DAVID HORACE Flashcards
1
Q
Shared Decision Making (Grenfell et al., 2022)
A
- Trust, communication, decision ability, decision preferences
- 2 way communication, power control, collaborative relationship, know risks and options
2
Q
Biopsychosocial Model (Cormack et al., 2022)
A
- BPSM only partially implemented in healthcare
- Humanistic ( Patient centred care) and Causation (multi-factorial contributions to illness) interpretations
- George Engel’s model
- Human experience of illness and disease
- Increase rigour for Pt’s Hx
- Heuristic framework for clinical medicine
3
Q
Value-Based Care (Cook et al., 2021)
A
- patient-centredness
- guideline-orientated strategies
- measurement of Pt outcomes and experiences
- cost-effectiveness
4
Q
NICE 2019 Pneumonia
A
- All Pts have a review in the community 2-3months after D/C (BPSM)
- Pt education
5
Q
BTS Guidelines 2009
A
- out of bed 20/day with first 24hrs of admittance
- early progressive mobilisation
- should not be treated with ACBTs routinely
- PEP should be considered
6
Q
McKoy et al 2016 (Cochrane SR)
A
- ACBTs as effective as PD and MTs short terms symptom relief
- Pt preferences = PD, ACBTs, MTs
7
Q
Zisi et al., 2022
A
- ACBTs effective secretion clearance
- Increase Pulm function
- 20-40% improvement dyspnoae
- ACBTs equally effective as other methods
8
Q
Bellie et al., 2021
A
- Patient preferences most important
- self-administered tool better for long-term use and ability to be adapted to lifestyle
9
Q
NICE 2014 Provision
A
week 1 = fever gone
week 4 = chest pain and sputum reduced
week 6 = cough and breathlessness reduced
3 months = fatigue present
6 months = normal
10
Q
Bausewein et al., 2007
A
- mBORG reliable and valid for dyspnoae
- high satisfaction
- easy to understand
- limitations use with disease-specific scale and qualitative measurement of psychosocial issues
11
Q
Arts et al., 2020 & Cox et al., 2020
A
Auscultation
- sens = 37
- spec = 89
- good intra, poor inter reliability
- feasible
- experience doesn’t change outcomes
- when better diagnostic tools are available they should be used
12
Q
Cross et al., 2012 (RCT)
A
- MTs can be used for management of dyspnoea and sputum
- MTs not recommended to be used routinely
