P&L: Definitive Collection Flashcards
List three types of health professionals who may be present in a genetics team
- Psychologist
- Clinical geneticist
- Genetic counsellor
Interprofessional collaboration vs Interprofessional learning
Interprofessional Collaboration: different healthcare disciplines working together
Professionalization learning: teaching students the importance of their role (and others) within the wider healthcare system
What are the 5As of brief interventions?
- Ask
- Assess
- Advise
- Assist
- Aarrange
Describe the first A of the brief intervention model: Ask
Determine whether the patient has the risk factor (i.e., do you smoke?).
Describe the second A of the brief intervention model: Assess
- Level of risk + impact on individual
- Readiness to change
- Health literacy
Describe the third A of the brief intervention model: Advise
- Explain risk to patient
- Recommend that they mitigate this risk (in whatever way is relevant to this particular risk)
- If the patient is keen to make a change, you might provide them with some resources to help them do so
What are the five stages of change?
- Pre-contemplation
- Contemplation
- Preparation-action
- Maintenance
- Relapse
What are the three members of the interdisciplinary genetics team?
- Clinical geneticist
- Genetics counsellor
- Psychologist
Cardiac blues vs depression: two differences factors
- Cardiac blues typically improves after 2-3 months as the patient comes to terms with their condition
- In patients with “red-flag” (living alone, low socioeconomic status, mental health history), it is more likely to be depression.
Criminal vs civil law
Civil: dispute between two parties
Criminal: the state charges a person/entity
What are the thre main elements of negligence
You:
- Have a duty of care
- Breach the duty of care, and in doing so…
- Harm the person whom you should have been caring for
What determines what a “breach of duty of care” is?
What other reasonable doctors with the same level of qualification would have done in your position
How do you avoid getting sued as a doctor?
- Always obtain consent
- Don’t breach your duty of care
- Do what another reasonable doctor would do
- If in doubt, call lawyer/insurer
When is consent valid in the context of medical treatment?
- The person has capacity
- They give consent freely and voluntarily
- Consent relates to proposed treatment
Is an adult assumed to have capacity?
Yes
What are the 2 criteria necessary for someone to have capacity to make decisions?
- They can understand and store information
- They can use that information when making decisions
True or false: a person with capacity cannot make decisions that others disagree with
False.
Can damages for occupational lung disease be paid after death? What are the implications of this?
- No, they can’t
- Refer to legal advice if a patient has a terminal condition
What two kinds of compensation are available for patients with occupational lung disease?
- Worker’s compensation (when exposure occurred in work place)
- Common law: through the courts.
What medical evidence is necessary to provide a claim?
- Diagnosis
- Causation from exposure
- Loss/impairment/life expectancy
- Expenses that will arise in future
