Podcast
Questions and Answers
What is one reason a family physician should consider making a referral?
What is one reason a family physician should consider making a referral?
- The physician prefers to work with specialists.
- The physician is busy with other patients.
- The patient will benefit from specialized care. (correct)
- The patient insists on seeing another doctor.
Under what circumstance should a family physician refrain from making a referral?
Under what circumstance should a family physician refrain from making a referral?
- When the patient requests a referral.
- When they can efficiently manage the patient's care. (correct)
- When the physician has ample time for the patient.
- When the patient's case is straightforward.
Which statement best describes when a family physician should refer a patient?
Which statement best describes when a family physician should refer a patient?
- When the physician wants to reduce their patient load.
- When the patient has an ongoing medical issue.
- When the physician feels comfortable treating all conditions.
- When the physician believes the patient requires specialist intervention. (correct)
Why should a family physician refer a patient instead of attempting to treat them in their practice?
Why should a family physician refer a patient instead of attempting to treat them in their practice?
What is a key consideration for family physicians when deciding to make a referral?
What is a key consideration for family physicians when deciding to make a referral?
What is a key objective when addressing a patient's problem?
What is a key objective when addressing a patient's problem?
Which approach emphasizes patient involvement in management?
Which approach emphasizes patient involvement in management?
What should be prioritized when managing a patient's care?
What should be prioritized when managing a patient's care?
What aspect is critical when choosing an action for a patient's problem?
What aspect is critical when choosing an action for a patient's problem?
Which of the following is not aligned with patient-centered care?
Which of the following is not aligned with patient-centered care?
What is the first step in the management process described?
What is the first step in the management process described?
Which component directly follows the explanation of the diagnosis?
Which component directly follows the explanation of the diagnosis?
What is included in the management process after the targeted physical examination?
What is included in the management process after the targeted physical examination?
Which of the following is the last step in the management process described?
Which of the following is the last step in the management process described?
What directly precedes the follow-up step in the management sequence?
What directly precedes the follow-up step in the management sequence?
What is the primary environment in which a medical consultation occurs?
What is the primary environment in which a medical consultation occurs?
Which of the following best defines a medical consultation?
Which of the following best defines a medical consultation?
What is the most significant aspect of a medical consultation?
What is the most significant aspect of a medical consultation?
Which statement is a misconception about medical consultations?
Which statement is a misconception about medical consultations?
During a medical consultation, what primarily assists the professional in understanding the patient?
During a medical consultation, what primarily assists the professional in understanding the patient?
What is the primary purpose of a referral in medical practice?
What is the primary purpose of a referral in medical practice?
What does a consultation involve in the context of medical practice?
What does a consultation involve in the context of medical practice?
How does a referral differ from a consultation?
How does a referral differ from a consultation?
Which of the following best describes the role of a physician in a consultation?
Which of the following best describes the role of a physician in a consultation?
What knowledge is primarily shared through a referral?
What knowledge is primarily shared through a referral?
What should you do if the patient insists on her own opinion during a medical discussion?
What should you do if the patient insists on her own opinion during a medical discussion?
If a patient is adamant about their treatment preference, which approach might not be ideal?
If a patient is adamant about their treatment preference, which approach might not be ideal?
In terms of patient-centered care, how should one ideally respond to a strong-willed patient?
In terms of patient-centered care, how should one ideally respond to a strong-willed patient?
What is an inappropriate response if a patient wishes to explore alternative treatments?
What is an inappropriate response if a patient wishes to explore alternative treatments?
When a patient is requesting to try a different line of management, what is the best course of action?
When a patient is requesting to try a different line of management, what is the best course of action?
Which model focuses specifically on the integration of biological and psychological factors in understanding behavior?
Which model focuses specifically on the integration of biological and psychological factors in understanding behavior?
What is a primary feature of the Balint model?
What is a primary feature of the Balint model?
Which of the following best describes the Biological model?
Which of the following best describes the Biological model?
Which model emphasizes a more holistic approach by incorporating social and psychological factors in addition to biological factors?
