Risk and Uncertainty Flashcards
What are the aims of a GP consultation as set out by the Calgary Cambridge model? (6)
- Initiating the session
- Gathering information
- Providing structure
- Building relationship
- Explanation and planning
- Closing the session
What are the Doctor’s tasks during a consultation as set out by Roger Neighbour?
- To connect with the patient
- Summarise and verbally check attendance reasons are clear
- Hand over and close consultation
- Safety net (if get worse: what to look for, who to contact etc)
- Housekeeping (recording keeping, recovery and reflection)
Define uncertainty.
-The state of being not completely confident/sure of something
Why is resilience important?
- Uncertainty can lead to burn out/depression
- Resilience can lead to personal growth and control
Define stress.
-Imbalance between demands and resources
When does stress occur?
-Occurs when pressure exceeds one’s perceived ability to cope
What two factors does decision making depend on?
- Degree of uncertainty
- Speed of change
How do you make a decision when a case is complex and changing quickly? (E.g. Unstable ITU patient)
-Use pattern recognition
How do you make a decision when a case is not complex but changing quickly? (E.g. Childbirth)
-Use algorithms
How do you make a decision when a case is complex but changing slowly? (Eg. Co morbidity)
-Use scenario/option planning
How do you make a decision when a case is not complex and slow changing? (E.g. Elective surgery)
-Use pathways
Explain the process of hypothetico deductive reasoning.
- “If it was a this would happen and it didn’t, so it’s probably b.”
- Many possible reasons/diagnoses
- Some = more probable
- Some = more important
What guidance or support is available when dealing with risk and uncertainty?
National Local Immediate Colleagues Peer group Reflection
