Tutorial 4 Flashcards
Why were GP premises made?
complexity of work
form larger parterships
accommodate wide range of healthcare professionals
Members of the traditional PHCT
GP partners Gp assistants and other salaried doctors GP registrars practice nurses practice managers receptionists community nurses midwives health visitors nurse practitioners
Practice nurse roles
Bloods ECG minor and complex wound management travel health advice and vaccines child immunisations family planning and women's health mens health screening sexual health smoking cessation
District nurse roles
visit people in home or residential care homes
teaching and support
minimise hospital admissions and readmissions
patients returning home ASAP
monitor quality of care
When do midwifes care for a patient?
all stages of pregnancy ,labour and early postnatal
Where can midwives work?
community homes local clinics children centres GP hospital wards neonatal units
When do health visitors care for patients?
pregnancy to 5 years
Roles of healthcare visitor
ongoing additional services for vulnerable children and families
contribute to MDT in safeguarding and protecting children
Role of macmillan nurse
Macmillan nurses specialise in cancer and palliative care, providing support and information to people with cancer, and their families, friends and carers, from the point of diagnosis onwards.
What do macmillan nurses offer?
Specialised pain and symptom control
Emotional support both for the patient and their family or carer
Care in a variety of settings – in hospital (both inpatient and outpatient), at home or from a local clinic
Information about cancer treatments and side effects
Advice to other members of the caring team, for example district nurses and Marie Curie nurses
Co-ordinated care between hospital and the patient’s home
Advice on other forms of support, including financial help.
Allied health professionals
physiotherapy OT dietetics podiatry pharmacy counselling
Pharmacist role
They advise medical and nursing staff on the selection and appropriate use of medicines. They provide information to patients on how to manage their medicines to ensure optimal treatment.
What is dietetics?
Interpretation and communication of nutrition science to enable people to make informed and practical choices about food and lifestyle in health and disease
Responsibilities of dietitians
working with people with special dietary needs
informing the general public about nutrition
offeringunbiased advice
evaluating and improving treatments
educatingpatients/clients, other healthcare professionals andcommunity groups.
What do physiotherapists do?
treat people with physical problems caused by illness, accident or ageing
human movement
rehab
Physiotherapists core skills
manual therapy
therapeutic exercises
electro-physical modalities
What is occupational therapy?
assessment and treatment of physical and psychiatric conditions using specific activity to prevent disability and promote independent function
OT areas
physical rehabilitation mental health services learning disability primary care paediatrics environmental adaptation care management equipment for daily living
3 selected secondary care services
hospital consultants
diagnostic imaging
operating services
What are care managers?
specialised social workers helping with support services and finances
2 complimentary therapists
acupuncture
homeotherapy
2 social services
social workers
social care workers
Health promotion - 2 examples
gym
education
3 affects of changes in PHCT
which are part
which work alongside
working relationships
Why does the development of healthcare premises affect PHCT?
60% premises owned by GP too small or unfit growing number of GPs need accommodated trend away from smaller doctors wider range of services
what % of PHC premises owned by GPs?
60%
2 political pressures on PHCT
reduce cost of treatment
provide more treatments closer to where patient lives
examples of developing new and extended professional roles
healthcare assistants
extended role of pharmacists
nurse prescribing and triage
PHCT what the team should do
recognise and include patient, carer, PHCT
common agreed purpose
team working conditions
understand and acknowledge of team
communication
promote teamwork across health and social care
Aim of integration agenda of health and social care
reduce unnecessary admissions to hospital and delayed discharges
efficient and effective use of resources
Integrated services act
2014 act
2014 act
NHS boards and local authorities to integrate for adult social services, primary care and hospital
Integrated joint boards members
GP nurse third sector service user staff side secondary medical chief officer chief social worker