Which model emphasizes a more holistic approach by incorporating social and psychological factors in addition to biological factors?
What is a potential limitation of the Biological model when used alone?
What is a potential limitation of the Biological model when used alone?
What is the primary goal when working with a patient to choose an appropriate action for their problem?
What is the primary goal when working with a patient to choose an appropriate action for their problem?
Which of the following steps is primarily concerned with clarifying the patient's condition?
Which of the following steps is primarily concerned with clarifying the patient's condition?
How should time and resources be utilized effectively in patient care?
How should time and resources be utilized effectively in patient care?
In which step do the physician and patient collaboratively discuss future actions regarding health management?
In which step do the physician and patient collaboratively discuss future actions regarding health management?
What should be avoided in patient management to ensure successful outcomes?
What should be avoided in patient management to ensure successful outcomes?
What can significantly enhance the shared understanding of a problem with a patient?
What can significantly enhance the shared understanding of a problem with a patient?
What is the immediate action taken after explaining a patient's diagnosis?
What is the immediate action taken after explaining a patient's diagnosis?
Which step in the management process aims to monitor the patient's progress post-intervention?
Which step in the management process aims to monitor the patient's progress post-intervention?
Which approach is least effective in managing a patient's care?
Which approach is least effective in managing a patient's care?
What step in patient management comes after the targeted physical examination?
What step in patient management comes after the targeted physical examination?
What best exemplifies the primary purpose of providing advice in a professional context?
What best exemplifies the primary purpose of providing advice in a professional context?
Which of the following statements most accurately reflects the nature of professional help?
Which of the following statements most accurately reflects the nature of professional help?
In what scenario would giving advice be considered ineffective or inappropriate?
In what scenario would giving advice be considered ineffective or inappropriate?
What is an essential characteristic of advice given within a professional setting?
What is an essential characteristic of advice given within a professional setting?
How is professional advice typically distinguished from casual advice?
How is professional advice typically distinguished from casual advice?
What is a significant step to help clients during decision-making?
What is a significant step to help clients during decision-making?
Which characteristic is essential during a conversation with clients?
Which characteristic is essential during a conversation with clients?
What is an appropriate action if clients struggle to articulate their needs?
What is an appropriate action if clients struggle to articulate their needs?
Which approach may hinder effective conversation with clients?
Which approach may hinder effective conversation with clients?
Which of the following strategies best supports collaborative dialogue?
Which of the following strategies best supports collaborative dialogue?
Which element is essential to include in a referral letter?
Which element is essential to include in a referral letter?
What type of information is commonly found in family health records that might be relevant for a referral letter?
What type of information is commonly found in family health records that might be relevant for a referral letter?
Which specific piece of socio-demographic data is NOT typically included in a referral letter?
Which specific piece of socio-demographic data is NOT typically included in a referral letter?
Why is socio-demographic data important in a referral letter?
Why is socio-demographic data important in a referral letter?
Which component is likely to be least helpful in a referral letter's effectiveness?
Which component is likely to be least helpful in a referral letter's effectiveness?
Why is it important to consider all concerns seriously during patient management?
Why is it important to consider all concerns seriously during patient management?
What should be done if a client has questions or topics they wish to discuss?
What should be done if a client has questions or topics they wish to discuss?
What is a primary step to ensure a client is using the treatment correctly?
What is a primary step to ensure a client is using the treatment correctly?
What are the key chronic conditions that require follow-up in primary care?
What are the key chronic conditions that require follow-up in primary care?
How can a physician make a patient feel more involved in their treatment process?
How can a physician make a patient feel more involved in their treatment process?
What is the purpose of the IMCI program in healthcare?
What is the purpose of the IMCI program in healthcare?
What approach should be taken when discussing therapeutic side effects with a client?
What approach should be taken when discussing therapeutic side effects with a client?
How does Directly Observed Therapy (DOT) benefit tuberculosis treatment?
How does Directly Observed Therapy (DOT) benefit tuberculosis treatment?
What are the main components involved in the follow-up care of chronic conditions?
What are the main components involved in the follow-up care of chronic conditions?
