Main Flashcards

(53 cards)

1
Q

what is utilitarianism/consequentialism

A

greater Good, act is valued in terms of its consequences/effect

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2
Q

limits of utilitarianism/consequentialism

A

dies not look at effect on individual, minorities treated unfairly for happiness of many
not all acts may be permissable

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3
Q

what is deontology

A

carrying out your duty as a doctor

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4
Q

what is tomorrow docs/ duty of docs

A

deontological documents

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5
Q

disadvantage of deontology

A

duties can conflict

difficult to apply to certain situations

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6
Q

duties of a doctor

A

protect and promote health of patients and public
provide a good standard of practice and care
recognise and work within the limits of your competence

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7
Q

what is virtue ethics

A

focus on the character of the agent, deemphasizes rules

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8
Q

disadvantage of virtue ethics

A

assessment of virtue is culture-specific

notion of virtue is too broad to allow practical application

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9
Q

what is the stages of change model

A
pre-contemplarion
contemplation
preparation
action
maintenance 
relapse
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10
Q

why people smoke?

A

nicotine addiction
stress
socialising
fear of weight gain

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11
Q

help someone quit smoking?

A

NHS helpline
nicotine replacement therapy
pharmacological - champix

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12
Q

Public Health initiatives to stop smoking

A

smoking ban

increased taxation

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13
Q

screening programmes

A

AAA
breast cancer
antenatal and new born screening

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14
Q

Wilson and jugner screening criteria

A

must be an important health problem
natural history of condition must be known
cost effective
on going process and not on a one-off basis
test should be acceptable to population
should be an accepted treatment for the disease

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15
Q

most important thing to tell patient who is positive for screening

A

not diagnostic

PPV

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16
Q

BMI formula

A

weight (KG)/ height (m) 2

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17
Q

BMI ranges

A
<18.5 underweight 
18.5 - 24.9 good weight
25 - 29.9 overweight
30 - 34.9 type 1 obese 
35 - 39.9 type 2 obese
40 or more type 3 obese
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18
Q

physical factors causing obesity

A

tv remotes, driving, lifts instead of stairs

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19
Q

socio-cultural factors contributing to obesity

A

sugary drinks
longer working hours
americanisation of diet and society

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20
Q

economic factors contributing to obesity

A

greater income inequality and social inequality

expensive fruit and veg/ cheap junk foods

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21
Q

obesity lifestyle changes

A

smaller portion sizes
cost-conscious purchasing habits
walking instead of driving
less consumerist and less unequal

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22
Q

primary prevention

A

reduce or climate exposures and behaviours that are known to increase an individual’s risk of developing a disease

23
Q

secondary prevention

A

to detect early disease and slow down or halt the progress of the disease

24
Q

tertiary prevention

A

once disease is established, detectable and symptomatic, this aims to reduce the complications or severity of disease by offering appropriate treatments or interventions

25
what is a nutritional assessment tool
MUST tool
26
how to reduce malnutrition in hospitals
protected meal times ward staff food aware red tray system
27
what is distress
a negative stress which is damaging and harmful
28
what is eustress
a positive stress which is beneficial and motivating
29
what are the 5 responses to stress
``` biochemical physiological behavioural cognitive emotional ```
30
management of stress?
exercise meditation CBT medications
31
complications of stress
hypertension anxiety peptic ulcers IBS and IBD
32
what is opportunity cost
this is the next best alternative forgone
33
economic efficiency
using your limited resources to maximise benefit
34
economic evaluation
measure of how much economic efficiency has been achieved- assess whether benefit is maximised
35
how can economics evaluation can be calculated
cost-effectiveness analysis cost-utility analysis cost-benefit analysis
36
what is cost-effectiveness analysis
outcomes measure in natural units e.g. incremental cost per life year gained
37
what is cost-utility analysis
outcomes.measured in quality adjusted life years e.g. incremental cost per QALY gained
38
what is cost benefit analysis
outcomes measured in monetary units e.g. net monetary benefit
39
what is a systematic review
a review of a clearly formulated question that uses systematic methods to critically appraise evidence and to collect data from the studies that are included in the review
40
what is a meta-analysis
the use if stats in systematic reviews
41
what is blinding
participants and/or investigators unaware of group allocation
42
disadvantages or RCT
v expensive v time consuming drop out
43
what does PICO stand for
Population Intervention Comparator Outcome
44
purpose of critical appraisal
to assess and consider validity reliability applicability
45
sensitivity
proportion of those with disease who are correctly identified by the screening test
46
specificity
proportion of people without disease who are correctly excluded by the screening test
47
positive predictive value
proportion of people with a positive test who actually have a disease
48
negative predictive value
proportion of people with a negative test result who dont have the disease
49
what is relative risk
ratio of risk exposed/unexposed
50
absolute risk
actual risk of disease occurring in a stated time period
51
incidence
no of new cases in a given time
52
prevalence
no of existing cases at a point in time
53
3 situations where you can break confidentiality
court order In public interest patient consent