IPC BLOCK 1

Question 0

AIDET

Answer 0

Acknowledge, introduce, duration, explain, thank

Question 1

SIGECAPS

Answer 1

Sleep,interest,guilt,energy,cognitive, appetite,psychomotor,suicide

Question 2

CAGE

Answer 2

1) Have you considered CUTTING down?
2) Do you feel ANNOYED when asked about your alcohol use?
3) Do you feel GUILTY about use?
4) Do you require an EYE OPENER to get going?

Question 3

ETHNIC

Answer 3

Explain?
Treatments?
Healers
Negative
I Agree to...
Compromise

Question 4

FICA

Answer 4

Faith, influence, community, address

Question 5

SAFE

Answer 5

Safety,afraid,family,emergency plan

Question 6

BELIEF

Answer 6

Beliefs,explain,learn,impact,empathy,feelings

Question 7

HALT

Answer 7

Hungary,angry,lonely,tired

Question 8

ICARE

Answer 8

Interest,concern,apologize,respond,educate

Question 9

Fundamental principals

Answer 9

Respect, genuineness,empathy

Question 10

Asking patients about personal issues:

Answer 10

• Increases patient satisfaction
• Increases your satisfaction
• Increases length of visit by 2mins
• Psychological issues may impact
  treatment
• Able to share a little about yourself

Question 11

Good relationships achieve:

Answer 11

• A better history
• You make accurate diagnosis
• More effective educator
• Increased compliance
• It’s more fun

Question 12

4-C’s

Answer 12

Critical, concerning, common, cryptic

Question 13

Why does doctorpatient relationship matter?

Answer 13

• Central to practice of medicine
• Essential of high-quality care
• Foundation of med ethics
• Enhances patient satisfaction
• Enhances doctor satisfaction
• Avoid litigation

Question 14

HEADDSSS

Answer 14

H – Home 
E – Education 
A – Activities 
D – Diet 
D – Drugs 
S – Safety 
S – Sexuality  
S – Suicide

Question 15

ADL

Answer 15

Activities of daily living- bathroom, showering, cooking

Question 16

IADL

Answer 16

Grocery shopping
Paying bills
Laundry
Cleaning
Driving

Question 17

Why is cultural competence important?

Answer 17

• Adherence to treatment
• Informed consent
• Prevention of errors in
  miscommunication

Question 18

Direct eye contact

Answer 18

Can be insulting to Native
Americans
o Can be embarrassing to Asians

Question 19

Touching

Answer 19

Different genders and respect
to Muslim or Orthodox Jewish
women

Question 20

Beneficence

Answer 20

In the patient best interest

Question 21

Non-maleficance

Answer 21

Do not intentionally harming or injuring the patient

Question 22

Respect for autonomy

Answer 22

Permission (informed consent)

• Truth-telling
• Respecting privacy and confidentiality
• Promise-keeping (non-abandonment)

Question 23

Belmont Report (1979) 
- Three Principles

Answer 23

o Beneficence
o Autonomy
o Justice

Question 24

8-step protocol to discuss treatment | preferences

Answer 24

1. Be familiar with policies and statutes 2. Do it in an appropriate setting 3. Ask what the patient and family understand 4. Discuss what can be done 5. Determine patient preferences 6. Discuss goals of treatment based on 7. Respond to questions, concerns, emotions 8. Establish and implement plan

Question 25

Conflict Prevention

Answer 25

- Anticipate - Communicate—patient, family, team - Collaborate—colleagues, consultants - Jointly define treatment goals and expectations - Advance Directives: verbal and written - Negotiate/moderate: ethics consult/committee - Court

Question 26

Informed Consent | Included:

Answer 26

What is going to be done - Benefits - Other options available - Uncertainties - Risks of doing or not doing it - Potential burdens

Question 27

Informed elements

Answer 27

Nature of intervention - Alternatives - Uncertainties - Risks and benefits - Comprehension - Recommendation

Question 28

Incompetence

Answer 28

mental inability to manage property or enter into contracts (may need court appointed guardianship) Determined by a judge

Question 29

Incapacity

Answer 29

physical or cognitive limitations do not globally restrict ability to decide for themselves (may need limited guardianship for some things but retain the legal right to decide for themselves on most matters)

Question 30

Determining Capacity

Answer 30

``` 1. Able to articulate reasoning behind decisions consistent with goals identified by the patient 2. The degree of alertness of the patient’s state of mind and ability to understand relevant information (A&O x3) 3. Whether the patient is able to understand the nature of his or her own situation and the consequences of the decisions 4. Whether the patient’s decisions are consistent with his or her lifetime commitments and basic values ```

Question 31

RISKS

Answer 31

``` R – Report I – Inform S – Support K – Knowledge S – Strategy ```