CHIRO PUBLIC HEALTH (GUIDELINES)

Question 1

Describe what a guideline is and how it is used

Answer 1

clinical guidelines are recommendations, based on the best available evidence, for the care of people by healthcare and other professionals.

Question 2

Discuss the range of terms used to describe evidence-based guidelines.

Answer 2

Guidelines reduce unacceptable or undesirable variations in practice and provide a
focus for discussion among health professionals and patients. They enable professionals from different disciplines to come to an agreement about treatment and devise a quality framework, against which practice can be measured. Guidelines can help commissioners and purchasers to make informed decisions and provide managers with a useful framework for assessing treatment costs.

Question 3

Describe the benefits of and challenges in using evidence-based guidelines

Answer 3

Good clinical guidelines change the process of healthcare

• Improve outcomes for patients
• Ensure efficient use of healthcare resources
• They can be used to develop standards for assessing the clinical practice of healthcare professionals, to educate and train healthcare professionals, to help patients make informed decisions, and to improve communication and shared decision-making between patients and healthcare professionals.

Question 4

These GUIDELINES are terms used to describe a predetermined written guide for a plan of care for a specific health situation generally used by nurses to develop specific care plans for patients. These terms are also used when referencing a medical management or utilization guide.

Answer 4

Care pathways or care maps

Question 5

Who are guidelines for?

Answer 5

Clinicians, chiropractors, policy makers, health service managers and commissioners, as well as patients, their families and carers.

Question 6

Valid consent is made up of what 3 things?

Answer 6

1. Voluntary – must be made by the person themselves
2. Informed – person must be given all information, risks etc
3. Capacity – person must be capable of giving consent

Question 7

How can you ensure patient modesty?

Answer 7

1. Draping
2. Providing gowns
3. Providing a private room or area to change

Question 8

What type of employment restrictions were reported by over 80% of Australians with chronic back pain?

Answer 8

The type of job

Question 9

What type of quality of life are people with chronic back more likely to report than the general public?

Answer 9

poor

Question 10

Chronic back problems affect how many Australians?

Answer 10

Roughly 3.7 million people

Question 11

The health care expenditure in Australia for chronic back pain is what?

Answer 11

Roughly 1.2 billion. A total of 1.8% of total health care expenditure in Australia.

Question 12

More than three quarters of people with chronic back problems were of what age?

Answer 12

Working age (15-64yrs of age)

Question 13

What is primary, secondary and tertiary prevention?

Answer 13

Primary – preventing disease or injury before it occurs
Secondary – preventing disease or injury after its already occurred
Tertiary – Reduce the impact of chronic illness or injury that has long term effects

Question 14

What are some examples of primary prevention that were mentioned in the article?

Answer 14

• Prescription of exercise
• Nutritional advice
• Tobacco cessation advice
• Skin lesion detection

Question 15

Based on the primary prevention article, how many patients consult for primary prevention?

Answer 15

A very small proportion