Flashcards in Year 1 Deck (31)
How often are GPs revalidated?
Every 5 years by colleague
What staff might make up a GP surgery?
Nurses - Staff/Auxiliary
Nurse Practitioner/Physician Associates
What are the aims of the Calgary-Cambridge type consultation?
Initiating the session
Explanation and Planning
Closing the Session
What are the three types of doctor-patient relationship?
Three broad communication skills needed for medical interviewing?
Content Skills - what doctors communicate
Perceptual Skills - clinical reasoning, internal decision making
Process Skills - technique, verbal/non-verbal skills
What are the three main interviewing techniques?
What are the four points of body language?
What are some different types of question?
What are the definitions of risk, uncertainty, and hazards?
Risk - chance of bad consequences
Hazard - something with potential to cause harm
Uncertainty - uncertainty
What are some types of hazard?
Physical - heat, radiation
Mechanical - trips, slips
Biological - infections
Psychosocial - stress
What are the three principles that govern the perception of risk?
Feeling in control - voluntary vs involuntary
Size of the possible harm
Familiarity with the risk
What individual variables might affect risk perception?
Attitudes towards risk
Socio economic factors
Different systems of decision making protocols?
What three actions to take in 'safety netting'?
Advise expected course of duration
Advise symptoms indicating deterioration
Advise who to contact if deterioration occurs
What are some barriers to trans-cultural communication?
Lack of knowledge
Fear and distrust
Bias and ethnocentrism
Differences in perception and expectations
What are the four principles of ethics?
What is the WHO definition of health?
A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
What are the Seedhouse 5 major characteristics of health?
Health as an ideal state
Health as physical and mental fitness
Health as a commodity
Health as personal strength or ability
Health as the basis for personal potential
What are some possible lay beliefs of 'health'? What might affect these beliefs?
Absence of disease
Functional ability, and relativity to age
What is 'self-efficacy'?
One's belief in one's ability to succeed in specific situations or accomplish a task.
What aspects might you address in promoting a healthier lifestyle to a patient?
What makes a GP an appropriate person to address health and social concerns?
Aware of current and past medical history
Aware of social circumstances
GP has knowledge of many illnesses and diseases
Trusted health professional
GP has role in prevention in health
GP usually local
What factors may affect a person's motivations to change their lifestyle?
Advantages and disadvantages in terms of health
Positive response from peers
Social pressure (positive or negative)
Behaviour consistent with self-image?
What actions could the government take to affect health?
Tax on unhealthy foods
Legislation regarding labelling
Enforcement of legislation
Ban on advertising
Subsidise healthy foods
Funding of NHS
What is 'cultural competence'?
The ongoing capacity of healthcare systems, organisations, and professionals to provide (for diverse patient populations) high quality care that is safe, patient and family centered, evidence-based and equitable.
What difficulties may arise in consulting patients from different cultures?
Lack of knowledge about NHS/UK healthcare system
Lack of knowledge about common health issues/different health beliefs
Fear and distrust
Presence of third party e.g. family, interpretor
Differences in perceptions/expectations
Difficulties using 'language line'
Patient may not have NHS entitlement
Name ways people can be exposed to hazards?
How can risk be minimised (Neighbour)?
Summarise and verbally check reasons for attendance
Hand over to patient to ensure all issues have been covered
Deal with housekeeping of recovery and reflection
What is meant by the GP as a 'gatekeeper'?
GP controls access to secondary care and beyond