The Team Around the Patient Flashcards
What are the 10 main roles in the PHCT
- GP partners
- GP assistants and other salaried doctors
- GP registrars
- Practice nurses
- Practice managers
- Receptionists
- Community nurses
- Midwives
- Health visitors
- Nurse practioners
6 points on GPs
- First point of contact
- Bulk of work done during consultations and home visits
- Provide complete spectrum of care within community
- Deal with physical, psychological and social components of care
- Help patient take responsibility for their own health
- Most GPs are independent contractors so they are responsible for providing adequate premises and employing their staff
What are 9 aspects of patient care may a practice nurse be involved in
- Obtaining blood samples
- ECGs
- Minor and complex wound management including leg ulcers
- Travel health advice and vaccinations
- Child immunisations and advice
- Family planning and women health including cervical smears
- Mens health screening
- Sexual health services
- Smoking cessation
4 roles of district nurse
- Visit people in their own homes or in residential care homes to provide complex care for patients and supporting family
- Teaching and support role by working with patients to enable them to care for themselves or with family members teaching them how to give care to their relatives
- Keep hospital admissions and readmissions to a minimum and ensure that patients can return to their own homes as soon as possible
- Assess the healthcare needs of patients and families and monitor the quality of care they’re receiving
3 roles of midwife
- Provide care during all stages of pregnancy, labour and early postnatal period
- Work in the community to provide services in women’s homes, local clinics, children centres and GP surgeries
- Work in the hospital on antenatal, labour and postnatal wards and neonatal units
3 roles of a health visitor
- Lead and deliver child and family health services (pregnancy through to 5 years)
- Provide ongoing additional services for vulnerable children and families
- Contribute to multidisciplinary services in safeguarding and protecting children
4 Common tasks of a health visitor to help parents adjust to having a child
- Offering parenting support and advice on family health and minor illnesses
- New birth visits - including advice on feeding, weaning and dental health
- Physical and developmental checks
- Providing families with specific support on subjects such as post natal depression
What 3 kinds of support can a health visitor offer to vulnerable children and families
- Referring families to specialists - i.e. speech and language therapists
- Arranging access to support groups
- Organising practical support - i.e. working with a nursery nurse on the importance of play
What do macmillan nurses do
Specialise in cancer and palliative care, provide support and information to people with cancer, and their families, friends and cares, from the point of diagnosis onwards
What 7 things can a macmillan nurse offer
- Specialised pain and symptom control
- Emotional support for patient and family
- Care in a variety of settings - hospital, inpatient and outpatient, at home, local clinic
- Information about cancer treatments and side effects
- Advice to other members of the caring team - i.e. district nurse and Marie curie nurses
- Co-ordinated care between hospital and the patients home
- Advice on other forms of support, including finicial help
What do macmillan nurses not do
Carry out routine nursing tasks
- i.e. personal hygiene, changing dressings and giving medicines
Do not focus on non-cancer patients
6 examples of Allied Health Professionals
Physiotherapy Occupational therapy Dietetics Podiatry Pharmacy Counselling
5 Roles of Pharmacist
Expert in medicines and use
- hospital, community or primary care
- ensure patients get maximum benefit from medications
- advise medical and nursing staff on selection and appropriate use of medicines
- provide info to patients on how to manage their medicines to ensure optimal treatment
- able to prescribe for specific conditions if undertake additional training
Role of Dietetic and 5 responsibilities
Interpretation and communication of nutrition to enable people to make informed and practical choices about food and lifestyle in health and disease.
- work with people with special dietary needs
- inform general public about nutrition
- offer unbiased advice
- evaluate and improve treatments
- educate patients/clients, other healthcare professionals and community groups
3 roles of Physiotherapist
- Help treat people with physical problems caused by illness, accident or ageing
- Manual therapy
- Therapeutic exercise
What is occupations therapy
The assessment and treatment of physical and psychiatric conditions using specific activity to prevent and promote independent function in all aspects of daily life
Which 8 areas do OTs work in
- physical rehab
- mental health services
- learning disability
- primary care
- paediatrics
- environmental adaptation
- care mangement
- equipment for daily living
Selected secondary care services (3)
- Hospital consultants
- Diagnostic Imaging
- Operating services
What are care managers and what do they advise
Experts in working with individuals to identify their goals and locate the specific support services which enhance well-being.
Highly trained social workers who advise on social and financial support services
Examples of complimentary therapists (2)
Acupuncture
Homeopathy
Examples of social services (2)
Social workers
Social care workers
Health promotion examples
Gyms
Eduction
What do the many factors driving changes within the PHCT affect: (3)
Which professional groups are part of the PHTC
Which professional groups work alongside the PHCT
The working relationship between these different professional groups
How do economic factors which affect the development of healthcare premises affect the PHCT (5)
- About 60% of primary healthcare premises are still owned by GPs
- Many existing premises are too small or unfit for purpose and growing numbers of new GPs need to be accomodated
- A trend away from smaller traditional doctor-owned premises to much larger buildings owned and developed by private companies
- A developing trend towards a much wider range of services within enlarged premises - helping to fund new surgeries
- Presents a challenge to successful teamwork
What are some of the political pressures of the PHCT (2)
- Reduce costs of treatment
2. Provide more treatments closer to where patients live
How have some professions developed / extended their roles (3)
- Development of Healthcare assistants
- Extended role of pharmacists in medicines’ management and minor illness
- Development of nurse prescribing and triage
12 Things the PHCT should do
- Recognise and include the patient/representative as an essential member of the PHCT
- Establish a common agreed purpose
- Agree set objectives and monitor progress towards them
- Agree team working conditions including a process for resolving conflict
- Ensure each team member understands and acknowledges the skills and knowledge of team colleagues
- Pay attention to importance of communication between members including patient
- Take active steps to ensure that the patient population understands and accepts the way in which the team works within the community
- Select the leader of the team for their leadership
- Promote teamwork across health and social care
- Ensure that the sharing of patient information within the team is in accordance with current legal and professional requirements
- Take active steps to facilitate inter-professional collaboration and understanding through joint conferences, education and training initiatives
- Be aware of other measures involving national organisations, educational measures, research and general guidance which impact on team working
What is the aim of the integration of health and social care
To help reduce unnecessary admissions to hospital and delayed discharges
- more efficient and effective use of limited resources
What are the 3 aims of the public bodies joint working bill:
- To improve the quality and consistency of services for patients, carers, service users and their families
- To provide seamless, joined up quality health and social care services in order to care for people in their homes or a homely setting where it is safe to do so
- To ensure resources are used effectively and efficiently to deliver services that meet the increasing number of people with longer term and often complex needs, many of whom are older.
Who must be on the integrated joint boards
- Carer
- GP
- Nurse
- Secondary care practioner
- Service user
- Staff-side
- Third sector
- Officer responsible for financial administration
- Chief officer and chief social worker
