2. Bad news and sustainability Flashcards
1
Q
What are the stages of breaking bad news?
A
- Listen
- Set the scene
- Find out what the patient understands
- Find out how much patient wants to know
- Share information using common language
- Review and summarise
- Allow opportunities for questions
- Agree follow up and support
2
Q
What are some common reactions to bad news?
A
- Shock
- Anger
- Denial
- Bargaining
- Relief
- Sadness
- Fear
- Guilt
- Anxiety
- Distress
3
Q
What are the stages of grief?
A
(Stages: SIDAB DTA)
- Stability
- Immobilisation
- Denial
- Anger
- Bargaining
- Depression
- Testing
- Acceptance
4
Q
What are the key things to understand about grief?
A
- Individual experience, can take months- years (patients need to be reassured that it’s normal)
- Abnormal/ distorted reactions may need further help
- Bereavement is associated with morbidity and mortality
5
Q
What are the different types of euthanasia?
A
- Voluntary euthanasia: patient’s request
- Non- voluntary euthanasia: with patient’s request
- Physician assisted suicide: physician provides means and advice for suicide
6
Q
How do you deal with a patient who asks you to help them die?
A
- Listen
- Acknowledge the issue
- Explore reasons for the request
- Explore ways of giving more control to the patient
- Look for treatable problems
- Remember spiritual issues
- Admit powerless
7
Q
What are the areas of sustainability we concentrate on?
A
- Global sustainability
- Sustainability of the NHS
- Personal and career sustainability
8
Q
What is involved within global sustainability?
A
- Material inequality
- Population and consumption
- Resource depletion
- Climate change
- Loss of biodiversity
- Crisis in healthcare
9
Q
What are the global warming threats to health
A
Natural disasters
High pollution levels
- Food shortages
- Environmental mass migration
- Agriculture and food production
10
Q
How do we combat global warming
A
- Increase use of renewable energy resources (e.g. natural energy resources)
- Modify human behaviour (e.g. being more active and using less cars)
- Move back to plant based diet
- Educate on carbon literacy and numeracy
- Promote patient resilience
- Teach healthcare students that we are part of a wider ecological system (not only human anatomical system)
11
Q
What can the NHS do specifically to combat healthcare?
A
- Reduce material waste e.g. paper, sharps, drugs, packaging
- Transport
- Use of technology
- Implement self -management of health e.g. diet and exercise
- Energy saving
12
Q
How can the NHS lower its carbon footprint
A
- Substitute harmful chemicals with safer alternatives (reduce and safely dispose waste)
- Use energy efficiently and switch to renewable energy (reduce water consumption)
- Improve travel strategies
- Purchase and serve sustainably grown food
- Safely manage and dispose of pharmaceuticals
- Adopt greener building design and construction;
purchase safer and more sustainable products
13
Q
What are the benefits of reducing their carbon footprint?
A
- Prevents conditions
- Gives greater responsibility to patients managing their own health
- Leaner in serving design and delivery
- Uses lowest carbon technologies
14
Q
What keeps in you
A
- Job security
- Financial security
- Stable terms and conditions
- Respect for professionalism and knowledge
- Appreciation for being in the role of a doctor and helping others
- Working with a team over time
- Ability to develop knowledge and interests
- Ability to fit work around interests and lifestyle choices
15
Q
What are the challenges to being a DR?
A
- Considerable and rapid workload e.g. 10 minute appointments
- Time management
- Increasingly complex care over time (aging population with many co-morbidities)
- Relentless arrival of mail and blood results and having enough time to action them/ process them
- Care vs cure (longterm conditions)
- Running a business over time (potentially)
- Need to ensure team is harmonious and effective and can adapt to change
