tertiary prevention Flashcards
Define tertiary prevention.
Using measures available to REDUCE or limit impairments and DISABILITIES, and to promote patients’ adjustment to irremediable conditions.
Improve function and minimise impact of ESTABLISHED disease (QOL); prevent and delay of COMPLICATIONS and subsequent events through management and rehab.
what are the different types of tertiary prevention? give examples of each.
- clinical interventions : surgery, pharmacological
- allied/collaborative interventions : physiotherapy, psychological, occupational therapy
- social interventions : minimising disability
How might a stroke impact on a person’s activities of daily living?
impact on:
- bathing
- dressing/grooming
- communication
- eating/drinking
- participation in work
- sexual function
- toileting
- transferring
- incontinence
- mobility/walking
- psychological impact
Describe tertiary prevention for stroke.
= stroke rehabilitation:
early management in hospital includes helping patient with mobilisation and targeting activities of daily life that may be impaired and finding ways to improve these so that the patient is in a state that they can function independently (or as close to this as possible)
then ongoing community management after discharge working towards long term rehabilitation, working with a multidisciplinary team.
give examples of different stroke rehabilitation techniques.
- aerobic training
- arm re-education
- positioning
- self management techniques
- splinting (temporary immobilisation of limbs)
- task training
- orthoses
- assessment
What are the four phases of cardiac rehabilitation?
Phase I: Counselling and assessment
Phase II: Post Discharge Support
Phase III: Structured exercise programme
Phase IV: Long term maintenance
Describe tertiary prevention for CVD.
cardiac rehabilitation involving education and exercise/lifestyle changes. Some efforts towards cardiac reconditioning and psychological techniques.
Describe tertiary prevention for Renal Disease.
dialysis/changing mode of dialysis to give better quality of life
Give an example of tertiary prevention for cancer.
psychosocial support
give an example of tertiary prevention for diabetes.
foot care
give an example of tertiary prevention for road traffic accidents.
rehabilitation centre management
give an example of tertiary prevention for coronavirus.
quarantine of individuals (protecting society)
What are some of the general aspects of tertiary prevention? (9)
- rehabilitation
- post critical illness
- cognitive behavioural therapy (CBT)
- dietary advice
- medication adherence strategies
- routine reviews
- self management plans
- mental health relapse prevention
- community support groups
