Risk, Uncertainty and Problem Solving Flashcards
Calgary Cambridge Model
initiating the session gathering information providing structure building relationships explanation and planning closing the session
define uncertain
not able to be relied on, not known or definite
define uncertainty
personal - state of not being completely confident or sure of something
safety netting
if uncertainty remans, this should be communicated to the patient to minimise risk. they must know what to look out for and be told exactly how to seek help for given outcomes or clinical features
types of guidance
national local immediate colleagues peer group reflection
National evidence based guidance
NICE
SIGN
local guidance
can be of use when there is clinical uncertainty about which step to take next and who to refer to, they can be useful in enabling the appropriate provsion of services in secondary care
example of local guidance
Scottish Referral Guidelines for SUspected cancer
immediate guidance
helpful in the management of an acute condition. highly stressful
example of immediate guidance
the emergency management of anaphylaxis (severe and potentially life threatening allergy)
streategies for managing risk and uncertainty
accept that it is normal evelop good doctor patient relationship consider each patient as an individual and take their background into consieration use external evidence and accept own checklists good organisation and note keeping acknowledge feelings reflect
what is hypothetico-deductive reasoning
Some causes are more probable than others. Whilst it is therefore efficient to bear the common causes uppermost in our minds, at the back of our minds we also have to hold the important, although rare, possibilities. Some of these may have to be positively excluded even although they are unlikely.
Some pieces of information are more valuable than others. In fact often a very few pieces of information are crucial, whilst other information adds relatively little to the solution of the problem.
