Long case cards

Question 1

Transition of Care approach

Answer 1

BP MINE
Be aware of BARRIERS
PRACTICAL issues (eg readiness, awareness of own medications/doses/SEs, awareness of pregnancy/genetics implications, adolescent issues addressed)
MULTI-DISCIPLINARY approach (incl consideration of financial, employment, accomodation)
INTRODUCE early
CLINICS (eg joint care for 4-12mo, transition clinic)
EXPLAIN process to patient + family

Question 2

Approach to Obesity

Answer 2

1. Assess risk factors contributing factors: detailed diet, exercise, sedentary time; medications contributing, parental obesity
   Assess insight into issue + motivation
2. Assess for complications
3. General approach
   -parent/family participation and role modelling
   - age appropriate adjustments eg reduce portion sizes, cut out sugary bevs, fast good
   - 5 &2 fruit and veg
   - encourage breakfast
   - encourage exercises 60mins/day
   - set goals
4. Education + ensure follow up
5. Allied health input

Question 3

Steroid side effects

Answer 3

CUSHINGOID MAPS

Cataracts, cushingoid facies
Ulcers
Striae, skin thinning
Hypertension
Infections inc thrush
Necrosis of bone (AVN)
Growth decrease, obesity
Osteoporosis
ICP increase (Idiopathic IC HTN)
Diabetes

Mood changes, myopathy
Acne, adipose tissue hypertrophy
Pancreatitis

Question 4

Difference between carer payment and carer allowance?

Answer 4

Carer payment
- replacement of employment PAY
- $1000 for single, $1500 per fornight for couple
- means tested

Carers allowance
- extra allowance for each person you care for of $150/fortnight plus HCC, carer supplement ($600 annually), child disability assistance program ($1000 annually)
- eligible if household income <$250k
-

Question 5

What is carer adjustment payment

Answer 5

• $10 000 lump sum
• for someone on carer allowance who has child <7yrs who had catastrophic event (Eg stroke, cancer, MVA) requiring full time care >2months