PMHP - revision notes Flashcards
9 protected characterstics
- age
- gender
- race
- reglion
5, gender reassignemnt - marriage
- pregnancy
- sexual oritentation
- disability
4 pillars of ethics
justice
pt autonomy
non malefiecnce
benficience
Capacity
able to make decision
able to understand decision
able to retain decision
able to communication decision
7 socio-econmic factors
- crime
- income
- employment
- access to health care
- health status
- education
- housing
Consent
valid
voluntary
informed
not manipualted
not coercered
with capcacity
Internal locus of control
to do with own responsibilities
external locus of control
to do with luck
GDC standards
- raise concenrs if pts are at risk
- have a clear and effective complaints procedure
- put pts interests first
- maintain and protect pt info
- work with colleagues in a way that puts pt interests first
- work and maintain within your own abilites
- make sure your behaviour maintains confidence in you and the profession
- have a clear and effective complaints procedure
- communicate effectively with pts
Clinical goverance
A systemic approach to maintaining and developing the quality of the patient care within a healthcare setting
Dimensions of clinical goverance
timely
safe
person centred
effectively
effecient
equitable
6 different areas of clincial goverance
risk management
openess
clincial audit
clincial effectivness
education and training
research and development
CPD veriable hours
100 hours
Mandotory CPD
medical emergencies
radiation and protection
decon
Extra CPD
complaints handling
oral cancer - early detection
law and ethics
Divisons of NHS scotland
GDP
PDS
HDS
Clinical audit steps
identify that there is a problem or issue
set cretieria and standards
observe the current pratice
compare with the new creteria and standards
implement changes
reveiw audit at set intervals
7 steps of a critical incidient review
identify event
collect and collate info
set up meeting to discuss
at meeting set out a structure analysis
implement changes and monitor
write up siginficant event analysis
seek for external feedback
What does a clincial audit identify
gaps in knowledge, protocols, trianing, learning and attitude
Stages of change
Pre contemplation
Comtemplation
prep
action
maintance
5 R’s for thinking quiting
Relevance
Risk
Rewards
Roadblocks
Repetition
5 A’s for smoking
ask
advise
assess
assist
arrange a follow up
Smoking trainaly
chemical addiciton
habit
emotional attachment
Oral side effects of smoking
discolouration of teeth
poor wound healing
xerostomia
hallotosis
black hair tongue
oral cancer
nictonic stomatitis
perio
smokers melananosis
General side effects of smoking
lung cancer
COPD
stroke
stroke/stomach ulcer
Medical issues of alcohol
liver and kidney problems
cirrhosis of the liver
stomach cancer
heart problems
Dental effects of alcohol
xerstomia
poor wound healing
angular cheilitis
NCTSL
oral ulcerations
excessive bleeding
oral cancer
glossitis
Screening tools for alcohol
Fast alcohol screening test> 3
Alcohol use disorders identification >20
Cage - feel need to cut down, annoyed at critisim of drink, guility for drinking, takes early monring drink >2
Units of alcohol per day
men 3-4
women 2-3
Drink driving limit
80mg/100ml
Types of domestic abuse
verbal
physical
fincial
emtional
Risk of domestic abuse
young women
pregnant women
seperate women
medical/learning diability
mental illness
Domesitc abuse types
situaltional couple violence
coercive and controlling beaviour
AVDR
ask, validate, document and refer to either scottish womesn aid or scottish domestic abuse help line
Extra things to do for domestic abuse
put up signs in toilets etc
have staff wear ask, support care badages
link with domestic abuse helplines
allow pts to use phones in surgery
have protocl inplace to get people on own if pt partner is present
Behavioural issues with domestic abuse
low self esteem
anxious
wants to see female dentist
missed appts
inapporpriate clothing for theweather to hide tauma
constant phone or texting partner
unease
Signs of domestic abuse
TMJ probs
lacerations on head and neck region
marks on ears
brusies in unusual places
orofacial pain
delay on seeking help for injury
repeated injuries and repeated dental injuries
bruises at diiferetn stages of healing
Physical symptoms of stress
skin issues
aches and pains
lethargy and exhaustion
shortness of breath
sleep probs
GI issues
Pyscholoigcal issues with stress
screaming and shouting
irrtiability
exhasution
outbursts of anger
lethargy
Burnout
a normally commited professional person disengages from their work due to stress and strain from their job
negative thoughts/ cyinical thoughts
depression
exhaustion
feel disatisification
Reslience
a process of adapting well in the face of adversity, trauma, injury or tradegy
Awareness
thinking
reaching out
fitness
Direct discrimnate
where a person is treating people less failry becasue of protected characterstics
Indirect discriminate
a person is put at an unfair advatange due to having a protected characterstic
asscociate protected charactersitc
a person is treated differently due to another person’s protected characterstic
perceived discriminate
a person is believed to have a protected characterstic
Members of hospital dental service
Ct
Specialist
consulant
Member of public dental service
training grade
clinical director
seniro dental officer
Methandone issues
high surgar levels which can cause ramptant caries
Issue withs ugar free methadone
cannot be injected as can cause severe harm to the body
CPD hours
100 hrs -dentist
75hrs - dental hygiensit, ortho, therapist
50hrs - dental nurse, technician
20 hrs - temp dentists
must complete 10hrs over 2 years
Opoid indicaiton symptoms
constipation
hallicinations
sweating
sleepy
dizzy
confusion
dry mouth
Concaine side effcts
NCTSL
orofacial pain
oral ulceration
nasal and palatal septum perforation
caries
Act of parliament for illegal drugs
misuse of drugs 1971 act
Clinical audit
quality improvement process that improves pt care by a systemic review of care agasint creitieria
Health probs with illegal drugs
BBV
STDs
pyschiotic illness
liver diseases
Pack years
no. of cigs/20 x year
Primary appirsial stress
when a person decides whether event poses a threat, harm or challenge
Secondary appriaisal stress
figuring out how to cope witha stressful situation or event
Coping mechanisms
emotional focussed coping
apprisial focussed
social coping
adaptive behavioural
humour
social coping
mediditation
relaxation
life/ work balance
know your limits
