Flashcards in Case Study Deck (18)
What 3 broad types of skill might you as a GP use during a consultation?
Different factors can affect the consultation. One such factor may be personal factors.
Can you think of another factor and give four examples of it?
-Site and environment
-Adequacy of medical records
Youv take a history and examine a patient.
You do not find anything on examination byt you feel that you are not getting the whole story.
What kind of questions might you use to elicit more information?
Open ended question
What word do we use when body language and verbal language match?
You patient opnes up alot to you and incinuates about you telling her about her mums health (you are also her mums GP)
What is your decision?
What oath guides you about this?
No (patient confidentiality)
The Hippocratic Oath
What percentage of the population are attending the GP for care at any point in time?
As part of your awareness of your learning opportunities, are there any issues in having done the majority of undergraduate training in hospital specialities when considering, for example, a child presenting with abdominal pain?
The hospital is the tip of the iceberg of care, You will see a narrow spectrum of presentations in hospital and may gain a distorted view of the presentation of illness
What form of problem slovling does a GP use to rapidly narrow down the list of likely diagnoses?
What is the WHO definition of health?
Health is a state of complete phyical, mental and social wellbeing not just the absence of disease or infirmity
A patient has recently had a heart attack. In a consultation after he has decided not to start the medication he has been given.
WHat consultation model would be the preferred option when discussing Jim's new treatment with him?
Jim is an intelligent person who would likely respond to information about the risks and benefits of the proposed treatment.
It would be important to allow him to ask questions and to understand his treatment.
This would likely result in improved compliance.
What factors might put someone at risk of developing a long-term condition?
There might be genetic factors
There might be environmental factors
Long term conditions have far reaching "impacts". Give three examples of potential "impacts" of a long term condition.
On the individual – can be negative or positive. Can include denial, self-pity and apathy.
On Family – can be financial, emotional. The health of other family members may be affected.
Community/society. Isolation of an individual may result. Physical adaptations and changes in attitude may be required.
It has been said that the success of a community can be judged on how it looks after its infirm members.
What categories does the WHO use to classify diability?
Body and Structure impairment
What members of the primary care team might become involved in a patients care with MS?
GP – coordinating care and reviewing treatment and medication
District nurse – coordinating care at home – wound care, dressings, bloods, catheter care etc.
Occupational therapist (OT) – Assessing environment around patient at home and work, and providing aids to promote independence.
Physiotherapist – looking to maximise patient’s physical function e.g. mobility, chest care
Care Manager – Coordinating social care package.
There are two different approaches health professionsals (e.g. GP, physio, OT) may use to help Alison overcome her limitations.
What approaches are they and can you define them?
Therapeutic - We change the nature of the disability – e.g. treating osteoarthritis with anti- inflammatories
Prosthetic – We change the environment – e.g. taxi card, occupational therapy, rails at home etc.
A patientv could reat to their diagnosis in a number of ways.
What factors may influence the way in which she reacts?
The nature of the disability
The information base of the individual, ie education, intelligence and access to information
The personality of the individual
The coping strategies of the individual
The role of the individual – loss of role, change of role
The mood and emotional reaction of the individual
The reaction of others around them
The support network of the individual
Suggest three areas of someones life where they may be effectes by a diagnosis?