Lectures 11-20 Flashcards
What are Barofsky’s functions of self-care?
restorative (alleviate symptoms)
Reactive (alleviate illness)
Preventative
Regulatory
What is Riegel’s model of self-care?
maintenance
monitoring
management
What is orthorexia?
an obsessive focus on eating only healthy or organic foods, nothing else
What is the significance of the difference of omission and commision?
Withholding the truth and actively lying are different.
How much is an appropriate amount of knowledge?
What is the Duty of Candour?
You must be hones and open with patients if things go wrong
Put your matters right, offer an apology, explain fully and promptly what has happened and the likely short and long term effects
What does ‘sorry’ mean in the clinical setting?
Apologizing to a patient does not mean that you are admitting legal liability for what has happened
What does the patient need in order to make a decision?
information
Voluntarism
Competence
What does the therapeutic exception allow?
the withholding of information if you know the knowledge would harm the patients
How is competence different to capacity?
Competence is the ability to make a decision AND enact on it
What is the mental capacity act of 2005?
can the person; understand the information retain it for long enough weigh up the information communicate their decision
IS telling someone they may/will die coersion?
NO
What is advanced decision making?
it enables someone with the capacity to refuse special medical treatment for a time in the future when they lack the capacity
What are the two types of lasting powers of attorney?
health and welfare
property and financial
Can a doctor refuse treatment for a patient if the patient asks for it?
Not if it wasn’t offered
What are 6 exceptions to consent guidelines?
emergency treatment incompetent patients patient waiver therapeutic waiver public health requirements implied consent
What does it mean to be Gillick competent?
The child achieves sufficient understanding and intelligence to understand fully what is porpoosed, and they have the maturity
What are the Fraser guidelines?
The patient understands the advice given, despite being under the age of 16.
The doctor can’t persuade the patient into informing their parents.
What is the WHO definition of complementary medicine?
a broad set of health care practices that are not part of that country’s own tradition and are not integrated into the dominant health care system
What is the WHO definition of treditional medicine?
The sum of the knowledge, skill, and practices based on theories, beliefs and experiences indigenous to different cultures
What are the recognised patterns of use of complementary medicine?
Earnest seekers
Stable users
Eclectic users
One-off users
Why is ‘non-aderence’ preferred to ‘non-compliance?
it focuses on the collaborative clinician-patient relationship
What is stanton’s model of adherence?
A doctor’s communication, the increased knowledge and satisfaction, and the patient’s beliefs contribute to adherence
What is Martin’s model for non-adherenece
malinformation
malmotivation
inappropriate strategy
What is the significance of the health action model?
It is the generic model of behaviour change
What is the general model of health promotion?
persuasion
environmental changes
law changes
What levels of prevention are there?
primary - onset
secondary - consequences
tertiary - death/permanent disability
