GP

Question 1

Define Polypharmacy

Answer 1

Simultaneous use of multiple medications by a patient for 1 condition.

Question 2

Define Concordance

Answer 2

Agreement between patient and doctor respecting beliefs/wishes of patients in determining whether, when and how meds are to be taken.

Question 3

Define the Green Prescribing Concept

Answer 3

using exercise in the fresh air to improve patient health and well-being

Question 4

Define Blue Prescribing Concept

Answer 4

Nature based programme on wetland sites to get patients with poor mental health outside and enjoying the benefits of wetland nature.

Question 5

Define Social Prescribing

Answer 5

when health professionals refer patients to support in the community, in order to improve their health and wellbeing
Examples include volunteering, arts activities, group learning, gardening, befriending, cookery, healthy eating advice and a range of sports.

Question 6

Pro’s and Con’s to non-pharmalogical treatment (social prescribing)

Answer 6

Pros:
1. increase in mental health and wellbeing.
2. reduce GP workload. - dedicated time from a professional.
3. tackles feelings of loneliness and isolation.
4. patient- centred tailored approach.

Con’s:
1. no medical professional there to support patient if needed.
2. patients’ confidence may be impacted.

Question 7

5 reasons why patients may struggle to stick to medication regime

Answer 7

1. fear
2. misunderstanding
3. too many meds
4. lack of symptoms
5. mistrust - news coverage.

Question 8

8 ways to ameliorate medication issues.

Answer 8

1. understand each patients medication-taking behaviours
2. talk about side effects.
3. write it down - create medication schedule.
4. use dosette boxes.
5. collaborate with the patient - when can they take the meds.
6. assess health literacy
7. follow up with patients.
8. reduce complexity of drug regimen.

Question 9

BMI equation

Answer 9

Weight (kg)/ Height ^2 (m)

Question 10

What is Normal Blood Pressure and what is considered hypertension ? (stages)

Answer 10

Normal: 120/80
Stage 1: > 140/90 ambulatory/home: >135/85
Stage 2: >160/100 ambulatory/home: >150/95
Stage 3: >180/120

Question 11

Explain the white-coat effect (HTN)

Answer 11

discrepancy of >20/10mmHg between the clinical reading and average daytime ABPM reading.

Question 12

What does IAPT stand for

Answer 12

Improving access to psychological therapies.