Lectures 11-20

Question 1

What are Barofsky’s functions of self-care?

Answer 1

restorative (alleviate symptoms)
Reactive (alleviate illness)
Preventative
Regulatory

Question 2

What is Riegel’s model of self-care?

Answer 2

maintenance
monitoring
management

Question 3

What is orthorexia?

Answer 3

an obsessive focus on eating only healthy or organic foods, nothing else

Question 4

What is the significance of the difference of omission and commision?

Answer 4

Withholding the truth and actively lying are different.

How much is an appropriate amount of knowledge?

Question 5

What is the Duty of Candour?

Answer 5

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

Question 6

What does ‘sorry’ mean in the clinical setting?

Answer 6

Apologizing to a patient does not mean that you are admitting legal liability for what has happened

Question 7

What does the patient need in order to make a decision?

Answer 7

information
Voluntarism
Competence

Question 8

What does the therapeutic exception allow?

Answer 8

the withholding of information if you know the knowledge would harm the patients

Question 9

How is competence different to capacity?

Answer 9

Competence is the ability to make a decision AND enact on it

Question 10

What is the mental capacity act of 2005?

Answer 10

can the person;
understand the information
retain it for long enough
weigh up the information
communicate their decision

Question 11

IS telling someone they may/will die coersion?

Answer 11

NO

Question 12

What is advanced decision making?

Answer 12

it enables someone with the capacity to refuse special medical treatment for a time in the future when they lack the capacity

Question 13

What are the two types of lasting powers of attorney?

Answer 13

health and welfare

property and financial

Question 14

Can a doctor refuse treatment for a patient if the patient asks for it?

Answer 14

Not if it wasn’t offered

Question 15

What are 6 exceptions to consent guidelines?

Answer 15

emergency treatment
incompetent patients
patient waiver
therapeutic waiver
public health requirements
implied consent

Question 16

What does it mean to be Gillick competent?

Answer 16

The child achieves sufficient understanding and intelligence to understand fully what is porpoosed, and they have the maturity

Question 17

What are the Fraser guidelines?

Answer 17

The patient understands the advice given, despite being under the age of 16.
The doctor can’t persuade the patient into informing their parents.

Question 18

What is the WHO definition of complementary medicine?

Answer 18

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

Question 19

What is the WHO definition of treditional medicine?

Answer 19

The sum of the knowledge, skill, and practices based on theories, beliefs and experiences indigenous to different cultures

Question 20

What are the recognised patterns of use of complementary medicine?

Answer 20

Earnest seekers
Stable users
Eclectic users
One-off users

Question 21

Why is ‘non-aderence’ preferred to ‘non-compliance?

Answer 21

it focuses on the collaborative clinician-patient relationship

Question 22

What is stanton’s model of adherence?

Answer 22

A doctor’s communication, the increased knowledge and satisfaction, and the patient’s beliefs contribute to adherence

Question 23

What is Martin’s model for non-adherenece

Answer 23

malinformation
malmotivation
inappropriate strategy

Question 24

What is the significance of the health action model?

Answer 24

It is the generic model of behaviour change

Question 25

What is the general model of health promotion?

Answer 25

persuasion
environmental changes
law changes

Question 26

What levels of prevention are there?

Answer 26

primary - onset
secondary - consequences
tertiary - death/permanent disability