General

Question 1

Care homes:

• Difference between residential care home and nursing care home
• Who funds care
• Common medical problems in care homes
• Why do people enter care homes

Answer 1

a care home is 700 wk where provides personal care/meds/toilet/eating/activities. nursing is 890 which provides actual nursing care. can have dementia, frail, post stroke, hf, copd, cancer
- via medical crisis, gp, personal, respite care, rehab

Question 2

Carer:

• Definition
• What is a crisis
• Name some care acts supporting carers (3)
• Impact on carers

Answer 2

a person who provides support to someone who wouldn’t manage without.
can help via respite care, support groups, help with equipment, crisis care planning, carers allowance

Question 3

Community hospitals:

• Definition
• What is NHS continuing healthcare
• What is discharge to assess
• What is a home first form
• What is an interim care plan
• What does rehab do

Answer 3

• has nurses, physio, OT, doctors
• is for subacute care, complex rehab, end of life care
• What is NHS continuing healthcare: free package of care
• What is discharge to assess: dont require acute hospital bed and service can be provided at home/community
• What is a home first form: referred to social services to assess funding
• What is an interim care plan: plan if risk of readmission, extra care at home

Question 4

Health inequalities:

• Definition of inequality vs inequity
• What is the inverse care law
• What is the difference between explicit and implicit bias

Answer 4

explicit: attitudes aware + expressed openly
implicit: outside of awareness

Question 5

Consent + capacity:

• What is the difference between implied and expressed consent
• Why is mental capacity time and decision specific
• What is the mental capacity act 2005

Answer 5

2005: someone has capacity until proven otherwise, support decisions, even if unwise, if no capacity then best interests, and least restrictive options
- understand, retain, weigh up, communicate
- DOL: for 1 week if in hospital, care home, own home

Question 6

What does discharge involve (7)

Answer 6

1. meds to take home
2. transport
3. therapy assessment
4. restarting package of care
5. outpatients appointment
6. district nurse referral
7. transfer back letter

Question 7

Reasons for re admission (5)

Answer 7

1. one of elements of discharge has not been met
2. patient complications
3. breakdown communication between healthcare professionals and social services
4. family decisions
5. funding issues