rest of exam Flashcards

1
Q

GP surgeries and local health centres

A

Patients go here first when they need medical advice.
Doctors diagnose the patient’s illness. They may issue a prescription for medication or refer patients to other services.
Nurses might carry out treatment or health
screening, or take blood tests.

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2
Q

Hospitals

A

Patients go here for treatment that a GP cannot give.
It is where operations are carried out,
And A&E departments and some walk-in centres are located.
Patients are referred by their GPs to
specialist medical teams.

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3
Q

Clinics

A

Patients go here to be treated for specific medical conditions
Patients are referred by their GPs to specialist clinics based in hospitals and in the community.
• Trained personnel, including doctors and nurses, work in clinics.

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4
Q

Homes

A

This is where care is provided for housebound people or those who are recovering from-medical treatment such as an operation.
• Most people prefer to recover at home and some who are dying prefer to be nursed at home.

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5
Q

Residential care settings

A

• These are settings where people who can’t be cared for at home, or who feel that they can no longer cope with living on their own, are looked after,
They may provide full-time or temporary care for those who struggle living on their own.
Social care workers provide residents with personal care,
such as washing, toileting and dressing

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6
Q

Domiciliary care

A

Social care workers provide care for people in their own home.
• Care workers help people lead their daily lives by supporting their independence.
• Social care workers might help people with shopping, cleaning and transport, such as taking them to a doctor’s appointment.

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7
Q

Daycare centres

A

• These are used by older people and those with physical and learning disabilities.
They provide respite care.
Social care workers might take part in leisure activities with people attending.

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8
Q

Benefits of residential care

A

Trained staff meet people’s needs and support
them.
Specialist support is avalilable for those with more complex care needs
Companionship is provided by other residents and staff.
a A range of stimulating activities is offered.

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9
Q

Difficulties for people in residential care homes

A

losing some or all of their independence
reluctance to leave their own homes
isolation from friends and relations
cost of care.

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10
Q

Following policies and procedures in work settings

A

• ensure the health and safety of service users and health and social care workers
• support the day-to-day routines of service users
• enable the needs and preferences of service users to be met
• promote independence among service users,

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11
Q

Direct discrimination

A

someone is treated unfairly because of who they are
worse, differently or less favourably
• is treated unequally because of who they are
because of their characteristics.

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12
Q

Indirect discrimination

A

When a organisations policies , practices or rules have worse effect on some people than others

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13
Q

Equality act 2010

A

The Equality Act 2010 protects people from discrimination by:
employers
health and care providers, such as hospitals and care homes schools, colleges and other education providers
- transport services, such as buses, trains and taxis
public bodies such as government
departments and local authorities.

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14
Q

What is empowerment

A

Empowerment means giving individuals information and support so they can take informed decisions and make choices about their lives in order to live as independently as possible.

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15
Q

Possible risks in care ( ensuring safety )

A

Abuse by other service users and/or staff.
Inadequate supervision of facilities, such as
bathrooms.
Inadequate supervision of support staff, for example when moving patients.
Lack of illness prevention measures, such as clean toilets, hand-washing facilities and safe drinking water.
Infection due to lack of clean facilities and
equipment.

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16
Q

Managing risks in care (ensuring safety )

A

Using risk assessments to identify possible sources of harm,
assess the likelihood of them causing harm and to minimise the chance of harm.
Staff training to manage risks.
Appropriately qualified staff.
Ensuring all staff have Disclosure and Barring
Service (DBS) clearance.

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17
Q

Reports and complaints procedures

A

Accidents and incidents which happen in health and social care settings must be reported so that appropriate action can be taken. Complaints procedures must also be followed.

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18
Q

Barriers to incident reporting

A

Incident or accident is not seen as important at the time
Care staff have other pressing duties
Staff may not know about reporting procedures
Pressure from mangers to not report incidents or accidents

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19
Q

Four key points about complaints procedures

A

All care settings must have them in place.
All care settings must enable service users to access and use them.
They are checked when care providers are inspected.
They can lead to service improvements.

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20
Q

The right to complain

A

Service users have the right for:
. complaints to be dealt with within an
appropriate time frame
• complaints to be taken seriously
• full and thorough investigations of
concerns raised
• information about the outcomes of investigations into their complaints.

