Extra Stuff
Terms
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- Situational factors
- Competition for cues Stress Situation specific self-efficacy Perceived risk Emotional response
- Social Influences
- Information from social cues Perceived Social Support Subjective Norms
- Background factors
- SES Ethnicity Gender Social knowledge
- 3 Stable factors
- Explanatory Style Emotional Disposition Generalised Expectancies
- Five belief dimensions of illness representation
- Identity Cause Time Consequences Control-Cure
- What 3 things can be done about consultation quality?
- Understand the problem Intervene in the process Determine & evaluate effects
- In bad consultations, patients are less likely to...
- Adhere to treatment Seek help in future Attend checkups & prevention
- Doctors are poor communicators because of...
- Not listening / Interrupting Depersonalisation Explaining away distress as normal Attending only to physical aspects Jollying patients along Use of jargon
- Communication inequalities affect:
- Elderly Female Ethnic Low SES Chronically Ill Psychological Symptoms
- Three types of screening
- Population Screening Self-Screening Opportunistic Screening
- Screening uptake affected by:
- Patient Factors Provider Factors Organisational Factors
- Health Beliefs that affects Screening Uptake
- Perceived benefits Perceived barriers Subjective norms Behavioural intentions Emotional response
- Two questions for depression screening
- During the past month, have you often been bothered by feeling down, depressed or hopeless? During the past month, have you often been bothered by little interest or pleasure in doing things?
- Alcohol Screening
- CAGE
- Four phases of screening
- Invitation Completion of test Wait for results Receive results & recommendations
- Potential downsides of screening?
- True positives - anxiety, fear, stress False positives - Unnecessary treatment True Negatives - Maintain damaging behaviours False Negatives - loss of trust in service etc
- Screening ethics based on
- Informed Uptake Consent Effect on others Confidentiality
- Five tasks of Calgary Cambridge Guide
- Commence Consultation Gather info Physical exam Explanation & Planning Closing consultation
- Seven categories for Consultation Competence of Leicester Assessment package
- Interview/Hx taking Physical exam Patient management Problem solving Patient relationship Anticipatory care Record keeping
- DRUGS
- Doctor Recreational User Gynaecological Sensitivities
- Unit Strength
- Pint of Premium Lager: 3.4 Units 1 shot of spirit: 1 Unit 13% Bottle of Wine: 10 Units
- CONTROL
- Can you always CONTROL Your Drinking NEGLECT of others TIME drinking? before? friends ask to REDUCE Drink to OVERCOME hangover Average Day, LEAVE nothing out
- FRAMES
- Feedback Responsibility Advise Menus Empathy Self-Efficacy
- 5 A\'s
- ASK the patient if they use tobacco ADVISE them to quit ASSESS willingness to quit ASSIST them in their quit attempt ARRANGE a follow up
- 5 R\'s
- RELEVANCE - Tailor advice to patient RISKS - Outline them REWARDS - Outline them ROADBLOCKS - Identify barriers to quitting REPETITION - Repeat at every visit
- 2 Screening Questions for Bipolar
- Have you ever felt recently that you could get by on much less sleep than usual? Are you or have you been doing things that others may think of as inappropriate, such as spending too much money?