What are the aims of the GP consultation?
Initiating the Session
Explanation and Planning
Closing the Session
What are the tasks of the consultation purely from a doctors point of view?
To Connect with the patient
To Summarise and Verbally Check that the reasons for attendance are clear
To Hand Over and bring the consultation to a close
To ensure that a Safety Net exists in that no serious possibilities have been missed
To deal with the Housekeeping of recovery and reflection.
What is meant by uncertainty?
State of being not completely confident or sure of something
What is meant by stress?
An imbalance between demands and resurces
Or when pressure exceeds one's perceived ability to cope
What can be the result of lack of skills for dealing with uncertainty?
Can lead to burn out and depression.
What is meant by safety netting?
Commicating to the patient that there is an element of uncertainty that remains.
The patient needs to be told what to look out for and how exactly to seek help for given outcomes or clinical features.
Patient should be informed about the predicted course of the illness
Patient should not hesitate in seeking further medical advice if they have concerns
Where can we find natinoal evidence based guidance?
What is the purpose of referral or management pathways?
Used to clear up ucertainty regarding which step to take next or who to refer to
Useful in enabling the apprpriate provision of services in secondary care.
Give an example of immediate guidance or protocol
Helpful in the management of an acute condition, which you might not have managed for some time.
For example, the emergency management of anaphylaxis (Severe and potentially life threatening allergy).
These situations can be highly stressful for the professionals involved and a Protocol to follow can be extremely helpful.
Give examples of reflective practice
Formal - writing to a speciality department for advice about a patient
Informally discussing problems with a patient with GP colleagues.
Peer group sessions for ongoing educatoin
How does Neighbour minimise risk?
Agrees with the patient on what the reason for attendance is (Summarising and verbally checking)
Hands over to the patient at the end to ensure all issues have been addressed
House keeping (ensure correct documentation and referral) taking a moment to pause and allow focus for the next consultation