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Flashcards in Risk & Uncertainty Deck (37)
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1

What are the aims of a GP consultation?

Gathering information

Providing structure

Building relationship

Explanation and planning

2

What model do consultations use?

Calgary Cambridge Model

3

What are the steps of the Calgary Cambridge Model?

1) Initiating the session

2) Gathering information

3) Providing structure

4) Building relationship

5) Explanation and planning

6) Closing the session

4

What does using a model allow?

Time to gether information with a structure

5

What is a model consultations can use other than the Calgary Cambridge Model?

Roger Neighbour's model

6

What are the steps of Roger Neighbour's model?

1) Connect with the patient

2) Summarise and verbally check that the reasons for attendance are clear

3) Hand over and bring the consultation to a close

4) Ensure that a safety net exists in that no serious possibility has been missed

5) Deal with housekeeping of recovery and reflection

7

What does Roger Neighbour's model start to introduce?

Concept of risk management

8

What is risk?

Chance of consequences

9

What does uncertain mean?

Not able to be relied on, not known or definite

10

What is uncertainty?

State of being not completely confident or sure of something

11

How does risk within health compare to other areas?

Very high

12

How do different people perceive risk?

Differently

13

Risk and uncertainty differs for the same problem depending on the situation, what does this lead to?

Individualising care

14

What are key points of individualising care?

Different patients have different risks

Dependent on health beliefs, education, social, cultural and economic backgrounds

Risk cannot always be eliminated, but it can be minimalised

15

What can be said about getting rid of risk?

It cannot always be eliminated, but it can be minimalised

16

What is risk depending on?

Health beliefs

Educational

Social

Cultural

Economic backgrounds

17

What do doctors need to be due to working with risk?

Resilient as they may regularly find themselves asking "have I done the right thing"

18

What does an inability to be resistant lead to?

Burn out

Depression

19

What positive thing often results due to uncertainty?

Personal growth

20

When does stress occur?

Imbalance between demands and recources or pressure that exceeds one's perceived ability to cope

21

How do doctors deal with stress?

Have coping mechanisms in place like speaking to colleagues

22

What is a way of minimising risk?

Safety netting

23

What is safety netting?

Uncertainty should be communicated to the patient

They must know what to look out for and told to seek help if they see this

Maybe arrange a follow up

24

What are some different categories of sources of guidance to help with risk and uncertainty?

National

Local

Immediate

Colleagues

Peer group

Reflection

25

What are some national sources of guidance to deal with risk and uncertainty?

National Evidence Based Guidance

SIGN guidance in Scotland

26

What does SIGN guidance provide?

Peer reviewed guidelines for specific conditions

27

What are some local sources of guidance to help with risk and uncertainty?

Scottish Referral Guidelines for Suspected Cancer

28

What should be noted about local sources of guidance for risk and uncertainty compared to national?

They can be different

29

What is an example of immediate guidance for risk and uncertainty?

Place of work has guidance for life threatening or complex scenarios

Such as emergency management of anaphylaxis

30

What is immediate guidance for risk and uncertainty helpful for?

Management of acute conditions