L05-Tertiary Prevention

Question 1

What is the definition of tertiary prevention?

Answer 1

Using measures available to reduce or limit impairments and disabilities.
This minimises the impact and improves function of the disease.

Question 2

What are the main boundaries of tertiary prevention?

Answer 2

• Lack of clear margin (chronic disease)
• Ongoing process
• Long term interventions
• Poor consensus in medical profession
• Concept of wellness (QOL is relative)

Question 3

What are the types of tertiary preventions?

Answer 3

• Clinical: surgical, pharmaceutical
• Collaborative interventions: physio, psychological, occupational therapy
• Societal interventions: minimising disability

Question 4

What is meant by inequality in chronic disease?

Answer 4

• More deprived people have a greater number of years where they have to earn money and manage a chronic disease at the same time

Question 5

In terms of strokes, what are the primary, secondary and tertiary prevention measures?

Answer 5

Primary prevention = no smoking and moderate alcohol intake
Secondary prevention = TIA (transient ischaemic attack) management, FAST, further risk reduction
Tertiary prevention = Rehabilitation
- After the stroke incident
- Try and improve function and reduce further decline

Question 6

What are the facets of rehabilitation for stroke patients?

Answer 6

• Aerobic training
• Arm re-education
• Positioning
• Orthoses
• Self management – patient support
• Splinting
• Task training

Question 7

What are the four phases of cardiac rehabilitation?

Answer 7

Phase I: Counselling & Assessment

Phase II: Post Discharge Support

Phase III: Structured Exercise Programme

Phase IV: Long Term Maintenance

Question 8

What are the primary secondary and tertiary preventions for renal disease?

Answer 8

Primary prevention = diet
Secondary prevention = screening, picking up on early stage damage
Tertiary prevention = dialysis, transplant
- Focus of tertiary is on FUNCTION, NOT PATHOGENESIS