What topics would you cover in ANY consultation with ANY patient?
- Diet
- Exercise
- Sexual health
- Smoking
- Drugs
What factors enable a GP to be most appropriate professional to guide worries?
- Non-Judgemental
- Well informed
- Experienced
- Good relationship
- Aware of PMH
- Aware of social circumstances
- Knowledge of a broad scope of illness
- Trusted
List four types of questions?
Leading questions
Reflective questions
Direct questions
Yes/NO questions
Why would someone change behaviour?
Self belief
Changes fits in with positive view of themselves
Negative social pressure
Will expect reward from social peers
Which 4 factors influence lay beliefs about health?
Culture
Gender
Social class
Age
Six factors the government could take to reduce obesity?
- Increase tax
- Invest in cycle lanes
- Invest in ore clinics for obeseity
- Education programmes in schools about obesity
- Invest in public /outdoor gyms
What is cultural competence?
Ongoing capacity of health care systems, organisation and professionals to provide and effectively deliver health care services that meet the social, cultural, and linguistic needs of patients.
List five difficulties which may arise when consulting a patient from a different culture?
Communication error May view doctor differently May have different views on medications May have gender issues May not get full use our of consultation
List the ways someone might be exposed to a hazardous substance?
- Inhlation
- Ingestion
- Skin
- Blood
3 steps to safety net?
- What should happen during recovery
- Symptoms if things get worse
- Who to contact if condition deteriorates
3 ways risk can be minimised? (Neighbour)
- Explaining the point/main objective of consultation
- Hand over to patients (ICE)
- Housekeeping
Advantages of GP`s as gatekeepers
- Those who need it are referred to secondary care
- People might not know where to go
- Stops people being exposed to unnecessary or harmful tests
- Stops strain on hospital beds
- Person advocacy
- Dont know what speciality to go to
- Co-ordinate care
What percentage of illness occuring in the community are referred on to secondary care?
1%
