Psychology, professionalism & regulations Flashcards

1
Q

Psychotherapist vs Psychologist

A

talking therapy such as CBT

vs

medical treatments, risk assessment and hospital detention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Body satissfaction males vs females

A

comparable but manifest in different ways

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Drivers for aesthetics treatments

A

Body Image
Ageing
Social media
Advertising
Culture
Psychological factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the Keogh review

A

Department of health report

States people considering treatment should access to clear independent evidence based information for informed decision

including risk and how complications are managed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Sir Liam Donaldson, CMO 2005 observation

A

lack of balanced information

consultations by non-medical professionals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

At risk/vulnerable patient groups (5)

A

Mental health issues - anxiety, depression OCS

Recent life events - bereavement, relationship issues, redundancy

Under pressure for appearance - bullying, deadline

Under 18

Lack capacity to consent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Keogh report 2013

A

There should be a register of all practitioners

Dermal fillers should be classified as a prescription-only medication

All practitioners must be properly qualified

All non-surgical procedures must be performed under the supervision of a clinical professional

Financial offers should be banned, and there needs to be a mandatory code of conduct for advertising

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Regulations in Scotland

A

From April 2016, independent clinics in Scotland were regulated by HIS

Healthcare Improvement Scotland (HIS)

Independent clinics must register with HIS – application is a non-refundable £1,990

Beauty therapist not required to register

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

JCCP stands for

A

Joint Council of Cosmetic Practitioners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

JCCP was formerly known as

A

‘Treatments You Can Trust’ (TYCT) and ‘SaveFace’.

TYCT won a recent tender to merge their members with the newly formed Joint Council of Cosmetic Practitioners (JCCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cosmetic practioners bodies (6)

A

Joint Council of Cosmetic Practitioners (JCCP)

British College of Aesthetic Medicine (BCAM)

British Association of Cosmetic Nurses (BACN)

British Association of Dermatologists (BAD)

British Association of Aesthetic Plastic Surgeons (BAAPS)

British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS)

The Hair and Beauty Industry Authority (HABIA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

HEE guidance for practitioners 2013 and 2014

A

Each modality under the HEE review is given a qualification requirement

All practitioners performing injectable treatments are required to study to a postgraduate degree level

Clinical oversight is required for treatment with cosmetic injectables

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

HEE Guidelines (2013 and 2014) for training providers

A

Training courses must have their own degree awarding powers or be Ofqual-regulated, or work in partnership with such organisations

A minimum of 50% of the curriculum must be devoted to the development of practical skills

Delegates must subsequently pass a rigorous and standardised assessment

Supervisors must be able to provide clinical oversight and be proficient with the treatment being trained in (a minimum of 3 years experience)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

General Medical Council (GMC) guidance for doctors (April 2016)

A

Doctors must market their treatments responsibly, including not offering financial incentives for cosmetic procedures

Doctors must conduct a face-to-face consultation and seek consent themselves without delegation

Patients should be given a cooling off period in order to make a voluntary and informed choice to proceed with treatment

Doctors should take particular care when treating young persons

Doctors should be mindful of the psychological drivers for cosmetic treatments and when these may be pathological

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

CPSA responsibilites (4)

A

Reviewing evidence and updating guidelines on existing defined modalities and future emerging modalities

Setting the standard for clinical and practice proficiency

Collect adverse event data and developing patient outcome and experience measures

Working in partnership with the JCCP on standards with regard to aesthetic treatments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

components of the mental state examination in aesthetic practice

A

Appearance - poor eye contact, unusal
Thought content - wanting a quick fix, appearnce avvoidance
History
Mood - tearful, emotionally detached “not my nose”
Jargon
Unable to make informed decision
Insight - unreleastic expectations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

BDD in general population vs clinic

A

0.7-2.4%

vs

3-18%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is Body Dysmorphic Disorder

A

When taking an interest in your appearance tips over into an all-consuming, never-ending source of worry.

