FOPC Flashcards

(55 cards)

1
Q

List 2 methods of establishing a patient’s requirement for palliative care

A

Palliative performance scale

Supportive and palliative care indicators tool

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2
Q

List 7 WHO aims of palliative care

A

Provide relief from pain and other distressing symptoms
Affirms life and regards dying as a normal process
Does not intend to postpone death
Integrates psychological and spiritual care
Offers a support system to help patients live as actively as possible
Offers a support system for families in coping
Uses a team approach to address the needs of patients and families

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3
Q

List 6 factors of a ‘Good Death’

A
Pain-free
At home surrounded by family and friends
Awareness of the imminence of death
Death as personal growth 
Personal conflicts are resolved
Death in a manner that resonates with the person's individuality
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4
Q

What helps enable primary care to provide palliative care at home?

A

Gold Standards Framework

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5
Q

List 8 components of breaking bad news

A
Listen 
Set the scene
Find out what patient understands
Find out how much the patient wants to know
Share information using a common language
Review and summarise
Allow opportunities for questions
Agree follow up and support
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6
Q

What are the 3 subtypes of euthanasia? Give a definition of each.

A

Voluntary euthanasia - patients request
Non voluntary euthanasia - no request
Physician assisted suicide - physician provides the means and the advice for suicide

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7
Q

List 7 components of responding to euthanasia requests

A
Listen
Acknowledgement
Explore reasons
Explore ways of giving more control to patient
Look for treatable problems
Remember spiritual issues
Admit powerlessness
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8
Q

What is sociology?

A

The study of the development, structure and functioning of human society

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9
Q

List 4 considerations of the sick role

A

Exempts ill people from daily responsibilities
Patient is not responsible for illness
Patient must seek help from a healthcare professional
Social obligation to recover as soon as possible to take up social responsibilities again

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10
Q

List 8 social/socio-economic influences on health

A
Gender
Ethnicity
Housing
Education
Employment
Financial security
Health system
Environment
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11
Q

What is a health inequality?

A

Differences in health status or in the distribution of health determinants between different population groups

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12
Q

List 5 vulnerable groups

A
Homeless
LGBT
Prisoners
Refugees
Learning disability
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13
Q

What is the Inverse Care law?

A

People who most need medical care are least likely to receive it and people who least need medical care utilise services more effectively

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14
Q

List 5 ways to reduce health inequalities

A
Policies and legislation e.g smoking ban
Reduction in poverty
Improve access to healthcare
Equal access to education
Increased employment
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15
Q

List 5 benefits of volunteering

A
Gain confidence
Make a difference
Meet new people
Learn new skills
Have fun
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16
Q

What is the definition of sustainability?

A

Able to continue over a period of time

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17
Q

List 6 issues of global sustainability that are relevant to healthcare

A
Material inequality
Population and consumption
Resource depletion
Climate change
Loss of biodiversity
Crisis in healthcare (increased expenditure due to chronic conditions)
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18
Q

List 6 actions that can be taken to prevent global warming

A
Increase renewable energy
Modify human behaviour
Adopt plant-based diets
Educate on carbon literacy and numeracy
Promote patient resilience
Teach healthcare students that we are part of an ecological system
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19
Q

List 6 ways of achieving low carbon clinical care

A
Prioritise environmental health
Reduce and safely dispose of waste
Use energy efficiently 
Improve travel strategies
Serve sustainably grown food
Adopt greener building design
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20
Q

What is resilience?

A

Ability to quickly return to a previous good condition

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21
Q

List 4 positive factors and 3 challenges to a sustainable career

A
Positive factors:
Job security
Financial security
Working with a team
Ability to develop knowledge and interests

Challenges:
Excessive workload
Time management
Increasingly complex care

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22
Q

List 5 factors of an occupational history

A
Description of present and previous jobs
Exposure to chemicals or other hazards
Symptom improvement when not working?
Do other colleagues suffer symptoms 
Duration and intensity of exposure
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23
Q

What is the purpose of a fit note?

A

Facilitate earlier discussion about returning to work

24
Q

List 4 effects of unemployment on health

A

Higher mortality
Poorer general health
Poorer mental health
More use of health services

