Ageing and health care Flashcards
describe a doctors role for older people
consider all needs and issues
don’t only see one part of the person or the disease in isolation
whole person approach even if you are a specialist in a particular aspect of medicine
improve wellbeing and help the person regain function and independence
all efforts should be to returning function at home or a home in the community
what attitudes should we have towards dementia
all people and all health care staff factor dementia into services and understand the needs of patients with dementia
describe delivering improvements for people with LTC
not just about treating illness, but delivering personalised, responsive, holistic care in the contex of how people want to live their lives
how can we meet future health needs of the older population
managing long term conditions
independent living
focus on quality of life and independence
holistic approach
deal with complexity of needs
work with others to meet the needs of individuals in a timely fashion
focus on needs of individuals
balance of specialist and generalist roles
dealing with health care needs is everyone’s business
what is hospital at home
aims to help manage acute medical problems at home where appropriate
can be used in about 8% of cases
describe changes to general practice
structural NHS changes
more patients being treated outside of the hospital
what is the palliative care approach
addresses physical, psychological and spiritual needs of patient and families
integral to all clinical practice
comprises focus on quality of life
takes account of carers and patients views
autonomy, choice and open communication
palliative care is needed throughout an illness trajectory
describe difficult conversations
may be better to refer to them as important conversations
open earlier rather than later
watch for cues and take appropriate opportunities
