P/L + H/S w1-5 Flashcards

(56 cards)

1
Q

components of the doctors professional toolkit 4

A

reflective practice
communication
knowledge of the rules
lifelong learning

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2
Q

decision making frameowkr to ethical scenarios stages 4

A

describe the case
identify options
evaluate option
select an option

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3
Q

why is ethical reasoning important while maintinaing professinoalism

A

so that a medical practitioner can act in the best interests of their patient while operating within professional boundaries and values

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4
Q

ethical principles of medicine

A

atuonomy - pt have right to make informed decisions

non maleficence - healthcare professionals must do no wrong

beneficence - must act in patients best interest

justice - ensure fair non discriminatory practice

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5
Q

shared decision making

A

collaborative appraoch to healthcare between medical professionals and patients where both parties contribute to the decision making process

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6
Q

what is the code of good medical practice and what does it priortise

A

a guideline to uphold professional standards and ethical conduct in their practice

priortises patient welfare

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7
Q

key aspects of the code for good medical practice 1

A

physiance maintain competence by updating their knowledge and skills

being transperant

acting with integrity

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8
Q

moral distress

A

when a healthcare professional feels uncomfortable with a particular action/outcome due to ethical concerns

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9
Q

systematic approach to moral distress 4

A

acknowledge the problem

transperancy in what has occurred

apologise for errors

seek perspectives

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10
Q

why is self reflection important 2

A

to gain a deeper insight and understanding about challenging experiences

identify gaps in actions and ethical principles

to improve both their own professional skills and gaps in healthcare

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11
Q

gibb’s reflective cycle what is it

A

framework for examining experiences

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12
Q

gibbs reflective cycle stages 3

A

Description
Feelings
Evaluation
Analysis
Conclusion
Action plan

DFEACA

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13
Q

importance of person centred medicine 3

A

better outcomes for patients

better patient adherance to medication

fewer negative outcomes such as malpractice claims and treatment-related complications

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14
Q

what can non verbal communication be seen through 2

A

body language
professionalism - incl way dress, respect, mannor

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15
Q

barriers to effective listening and communication 6

A

power imbalance

patient anxiety

lack of empathy

lack of respect

patient mistrust

cultural inclusivity

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16
Q

calgary cambridge model

A

structured approach to teaching and assessing communication skills in medicine.

way in whcih student should go about interacting with a patient

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17
Q

components of cambrdige calgary model

A

initiating session: rapport, open questions

gathering information: open questions, avoiding jargon

physical examination

explanating and planning

closing the session

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18
Q

skills that are central to shared decision making practice
ECAT

A

empathy - towards patients feelings
condiseration - patients needs
active listening - about patients concerns
transperancy - about options and information

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19
Q

what are patients rights in healthcare 3

A

receive high quality, respectful and timely healthcare services

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20
Q

what is consumer enablement in healthcare 4

A

empowers patients to actively participate in their care

includes being able to access information,

file complaints

be part of decision making

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21
Q

what is the Australian Comission of Safety and Quality in Health care ACSQH - what it is, aim, how it achieves

A

independent government agency

improve safety and quality of healthcare

makes guidelines, accreditation schemes and national standards

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22
Q

doctors role in promoting health literacy 2

A

provide clear, understandable information to patients about health conditions, treatments and preventative measures

should also do this in the community by advocating for health education, public health initiatioves

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23
Q

SHARE approach

A

structure method to facilitate shared decision making

24
Q

what does each letter in the acronym stand for?

A

S - seek patient particaption
H - help patient explore options
A - asses patients values and preferences
R - reach a decision w ur patient
E - evaluate the deciison regularly

25
5 question model
five key questions taht guide the conversation and help patients make informed decivision about their care revolve around: 1. patients medical condition 2. available treatments 3. benefits and risks 4. patients preferences 5. patients committment to chosen plan
26
teach back
communication technqiue used in healthcare to confirm patient understanding of info by asking them to explain it back in their own words
27
what are the goals of infectious disease surveilance 3
describe the trends monitor the trends identify outbreaks
28
what is descriptive epidemiology
looks at the current state of a health issue by looking at the time, place and demographics
29
challenges to public health 2
limited resources country capabilities
30
epidemic def
occurrence of cases in excess of normal
31
outbreak
sudden occurrence of a disease in a population
32
cluster
aggregation of cases in a specific area or period
33
endemic
disease that occurs at a low or consistent level within a population
34
pandemic
an epidemic that crosses international borders
35
epidemic curves
graphical representations that display the distribution and progression of cases of a disease over time help identify patterns in disease
36
social determinants of health
socioeconomic factors which influence a persons health outcomes
37
cultural determinants of health examples 6
connection to country indigenous knowledge family and community indigenous language cultural expression self determination
38
structural determinants of health Indigenous
factors including access to healthcare services, infrastructure
39
social determinants of health indigenous
community support, education, employment
40
cultural determinants of health indeigneous
beliefs, values and customs that impact health
41
barriers to indigenous health outcomes 4
accessibility socio-economic disadvantage intergenerational trauma cultural disconnect
42
enablers to indigenous health outcomes 4
culturally sensitive care community led initiatives education collaboration
43
upstream factors
address the social context of the disease
44
upstream factors which influence environmental health and lead exposure
housing education work environment
45
downstream factors
individual factors which directly impact health including symptoms and illnesses
46
environmental factors leading to lead intoxication
water paint food soil industry air
47
socioeconomic risk factors lead intoxication
housing - old, close to industry occupation - mining/industry poor education
48
teams involved in lead intoxication investigations 3
multidisciplinary GPs who treat commnunity members stake holders local community members
49
tests you can do to determine lead levels in blood
blood test finger prick test
50
management of lead
chelation - process whereby stuff bidns to lead and then allows it to be removed via urine
51
breaking bad news SPIKES
Setting Perception - what do they know Invitation - what they would like to know Knowledge - tell them E - empathy S - strategy and summary
52
what is advanced care directive
adult w decision making capacity records treatment preferences and appoints substitute decision maker in the case they lose capacity
53
substitute decision maker
a person legally pointed to make decisions if a person lacks capacity must make decisions based on known wishes or best interests
54
next of kin
next of kin does not have legal authority to give consent but can be consulted in making best interest decisions
55
power of attorney 2
makes medical decisions after the person loses capacity only valid if signed while person has capacity
56
2 doctor consent when it occurs what it is
occurs when patient lacks capacity no ACD, POA, SDM two medical practitioners must agree that treatment is necessary and it is in the patients best interests