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21
Q

Data protection act

A

The Data Protection Act 1998 controls how personal information is used by organisations, businesses or the government. Data must be:
• used fairly and lawfully
• used for limited, specifically stated purposes
• used in a way that is adequate, relevant and not excessive
• accurate
• kept for no longer than is necessary

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22
Q

How is confidentiality ensured

A

By applying the requirements of the Data Protection Act 1998

By adhering to legal and workplace requirements specifiled by codes of practice in health and social care settings
By securely recording, storing and retrieving medical and personal information
By maintaining confidentiality to safeguard service users

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23
Q

Data storage

A

computers, tablets and mobile phones
• social media
• written, paper records
• photographs

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24
Q

Examples of professional bodies

A

The Nursing and Midwifery Council (NMG)
• The Royal College of Nursing (RCN)
• The Health and Care Professions Council
(HCPC)
• The General Medical Council (GMC)

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25
Q

Regulation of workers

A

follow codes of professional conduct
be familiar with and able to apply current codes of practice
ensure that revalidation procedures are followed
follow procedures for raising concerns (whistleblowing).

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26
Q

Safeguarding regulations

A

Safeguarding regulations protect service users from harm, abuse and neglect, and promote their health and wellbeing.

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27
Q

Safeguarding children

A

• protect children from maltreatment
• follow their organisation’s safeguarding
policies for protecting children and the actions to take if a child discloses
• prevent impairment of children’s health and development
protect children from infection

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28
Q

Local safeguarding children board

A

The job of the LSCB is to:
make sure everyone understands how important It is to keep children safe
make sure that all the agencies that are part the LSCB are doing the best job
report to the Department of Health
look into cases where children are badly hurt

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29
Q

Working partnerships

A

All services in health and social care function in partnership. This involves multidisciplinary working in order to ensure that service users get the care and support they need

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30
Q

Why is partnership important

A

Improves the lives of vulnerable adults and children
Improves info sharing with between professionals
Improves efficiency of care system

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31
Q

Difficulties in partnerships

A

Failure to communicate information between services
Lack of coordination of health and social care services (people don’t revive the care they need )
Delayed discharges from hospitals especially old people

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32
Q

Partnership with family

A

Working in partnership in health and social care may include working with a service user’s informal carers, friends and family to plan, aid decision-making and enable support with other service providers.

33
Q

Holistic approach

A

A holistic approach takes account of a person’s wider needs (physical, intellectual, emotional, social, cultural and spiritual) and seeks to meet these needs to promote health and wellbeing.

34
Q

Advantages of holistic approach

A

Advantages
Benefits of a holistic approach are that:
care is more personalised
other issues which contribute to the individual’s health, such as stress or poor housing.
may be identified and addressed
being viewed as a ‘whole person and not a medical problem can improve an individual’s general health and wellbeing

35
Q

Disadvantages of holistic approach

A

Disadvantages of a holistic approach are that!
most people only want their particular illness or symptom treated
generally, doctors do not look for other issues during diagnosis

health and social care workers are not employed or skilled to manage all aspects ot an individual’s needs

36
Q

Advocacy

A

Advocacy
Service users, their carers and other advocates should be involved in decision-making and planning support with service providers, working in partnership. Advocacy allows people to:
Express their views and concerns, so that they are taken seriously ( access information and services
defend and promote their rights and responsiblities
explore
choices and options

37
Q

Lead nurses or senior nurses

A

.• Lead nurses or senior nurses are in charge of a group of wards and can deal with a problem if the ward staff are unable to do so.

38
Q

Whistleblowing

A

Whistleblowing can take place in both social care and health settings. In a health setting, for
example, a member of staff might raise concerns about patient care, such as when the health and safety of a patient is put at risk. The concerns are reported to the relevant staff in the hospital such as a senior nurse, a doctor or one of the hospital managers.

39
Q

Inspections

A

analysis of internal data and trends, for example on health outcomes
investigation of complaints
observation of service delivery collection of service-user feedback interviews with staff.

40
Q

Criminal investigation

A

are pursued where sexual, physical , financial and
emotional abuse is suspected

have to take account ot satequarding
• follow referrals to the police from care providers,

41
Q

Examples of external monitoring

A

External agencies may inspect care settings by visiting and observing practice. Service-user feedback takes place as part of the inspection process and can also be used informally to
monicor care through everyday feedback from individuals receiving care and cheir family and friends

42
Q

Health public bodies

A

Nhs foundations trusts and GP services are public sector organisations which provide NHS services for adults and children

43
Q

Social care public bodies

A

Local authorities are public sector organisations which provide social care services for adults and children for example help in home

44
Q

Commissioning

A

Planning service specification (what service consists of )
Agreeing services procurement (process of obtaining the necessary services )
Monitoring delivery (continuous quality assessment)

45
Q

Primary care

A

Primary health care provides the first point of contact, such as a GP, who gives access to day-to-day services for patients and refers them to relevant specialists where needed.

