Contextualised Care Flashcards
When would you want “Gold Standard”?
Biosecurity
- Dx outbreak and protocols
- Cleaning theatre, surgical instruments
Patient Wellbeing:
- Dx where gold standard approach signif improves prognosis
- Prevents unnecessary pain/ complications
Research & teaching hospitals
Public health concerns
Gold Standard Limitations:
Up selling could cause -ve communication & decreased welfare
Doesnt consider animal factors - age, temperament, general health, env
Doesnt consider human factors - resources, capabilities, preferences, circumstances
Cant do GS -> shame, guilt, anger, dissatisfaction
Standard of Care:
Benchmark determines professional obligations to patients have been met
Importance of Standard of Care
Legal term
Fail to meet standard of care = negligence
Standard of care is not optimal - covers any care from barely acceptable to ultimate optimal care
Guideline
Concise doc to assist decision making case management
Based on current best evidence
Protocol
Formal, unambiguous instructions for situations with known outcome
Should not deviate from protocol
Why are guidelines helpful?
Vet - discuss and dev care based on best evidence
Team - Enable members to have confidence in approach to providing care
Patient - receive care in line with best available evidence
Professional Misconduct and Negligence:
Very poor professional performance
Fraud/ dishonesty
Criminal conviction/ caution
Physical/ mental health problems affecting ability to work
Contextualised Care
Focuses on science and art of medicine
Science of medicine - technical processes of healthcare, informed by most up to date evidence and research
Art of medicine - aspects of care involving interpersonal and cognitive processes underlying patient-doctor communication and decision making
Contextualised Care Factors
Patient factors
Client factors
Clinical factors
EBVM
