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Tell me about a patient from work experience that inspired you to find out more about what's wrong with them.

- I met a patient who had suffered from a haemorrhagic stroke, which I learnt is a bleed in the brain, who and received a craniotomy as a result of this.
This Inspired me to research into the causes of this and what a craniotomy is.
Craniotomy = cut a small piece of the skull to access the brain and stop any bleeding or remove built up pressure on the brain
Factors that cause haemorrhagic stroke are high blood pressure, aneurysms, or a build up of the protein amyloid


GMC says that as a good doctor you will:

make the care of your patient your first concern
be competent and keep your professional knowledge and skills up to date
take prompt action if you think patient safety is being compromised
establish and maintain good partnerships with your patients and colleagues
maintain trust in you and the profession by being open, honest and acting with integrity.


NHS Long term plan/goals

Greater care based on individuals’ personal needs
Improving the quality of community-based care prior to hospital admission
Each patient will have the right to online GP consultations
Greater investment in cancer treatment – specific aim to increase the proportion of cancers diagnosed early from half to three quarters
Empowering people to self-manage diseases such as Diabetes more effectively
Moderate the demand on the NHS through prevention of illness. This prevention will come about through NHS-funded programmes, group sessions and greater media coverage
Increase the number of nursing and undergraduate places to ensure candidates who would service the NHS well are not turned away


Name and define the important ethical principles used as a doctor.

Autonomy- allows patients to make informed decisions about their own treatment.
Beneficence- Doctors must do good and act in best interest of their patients and/or society as a whole.
Non-maleficence: Doctors should act in ways that do not cause harm to patients.
Justice- Fairness across the population, only discriminating based on clinical need.
Confidentiality- whilst not strictly an ethical principle, it’s linked to several of them.


Capacity to consent?

Capacity means the ability to use and understand information to make a decision, and communicate any decision made. People 16 and above if they are deemed competent with the capacity can consent treatment. Gillick competent.
If a young person refuses treatment, which may lead to their death or a severe permanent injury, their decision can be overruled by the Court of Protection.