A9 - Health and Wellbeing

Question 1

What changes have occurred in the NHS to support a person’s health, comfort and wellbeing?

Answer 1

• Policy changes to focus on promotion of health and wellbeing and prevention of illness.
• Change in approach from treating illness to promoting wellbeing.

Question 2

How can you support a person’s health, comfort and wellbeing?

Answer 2

• Collaborative approach across the healthcare sector.
• Encourage active involvement of individuals to self-manage.
• Adopting a person-centred approach

Question 3

What are the physical signs of pain?

Answer 3

• Physical ticks
• Altered baseline observations
• Skin condition
• Repeatedly touching or guarding part of the body
• Moving slowly
• Wringing or clenching

Question 4

What are the verbal signs of pain?

Answer 4

• Self-report
• Crying out
• Grunts

Question 5

What are the non-verbal signs of pain?

Answer 5

• Facial expressions

- Body language

Question 6

What are the behavioural signs of pain?

Answer 6

• Altered energy levels
• Altered character
• Changes in usual eating/sleeping pattern.

Question 7

How can you work in a person-centred way?

Answer 7

• Ensure effective nutrition and hydration
• Providing food and drink that meets individual needs
• Ensuring food and drink does not contraindicate with any medications.

Question 8

What is the prevention agenda?

Answer 8

The prevention agenda is a policy set out by the department of health and social care to help people to stay healthy and independent.

Question 9

What is a preventative approach?

Answer 9

Help people stay healthy and independent for as long as possible, is about stopping any problems from arising in the first place, focusing on keeping people healthy, not just treating them when they become ill.

Provide people with knowledge and skills to make life choices that support them to stay healthy.

Question 10

How is health promotion used to support the prevention agenda?

Answer 10

• National campaigns from government.
• Opportunistic delivery of health promotion by all healthcare professionals.
• Campaigns by specific groups and charities.
• Sharing examples of health promotion activities.

Question 11

What does MECC stand for?

Answer 11

Making Every Contact Count

Question 12

What does the MECC do?

Answer 12

Approach preventative behavioural change which uses the day-to-day interactions that individuals have with any healthcare professional.

Question 13

How does diet impact good health and wellbeing?

Answer 13

Obesity increases the risk of developing a range of diseases including type 2 diabetes, hypertension and heart disease.

Malnutrition: risks of vitamin deficiency

Question 14

How does smoking impact good health and wellbeing?

Answer 14

• One of the biggest causes of death and illness in the UK.
• Increases the risk of lung cancer, as well as other cancers.
• Increased risk of heart disease.

Question 15

How does the low physical activity impact good health and wellbeing?

Answer 15

• Risk factors for a range of long-term conditions, including heart disease.
• Greater risk of developing hypertension.
• Has been linked to increased anxiety and depression.
• Older adults who are physically active can reduce their risks of falls.

Question 16

How does the consumption of alcohol impact good health and wellbeing?

Answer 16

• Long term effects include organ damage: Heart, liver and pancreas.
• Increased risk of hypertension and heart disease
• Weakens immune system, including risk of infections
• Weakens bones, including risk of fractures/breaks
• Effects on the brain, including cognitive function, neurotransmitters and brain tissue.

Question 17

How can you take a holistic approach to healthcare?

Answer 17

• Treating the person not just the condition.
• Bespoke treatment plans that meet personal needs and choices.
• Understanding the individual’s lifestyle.
• Understanding the individual’s mental health needs.
• Integrated working.
• Health and wellbeing boards.

Question 18

What does the term holistic mean?

Answer 18

Treatment of the whole person, taking into account mental and social factors, rather than just the symptoms of a disease.

Question 19

What is the purpose of signposting individuals?

Answer 19

To determine the most appropriate service for the individual including considerations given to the most cost-effective approach.

Question 20

How can signposting support an individual’s health and wellbeing?

Answer 20

• Provide awareness on a wider range of services available and provide alternative options.
• Gives opportunities to discuss specific complaints or experiences with specialists or peers.

Question 21

What is the impact of ageing on physical health?

Answer 21

• Cellular level
• Body systems
• Senses
• Age associated disease

Question 22

What is the impact of ageing on cognitive health?

Answer 22

• Memory
• Attention
• Reasoning
• Problem solving
• Information processing

Question 23

What is the impact of ageing on emotional wellbeing?

Answer 23

• Transitions and significant life events
• Own morality
• Loneliness/social isolation

Question 24

How do aspects of care requirements change throughout the life stages?

Answer 24

• 0-2: Immunisation
• 3-8: Paediatric care
• 9-18: Sexual health services
• 19-45: Maternity and paternity care
• 46-65: Healthcare screening
• 65+: Frailty

Question 25

How can you support young people to look after themselves?

Answer 25

Promoting self care and self awareness

Question 26

How can you support healthy adults to look after themselves?

Answer 26

Promoting self-esteem

Question 27

How can you support adults who have health or wellbeing concerns to look after themselves?

Answer 27

Dispelling stereotypes

Question 28

How can you support adults aged 65+ to look after themselves?

Answer 28

Regular check-ups

Question 29

How can you support someone on end of life care to look after themselves?

Answer 29

Creating an end of life plan