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OPIC > Community > Flashcards

Community Flashcards

1
Q

What are Community Hospitals?

A

Local Hospitals staffed mainly by nurses/PT/OT

Medical cover by ANPs and consultants visiting twice weekly

Often focuses on rehabilitation, subacute, and EOL care

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2
Q

What is Rehabilitation?

A

Set of interventions designed to optimise functioning and reduce disability in individuals with health conditions in interaction with their environment

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3
Q

Name four examples of different rehabilitation

A

Exercise to improve speech
Fitting and Education on a Prosthesis
Reducing Stiffness for a child with CP
Psychological support for depression

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4
Q

Name four benefits of Rehabilitation

A
  • Reduces impact on a broad range of conditions
  • Complements other interventions to ensure the best possible outcomes
  • Slows down effects of Chronic Health Conditions
  • Helps avoid rehospitalisation and reduces stay
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5
Q

Define Integrated Care

A

Range of services to promote faster recovery from illness and prevent rehospitalisation

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6
Q

Define ‘Home from Hospital’

A

Short term post discharge care at a more intensive level than district nursing

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7
Q

Define Rapid Responsive Scheme

A

Aims to support user in own home to prevent readmission

e.g PEG tubing, IV therapies, Catheter replacement

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8
Q

Define Step Up/Step Down

A

Usually a residential or nursing home

Aims to prevent hospital admission or speed up discharge from hospital

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9
Q

Define Stroke Schemes

A

Delivered by MDT often in patients own home

Schemes are often longer than traditional rehab schemes

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10
Q

What is NHS Continuing Care?

A

Some people with long term complex health needs qualify for free social care arranged and funded solely by the NHS

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11
Q

NHS Continuing Care requires an MDT assessment of needs with review every 3 months. What are they assessing?

A 
Breathing 
Nutrition 
Continence
Skin 
Mobility
Cognition 
Consciousness
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12
Q

How is NHS Continuing Care Eligibility sorted?

A

Each marked: Priority/Severe/High/Moderate/Low/No Needs

To be eligible there needs to be a priority or severe in at least two different areas

If not eligible - may be eligible for NH funded nursing

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13
Q

What is Discharge to Assess?

A

When patients are clinically optimised and don’t require an acute hospital bed but may require services to be discharged

Assessment for longer term care is done at right time/right place for patient

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14
Q

What are Residential Care Homes?

A

Care provided 24 hours a day by trained care assistants

Residents are normally elderly and need for care is associated with degenerative changes

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15
Q

What are Nursing Homes?

A

Care provided 24h a day by Registered Nurses who are supported by care assistants

All require some form of nurse care

Typically more expensive

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16
Q

What is Interim Care?

A

Care arranged for children on short term temporary basis in situations where safety and well being are at risk

17
Q

Name three types of carer support

A

Carers Assessment
Carers Allowance
Underlying Entitlement

18
Q

What is Carers Assessment?

A

Assessment of the career by adult social services to see how they can make their life easier (eg free gym membership, taxi refund)

19
Q

What is a Carers Allowance? Who qualifies?

A

£64.50 a week allowance

> 16
Caring >35 hours a week
Not in full time education
Earning less than £128 a week

20
Q

What is Underlying Entitlement?

A

For carers who don’t qualify for Carers Allowance, but still may be entitled to some means tested benefits (eg council tax reduction)

21
Q

What is Disability Living Allowance?

A

Income for families who care for a disabled child

Up to £145 a week

22
Q

In terms of carers, what is a Home Assessment?

A

From adult social services, looks at any adjustments to the home that might need to be made
If under £1000 the government has to pay

23
Q

How can carers under 16y be helped?

A

School monitoring (checking in at breaks etc)
Child line
Kids + (organisation allowing young carers to meet)

24
Q

What is important to ensure you have as a carer?

A

A contingency plan incase the carer is admitted

May carry an emergency carer card

25
Q

Define Poverty

A

The lack of financial resources and essentials to meet the minimum standard of living

Basic human needs can’t be met

26
Q

What is Persistent Poverty?

A

Poverty in the current year and the 2/3 years preceding

27
Q

What is Homelessness?

A

When one doesn’t have a home in the UK or anywhere else in the world to occupy

28
Q

What is rooflessness?

A

Without shelter

29
Q

What is Houselessness?

A

Temporary accommodation

30
Q

What is insecure housing?

A

At risk of homelessness from eviction/domestic violence/sofa surfing

31
Q

What is the Homelessness Reduction Act?

A

Aims to reduce homelessness by notifying authorities of people who are homeless or who are at risk of becoming homeless within 56 days

Checks registration with GP and vaccinations

Promotes access to community family programmes

32
Q

Describe how the social model of health influences illness?

A

Those less well off are more likely to have risky behaviours

There are areas more linked to certain diseases

Diseases are more likely to spread quicker in deprived areas due to overcrowding

33
Q

What is attendance allowance?

A

Benefit for people over state pension age who need help with personal care or supervision because of illness§

34
Q

What is a pressure ulcer?

A

An area of damaged skin and/or tissues below, as a result of being placed under pressure

Can cause pain
Lead to extended stay in hospital

Can become infected leading to sepsis

35
Q

What are the causes of pressure ulcers?

A

Immobility
Failure of reactive hyperaemia (usually should be temp increase in blood flow to an area after period of arterial occlusion)
Loss of sensation

36
Q

Where are the common sites for pressure ulcers?

A 
Sacrum
Back
Buttocks
Heels
Back of the head
Elbows
37
Q

What screening tools can be used to asses pressure ulcers?

A

Braden Scale
Norton Scale
Waterlow Scale

OPIC (6 decks)

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