Tutorial 1 Flashcards

1
Q

What are the 5 principles of Patient centred care

A
  1. Respect
  2. Choice + Empowerment
  3. Patient Involvement
  4. Access + Support
  5. Information
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2
Q

What percentage of a) GP appointments b) outpatient appointments and c) inpatient bed days are because of long term conditions

A

a) 50%
b) 64%
c) 70%

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3
Q

Define incidence

A

The number of new cases of a disease in a population in a specified period of time

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4
Q

Define Prevalence

A

The number of people in a population with a specific disease at a single point of time or in a defined period of time

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5
Q

Factors in the aetiology of long term conditions

A

Genetic

Environmental

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6
Q

Define the “Burden of Treatment”

A

Outlines the way that patients and caregivers are often put under enormous demands by healthcare systems to monitor and manage their conditions at home

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7
Q

Factors that add to the “Burden of Treatment”

A

Poor or complex administration systems which are difficult for a patient/carer to navigate and cope with
Poly-pharmacy
Adhering to complex treatment regimes

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8
Q

Define “Biographical Disruption”

A

A long term condition leads to a loss of confidence in the body. There is then a loss of confidence in social interaction or self-identity.

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9
Q

What decisions may a patient be making when deciding how to face stigma

A

Coping with stigma involves a variety of strategies including the decision about whether to disclose the condition and suffer further stigma, or attempt to conceal the condition or aspects of the condition and pass for normal.

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10
Q

What impact may long term conditions have on the family

A

financial, emotional or physical

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11
Q

Describe the concept of the “expert patient”

A

The understanding that some patients know their disease better than the healthcare professionals and that this is a useful resource.

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12
Q

Give the dictionary definition of disability

A

Lacking in one or more physical powers such as the ability to walk or coordinate ones movements

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13
Q

Give the legal definition of disability

A

Disability Discrimination Act - difficulty can be physical, sensory or mental. A disability that makes it difficult for them to carry out normal day to day activities, ongoing for more than 12 months

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14
Q

List the 3 categories for disability outlined by the International Classification of Functional Disability and Health - WHO

A

Body structure and Impairment
Activity and Impairment
Participation Restrictions

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15
Q

Use the 3 categories from the ICF - WHO to describe how a young child with MS may fall into these three categories

A

Body structure and Impairment - lesions in the boys brain
Activity and Impairment - inability to walk
Participation Restrictions - can’t play games at school

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16
Q

What are the categories in the medical model of disability

A

Individual/personal cause e.g. accident whilst drunk
Underlying pathology e.g. morbid obesity
Individual level intervention e.g. health professionals advise individually
Individual change/adjustment e.g. change in behaviour

17
Q

What are the categories in the social model of disability

A

Societal cause e.g. low wages
Conditions relating to housing
Social/Political action needed e.g. facilities for disabled
Societal attitude change e.g. use of politically correct language

18
Q

What pieces of legislation outline the right of disabled patients

A

Disability Act 1995
Disability Act 2005
Equality Act 2010

19
Q

What factors may influence a persons reaction to disability

A

Type/nature of disability
Their information base ie education, intelligence and access to information
Personality
Coping strategies
Effects on their role
Mood and emotional reaction
Reaction of others
Support network
Resources available e.g. good local self-help group, socio-economic resources
Time to adapt i.e. how long they have had the disability

20
Q

What is “The Sick Role”

A

The rights and obligations on someone who is ill

21
Q

What are the different worldwide causes of disability

A
Congenital
Injury
Communicable Disease
Non-Communicable Disease
Alcohol 
Drugs- iatrogenic effect and/or illicit use
Mental Illness
Malnutrition
Obesity
22
Q

What is Wilson’s criteria for screening

A

Knowledge of disease: should be adequately understood.
Knowledge of test: Suitable test or examination.
Treatment for disease: Firm decision on who and how to treat
Cost considerations