Communication PACES Flashcards
DVLA rules for TIA and stroke
1 month following single TIA of stroke providing satisfactory clinical recovery
1 year if lorry or bus driver - reassessed by DVLA after a year
DVLA guidance for seizures or epilepsy
Group 1
1st unprovoked seizure, normal EEG / CT / MRI - 6/12
Underlying condition / epilepsy - 12/12 off driving unless provoked by medication change - reduce to 6/12
Group 2
1st unprovoked seizure, normal EEG / CT / MRI - 5 years
Underlying condition / epilepsy - 10 yrs
Visual criteria for group 1 drivers
Read a number plate at 20M
Visual field 120 in the horizontal (can’t drive with homonymous or bitemporal defects)
Diplopia only if controlled with glasses or eye patch
DVLA criteria for acute psychotic illness
A period of 3 months without relapse
Compliance with medication without side effects which could impaire driving
Submission of a favourable medical report
Regained insight
DVLA criteria ACS
Group 1:
1 month if untreated
1 week if stented and normal LV
Group 2:
6 weeks if symptoms free and no inducible ischaemia in ETT
DVLA criteria for insulin dependent diabetes
Group 1:
Notify DVLA
May drive if no visual impairment and aware of hypos
Group 2:
Banned
When can confidentiality be broken?
Another party is at serious harm
Notifiable disease
Police request/ search warrant/ court order
Concern re. Terrorism
Births and deaths are in public domain
Four ethical principles
Autonomy: respecting and following the patients decisions in the management of their condition
Beneficence: promoting what is in the patients best interests
Non- maleficence: avoiding harm
Justice: doing what is good for the population as a whole, and distributing resources fairly
What criteria need to be met for an advanced directive to refuse treatment (ADRT) to be valid?
- In writing
- Signed and witnessed
- Include a compulsory statement that the request is valid ‘even if my life is at risk’
