Year 1- Health and GP Flashcards
What is health?
A state of complete physical, mental, and social wellbeing, not merely the absence of disease and infirmity
What are 5 holistic views of health?
- Health as an ideal state
- Health as physical and mental well-being
- Health as a commodity
- Health as personal strength or ability
- Health as a basis for personal potential
What affects a persons view of health?
Age Gender Culture- Social class Religion
How does culture affect someone’s view on health?
Systems of shared ideas, systems on concepts, rules and meanings that underlie and are expressed in the way that human beings live
What is the role of a GP?
Caring for the whole person, as well as their illness.
Promoting a healthy lifestyle.
Acting as the first point of care for a patient and acting as a ‘gate-keeper’
Why is a GP referred to as a gate-keeper?
Control point for further specialist treatment for patient
What are the 4 necessary characteristics of a GP?
- Problem solving and risk management
- Evidence based medicine
- Wide ranging clinical skills
- Holistic approach
What are some advantages of a GP?
GP can act as Patient’s advocate
Specialist time not wasted
GP can identify those that need secondary care
Patient may not know what specialty is appropriate
Limits patient exposure to investigation- e.g. MRI
What 4 ethical principles underlie medical care?
- Beneficence
- Non-maleficence
- Justice
- Autonomy
What does beneficence mean?
Doing good
What does non-maleficence mean?
Doing no harm
What does justice mean?
Treat all patients with equality and equity
What does Autonomy mean?
Patients right to self determination
How often do GP’s need to be revalidated?
Every 5 years
What 2 main technology systems are used in a GP’s?
Vision
EMIS
What is hypothetic- deductive reasoning?
Formulating multiple hypothesis to answer a problem and then deducing the ones that are not useful until one single hypothesis is left.
What other health professionals are used in primary care?
Physiotherapist Dietician Pharmacist Practice nurse Counsellor Occupational therapist
What are the 6 aims of a GP consultation?
- Initiate the consultation
- Gather information
- Provide structure
- Build relationship/ rapport
- Explanation and planning
- Closure of the session
What are the 3 types of doctor-patient relationship?
- Authoritarian/ Paternalistic-
- Guidance/ Co-operative
- Mutual participation relationship
What is an Authoritarian/Paternalistic relationship?
The doctor holds all the authority
The patient feels no autonomy.
They try hard to please the doctor and hold no control in their treatment.
What is a guidance/cooperative relationship?
The doctor exercises much authority and the patient is obedient.
However, patient has a more active role in own treatment.
What is a Mutual participation relationship?
Patient feels some responsibility for a positive outcome
