Key ideas

Question 1

Key ideas in each task

Answer 1

• PCC
• Infection control
• Dignity & Privacy
• M&H
• H&S
• Mental capacity/DOLs
• CQC/ Esclalation/Negligence
• Communication skills

Question 2

Urinalysis

Answer 2

pH Average - 6.0
Protein - 0
Glucose - 0
WBC - 0-5
Bilirubin - 0
Blood - 0
Ketones - 0
Nitrites - 0

pH - above may indicate kidney stones/infection
Protein - should only be in blood not urine - infection or kidney not filtering high bp - preeclampsia
Glucose - diabetes, fasting better gestational diabetes
WBC - infection UTI
Bilirubin - indicates liver disease - waste of old cells
Blood - infection, kidney damage, meds, heavy exercise
Ketones - ketoacidosis, uncontrolled dm, starvation, alcoholism, pear drops smell?! acidic
Nitrites - infection present when bacteria in UT turns nitrates into nitrites

Question 3

NEWS escalation

Answer 3

0-4 low risk ward based
red - low medium urgent ward
5-6 medium key threshold for urgent response
7+ high urgent or emergency

Question 4

Consider

Answer 4

Escalation Y/N
Obs ? frequency
pain
consequences of not escalating
NICE

Question 5

Feedback

Answer 5

good
- calculate scores
- escalate
- obs freq?
- Duty of care
- Best interest
- Consider all issues
- Knowledge of news
- Evidence based care

improve
- more consequences
- NICE
- Refer to careplan T2
- P3 blue sheet- discussing medical intervention
- ADLs - include all
explicitly discuss pcc, theories and models for planning and assessment
- NICE
- SW finding places
- LPA
- SORES
- MCA but WHY
- Use care plan and log for pts views
- INDEPENDANCE & EMPOWERMENT
- Mouth care
- Follow up on things
- Small goals - passive/active exercise
-NBM?
- Any issues in diagnosis of DP
- care around dx and risks
- options?
- BACKGROUND KNOWLEDGE

Question 6

Task 1 exemplar - things to include 2

Answer 6

• Hx & dx mini SBAR
• score meaning etc related to B?
• frequency obs & consistency with NEWS
• concerns
• FBC
• other causes
• NICE
• treatment linked to dx - think about nbm
• other problems affecting the person problems linked
• Charts e.g. waterlow
• Reporting
• Pcc importance of following plans
• Reassurance / Explaining

Question 7

Task 2 exemplar - things to include

Answer 7

• List
• Possibly, could, may etc
• understanding, cause, family help, situ
• ADLs/values etc - include mdt
• group things together e.g. eating and drinking independence - washing and dressing
• Passive/active exercises
• Privacy and dignity
• other options e.g. bed bath/hoisted to shower - independence
• P3 - lists
• concluding para - situ, plan, expressed needs on careplan?

Question 8

Task 3 exemplar - things to include

Answer 8

• B
• use daily care log
• “appear” “indicate”
• result and treatment
• NICE
• other problems related e.g. incontinence
• other charts e.g. waterlow
• other treatments e.g. bladder training
• consent - assault
• long term
• pcc - impacts of not being PC
• conclude - options - informed decisions