Why is it important to implement specific health programs like IMCI?
Why is it important to implement specific health programs like IMCI?
What is the primary function of a referral in family practice?
What is the primary function of a referral in family practice?
How does a referral differ from a consultation in medical practice?
How does a referral differ from a consultation in medical practice?
Why is effective communication crucial during the referral process?
Why is effective communication crucial during the referral process?
What role do family physicians play when referring a patient to a specialist?
What role do family physicians play when referring a patient to a specialist?
In what ways can referrals impact patient outcomes?
In what ways can referrals impact patient outcomes?
What are the two primary considerations for a family physician when deciding to make a patient referral?
What are the two primary considerations for a family physician when deciding to make a patient referral?
In what scenario should a family physician feel encouraged to refer a patient?
In what scenario should a family physician feel encouraged to refer a patient?
How does the ability to care for a patient affect a family physician's decision to make a referral?
How does the ability to care for a patient affect a family physician's decision to make a referral?
What is the significance of ensuring a patient benefits from a referral in the context of family practice?
What is the significance of ensuring a patient benefits from a referral in the context of family practice?
Why is it important for family physicians to assess their ability to care for a patient before making a referral?
Why is it important for family physicians to assess their ability to care for a patient before making a referral?
What key information should always be included in a referral concerning a patient's medication?
What key information should always be included in a referral concerning a patient's medication?
When should a physician categorize a referral as urgent?
When should a physician categorize a referral as urgent?
How does a patient's past medical history influence the referral process?
How does a patient's past medical history influence the referral process?
What is vital to document in the present history of a patient being referred?
What is vital to document in the present history of a patient being referred?
Why is it important to specify the name of the hospital or specialty in a referral?
Why is it important to specify the name of the hospital or specialty in a referral?
What factors should the physician consider when discussing family planning methods with a postpartum patient?
What factors should the physician consider when discussing family planning methods with a postpartum patient?
Why is it important for the physician to discuss various family planning options with a patient who just gave birth?
Why is it important for the physician to discuss various family planning options with a patient who just gave birth?
What role does patient-centered care play in providing family planning advice to a new mother?
What role does patient-centered care play in providing family planning advice to a new mother?
How might a physician assess the appropriateness of a family planning method for a breastfeeding patient?
How might a physician assess the appropriateness of a family planning method for a breastfeeding patient?
In what ways can the timing of family planning discussions influence a new mother's satisfaction with the care provided?
In what ways can the timing of family planning discussions influence a new mother's satisfaction with the care provided?
What are the key components included in Family Health Records (FHR)?
What are the key components included in Family Health Records (FHR)?
How do Family Health Records assist family physicians in patient care?
How do Family Health Records assist family physicians in patient care?
What role does a health educator play in a health system?
What role does a health educator play in a health system?
In what ways do Family Health Records contribute to continuity of care?
In what ways do Family Health Records contribute to continuity of care?
How do the roles of a pharmacist and pharmacy assistant differ in a healthcare setting?
How do the roles of a pharmacist and pharmacy assistant differ in a healthcare setting?
Why is demographic information critical in Family Health Records?
Why is demographic information critical in Family Health Records?
What responsibilities does a health inspector have within a community?
What responsibilities does a health inspector have within a community?
What role does Family Health Records play in preventive medicine?
What role does Family Health Records play in preventive medicine?
In what ways do epidemiologists contribute to public health?
In what ways do epidemiologists contribute to public health?
What is the significance of having diverse roles such as sociologists and administrators in health care?
What is the significance of having diverse roles such as sociologists and administrators in health care?
What crucial information is included in the list of significant medical problems?
What crucial information is included in the list of significant medical problems?
How does a comprehensive immunization record contribute to patient management?
How does a comprehensive immunization record contribute to patient management?
Why is it important to have a detailed family health history?
Why is it important to have a detailed family health history?
What role do lab and radiological investigations play in patient diagnosis?
What role do lab and radiological investigations play in patient diagnosis?
How does documenting medications and allergies enhance patient safety?
How does documenting medications and allergies enhance patient safety?
