Sustainability Flashcards
What are the common mild-moderate mental health conditions
depression generalised anxiety disorder panic disorder social anxiety disorder obsessive compulsive disorder post-traumatic stress disorder.
What is resilience
Resilience is an emotional competence or a personality characteristic that deals with negative effects of stress and promotes adaptation.
Resilience can also, however, be an acquired virtue or behaviour and requires continuous improvement.
Resilience encompasses several dimensions including self-efficiency; self-control; self-regulation; planning and perseverance.
What are the strength underpinning resilience
High frustration tolerance Self acceptance Self belief Humour Perspective Curiosity Adaptability Meaning
What behaviours support resilience
Building / having support networks – positive relationships
Reflective ability
Assertiveness
Avoiding procrastination
Developing goals – realistic plans and ability / motivation to follow them through
Time management
Work – life balance
Sources of burnout
Personal -Perfectionism, denial, avoidance, micromanaging, unwilling to seek help, being too conscientious
Professional -Culture of invulnerability, culture of presenteeism,Blame culture / silence
Systemic - Overwork, shiftwork, lack of oversight, Chaotic work environments, Lack of teamwork, fractured training
What are the benefits of resilience
Reflection
Improvement
Becoming wiser and better
Factors that aide resilience
Intellectual interest - Job satisfaction, career progression, variability (if wanted), capacity to develop special interest
Self awareness and self reflection -Recognise and accept personal limits, establish boundaries in doctor-patient relationship, less self critical. Aided by mindfulness based stress reduction
Time management and work life balance
Continuing professional development
Support including team working
Mentors
What societal factors may aide with resilience
Professional attitudes
Changing sense of perfectionism, presenteeism, culture of silence
Better support for those struggling or after difficult events
Societal attitudes
Changing culture of blame, reduce perceived threat of complaints
Public acceptance of mistakes? Patients’ personal responsibility for health?
Structural changes
Improved shift patterns, better work – life balance, less fractured training, regular breaks, a cup of tea
What is a fit note
This replaced the ‘sick note ‘ in April 2010. It is evidence of assessment by a Doctor( often their GP) as to whether a patient is fit to work in general; it is not job specific.
It’s purpose is to facilitate earlier discussion about returning to work and about rehabilitation. It now includes items of consideration for employers when signing a patient’s return to work such as to include a phased return, adjusted hours, adaptations to the work place and/or amendments of duties.
It can only be completed by a Doctor, it is advice to patients as employees, is not binding on the employer and does not affect Statutory Sick Pay. It is required if the patient has been off more than 7 consecutive days
What is the purpose of occupational health
For patients who are off for longer periods of time or with more complex needs, referral to a specialist occupational health service is an option.
Occupational health specialists are ideally and uniquely placed to support and help people stay in work and live full and healthy lives.
They play a key role in ensuring the health and well being of the working population by preventing work-related ill health and providing specialist rehabilitation advice.
They provide independent, impartial advice to employers and employees on the effects of work on health and the effects of health on work.
What will Occupational health do
Advise on fitness for work, workplace safety, the prevention of occupational injuries and disease
Recommend appropriate adjustments in the workplace
Improve the attendance and performance of the workforce
Provide rehabilitation to help people return to work
Promote health in the workplace and healthy lifestyles
Recommend and implement appropriate policies to maintain a safe and healthy workplace
Conduct research into work related health issues
Ensure compliance with health and safety regulations
Advise on medical health and ill-health retirement
What return to work options are on a fit note
Phased return
Altered hours
Amended Duties
Workplace adaption
what kind of effect does unemployment have on health
Higher mortality;
Poorer general health, long-standing illness, limiting longstanding illness;
Poorer mental health, psychological distress, minor psychological/psychiatric morbidity;
Higher medical consultation, medication consumption and hospital admission rates
What principle are part of the low carbon clinical care and nhs sustainability
Prioritise Environmental Health
Substitute harmful chemicals with safer alternatives.
Reduce and safely dispose of waste
Use energy efficiently and switch to renewable energy.
Reduce water consumption
Improve travel strategies
Purchase and serve sustainably grown food
Safely manage and dispose of pharmaceuticals
Adopt greener building design and construction.
Purchase safer more sustainable products
What wil low carbon care look like
Be better at preventing conditions
Give greater responsibility to patients in managing their health.
Be leaner in service design and delivery e.g. combine clinics for diabetes, cardiovascular and stroke, use ‘lean’ principles to eliminate duplication and poorly targeted investigations, more effective prescribing remembering pharmaceuticals comprise a fifth of carbon emissions from NHS England
Use the lowest carbon technologies
