FOPC Year 1 Case Study Flashcards
Lisa comes to see you in the early stages of pregnancy. She wonders whether she should keep the baby or not. List two ETHICAL, two PSYCHOLOGICAL and two SOCIAL issues that Lisa may be considering?
Ethical
- Beliefs regarding termination
- Religious beliefs
Psychological
- Anxiety about being a parent
- Anxiety about going through with a termination
Social
- Is there a support network available for Lisa
- How will her social life change after having a baby
What factors might increase the chance of someone changing their behaviour?
You think the advantages of change outweigh the disadvantages
You anticipate a positive response from others to your behaviour change
There is social pressure for you to change
You perceive the new behaviour to be consistent with your self-image
You believe you are able to carry out the new behaviour in a range of
circumstances
Suggest four possible benefits of adopting the mutual participation style of
doctor/patient relationship.
Patient feels they have greater autonomy
Patient takes greater responsibility for their own health
Patients are more satisfied with consultations
Patients may be more compliant with their treatment
Apart from mutual participation style of doctor/patient relationship, name two other styles of doctor/patient relationship described by Szasz
and Hollender and give a brief description of each
Authoritarian or paternalistic relationship: the physician uses all of the
authority inherent in his/her status and the patient has no autonomy. The
patient tries hard to please the doctor and does not actively participate in
their own treatment.
Guidance/co-operation relationship: the physician still exercises much
authority and the patient is obedient, but has a greater feeling of autonomy
and participates somewhat more actively in the relationship.
Communication in a consultation can be a complex process. However, it is
recognized that three broad types of skills are needed for successful medical
interviewing i.e. content skills, conceptual skills and process skills. Give a brief
description of each.
Content skills: what doctors communicate-the substance of their questions
and responses, the information they gather and give; the treatments.
Perceptual skills: what they are thinking and feeling-their internal decision
making, clinical reasoning; their awareness of their own biases, attitudes and
distractions.
Process skills: how they do it-the way doctors communicate with patients;
how they go about discovering the history or providing information; the verbal
and non-verbal skills they use; the way they structure and organise
communication
What kinds of actions might a government take to promote health in the
population as a whole?
Legislation/policies on smoking/alcohol (e.g. minimum age to buy products,
licensing laws, taxation)
Improvements in housing
Provision of health education
Health and safety laws
Traffic/transport legislation/policies
List 4 factors which infleunce lay beliefs about health?
Age
Gender
Social class
Culture
Lisa thinks that smoking is “normal” behaviour. Why might she feel that
smoking is normal behaviour?
Might be normal for her peer or social group, but would be abnormal
perhaps for the wider population and/or a different population group
Might watch TV programmes where smoking is normal behaviour.
Draw a statistically normal distribution curve
After a relatively uneventful pregnancy, Baby Kayleigh is born at term (on
time).
A number of different health professionals may be involved in helping to keep
Lisa and Kayleigh healthy and normal. Suggest three different health
professionals and describe their role in the health care of Lisa and Kayleigh.
GP-postnatal examination of Lisa, 8 week baby check, advice on
immunisations, care of any medical problems
Midwife-follow up of Lisa and Kayleigh for first 10 days after birth, advice on
feeding
Health Visitor-advice on early child care from 10 days to school age,
immunisations
Give five examples of the use of computers in patient care within General Practice.
Store appointments
Book appointments
Assist in consultations (patient records)
Support prescribing
Electronic management of hospital letters
Define hazard and risk
Hazard: something with potential to cause harm
Risk: the likelihood of harm occurring
List the 5 types of hazard
Chemical
Physical
Mechanical
Biological
Psychosocial
What coping mechanisms might someone use to help them deal with stress?
Problem focused e.g. enlist help of family and friends to help with
Kayleigh’s care.
- *Emotion focused** e.g. seek counselling/stress management (positive
reponse) , alcohol or drug misuse (negative response).