25
What is health promotion?
Any planned activity designed to enhance health or prevent disease
26
What are the 3 theories of health promotion? Give a definition for each.
Educational - provides knowledge to enable necessary skills to make informed choices regarding health Socioeconomic - makes the health choice the easy choice Psychological - forming relationships between attitudes, beliefs and behaviours. Individual's willingness to change is important
27
What is health education?
Educating individuals to change knowledge, beliefs and behaviours in a direction which improves health
28
What is health protection?
Protecting health by targeting factors which are beyond the control of the individual
29
What is empowerment? List 3 benefits of an empowered individual.
Refers to the generation of power in individuals to control situations that they once were unable to control. 3 benefits: An ability to resist social pressure Utilise effective coping strategies Heightened consciousness of action
30
What are the 5 stages of change?
``` Pre-contemplation Contemplation Planning Action Maintenance (or regression) ```
31
What is primary prevention? What is secondary prevention? | What is tertiary prevention?
Primary prevention - measures taken to prevent onset of illness or injury Secondary prevention - detection of a disease at an early stage in order to cure, prevent or lessen symptomatology Tertiary prevention - measures to limit distress or disability caused by disease
32
What name is given to criteria for screening? What are the 3 components?
Wilson's criteria Illness (important, natural history understood, pre-symptomatic stage) Test (easy, acceptable, cost effective, sensitive and specific) Treatment (acceptable, cost effective, better if early)
33
List 2 legislation for child protection
National guidance for child protection (scotland 2010) | RCGP - safeguarding children
34
List 6 factors of realistic medicine
``` Build a personalised approach to care Adopt shared decision making Reduced variation in clinical practice Reduce harm and waste Manage risk better Become improvers and innovators ```
35
What is incidence? What is prevalence?
Incidence - number of new cases of a disease is a period of time Prevalence - number of people in a population who have a disease at a single point in time
36
List 7 sources of epidemiological data
``` Mortality data Hospital activity statistics Health and household surveys Social security statistics Drug misuse databases Expenditure data from NHS Accident statistics ```
37
What is health literacy?
People having the knowledge, skills, understanding and confidence to use health information and navigate health and social care systems
38
What is a cross-sectional study? What is a cohort study? What is a case control study?
Cross-sectional - study whereby observations are made at a single point in time Cohort - exposure data is collected from people who do not have disease and they are followed through time until such a time where enough people have developed illness to begin analysis Case control - comparison of two groups of people (those with disease and those without disease)
39
When interpreting study results, what 6 factors must be considered?
``` Standardisation Standardised Mortality ratio Quality of data Ascertainment Case definition Coding and classification ```
40
List 4 forms of bias
Selection bias Information bias Follow up bias Systematic error
41
What are the 5 stages of an audit?
``` Identify audit topic Set standard Collect data Analyse data Implement change ```
42
What is multi-morbidity?
The co-existence of two or more long-term conditions in an individual
43
List 5 options for care once discharged from hospital
Living in own home with support from family Living in own home with support from social services Sheltered housing Residential care Nursing home care
44
List 10 components of an Anticipatory Care Plan
Welfare power of attorney Financial power of attorney Guardianship (legal) ``` Statement of wishes Next of kin Preferred place of death Consent to pass on information (personal) ``` Home care package Assessment of capacity Potential problems (medical)
45
List 10 considerations needed before setting up a screening programme
Is the disease important? Is the natural history of the disease understood? Will the test detect the illness at a pre-symptommatic stage? Will the test be accepted by the population? Is the test sensitive? Is the test speciific? Is the test cost-effective? Is the treatment effective? Is the treatment safe? Is the treatment acceptable to the population?
46
List 10 potential difficulties which may arise due to cultural differences
``` Lack of knowledge Fear and distrust Racism Bias Stereotyping Language barriers Presence of third party Religious beliefs Gender difference between doc and patient Differences in perceptions ```
47
List 6 reasons for an ageing population
``` Increased life expectancy Decreased birth rates Improvements in housing Improvements in sanitation Migration Greater availability of contraception ```
48
List 3 negative effects of an ageing population on health services and 3 negative social effects
Health services - More geriatricians More long-term conditions Increased facilities for elderly Social - More emphasis on elderly social activities High demand for home carers Demand for nursing homes likely to increase
49
List 6 negative effects of being a carer
``` Poor mental health Financial implications Lack of privacy Less time for hobbies May have to give up work Social isolation ```
50
List 5 ways that a carer can avoid problems
``` Day care centre Respite care Psychological support Additional help from family Frozen food deliveries ```
51
List 6 non-illness factors that may cause tiredness in a child
``` Lack of sleep Poor diet Lack of exercise Bullying Excessive screen time Social isolation ```
52
List 5 aspects of a history which may indicate the need for palliative care
``` Not expected to live beyond 6-12 months Breathlessness at rest Spends more than 50% of day in bed or chair Long term oxygen therapy FEV1<30% ```
53
List 6 different factors which may increase uptake in medical care
``` Peers Internet TV GP practice leaflet GP practice website Health fairs ```
54
What is a confounding factor? List 2 common ones.
A confounding factor is a factor that is associated with the disease and the risk factor. Age and sex are 2 common confounding factors.
55
What 8 headings might you use to structure an audit according to the RCGP audit guidelines?
``` Reason for audit Criteria to be measured Standard set Preparation and planning Result and data collection 1 Description of changes implemented Result and data collect 2 Reflections ```