Risk Uncertainty and Problem Solving Flashcards Preview

Foundations of Primary Care > Risk Uncertainty and Problem Solving > Flashcards

Flashcards in Risk Uncertainty and Problem Solving Deck (12)
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What are the aims of the GP consultation?

 Initiating the Session
 Gathering Information
 Providing Structure
 Building Relationship
 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?

 In Scotland we have SIGN guidance, and in the UK NICE guidance.
 They provide peer reviewed guidelines for specific conditions.


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.
 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

Safety Nets

House keeping (ensure correct documentation and referral) taking a moment to pause and allow focus for the next consultation