Under what two primary conditions should a family physician consider making a referral for a patient?
Under what two primary conditions should a family physician consider making a referral for a patient?
Why is it essential for family physicians to assess their capability to care for a patient's needs before deciding on a referral?
Why is it essential for family physicians to assess their capability to care for a patient's needs before deciding on a referral?
What role does the potential benefit to the patient play in a family physician's decision to refer?
What role does the potential benefit to the patient play in a family physician's decision to refer?
How might a family physician's inability to efficiently address a patient's condition influence their referral decision?
How might a family physician's inability to efficiently address a patient's condition influence their referral decision?
What is the relationship between a family physician's referral decision and the concept of patient-centered care?
What is the relationship between a family physician's referral decision and the concept of patient-centered care?
What should a physician consider when unsatisfied with a patient's prognosis?
What should a physician consider when unsatisfied with a patient's prognosis?
How does a patient’s right to request a second opinion impact treatment decisions?
How does a patient’s right to request a second opinion impact treatment decisions?
How should physicians respond when they disagree with a patient’s treatment preference?
How should physicians respond when they disagree with a patient’s treatment preference?
In what way does the patient's request for a referral highlight the importance of patient autonomy?
In what way does the patient's request for a referral highlight the importance of patient autonomy?
What role does collaboration play when a physician is uncertain about management options?
What role does collaboration play when a physician is uncertain about management options?
What is the most appropriate response if a patient insists on trying alternative management despite your initial advice?
What is the most appropriate response if a patient insists on trying alternative management despite your initial advice?
How should a physician respond if a strong-willed patient disagrees with the recommended treatment plan?
How should a physician respond if a strong-willed patient disagrees with the recommended treatment plan?
In situations where a patient's opinion diverges from your clinical recommendations, what is a key consideration for the physician?
In situations where a patient's opinion diverges from your clinical recommendations, what is a key consideration for the physician?
What should a physician prioritize when navigating disagreements with patients regarding their treatment?
What should a physician prioritize when navigating disagreements with patients regarding their treatment?
If a patient is adamant about their desire to pursue alternative treatments, what response is likely to foster effective patient care?
If a patient is adamant about their desire to pursue alternative treatments, what response is likely to foster effective patient care?
Flashcards
Medical Consultation
Medical Consultation
A professional interaction where a healthcare provider understands a patient's needs.
Understanding the patient
Understanding the patient
The process of a professional gaining knowledge about a patient.
Consulting room
Consulting room
The private place where medical consultation happens.
Medical Professional
Medical Professional
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Patient
Patient
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Patient-centered approach
Patient-centered approach
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Shared understanding (with patient)
Shared understanding (with patient)
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Patient involvement
Patient involvement
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Effective resource use
Effective resource use
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Appropriate action
Appropriate action
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Consultation
Consultation
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Referral
Referral
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Purpose of Consultation
Purpose of Consultation
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Purpose of Referral
Purpose of Referral
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Referral vs. Consultation
Referral vs. Consultation
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Elucidation of key issues
Elucidation of key issues
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Targeted physical examination
Targeted physical examination
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Explanation of the diagnosis
Explanation of the diagnosis
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Negotiation of plans of management
Negotiation of plans of management
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Follow up
Follow up
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Patient Request
Patient Request
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Negotiating with a Patient
Negotiating with a Patient
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Alternative Management
Alternative Management
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Referral Process
Referral Process
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Best Response?
Best Response?
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Referral Decision
Referral Decision
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Benefits of Referral
Benefits of Referral
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Efficient Care
Efficient Care
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Referral Reasons
Referral Reasons
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Family Practice Limitations
Family Practice Limitations
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Biological Model
Biological Model
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Bio-psychosocial Model
Bio-psychosocial Model
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Balint Model
Balint Model
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Pendleton Model
Pendleton Model
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Shared Understanding
Shared Understanding
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Negotiating Plans
Negotiating Plans
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Targeted Physical Exam
Targeted Physical Exam
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Negotiate Management Plans
Negotiate Management Plans
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Elucidate Key Issues
Elucidate Key Issues
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Explain the Diagnosis
Explain the Diagnosis
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Referral Letter
Referral Letter
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Socio-demographic Data
Socio-demographic Data
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Elements of a Referral Letter
Elements of a Referral Letter
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Why Refer a Patient?
