Long case issues Flashcards

1
Q
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2
Q

Aboriginal health

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3
Q

ADHD

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4
Q

AED interaction

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5
Q

AED

side effects

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6
Q

Ashworth scale

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7
Q

Aspiration

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8
Q

Attachment

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9
Q

Behavioural management

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10
Q

Body image

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11
Q

Bone issues

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12
Q

Bullying

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13
Q

Carer support

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14
Q

Cerebral Palsy

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15
Q

CF management

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16
Q

CHD complications

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17
Q

Chronic illness

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18
Q

Communication

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19
Q

Complementary medications

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20
Q

Compliance

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21
Q

Compliance issues in adolescence

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  1. Establish agreed agenda for consultation
  2. Establish main difficulties: show respect and empathy
  3. Say positive thing
  4. Outline problem: don’t assume patient knowns everything they need to about their condition
  5. Outline health issues if no change: be honest
  6. Action plan before next clinic: define roles in management of condition for patient and parents, short term goals
  7. Extra support: ask they how they would like help

Consider psychological co-morbidities

Think how an MDT might help

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22
Q

Complications CF

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23
Q

Confidentiality

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24
Q

Consent

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25
Constipation
26
Delayed puberty
27
Developmental delay
28
Developmental Delay
29
Drooling
30
Drugs affecting bone health
31
Early intervention
32
Emergency care plan
33
End of life care
Early involvement of palliative care
34
Failure to thrive
**Definition:** dropped\> 2 centiles **Management** * growth curve: monitor growth and growth velocity * family history * dietary diary * in/out balance * exclude pathological causes: FBC, EUC, LFTs, TFTs, micronutrients, coeliac screen, CF, stool tests, urine culture, metabolic test, endoscopy * depend on severity: admission for dietary diary **Differential** _Decreased intake_ * fussy eating/oral aversion/behavioural issues (sensory) _Increased expendicture/output_ * diarrhoea, chronic disease _Decreased absorption_ * coeliac, IBD
35
Financial support
36
Fussy eating
37
Genetic counselling
38
HEADSS
39
Hearing loss
40
Hospitalisation
41
Hospitalisation
42
Immunisation
43
Immunosuppresants
44
Immunosuppression
45
Menstruation in the disabled
46
NDIS
47
Needle phobia
48
Nocturnal enuresis
49
Nutrition
50
Obesity
51
Oral aversion
**Education:** * inform parents long term **Management** * introduce foods as early as possible * family mealtimes * fun and encourage to explore texture food * graded exposure * no force feeds * reduce iatrogenic equipment * dental health * monitor nutrition **Support** * SP, dietician, feeding clinic
52
Orthopaedic issues CP
53
OSA
54
Pain
55
Pain in disabled
56
Parenteral nutrition
57
Prematurity acute
58
Prematurity chronic
59
Refeeding
60
Relationship boundaries
61
Relationship boundaries
62
Respite services
63
Resuscitation status
64
Rural issues
65
School for special needs
66
School refusal
67
Screening CP
68
Seizures
69
Sibling issues
70
Sleep initiation
71
Smoking
72
Social burden
73
Social burden
74
Spasticity
75
Spasticity
76
Steroid side effects
77
Stoma care
78
Substance abuse
79
Tracheostomy
80
Tracheostomy indications
81
Tracheostomy
82
Transition of care
**Trapeze/transition support service:** * compliance issues * unplanned admissions * indigenous * cultural * complex background coordination * 14-25 years **​MDT meeting** * discuss management
83
UTIs
84
Weight in CP
85
Withdrawal of AED
86
Financial support