Community Flashcards

1
Q

What are Community Hospitals?

A

Local Hospitals staffed mainly by nurses/PT/OT

Medical cover by ANPs and consultants visiting twice weekly

Often focuses on rehabilitation, subacute, and EOL care

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2
Q

What is the difference between Nursing Homes and Community Hospitals?

A

They often have higher supervision

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3
Q

What is Rehabilitation?

A

Set of interventions designed to optimise functioning and reduce disability in individuals with health conditions in interaction with their environment

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4
Q

Name four examples of different rehabilitation

A

Exercise to improve speech
Fitting and Education on a Prosthesis
Reducing Stiffness for a child with CP
Psychological support for depression

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5
Q

Name four benefits of Rehabilitation

A
  • Reduces impact on a broad range of conditions
  • Complements other interventions to ensure the best possible outcomes
  • Slows down effects of Chronic Health Conditions
  • Helps avoid rehospitalisation and reduces stay
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6
Q

Define Integrated Care

A

Range of services to promote faster recovery from illness and prevent rehospitalisation

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7
Q

Define ‘Home from Hospital’

A

Short term post discharge care at a more intensive level than district nursing

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8
Q

Define Rapid Responsive Scheme

A

Aims to support user in own home to prevent readmission

e.g PEG tubing, IV therapies, Catheter replacement

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9
Q

Define Step Up/Step Down

A

Usually a residential or nursing home

Aims to prevent hospital admission or speed up discharge from hospital

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10
Q

Define Stroke Schemes

A

Delivered by MDT often in patients own home

Schemes are often longer than traditional rehab schemes

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11
Q

Define Community Hospitals

A

Ward care but typically under management of Allied Professionals

Can be Rehab or Step/Step Down Therapy

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12
Q

What is NHS Continuing Care?

A

Some people with long term complex health needs qualify for free social care arranged and funded solely by the NHS

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13
Q

NHS Continuing Care requires an MDT assessment of needs with review every 3 months. What are they assessing?

A
Breathing 
Nutrition 
Continence
Skin 
Mobility
Cognition 
Consciousness
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14
Q

How is NHS Continuing Care Eligibility sorted?

A

Each marked: Priority/Severe/High/Moderate/Low/No Needs

To be eligible there needs to be a priority or severe in at least two different areas

If not eligible - may be eligible for NH funded nursing

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15
Q

What is Discharge to Assess?

A

When patients are clinically optimised and don’t require an acute hospital bed but may require services to be discharged

Assessment for longer term care is done at right time/right place for patient

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16
Q

What are Residential Care Homes?

A

Care provided 24 hours a day by trained care assistants

Residents are normally elderly and need for care is associated with degenerative changes

17
Q

What are Nursing Homes?

A

Care provided 24h a day by Registered Nurses who are supported by care assistants

All require some form of nurse care

Typically more expensive

18
Q

What is Interim Care?

A

Care arranged for children on short term temporary basis in situations where safety and well being are at risk

19
Q

Name three types of carer support

A

Carers Assessment
Carers Allowance
Underlying Entitlement

20
Q

What is Carers Assessment?

A

Assessment of the carer by adult social services to see how they can make their life easier (eg free gym membership, taxi refund)

21
Q

What is a Carers Allowance? Who qualifies?

A

£64.50 a week allowance

> 16
Caring >35 hours a week
Not in full time education
Earning less than £128 a week

22
Q

What is Underlying Entitlement?

A

For carers who don’t qualify for Carers Allowance, but still may be entitled to some means tested benefits (eg council tax reduction)

23
Q

What is Disability Living Allowance?

A

Income for families who care for a disabled child

Up to £145 a week

24
Q

In terms of carers, what is a Home Assessment?

A

From adult social services, looks at any adjustments to the home that might need to be made
If under £1000 the government has to pay

25
Q

How can carers under 16y be helped?

A

School monitoring (checking in at breaks etc)
Child line
Kids + (organisation allowing young carers to meet)

26
Q

What is important to ensure you have as a carer?

A

A contingency plan incase the carer is admitted

May carry an emergency carer card

27
Q

Define Poverty

A

The lack of financial resources and essentials to meet the minimum standard of living

Basic human needs can’t be met

28
Q

What is Persistent Poverty?

A

Poverty in the current year and the 2/3 years preceding

29
Q

What is Homelessness?

A

When one doesn’t have a home in the UK or anywhere else in the world to occupy

30
Q

What is rooflessness?

A

Without shelter

31
Q

What is Houselessness?

A

Temporary accommodation

32
Q

What is insecure housing?

A

At risk of homelessness from eviction/domestic violence/sofa surfing

33
Q

What is the Homelessness Reduction Act?

A

Aims to reduce homelessness by notifying authorities of people who are homeless or who are at risk of becoming homeless within 56 days

Checks registration with GP and vaccinations

Promotes access to community family programmes

34
Q

Describe how the social model of health influences illness?

A

Those less well off are more likely to have risky behaviours

There are areas more linked to certain diseases

Diseases are more likely to spread quicker in deprived areas due to overcrowding

35
Q

Describe four issues in communication with patients with Learning Difficulties

A
  • They may mask their lack of comprehension
  • They May say yes to appease (so don’t ask yes or no questions)
  • Difficulty waiting their turn
  • Sensitive to criticism
36
Q

Describe an atypical disorder on the ASD spectrum

A

Pathological Demand Avoidance

Drive to avoid every day demandsnd expectations to an extreme extent

Managed by allowing them as much control as possible. Routines used in ASD will trigger them.

37
Q

What should be tried before initiating ADHD management?

A

10 week watch and wait

If over 5 can then start medication (Beware all ADHD medication is Cardiotoxic so requires baseline ECG)

38
Q

The ‘Theory of Mind’ is something that is lacking in patients with Autism. What is this?

A

Normally develops around the age of 7

The realisation that people have different thoughts

39
Q

Name four presenting features of Foetal Alcohol Syndrome

A

Smooth Philtrum
Microcephaly
Epicanthic Folds
Low Nasal Bridge