P&L: Midsem Flashcards
Outline the SPIKES model for sharing difficult information
S: Setting up (appropriate environment)
P: Perception (what do they know?)
I: invitation (what do they want to know?)
K: Knowledge (close the gap between the previous two)
E: Empathy (allow emotions to arise however they will)
S: Strategy (here’s what we’re gonna do about it)
What are some characteristics of good interprofessional practice?
- Understanding everybody’s scope of practice
- Mutual respect
- Clear communication (and perhaps the allocation of a leader)
- Good documentation (and everybody can access the documentation)
What are some common behavioural responses that compromise interprofessional collaborative practice in acute settings
- Not understanding scope of practice
- No clearly defined leader
- No documentation/communication
True or false: high quality documentation is the sole responsibilit of the assigned team leader in a multidisciplinary setting.
- true, but it’s not the whole picture.
- High quality documentation is the responsibility of all health professionals involved
List six characteristics of high-quality healthcare documentation
- Up to date
- Relevant
- Person-centred
- Accurate
- Complete
- Accessible to all
(CARP AU)
What is the name of the national digital health record of Australia? How might technology change the way we collect data for it (1 example)?
- My Health Record is Australia’s digital information system
- AI transcription of consultations is showing promising signs
What kind of information should be documented in health records?
- Clinical events
- Principal/secondary diagnoses
- Interventions (with a clear link to underlying cause)
What responsibilities does a new medical practitioner have during a transition of care? Why?
- Introduce yourself; take steps to overcome communication barriers
- Consider the concerns of carers/family
- Ask patient permission before doing anything
(This is to build rapport, maximise compliance, and help the patient to feel comfortable despite the uncertainty of a new practitioner)
What are safety risks for older patients that arise when sharing critical information (such as breaking bad news clinical handover, or explaining infectious status)
- Increased delirium risk
- Increased risk of adverse effects
- Increased risk of functional decline
What are safety risks for all patients during sharing of critical information?
- Poorer satisfaction
- Increased psychological morbidity
- More likely to choose aggressive treatments; may regret
What are 3 aspects of closing a good meeting?
- Signpost end coming up
- Communicate plan, and confirm they can follow it
- Address any questions and concerns
What are some aspects of shared decision making?
- Consider treatment options
- Consider what happens if we do nothing
- Redescribe values of treatment
- Tailor information to patient’s needs
What is continuity of care?
The ability to provide consistent, seamless access to healthcare services, across practitioners, programs, and time.
What are some aspects of the doctor’s role in promoting continuity of care?
- Taking full responsibility for conflict, which is otherwise a common barrier
- Good technique during transitions of care (answering Qs etc.)
What are some challenges involved in addressing misunderstandings/conflict in the healthcare setting?
- Patients may express a wide range of emotions, even those disproportionate to circumstances
- In some instances, these emotions may not be socially acceptable/appropriate in the community
- They may also place practitioners in danger, decreasing their ability to focus on providing high-quality care
