Year 3 Flashcards
expected versus unexpected death
Expected
Terminal care allows for the last stage of care when death is close
Palliative care allows for the correct management of symptoms leading up to the end of life
Unexpected
Shock of death from relatives and regret in inability to say goodbye or retract words said in fear and haste
Accidents involving multiple deaths may result is legal and media involvement
Death of children may be more shocking
WHO palliative care (7)
Provides relief from distressing symptoms and pain
Affirms life and regards death as a natural process
Neither hastens or prolongs death
Provides both supportive and social aspects of care
Supports pts in being as active as possible leading up to terminal phase
Provided support to families to help deal with illness and bereavement
MDT approach o both families and patients
Regards to a ‘Good@ death (4)
Pain free
At home surrounded by friends and family
expected and so conflicts/resolutions can be resolved
A death of personal Preference that resonates with the individuality of the pt
What Factors might affect global sustainability (6)
Material inequality Increased population and demand Decrease material availability Health care crisis Biodiversity Climate change
Why is Occupational Hx important
The History can help ID chronology - has the job caused the health problem, exacerbated a known illness or has the illness impacted work life
Allows shortened, more focused Hx if occupation is causing illness
determine if proper PPE is used, do others have similar symptoms, have you been travelling etc.
Look into
Hx of employment - places and jobs
Potential exposure to harmful substances/stimuli
Was proper PPE provided
were correct measures taken to optimise safety
Do other members of the work force have similar symptoms
So your symptoms get better when you are away from work
What is a Fit note (5)
Replaced sick note in 2010
Allows earlier discussions on the return to work/rehab
Contains considerations for employers to look at before signing off on return to work
Can only be created by a Dr
Is required for any employee off work for 7 consecutive days (including non-work days) - should not and effect on sick pay
Define Culture
Learned and shared beliefs that:
Guide thinking, actions, behaviours and emotions towards daily living
Sum of beliefs, behaviours, habits, likes and dislikes with a social norm
Transference
When the Pt or Dr related past experiences or emotions to a current situation.
Distorts reality regardless if emotions are positive or negative ( counter transference )
Creates barriers
Getting over Language Barriers
On-Phone Translators - Private rooms available for shared consultations with translators over the phone
On-site interpreters - Have them site on the same side as the patient and address them directly - they are there for the pts not you.
Only use family members AS A LAST RESORT - error, lack of knowledge, bias, selective communication
When Overcoming Language barriers
Speak Slowly and calmly and avoid medical jargon
Avoid first names and gestures
Be aware that spiritual/religious factors may be of influence
Swiss cheese Model
Safety netting is put in place (Neighbours Model - First year) in order to minimise risk of missing adverse events etc.
HOWEVER - All safety nets have weaknesses (the holes in the cheese) due to constant shifting and complexity.
What is empowerment
Generation of power in a group or individual that previously considered themselves unable to control situations based on their own biases
Ability to resist social pressure
Ability to apply effective coping strategies to difficult situations
Heightened consciousness of actions
Primary Prevention
measures taken to prevent onset of illness or injury
reduces probability/severity of illness or injury
Example of Primary Prevention
Vaccinations and Smoking cessation
What is secondary prevention
Early recognition of a disease (preclinical stage) in order to cure, prevent of lessen symptomatology
