Tutorial 4 Risk and Uncertainty - A Groups - 1A Flashcards
risk definition
chance of consequences, loss etc
uncertain definition
not able to be relied on; not known or definite
uncertainty definition
state of being not completely confident or sure of something
what must you take into account when caring for a patient?
their health beliefs
educational, social, cultural and economic backgrounds
what can lack of skills fro dealing with uncertainty lead to?
burn out and depression
what is stress a result from
imbalance between demands and rescources or occuring when pressure exceeds ones percieved ability to cope
what is are examples of safety netting
arrange a follow up face to face or phone
they should know how to seek for help
what are soources of guidance or support that might help you deal with risk and uncertainty?
National Local Immediate Colleagues Peer group Reflection
what are national evidence based guidance in scotland
sign guidance
nice guidance
what are local guidance or pathways?
NHS leaflet
what is immediate guidance or protocol?
It is likely that in your place of work there is guidance immediately available for life threatening or complex scenarios.
These can be critically helpful in the management of an acute condition, which you might not have managed for some time.
For example, the emergency management of anaphylaxis (Severe and potentially life threatening allergy).
what is the roger neighbour strategy?
To Connect with the patient
To Summarise and Verbally
Check that the reasons for attendance are clear
To Hand Over and bring the consultation to a close
To ensure that a Safety Net exists in that no serious possibilities have been missed
To deal with the Housekeeping of recovery and reflection.
what are some other strategies for managing risk and uncertainty?
Developing a good doctor-patient relationship is vital (giving time with good communication skills and creating trust).
Consider each patient as an individual and take their background in to consideration-support, social network, education e.g. a patient who lives with reliable others may be treated differently from a patient who lives alone.
Use external evidence (evidence-based medicine-particularly risk calculation, guidelines) and respect the internal (doctor’s and patient’s) evidence
what are important points about hypothetico-deductive reasoning?
Some causes are more probable than others. Whilst it is therefore efficient to bear the common causes uppermost in our minds, at the back of our minds we also have to hold the important, although rare, possibilities. Some of these may have to be positively excluded even although they are unlikely.
Some pieces of information are more valuable than others. In fact often a very few pieces of information are crucial, whilst other information adds relatively little to the solution of the problem
