Communication

Question 1

4 ethical pillars?

Answer 1

Autonomy
Beneficance
Non maleficance
Justice

Question 2

What is gilick competency?

Answer 2

In reference to the ability of a minor (<16 yo) to make a decision regarding their healthcare

HAve to be capacitous
Situation dependet
Case by case
Uncoerced
Cannot refuse treatment, can only consent for treatment

Question 3

Systems review GI sympts?

Answer 3

Abdo pain
C/D
N/V
Jaundice
Dysphagia
PR bleeding/haematemesis
Stool colour
Puritus

Question 4

CVS systems review?

Answer 4

Chest pain
SOBOE
Syncope
Palpitations
PND/Orthopnoea
Ankle swelling

Question 5

Neurological systems review?

Answer 5

Weakness/sensation changes
Bowel/bladder dysfunction
Vision/taste/smell changes
Fits
Headaches
Hearing loss
Memory changes

Question 6

Urological systems review?

Answer 6

Dysuria
Freqeuncy, urgency, hesistancy, poor flow, terminal dribbling
Haematuria
Incontinence
Discharge
Erectile dsyfunction

Question 7

Resp systems review

Answer 7

Chest pain
SOBOE
Cough
SPutum
Blood

Question 8

History taking Systemic symptoms systems review

Answer 8

Fever
Rash
Weight loss
Night sweats
Night pain/symptoms

Question 9

How to deal with a angry patient/break bad news

Answer 9

SPIKES
Set scene- anyone else, establish patient happy to share information, Establishes no change in urgency
Perceptions- what do you understand
Invitation- warning shot/ explain
Apologies
Clarifies
Chunk and check
Summarises

Duty of candour- further investigations/audit

Question 10

Causes of delirium?

Answer 10

Pain
infection
Nutrition- b12/folate
Constiptation
Hydration
Meds
Environment

+Intracranial
Electrolytes
Eyes/ears

Question 11

How to explain procedure and take consent?

Answer 11

Diagram
Risks
Alternatives
Leaflet

Prep for op
Meds
NBM status

Question 12

How to optimise Jehovah’s witness for surgery?

Answer 12

Pre op- MDT assessment, EPO/Iron/B12/Folate, all blood products?
Intra op
Minimise blood loss, good haemostasis, cell salvage
Post op- monitor and hydrate