PMHP - revision notes Flashcards

1
Q

9 protected characterstics

A
  1. age
  2. gender
  3. race
  4. reglion
    5, gender reassignemnt
  5. marriage
  6. pregnancy
  7. sexual oritentation
  8. disability
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2
Q

4 pillars of ethics

A

justice
pt autonomy
non malefiecnce
benficience

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3
Q

Capacity

A

able to make decision
able to understand decision
able to retain decision
able to communication decision

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4
Q

7 socio-econmic factors

A
  1. crime
  2. income
  3. employment
  4. access to health care
  5. health status
  6. education
  7. housing
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5
Q

Consent

A

valid
voluntary
informed
not manipualted
not coercered
with capcacity

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6
Q

Internal locus of control

A

to do with own responsibilities

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7
Q

external locus of control

A

to do with luck

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8
Q

GDC standards

A
  1. raise concenrs if pts are at risk
  2. have a clear and effective complaints procedure
  3. put pts interests first
  4. maintain and protect pt info
  5. work with colleagues in a way that puts pt interests first
  6. work and maintain within your own abilites
  7. make sure your behaviour maintains confidence in you and the profession
  8. have a clear and effective complaints procedure
  9. communicate effectively with pts
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9
Q

Clinical goverance

A

A systemic approach to maintaining and developing the quality of the patient care within a healthcare setting

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10
Q

Dimensions of clinical goverance

A

timely
safe
person centred
effectively
effecient
equitable

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11
Q

6 different areas of clincial goverance

A

risk management
openess
clincial audit
clincial effectivness
education and training
research and development

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12
Q

CPD veriable hours

A

100 hours

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13
Q

Mandotory CPD

A

medical emergencies
radiation and protection
decon

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14
Q

Extra CPD

A

complaints handling
oral cancer - early detection
law and ethics

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15
Q

Divisons of NHS scotland

A

GDP
PDS
HDS

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16
Q

Clinical audit steps

A

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

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17
Q

7 steps of a critical incidient review

A

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

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18
Q

What does a clincial audit identify

A

gaps in knowledge, protocols, trianing, learning and attitude

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19
Q

Stages of change

A

Pre contemplation
Comtemplation
prep
action
maintance

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20
Q

5 R’s for thinking quiting

A

Relevance
Risk
Rewards
Roadblocks
Repetition

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21
Q

5 A’s for smoking

A

ask
advise
assess
assist
arrange a follow up

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22
Q

Smoking trainaly

A

chemical addiciton
habit
emotional attachment

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23
Q

Oral side effects of smoking

A

discolouration of teeth
poor wound healing
xerostomia
hallotosis
black hair tongue
oral cancer
nictonic stomatitis
perio
smokers melananosis

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24
Q

General side effects of smoking

A

lung cancer
COPD
stroke
stroke/stomach ulcer

25
Q

Medical issues of alcohol

A

liver and kidney problems
cirrhosis of the liver
stomach cancer
heart problems

26
Q

Dental effects of alcohol

A

xerstomia
poor wound healing
angular cheilitis
NCTSL
oral ulcerations
excessive bleeding
oral cancer
glossitis

27
Q

Screening tools for alcohol

A

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

28
Q

Units of alcohol per day

A

men 3-4
women 2-3

29
Q

Drink driving limit

A

80mg/100ml

30
Q

Types of domestic abuse

A

verbal
physical
fincial
emtional

31
Q

Risk of domestic abuse

A

young women
pregnant women
seperate women
medical/learning diability
mental illness

32
Q

Domesitc abuse types

A

situaltional couple violence
coercive and controlling beaviour

33
Q

AVDR

A

ask, validate, document and refer to either scottish womesn aid or scottish domestic abuse help line

34
Q

Extra things to do for domestic abuse

A

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

35
Q

Behavioural issues with domestic abuse

A

low self esteem
anxious
wants to see female dentist
missed appts
inapporpriate clothing for theweather to hide tauma
constant phone or texting partner
unease

36
Q

Signs of domestic abuse

A

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

37
Q

Physical symptoms of stress

A

skin issues
aches and pains
lethargy and exhaustion
shortness of breath
sleep probs
GI issues

38
Q

Pyscholoigcal issues with stress

A

screaming and shouting
irrtiability
exhasution
outbursts of anger
lethargy

39
Q

Burnout

A

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

40
Q

Reslience

A

a process of adapting well in the face of adversity, trauma, injury or tradegy

Awareness
thinking
reaching out
fitness

41
Q

Direct discrimnate

A

where a person is treating people less failry becasue of protected characterstics

42
Q

Indirect discriminate

A

a person is put at an unfair advatange due to having a protected characterstic

43
Q

asscociate protected charactersitc

A

a person is treated differently due to another person’s protected characterstic

44
Q

perceived discriminate

A

a person is believed to have a protected characterstic

45
Q

Members of hospital dental service

A

Ct
Specialist
consulant

46
Q

Member of public dental service

A

training grade
clinical director
seniro dental officer

47
Q

Methandone issues

A

high surgar levels which can cause ramptant caries

48
Q

Issue withs ugar free methadone

A

cannot be injected as can cause severe harm to the body

49
Q

CPD hours

A

100 hrs -dentist
75hrs - dental hygiensit, ortho, therapist
50hrs - dental nurse, technician
20 hrs - temp dentists

must complete 10hrs over 2 years

50
Q

Opoid indicaiton symptoms

A

constipation
hallicinations
sweating
sleepy
dizzy
confusion
dry mouth

51
Q

Concaine side effcts

A

NCTSL
orofacial pain
oral ulceration
nasal and palatal septum perforation
caries

52
Q

Act of parliament for illegal drugs

A

misuse of drugs 1971 act

53
Q

Clinical audit

A

quality improvement process that improves pt care by a systemic review of care agasint creitieria

54
Q

Health probs with illegal drugs

A

BBV
STDs
pyschiotic illness
liver diseases

55
Q

Pack years

A

no. of cigs/20 x year

56
Q

Primary appirsial stress

A

when a person decides whether event poses a threat, harm or challenge

57
Q

Secondary appriaisal stress

A

figuring out how to cope witha stressful situation or event

58
Q

Coping mechanisms

A

emotional focussed coping
apprisial focussed
social coping
adaptive behavioural
humour
social coping
mediditation
relaxation
life/ work balance
know your limits