Community Flashcards
What are Community Hospitals?
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
What is the difference between Nursing Homes and Community Hospitals?
They often have higher supervision
What is Rehabilitation?
Set of interventions designed to optimise functioning and reduce disability in individuals with health conditions in interaction with their environment
Name four examples of different rehabilitation
Exercise to improve speech
Fitting and Education on a Prosthesis
Reducing Stiffness for a child with CP
Psychological support for depression
Name four benefits of Rehabilitation
- 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
Define Integrated Care
Range of services to promote faster recovery from illness and prevent rehospitalisation
Define ‘Home from Hospital’
Short term post discharge care at a more intensive level than district nursing
Define Rapid Responsive Scheme
Aims to support user in own home to prevent readmission
e.g PEG tubing, IV therapies, Catheter replacement
Define Step Up/Step Down
Usually a residential or nursing home
Aims to prevent hospital admission or speed up discharge from hospital
Define Stroke Schemes
Delivered by MDT often in patients own home
Schemes are often longer than traditional rehab schemes
Define Community Hospitals
Ward care but typically under management of Allied Professionals
Can be Rehab or Step/Step Down Therapy
What is NHS Continuing Care?
Some people with long term complex health needs qualify for free social care arranged and funded solely by the NHS
NHS Continuing Care requires an MDT assessment of needs with review every 3 months. What are they assessing?
Breathing Nutrition Continence Skin Mobility Cognition Consciousness
How is NHS Continuing Care Eligibility sorted?
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
What is Discharge to Assess?
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
What are Residential Care Homes?
Care provided 24 hours a day by trained care assistants
Residents are normally elderly and need for care is associated with degenerative changes
What are Nursing Homes?
Care provided 24h a day by Registered Nurses who are supported by care assistants
All require some form of nurse care
Typically more expensive
What is Interim Care?
Care arranged for children on short term temporary basis in situations where safety and well being are at risk
Name three types of carer support
Carers Assessment
Carers Allowance
Underlying Entitlement
What is Carers Assessment?
Assessment of the carer by adult social services to see how they can make their life easier (eg free gym membership, taxi refund)
What is a Carers Allowance? Who qualifies?
£64.50 a week allowance
> 16
Caring >35 hours a week
Not in full time education
Earning less than £128 a week
What is Underlying Entitlement?
For carers who don’t qualify for Carers Allowance, but still may be entitled to some means tested benefits (eg council tax reduction)
What is Disability Living Allowance?
Income for families who care for a disabled child
Up to £145 a week
In terms of carers, what is a Home Assessment?
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
How can carers under 16y be helped?
School monitoring (checking in at breaks etc)
Child line
Kids + (organisation allowing young carers to meet)
What is important to ensure you have as a carer?
A contingency plan incase the carer is admitted
May carry an emergency carer card
Define Poverty
The lack of financial resources and essentials to meet the minimum standard of living
Basic human needs can’t be met
What is Persistent Poverty?
Poverty in the current year and the 2/3 years preceding
What is Homelessness?
When one doesn’t have a home in the UK or anywhere else in the world to occupy
What is rooflessness?
Without shelter
What is Houselessness?
Temporary accommodation
What is insecure housing?
At risk of homelessness from eviction/domestic violence/sofa surfing
What is the Homelessness Reduction Act?
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
Describe how the social model of health influences illness?
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
Describe four issues in communication with patients with Learning Difficulties
- 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
Describe an atypical disorder on the ASD spectrum
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.
What should be tried before initiating ADHD management?
10 week watch and wait
If over 5 can then start medication (Beware all ADHD medication is Cardiotoxic so requires baseline ECG)
The ‘Theory of Mind’ is something that is lacking in patients with Autism. What is this?
Normally develops around the age of 7
The realisation that people have different thoughts
Name four presenting features of Foetal Alcohol Syndrome
Smooth Philtrum
Microcephaly
Epicanthic Folds
Low Nasal Bridge