19
Q

Key Signs of BDD

A

obsessively worrying about their face or a specific area of their body

regularly comparing their looks with other people’s

frequently looking at themselves in mirrors, or avoiding their reflection altogether

making a lot of effort to conceal perceived flaws, including with makeup and clothing
picking at their skin to make it “smooth”.

20
Q

Other symptoms of BDD

A

feeling they need unnecessary plastic surgery and/or tweakments

experiencing shame, guilt and loneliness

self-harming

isolating themselves

believing their face or body lacks proportion or is not symmetrical

worrying people think they are vain

developing obsessive compulsions as coping mechanisms

wearing heavy makeup

tanning excessively.

21
Q

Where to refer patients with suspected BDD

A

Body Dysmorphic Disorder Foundation UK charity

Counsellor or psychotherapist

Offer support

22
Q

BDD patient history

A

worries about appearance

do they avoid social interaction

effect on their life

comparing themselves to others

struggle with personal relationships

how much time do they spend thinking about appearance

23
Q

Suicide in BDD

A

80% experience ideation

24-28% have attempted suicide

suicide completion 22x higher compred to general pop

24
Q

How is BDD treated

A

CBT

SSRIs

Psycotherapy and counselling

24
Q

How to refuse a BDD patient

A

explain goals are psychosocial

treatment unlikely to have impact on self confidence or wellbeing

unlikely to meet their expectations with aesthetics treatment

offer NICE recommended treatemt/support

25
Q

Percentage of clinic attenders with anxiety or depression

A

20%

26
Q

Psychological screening tools

A

COPS - cosmetic procedure screening questionnaire (self reporting scale)

BDDE-SR - body dysmorphic disorder examination self report

BSSQ-DV - Body Dysmorphic Disorder Questionnair , dermatology version

27
Q

Cooling off period

A

two weeks following assessment

access to information to make consent - written

28
Q

JCCP responsibility

A

oversee training

public register of qualified practicioners

premise standard

29
Q

Advertising Standards Authority

A

You cannot refer to the medication directly or indirectly, nor to the use of toxin for treatment

you may list the name of your treatment, for example Botox (3 areas)

cannot detail areas or what treatment does

With the exception of your pricelist, you cannot mention that you offer toxin, nor the effects treatments can offer in any patient-facing material.

No Before&after toxin images

30
Q

Reporting adverse events

A

to the MHRA via yellow card scheme

formally recordede

31
Q

Key principles of MCA 2005

A

everyone has capacity until proven they dont

decisions agaist social norms or advice does not mean they lack capacity

32
Q

Common Law confidentiality

A

confided information not to be disclosed further without permission

33
Q

Data protection act 2018

A

data related to living individual who can be identified

including expresiion of opinion, all forms of media

34
Q

Human rights act 1998

A

repect and protect privacy and confidentiality of health records

35
Q

When can you break confidentiality

A

public protection
child protection
patient risk of harm to themselves

36
Q

Premise requirements

A

toilets
hand sink
structures and fabric material can be cleaned
Substace hazardous to health are stored safely
Privacy during treatment

Decontamination of equipment

37
Q

Sharps disposal codes

A

PURPLE - Cytoxic or cytostatic (including BTX)
ORANGE - sharps not cominated with drugs/chemicals
YELLOW- sharps contaminated with drugs

38
Q

Personal data vs sensitive data

A

Personal - identifiable (name, address, DOB)

Sensitive - medical, sexual orientation, religion, political, crimiminal record

39
Q

Basic information governence framework

A

policies for information storage, distaster recovery and contingency

auditing and review

roles and responsiblities of individuals

40
Q

Data protection act 2018 & GDPR

A

data used fairly and lawfully

transparency in data use

used for specified and explicit purpose

securely

41
Q

Recommended time to keep medical records

A

up to 10 years

like GP practices

digital records can be held longer

42
Q

Criteria for photo taking device

A

do not store on cloud storage which communicates with other devicecs

mobile phones are not secure whilst being trasported