Year Three Flashcards

Question

Culturally competent care

Answer 1

Combination of attitudes, skills and knowledge that allows an understanding and therefore better care of patients with a different backgrounds to our own.

Answer 2

Those with higher levels of education tend to be healthier than those of similar income who are less well educated (important to remember the effect that poor health can have on education)

Answer 3

Provides financial security Provides social contacts Provides status in society Provides a purpose in life (unemployment is associated with increased morbidity and mortality)

Answer 4

Shapes and stereotypes our views Shapes our expectations (e.g. recent change in attitudes to mental health)

Answer 5

The differences in health status or in the distribution of health determinants between different population groups

Answer 6

A lack of accessible transport links. Patients not being identified as having a learning disability. Staff having little understanding about learning disability. Failure to recognise that a person with a learning disability is unwell. Failure to make a correct diagnosis. Anxiety or a lack of confidence for people with a learning disability. Lack of joint working from different care providers. Not enough involvement allowed from carers. Inadequate aftercare or follow-up care.

Answer 7

``` The homeless Learning disabilities Refugees Prisoners LGBT ```

Answer 8

those who most need medical care are least likely to receive it and conversely, those with least need of health care tend to use health services more, and more effectively

Answer 9

Effective partnership across a range of sectors and organisations e.g. to promote health, improve patient education about health Evaluate and refine integration of health and social care Government policies and legislation e.g. smoking ban, Keep Well campaign Time to invest in the more vulnerable patient groups Improve access to health and social care services and professionals Reduction in poverty Social inclusion policies Improved employment opportunities for all Ensuring equal access to education in all areas Improved housing in deprived areas

Answer 10

Provide a means of engaging effectively with communities and individuals Deliver a range of services which may help to reduce health inequalities, including: – Promoting healthy living to groups of people who may not use mainstream services – Supporting people to access relevant services NHS Health Scotland

Answer 11

``` Gain confidence Make a difference Meet people Be part of a community Learn new skills Take on a challenge Have fun ```

Answer 12

``` depression generalised anxiety disorder panic disorder social anxiety disorder obsessive compulsive disorder post-traumatic stress disorder ``` These can affect 15-25% of the general population at any one time

Answer 13

Delivering group learning exercises focusing on how to deal with stress Providing and promoting online resources and sessions. e.g on advice on healthy lifestyles, Providing sessions on mindfulness, meditation, physical exercise and yoga etc...

Answer 14

``` High frustration tolerance Self acceptance Self belief Humour Perspective Curiosity Adaptability Meaning ```

Answer 15

Building / having support networks – positive relationships Reflective ability Assertiveness Avoiding procrastination Developing goals – realistic plans and ability / motivation to follow them through Time management Work – life balance

Answer 16

PERSONAL: - Perfectionism, denial, avoidance, micromanaging, unwilling to seek help - Being too conscientious PROFESSIONAL - Culture of invulnerability - Culture of presenteeism - Blame culture / silence SYSTEMIC - Overwork, shiftwork, lack of oversight - Chaotic work environments - Lack of teamwork, fractured training

Answer 17

``` Repeatedly failing or nearly failing Handing in work late Poor attendance Absence due to illness Behavioural issues Fitness to practice issues Lack of engagement with the course Poor communication with staff, peers and patients ```

Answer 18

Reflection Improvement Returning wiser and better

Answer 19

``` Intellectual interest Self awareness and self reflection Time management and work life balance Continuing professional development Support including team working Mentors ```

Answer 20

a chronological list of all the patient’s employment with the intention of determining whether work has caused ill health, exacerbated an existing health problem or has ill health had an impact on the patient’s capacity to work.

Answer 21

A description of the present and previous jobs Identifying any exposure to chemicals or other hazards Did the symptoms improve when not exposed / not at work Determine the duration and intensity of exposure Is personal protection used What maintenance is in place for the protection measures? Do others suffer similar symptoms? Are there known environmental hazards in use? Any hobbies, pets, worked overseas, moonlighting?

Answer 22

to facilitate earlier discussion about returning to work and about rehabilitation. Includes items of consideration for employers when signing a patient’s return to work such as to include a phased return, adjusted hours, adaptations to the work place and/or amendments of duties. Advice only, is not binding on the employer Required if the patient has been off for >7 consecutive days

Answer 23

Deal with patients who are off for longer periods of time or with more complex needs (than can be dealt with a fit note) support and help people stay in work and live full and healthy lives. ensure the health and well being of the working population by preventing work-related ill health and providing specialist rehabilitation advice. provide independent, impartial advice to employers and employees on the effects of work on health and the effects of health on work.

Answer 24

Phased return to work Altered hours Amended duties Workplace adaptation

Answer 25

The ability to be able to continue over a period of time

Answer 26

Prioritise Environmental Health Substitute harmful chemicals with safer alternatives. Reduce and safely dispose of waste Use energy efficiently and switch to renewable energy. Reduce water consumption Improve travel strategies Purchase and serve sustainably grown food Safely manage and dispose of pharmaceuticals Adopt greener building design and construction. Purchase safer more sustainable products Reduce the need for travel (25% of emissions) e.g. with one-stop-clinics

Answer 27

Be better at preventing conditions Give greater responsibility to patients in managing their health. Be leaner in service design and delivery Use the lowest carbon technologies

Answer 28

‘resilience, adaptation and self management in the face of physical, social and emotional challenges’

Answer 29

Any planned activity designed to enhance health or prevent disease. Can target environment, access and lifestyle

Answer 30

``` Educational - e.g. providing info on smoking Socioeconomic - e.g. redistributing income Psychological ```

Answer 31

an overarching principle/activity which enhances health and includes disease prevention, health education and health protection. It may be planned or opportunistic.

Answer 32

an activity involving communication with individuals or groups aimed at changing knowledge, beliefs, attitudes and behaviour in a direction which is conducive to improvements in health.

Answer 33

involves collective activities directed at factors which are beyond the control of the individual. Health protection activities tend to be regulations or policies, or voluntary codes of practice aimed at the prevention of ill health or the positive enhancement of well-being.

Answer 34

the generation of power in those individuals and groups which previously considered themselves to be unable to control situations nor act on the basis of their choices.

Answer 35

An ability to resist social pressure. An ability to utilise effective coping strategies when faced by an unhealthy environment. A heightened consciousness of action.

Answer 36

Planned – Posters, Chronic disease clinics, vaccinations Opportunistic – Advice within surgery, smoking, diet, taking BP

Answer 37

Legislation – Legal age limits, Smoking ban, Health and safety, Clean air act, Highway code Economic – Tax on cigarettes and alcohol Education – Health Education Board Scotland (HEBS)

Answer 38

Measures taken to prevent onset of illness or injury Reduces probability, severity e.g. smoking cessation

Answer 39

“Detection of a disease at an early (preclinical) stage in order to cure, prevent, or lessen symptomatology” Occurs between when a disease becomes detectable and when it becomes symptomatic

Answer 40

Knowledge of disease– important, natural history understood, pre-symptomatic stage Knowledge of test – easy, acceptable, cost effective, sensitive and specific Treatment – acceptable, cost effective, better if early

Answer 41

“measures to limit distress or disability caused by disease”

Answer 42

Habits and lifestyles established in adolescence Smoking is more than twice as likely if your parents smoke Neglect and abuse recur.

Answer 43

Build a personalised approach to care Change our style to shared decision-making Reduce unnecessary variation in practice and outcomes Reduce harm and waste Manage risk better Become improvers and innovators