PMHP Flashcards
(21 cards)
how do you recognise abuse in adults
low self esteem
alcohol problems
partner may do all the talking
partner insists on female clinicians
missed or frequent appointments
dental injuries
bruising
unlikely explanations for injuries
TMJ problems
orofacial pain
what is the anagram for asking about adult abuse
AVDR
ask validate document refer
what are some of the ways about asking about abuse
is everything okay
i’ve noticed you have some bruises
you don’t seem yourself
do you feel safe
how do you validate someone you think is being abused
show them you are concerned about them
show them you believe them
show them you are taking it seriously
provide relief or comfort
how do you document abuse
be specific and detailed
use the patient’s own words
describe injuries in as much detail as possible
how do you refer domestic abuse victims
they have to do it themselves but you can signpost them
Scottish Domestic Abuse Helpline
give them small card with contact details
what is the NHS model of handling complaints
1 - frontline resolution, apologise on the spot and record action taken (5 working days)
2 - investigation, either they have not been resolved or are higher risk (definitive response within 20 working days)
3 - independent external review, issues still not resolved so ombudsman gets involved (20 working days)
who deals with complaints about private treatment
Dental Complaints Service
funded by the GDC
how much CPD is required within 5 years
100 hours
how much CPD is required across 2 consecutive years
1o hours
what are the steps of a clinical audit
select topic
set agreed standards
observe practice and collect data
analyse data and determine deviation from standard
identify areas of change
make necessary changes
repeat audit and determine whether improvements have occurred
what is the SPIKES model for breaking bad news
setting
perception
invitation
knowledge
empathy
strategy and summary
what should the setting be like when breaking bad news
sitting down in private room
no objects between you and patient
family members can be present if patient wants
how do you gauge patient perception before breaking bad news
discuss sequence of events leading up to this point
ask about any symptoms the patient may have been experiencing up to this point
establish what the patient already knows or is expecting
what is the invitation part of the SPIKES model
ask the patients if they want to receive their results today
what is the knowledge part of the SPIKES model
deliver information in chunks and be empathetic
“as you know we took a biopsy and the results are not as we hoped”
“I am sorry to tell you this but the results show you have cancer”
then give them time to react
what is the empathy part of the SPIKES model
recognise and respond to the patient’s emotions with empathy
do not lie when asked questions about prognosis
what is the strategy and summary part of the SPIKES model
make a plan to meet the patient again and inform them of the next steps
reassure the patient that they are going to be referred to specialists
check patients understanding of what you have told them
summarise
answer any questions
what are the 5A’s of smoking cessation
ask
assess
advise
assist
arrange
what questions do you ask about someone’s smoking history
how long
how much
what type
in what situations does the patient smoke
how does smoking make the patient feel
how does smoking affect the patient’s life
how do they finance their smoking habit
has the patient previously tried to quit
does the patient experience any withdrawal symptoms
what is the STAR approach to assisting a patient to make changes about smoking
set a quit date
tell family and friends
anticipate challenges and make plans to overcome them
remove all tobacco products and recommend counselling programs
