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1

What form of prevention would smoking cessation in an otherwise healthy person demonstrate?

Primary prevention - measures taken to prevent onset of illness or injury, reduces probability, severity.

2

What style of questioning does a GP often use to arrive at a diagnosis?

Hypothetico Deductive

3

Thinking of Sustainability relating to Travel, what modifications could the NHS or its staff make to improve Environmental Sustainability?

Teleconferencing and videoconferencing
Switch to local food suppliers for hospitals
Car pooling (where more than one person occupies the same vehicle, sharing costs and taking it in turn to be driver)
Car sharing (where people hire cars for short periods of time)
Fuel efficient vehicles e.g. hybrids
Health services to have their own fleet of vehicles eg NHSG mini buses
Reduce the number of free car parking spaces
Reward multiple vehicle occupancy, lower carbon emission vehicles and bikes
Pool of fleet vehicles, could be electric
Health boards to consider reimbursement for travel at higher rate for use of low carbon options, public transport
Have an institutional travel plan e.g. providing facilities for cyclists, measure carbon emissions
Liaise with Councils to promote bus links

4

Who might coordinate care at home?

A care manager; they would provide advice regarding care packages available and costs of care. They could help link with sheltered housing or nursing homes if needed.

5

What scale might a GP use to measure deterioration in the end of life circumstance?

The Palliative Performance Scale

6

4 factors that may affect a childs health and well being?

Diet
Sleep
Exercise
Screen time

7

A young carer is anxious about the health of their sibling, how do you respond

Exploring any underlying concerns that Emily has - is she worried that Finlay may have a serious illness because of her experience of seeing her Mum being so unwell?
Explore how Emily is coping being a carer to both her Mum and younger brother. Does she need some support to carry out these duties?
Signpost Emily to appropriate sources of support, e.g. Carer's Association, MS Society, school nurse, school teacher.
Explain the importance of enough good quality sleep and limiting screen time for good health.
Suggest and encourage some positive changes for Finlay, for example spending more family time together.
Explain the importance of avoiding unnecessary investigation, detecting incidental findings and risk of radiation from a CT scan, especially in a young child.
Provide reassurance and appropriate safety netting.
Arrange follow up with the GP or another appropriate professional to ensure Emily feels supported.

8

Risks associated with being homeless

Premature death
Suicide
Assault
Alcohol and drug problems
Poor oral health
Infectious diseases (e.g. HIV, TB, Hepatitis C)

9

Steve is likely to need much more medical care than the average person, however he is less likely to receive it. What is the name of the 'law' that describes this phenomenon?

Inverse care law

10

Organisations that might be able to help homeless people

Alcohol and Drugs Action
Cyrenians
Cash in your pocket
Shelter
Marywell Homelessness Practice
Citizen Advice Bureau
Penumbra
(Any appropriate local charity)

11

What is the name for the voluntary/non-profit organisations

The third sector