46
Q

What NHS foundation do ?

A

Run hospitals
Provide mental services
Provide community health services
Work in partnership with other organisations

47
Q

What local authorities do

A

They commission organisations to provide social care services
Commissioned organisations can be in the public , private or voluntary sector
Commissioned services for adult social care include residential care homes and nursing homes

48
Q

Private services

A

Provided by businesses which usually run for profit
Services are often paid for the person who uses them
Example :boots , nursing home

49
Q

Voluntary services

A

Non profit making organisations which provide services alongside those provided by public and private sectors
example : hospices

50
Q

What do hospice staff do

A

The aim to hospice care is to improve the lives of people who have a terminal illness that cannot be cured

51
Q

Palliative care

A

It’s offered to people towards the end of their lives
Focuses on providing patients with relief from symptoms and pain

52
Q

Quality of life

A

The Goal of palliative care is the achieve best quality of life for patients and families

53
Q

personal care

A

People who live in residential care homes receive social care or personal care from care assistants or support workers

54
Q

Independence

A

People who are able to live independently at home are usually happier and healthier than people who need residential or hospital care

55
Q

Workplace care

A

Codes of practice and health and safety
regulations are designed to ensure the safety of all people in health and social care settings.
People who use services need to be safe and so do the people who work there.

56
Q

Types of domiciliary care (formal )

A

Provided by paid staff they are referred to as home helpers , care assistants or carers

57
Q

Informal care

A

Provided by family members , relatives and friends
Not paid

58
Q

Respite care

A

Respite care gives an informal carer a short break away from caring for a particular individual.
The Care Act 2014 sets out the rights of adults who provide care.

59
Q

Referral

A

People who need healthcare usually make an appointment with their GP where the healthcare needs are assessed

60
Q

Assessment

A

People who may require personal care will have a needs assessment which will be arrived by social services it will consider things like
How it impacts care
Needs of family
Limitation of cost and service provision

61
Q

Eligibility criteria

A

Local authorities who use assessment to assess whether people meet the eligibility criteria for personal care

62
Q

Barriers to services (specific needs )

A

People with specific needs cause difficultly
People with learning of physical disability
Old people
Refugees
Children

63
Q

Individual preference (barriers to service )

A

Religious or cultural beliefs that get in the way of treatment
People who exercise their right to be treated locally
Women who prefer cafe from women

64
Q

Charities

A

Organisation set up to represent people with specific needs and provide help and support often voluntarily

65
Q

What does an advocate do

A

Express service users views and concerns so that they are taken seriously
Access info and service
Defend and promote rights explore choices and options

66
Q

Actions in response to inspections

A

Write and implement action plan
Improve partnership working
Ensure changes to working practices

67
Q

After Inspection

A

Service provider is graded
Requirement or warning notices may be given
Organisations and individuals may be asked to implement policy or practice changes

68
Q

The care quality commission

A

The independent regulator of health and social care in England
They register care providers
Monitor , inspect and rate services
Take action
Be and independent voice

69
Q

CQC inspection

A

Is it safe
Is it effective
Is it caring
Is it responsive
Is it well led

70
Q

National institute for health and care excellence

A

NICE provides national guidance and advice to improve health and social care
They provide evidence based guidance
Develop quality standards
Provide a range of information services

71
Q

OFSTED

A

achieve excellence by inspecting childcare, adoption and fostering agencies, and initial teacher training.

72
Q

Public health England

A

a government body that protects and improves England’s health and well-being
Its role is to:
• work as part of regional and local health systems to reduce health inequalities
protect the health of people in England share information and expertise to make improvements in the public’s health
carry out research

73
Q

Purpose of policies and procedures

A

The needs and interest of at risk adults and children are always respected and upheld
Interventions and responses are upheld

74
Q

Protecting service users

A

Regulation requires staff to follow codes of practice ,guidelines,policies and procedures
They work together to prevent and protect service users from abuse

75
Q

Protecting staff

A

Implementing best practice to meet standards
Using relevant skills required to work in the area
Working effectively with colleagues

76
Q

Doctor internal role

A

• Doctors are medical consultants who Oversee diagnosis, investigations and treatment.

77
Q

Matrons internal role

A

• Matrons are in charge of a group of wards and take responsibility for ensuring excellent patient experience and safety

78
Q

Ward sister or charge nurse internal role

A

• The ward sister or charge nurse manages the whole ward

79
Q

Nurse specialists internal role

A

Nurse specialist lists offer expert and specialist advice on a range of treatments