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FINALS!!! > PMHP - revision notes > Flashcards

PMHP - revision notes Flashcards

1
Q

9 protected characterstics

A
  1. age
  2. gender
  3. race
  4. reglion
    5, gender reassignemnt
  5. marriage
  6. pregnancy
  7. sexual oritentation
  8. disability
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2
Q

4 pillars of ethics

A

justice
pt autonomy
non malefiecnce
benficience

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3
Q

Capacity

A

able to make decision
able to understand decision
able to retain decision
able to communication decision

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4
Q

7 socio-econmic factors

A
  1. crime
  2. income
  3. employment
  4. access to health care
  5. health status
  6. education
  7. housing
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5
Q

Consent

A

valid
voluntary
informed
not manipualted
not coercered
with capcacity

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6
Q

Internal locus of control

A

to do with own responsibilities

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7
Q

external locus of control

A

to do with luck

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8
Q

GDC standards

A
  1. raise concenrs if pts are at risk
  2. have a clear and effective complaints procedure
  3. put pts interests first
  4. maintain and protect pt info
  5. work with colleagues in a way that puts pt interests first
  6. work and maintain within your own abilites
  7. make sure your behaviour maintains confidence in you and the profession
  8. have a clear and effective complaints procedure
  9. communicate effectively with pts
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9
Q

Clinical goverance

A

A systemic approach to maintaining and developing the quality of the patient care within a healthcare setting

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10
Q

Dimensions of clinical goverance

A

timely
safe
person centred
effectively
effecient
equitable

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11
Q

6 different areas of clincial goverance

A

risk management
openess
clincial audit
clincial effectivness
education and training
research and development

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12
Q

CPD veriable hours

A

100 hours

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13
Q

Mandotory CPD

A

medical emergencies
radiation and protection
decon

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14
Q

Extra CPD

A

complaints handling
oral cancer - early detection
law and ethics

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15
Q

Divisons of NHS scotland

A

GDP
PDS
HDS

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16
Q

Clinical audit steps

A

identify that there is a problem or issue
set cretieria and standards
observe the current pratice
compare with the new creteria and standards
implement changes
reveiw audit at set intervals

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17
Q

7 steps of a critical incidient review

A

identify event
collect and collate info
set up meeting to discuss
at meeting set out a structure analysis
implement changes and monitor
write up siginficant event analysis
seek for external feedback

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18
Q

What does a clincial audit identify

A

gaps in knowledge, protocols, trianing, learning and attitude

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19
Q

Stages of change

A

Pre contemplation
Comtemplation
prep
action
maintance

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20
Q

5 R’s for thinking quiting

A

Relevance
Risk
Rewards
Roadblocks
Repetition

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21
Q

5 A’s for smoking

A

ask
advise
assess
assist
arrange a follow up

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22
Q

Smoking trainaly

A

chemical addiciton
habit
emotional attachment

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23
Q

Oral side effects of smoking

A

discolouration of teeth
poor wound healing
xerostomia
hallotosis
black hair tongue
oral cancer
nictonic stomatitis
perio
smokers melananosis

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24
Q

General side effects of smoking

A

lung cancer
COPD
stroke
stroke/stomach ulcer

25
Medical issues of alcohol
liver and kidney problems cirrhosis of the liver stomach cancer heart problems
26
Dental effects of alcohol
xerstomia poor wound healing angular cheilitis NCTSL oral ulcerations excessive bleeding oral cancer glossitis
27
Screening tools for alcohol
Fast alcohol screening test> 3 Alcohol use disorders identification >20 Cage - feel need to cut down, annoyed at critisim of drink, guility for drinking, takes early monring drink >2
28
Units of alcohol per day
men 3-4 women 2-3
29
Drink driving limit
80mg/100ml
30
Types of domestic abuse
verbal physical fincial emtional
31
Risk of domestic abuse
young women pregnant women seperate women medical/learning diability mental illness
32
Domesitc abuse types
situaltional couple violence coercive and controlling beaviour
33
AVDR
ask, validate, document and refer to either scottish womesn aid or scottish domestic abuse help line
34
Extra things to do for domestic abuse
put up signs in toilets etc have staff wear ask, support care badages link with domestic abuse helplines allow pts to use phones in surgery have protocl inplace to get people on own if pt partner is present
35
Behavioural issues with domestic abuse
low self esteem anxious wants to see female dentist missed appts inapporpriate clothing for theweather to hide tauma constant phone or texting partner unease
36
Signs of domestic abuse
TMJ probs lacerations on head and neck region marks on ears brusies in unusual places orofacial pain delay on seeking help for injury repeated injuries and repeated dental injuries bruises at diiferetn stages of healing
37
Physical symptoms of stress
skin issues aches and pains lethargy and exhaustion shortness of breath sleep probs GI issues
38
Pyscholoigcal issues with stress
screaming and shouting irrtiability exhasution outbursts of anger lethargy
39
Burnout
a normally commited professional person disengages from their work due to stress and strain from their job negative thoughts/ cyinical thoughts depression exhaustion feel disatisification
40
Reslience
a process of adapting well in the face of adversity, trauma, injury or tradegy Awareness thinking reaching out fitness
41
Direct discrimnate
where a person is treating people less failry becasue of protected characterstics
42
Indirect discriminate
a person is put at an unfair advatange due to having a protected characterstic
43
asscociate protected charactersitc
a person is treated differently due to another person's protected characterstic
44
perceived discriminate
a person is believed to have a protected characterstic
45
Members of hospital dental service
Ct Specialist consulant
46
Member of public dental service
training grade clinical director seniro dental officer
47
Methandone issues
high surgar levels which can cause ramptant caries
48
Issue withs ugar free methadone
cannot be injected as can cause severe harm to the body
49
CPD hours
100 hrs -dentist 75hrs - dental hygiensit, ortho, therapist 50hrs - dental nurse, technician 20 hrs - temp dentists must complete 10hrs over 2 years
50
Opoid indicaiton symptoms
constipation hallicinations sweating sleepy dizzy confusion dry mouth
51
Concaine side effcts
NCTSL orofacial pain oral ulceration nasal and palatal septum perforation caries
52
Act of parliament for illegal drugs
misuse of drugs 1971 act
53
Clinical audit
quality improvement process that improves pt care by a systemic review of care agasint creitieria
54
Health probs with illegal drugs
BBV STDs pyschiotic illness liver diseases
55
Pack years
no. of cigs/20 x year
56
Primary appirsial stress
when a person decides whether event poses a threat, harm or challenge
57
Secondary appriaisal stress
figuring out how to cope witha stressful situation or event
58
Coping mechanisms
emotional focussed coping apprisial focussed social coping adaptive behavioural humour social coping mediditation relaxation life/ work balance know your limits

FINALS!!! (20 decks)

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