Week 2 - Preventive Activities in GP Flashcards
Indicate the characteristics of the RACGP ‘Redbook’ Guidelines which can reassure the GP that this is a reliable resource for this GP to use in their practice.
- List the AGREE quality criteria to answer this question.
- The Red Book, 9th edn, has been developed by a team of GPs and experts to ensure that the content is the most valuable and useful for GPs and their teams.
- The content broadly conforms to the highest evidence-based standards according to the principles underlying the Appraisal of Guidelines Research and Evaluation (AGREE) tool.
- The dimensions addressed are:
1. scope and purpose
2. clarity of presentation
3. rigour of development
4. stakeholder involvement
5. applicability
6. editorial independence. - The Red Book maintains developmental rigour, editorial independence, and relevance and applicability to general practice.
The REDBOOK provides recommendation for preventive activities based on various patient demographics, which types of demographics are included?
- Age
- Gender
- Comorbidities
- Aboriginal or Torres Strait Islander
What are the risk factors for developing Breast Cancer?
Breast Cancer - Hormonal Risk Factors?
Breast Cancer - Individual Risk Factors?
Breast Cancer - Hereditary Risk Factors:
- Which mutations?
- Which genetic conditions?
Cervical Cancer Risk Factors:
- Associated with HPV infection?
- Environmental risk factors?
Colorectal cancer risk factors?
Risk factors for Skin Cancer?
Basal Cell Carcinoma - Risk Factors?
Cutaneous Squamous Cell Carcinoma - Risk Factors?
Melanoma - Risk Factors?
Cardiovascular Disease - Risk Factors?
What 7 factors are assessed in the Australian Absolute Cardiovascular Risk Assessment Calculator?
- Absolute CVD risk assessment describes the likelihood (expressed as a percentage) that an individual will experience a CV event within a given time period (usually 5 or 10 years).
- Australian guidelines calculate absolute risk using an equation model based on data from the long-running Framingham Study.
- This risk equation accounts for several contributors to cardiovascular disease in an individual, has been validated in non-Indigenous Australian adults and categorises absolute risk as low (<10% likelihood of CVD event over 5 years), moderate (10–15%) or high (> 15%).
Dementia - Risk Factors?
Depression - Risk Factors?
Suicide - Risk Factors?
Type II Diabetes - Risk Factors?
What is the AUSDRISK screening tool? Which factors are assessed?
What tools are used to help assess whether a patients alcohol consumption might be harmful?
- CAGE questionnaire
- Alcohol Use Disorders Identification Test (AUDIT) Alcohol Screening Tool
Discuss routine screening for Ovarian cancer?
- Currently there are no tests effective enough for a population-based screening program for ovarian cancer.
- In addition, there is no evidence to suggest that screening will reduce the number of deaths from ovarian cancer.
What about the blood test CA125 for Ovarian Cancer?
Discuss the Trends in Overweight & Obesity in Australia?
Discuss 4 of the Drivers of Weight Gain?
Approaches to Preventive Care in General Practice - What is the 5As framework?
The 5As is a key framework for organising the provision of preventive care in primary healthcare. This includes the actions taken by healthcare providers in supporting their patients to change their risk.
Approaches to Preventive Care in General Practice - What is Motivational Interviewing? What is involved?
Approaches to Preventive Care in General Practice - What is Health Literacy? How can it be assessed?
5As Approach to Weight Loss – Ask
- Assessing for risk or presence of comorbidities that may be influenced by overweight and obesity allows for overall risk to be estimated and for conditions to be managed together.
- Asking about other contributors to weight gain (certain medications, quitting smoking) and weight history (including previous weight loss attempts) should also be part of the assessment of people who are overweight or obese.
- Discussing a person’s readiness for behavioural change involves talking about the person’s interest and confidence in making changes, as well as the benefits and difficulties of weight management.
- Routine assessment of body mass index (BMI) and waist circumference is used to identify overweight and obesity.
5As Approach to Weight Loss – Assess
- What is Body Mass Index (BMI)? Normal range?
What are some considerations you need to make when using BMI to determine risk of overweight/obesity?
Describe the use of Waist circumference in the assessment of overweight/obesity risk?
Discuss how quitting smoking may contribute to weight gain?
Which medications may contribute to weight gain?
What health risks are associated with overweight and obesity?
What dietary advice should be given regarding weight loss?
What are Very Low Energy Diets?
- Health Benefits?
- 4 Contraindications?
- Common adverse effects?
Weight loss medications?
Discuss the role of Bariatric Surgery in the treatment of Overweight/Obesity.
- 4 types?
How effective are the different weight loss interventions?
Recommendations for weight management in adults?
Give a summary of the 5As approach to weight loss.
5 A’s approach to smoking cessation?
What does preconception care include? (6)
7 Personal Risk Factors associated with Breast Cancer?
5 Reproductive Risk Factors associated with Breast Cancer?
9 Medications/Medical conditions associated with an increased risk of breast cancer?
Risk factors for Breast Cancer
- Family history & genetics? (3)
- Genes? (3)
- Lifestyle factors? (5)
- Environmental factors? (1)
