Tutorial 1 Flashcards
(48 cards)
Why may a patient whose GP has recently retired not have attended the practice?
Retirement - longstanding relationship, trust
Has been well
worrying symptoms that concerned her and is avoiding presenting due to the worry of a problem being found
What is person centred care?
Provision of healthcare placing the patient at the centre ensuring the healthcare system is designed to meet needs of patients defined by them
Who is the only person in a position to make a decision on what patient centred healthcare means?
the patient - as an individual, in terms of treatments and their condition and living of their life
When can treatment options, therapies and models of care be said to be patient centred?
based on principles and values that define patient centredness
What document are the principles and values of patient centred care brought together?
International alliance of patients organisations (IaPO) declaration on patient centre healthcare
5 principles of IaPO declaration
respect access and support information choice and empowerment patient involvement in health policy
Why are long term conditions more prevalent?
acute illnesses short lived and amenable to cure
acute illness demise
LTC more prevalent
What type of people are LTC more prevalent in?
older and deprived
% of LTC of all GP appoinments?
50
% of LTC of all outpatient appointments
64
% of LTC of all inpatient bed days?
70
Why is concern as much to do with the causes and consequences of LTC?
degenerative chronic disorders are increasingly prominent and major sources of disability
Incidence
The number of new cases of a disease in a population in a specified period of time
Prevalence
The number of people in a population with a specific disease at a single point in time or in a defined time period
What does incidence tell us about?
trends in causation and aetiology
Why can incidence be helpful?
planning
Prevalance - what does it tell us?
amount of a disease in population and useful for assessing current work load
What is prevalence less useful for?
studying causes of diseases
LTC - long term complex interaction of what 3 factors?
genetic
environmental
both or neither
Vulnerability
An individuals capacity to resist disease, repair damage and restore physiological homeostasis
Can certain organs vary in vulnerability?
yes - repair to a different extent
3 natural histories of diseases
acute onset
gradual with slow/rapid deterioration
relapse and remission
4 examples of “burden of treatment”
Changing behaviour or policing behaviour of others to adhere to lifestyle modifications
Monitoring and managing their symptoms at home
complex treatment regimens and polypharmacy
complex administrative systems and accessing, navigating and coping with unco-ordinated health and social care systems
Biographical distribution
LTC –> loss of confidence in body
Leads to loss of confidence in social interaction or self identity
