public health and professionalism Flashcards
Do you have to send the GMC patient records even if the patient doesn’t consent?
Yes
Do you need to tell the police of every gunshot wound and stabbing?
Yes
What are the features of a case-control study?
Observation and retrospective, comparing two groups
What are the features of a cohort study?
Identification of a group of people based on their exposure to to a risk factor and following them over time to see who develops the outcome
How do you work out a likelihood ratio for a positive test result?
sensitivity / (1 - specificity)
How do you work out the likelihood ratio for a negative test result?
(1 - sensitivity) / specificity
Which medications can be used to help people stop smoking?
- varenicline (take 1 week before stopping, for 12 weeks, nicotinic partial agonist)
- bupropion (take 1-2 weeks before stopping, nicotinic antagonist)
- nicotine replacement
What is lead-time bias?
When two tests for a disease are compared, the new test diagnoses the disease earlier so it looks like the prognosis is longer, but it has no effect on the outcome of the disease
What is the Hawthorne effect?
A group changes its behaviour due to the knowledge that it is being studied
What are the 4 parts to a mental capacity assessment?
understand, retain, weigh-up, communicate
What are the parts of a DOLS?
lack of capacity to consent to their care arrangements, under continuous supervision and control, are not free to leave their place of care (not for mental health). must be least restrictive and in best interests
Who does a DOLS?
Best interests assessor, must be approved by local authority, can last up to 12 months
Which requirements need to be followed to ensure a deprivation of liberty is valid?
avoid if possible, in patients best interests, only for immediate intervention, alternatives considered
What is a section 2?
up to 28 days, no renewal, for assessment. AMHP, 2 doctors, treatment can be given as response to treatment is part of the assessment
What is a section 3?
For treatment, for 6 months initially, can be renewed. 1 AMHP, 2 Doctors. independent doctor must review in 3 months
What is a section 4?
Emergency section. 1 AMHP and 1 doctor.
What is a section 5(2)
Involved patients already admitted, 72hr holding power for doctors
What is a section 5(4)?
Holding power for nurses, up to 6 hours
What are sections 135 and 136?
135 - allows police to take person from home to place of safety
136 - allows police to take person from public place to a place of safety
24hrs
