Truthtelling, Teamwork, Patient Safety and Older people

Question 1

What are the 6 main elements of good team work?

Answer 1

1) Communication: SBARR
2) Leadership and followership
3) Authority gradient
4) situational awareness
5) declaring an emergency
6) training together (simulation)

Question 2

What is the general goal of a team/

Answer 2

Several associates working together with each doing a subordinating part to contribute to efficiency as a whole

Question 3

What are the 3 kind of truth telling in a clinical context?

Answer 3

1) Contextual
2) Circumstantial
3) Personal

Question 4

What 3 main duties fit into truth telling?

Answer 4

Duty of Candor
Sensitivity to Culture
Whistle Blowing

Question 5

What are the 3 main types of bias?

Answer 5

1) Cognitive Bias
2) Affinity Bias
3) Confirmation Bias

Question 6

What is affinity bias?

Answer 6

Aligning oneself in people similar with appearance, background, beliefs

Question 7

What is cognitive bias?

Answer 7

Impression of another person to be overly influenced by a single personality quality, physical trait or experience

Question 8

What is confirmation bias?

Answer 8

Type of cognitive bias favouring information that confirms previously existing beliefs or biases

Question 9

What are 5 risks of falls in the elderly?

Answer 9

1) Weakness
2) poor vision
3) dizziness
4) home hazards
5) loss of coordination
Delirium and Loss of mobility aids

Question 10

What are the main consequences of falls in the elderly?

Answer 10

1) Fracture
2) head injury
3) fear/anxiety
4) loss of independence

Question 11

What is palliative care?

Answer 11

Improves QOL of patients and families providing debilitating illness. Provides pain/symptom relief and psychological/spiritual support from diagnosis at end of life

Question 12

What is specialist palliative care?

Answer 12

Palliative care provided by health professionals who specialise in palliative care and work within MDT

Question 13

Who can provide specialist palliative care?

Answer 13

Clinical Nurse specialists and Consultants

• Social workers
• Chaplains
• Physiotherapists
• Dieticians

Question 14

What are the main aims of palliative care?

Answer 14

1) Promote QOL
2) Promote dignity and autonomy
3) Control disease symptoms

Question 15

What are the main building blocks and principles of palliative care?

Answer 15

1) Patient Centred
2) Holistic
3) Individualised
4) MDT approach

Question 16

What is generalist palliative care?

Answer 16

Health professionals who haven’t received accredited levels of training in palliative care, so aren’t deemed specialists, but routinely provide health care for patients at end of life

Question 17

Who are the usual providers of general palliative care?

Answer 17

GP’s
Hospital doctor’s
Nurses and district nurses
Nursing home staff