Modules 7 and 8 Flashcards
What are the benefits of collaboration and teamwork between health professionals?
- the patient receives right care at the right time
- cost effective health care
- improves patient outcomes
- enhances patient and professional satisfaction
What is a case conference?
A case conference is a formal meeting where decision making and discussions are held regarding the management of an individual’s health care needs
Who is involved in a case conference?
Case conferences usually involve a range of health professionals, the individual and/or family members/carers
What is the key to improved outcomes arising from a case conference?
Ensure that care plans and strategies discussed are actioned.
What kind of electronic communication is more widely used in rural and remote areas?
- teleconferencing
- telehealth
- telemonitoring
What is a Health Care Home?
A Health Care Home is a general practice or Aboriginal Community Controlled Health Services that coordinates care for individuals with chronic and complex conditions.
What are the benefits of Health Care homes for the patient?
- Individuals have a committed care team, led by their usual doctor. With the support of the care team, individuals can develop a shared care plan. This plan helps them have a greater say in their care and makes it easier for all the people who look after them, both inside and outside the Health Care Home,
- To coordinate care with a care team, individuals have better access to care. Health Care Homes can also be more responsive and flexible. If a person wants to talk to someone in their care team, they won’t always need an appointment with their GP. Rather, they might call or message the practice team. Or a representative from the team might call the person to see how they’re going.
- The care team will do more to coordinate all of a persons care from their usual doctor, specialists and other health professionals.
When questions should we consider when assessing a person’s sexual health?
- ‘does this person need an STI test?’,
- ‘is this person in a safe relationship or relationships?’,
- ‘does this person have gaps in their knowledge around areas like STIs, pleasure, consent?’,
- ‘is this person likely to experience discrimination or not be able to access appropriate sexual health services due to their cultural background, sexuality or gender?’
- ‘does this person have special needs in relation to their health, such as disability or chronic illness?’
What is chancroid?
Chancroid is a rare form of as genital ulceration that presents with/without bubo formation (localised swollen painful lymph nodes).
More common is men.
How is chancroid treated?
- Antibiotics,
- no sexual contact for 7 days after treatment is administered
- contact tracing.
What is chlamydia?
The most commonly reported communicable disease in Australia. Bacterial infection which is ofter asymptomatic.
What are some complications of chlamydia for women?
- Pelvic inflammatory disease,
- infertility,
- ectopic pregnancy,
- reactive arthritis.
What is donovanosis?
Donovanosis is a rare cause of genital ulceration andshould be considered in patients returning from areas where the disease may be endemic e.g. PNG, Southern Africa, India and parts of South America.
Primarily sexually transmissible but may be transmitted vertically and by casual contact..
Painless ano-genital ulceration.
How is donovanosis treated?
Antibiotics - Azithromycin or Doxycycline
What are some individual factors related to contraction of STIs?
- alcohol and drug use,
- sex with multiple/and or new partners,
- sex with partners from priority populations for STI testing,
- condomless sex,
- age when commencing sexual activity
- sex in exchange for money
Are people who are victims of domestic violance/and or non-consensual sex at risk of contracting STIs?
YES.
What are some risks STI’s pose to an unborn child?
- low birth weight,
- brain damage,
- blindness,
- deafness
- stillbirth (death of the child)
Name 5 ‘Priority Populations’ in regards to STIs.
- Young People (15-29)
- Aboriginal and Torres Strait Islander People
- Gay men and other men who have sex with men (MSM)
- Sex workers
- Culturally and linguistically diverse people
- Travellers and mobile workers
- People is custodial settings
Rates of ________________ have increased in gay men and Aboriginal and Torres Strait Islander people.
syphilis
What are STIs?
STI encompass a number of different bacterial, viral and parasitic infections which are transmitted through sexual contact
What are the four nationally notifiable STI?
- syphilis,
- gonorrhoea,
- chlamydia
- donovanosis
What are the goals of the NSW Sexually Transmissible Infections Stratergy 2016- 2020?
- To reduce gonorrhoea and syphilis infections and reduce the burden of disease of chlamydia infection,
- Sustain the low rates of STIs amongst sex workers
- Sustain the virtual elimination of congenital syphilis
- Maintain high coverage of HPV vaccination
What is contact tracing?
Contact tracing is the process by which any people (contacts) you may have passed a serious infection on to are identified, diagnosed and then treated. This process stops infections and diseases spreading further through the community.
What are the two main barriers to STI testing?
Stigma and Discrimination
