EPE Flashcards

1
Q

What are the 3 key types of possible healthcare violations that may result in adverse outcomes?

A

Routine violations, optimising violations, necessary violations

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2
Q

What are some ways to avoid adverse outcomes?

A

Asking ‘why?’, avoid blame, follow evidence based guidelines, continuity of care, maintain dr-pt relationship, self-care

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3
Q

What are some causes of iatrogenic disease?

A

impaired compliance, poor clinical assessment, polypharmacy, altered pharmacokinetics/dynamics of drugs with certain pathologies

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4
Q

What are some of the causes of non-compliance in patients?

A

not expecting benefit from treatment, running out of meds, lack of understanding of meds, NZ health system unfamiliar, failure to attend clinic due to bad experiences

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5
Q

What are some ways to improve compliance in patients?

A

Give simple instructions and provide rationale for treatment, clearly label medications, use pill boxes/blister packs, memory aids

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6
Q

What are the steps in assessing family/intimate partner violence?

A
  1. build relationship/trust
  2. ask/use direct questions
  3. acknowledge and validate abust
  4. document injuries
  5. assess risk of danger’
  6. make safety plan and empower patient to seek help
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7
Q

What are the benefits of mandatory reporting of domestic violence?

A

protects more victims, normalises reporting, validates victims concerns, statistics may be more accurate,

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8
Q

What are the disadvantages of mandatory reporting of domestic violence?

A

may damage dr-pt relationship, may cause more abuse, limits victims future healthcare trust, needs more resource-intensive systems in place, doctors may feel inadequately trained

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9
Q

What are some of the reasons an individual may find it difficult to leave an abusive partner?

A

6Fs - fatigue, fault, fear, finances, father, false beliefs

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10
Q

What are the aims of palliative care?

A

alleviate suffering, affirm life/accept death, family/firend support, improves quality of life, neither hastens/postpones death

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