Why Refer a Patient?
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Family Health Record Number
Family Health Record Number
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Open Questions
Open Questions
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Help Clients Think About Results
Help Clients Think About Results
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Active Listening
Active Listening
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Empathy
Empathy
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Positive Reinforcement
Positive Reinforcement
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What's the FIRST step AFTER a consultation?
What's the FIRST step AFTER a consultation?
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What are some REASONS to check how the client is using their treatment?
What are some REASONS to check how the client is using their treatment?
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How can you show clients you care about their concerns?
How can you show clients you care about their concerns?
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Why is understanding the client's perspective important?
Why is understanding the client's perspective important?
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If you see something SERIOUS, what should you do?
If you see something SERIOUS, what should you do?
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DOT
DOT
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IMCI
IMCI
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Hypertension Follow-up
Hypertension Follow-up
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Diabetes Follow-up
Diabetes Follow-up
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TB Cases Receiving DOT
TB Cases Receiving DOT
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Referral in Family Practice
Referral in Family Practice
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When should a family doctor refer?
When should a family doctor refer?
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What are the reasons for referral?
What are the reasons for referral?
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What are family practice limitations?
What are family practice limitations?
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What is efficient care?
What is efficient care?
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What are the benefits of referral?
What are the benefits of referral?
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Referral Type
Referral Type
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Patient History
Patient History
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What are the key details in a patient's medication information?
What are the key details in a patient's medication information?
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Why is patient history important?
Why is patient history important?
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Why would a doctor refer a patient to a specialist?
Why would a doctor refer a patient to a specialist?
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Family Planning
Family Planning
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Postpartum Family Planning
Postpartum Family Planning
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Suitable Family Planning
Suitable Family Planning
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Family Health Center
Family Health Center
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New Mother
New Mother
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Epidemiologist
Epidemiologist
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Sociologist
Sociologist
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Health Educator
Health Educator
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Health Inspector
Health Inspector
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Lab Technician
Lab Technician
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Family Health Records (FHR)
Family Health Records (FHR)
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Demographic Information
Demographic Information
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Personal Information in FHR
Personal Information in FHR
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Medical History in FHR
Medical History in FHR
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Importance of FHR
Importance of FHR
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Family Health History
Family Health History
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Childhood Immunization Record
Childhood Immunization Record
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Significant Medical Problems
Significant Medical Problems
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Medications/Allergies
Medications/Allergies
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Lab & Radiological Investigations
Lab & Radiological Investigations
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Patient's Right to Referral
Patient's Right to Referral
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Reasons for Referral
Reasons for Referral
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Consultation vs. Referral
Consultation vs. Referral
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Patient Request for Referral
Patient Request for Referral
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Study Notes
Referral, Consultation & Team Care
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Consultation: An occasion where a person seeking medical advice meets with a trusted doctor. It typically takes place in a private consultation room.
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Medical Consultation: A process where a professional gains a comprehensive understanding of a patient's situation. The doctor gathers evidence and provides explanations and advice.
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Consultation Model Types:
- Biological/Hospital Model
- Bio-psychosocial Model
- Balint Model
- Pendleton Model
- Neighbor Model
- Stott and Davis Model
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Consultation Model Definition: A map to understand observed behavior within a specific subject area. It aids in in-depth analysis of complex areas.
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Pendleton Model Tasks: Seven key tasks in a consultation include defining the reason for the visit, considering other problems, choosing appropriate actions with the patient, shared understanding of the problem, patient involvement in management, effectively using time and resources, and building a strong doctor-patient relationship.
Counselling
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Counselling Definition: Interpersonal communication designed to help someone make informed decisions regarding physical or psychological problems.
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Counselling Types:
- Preventive Counseling
- Crisis Counseling
- Problem-solving Counseling
- Decision-making Counseling
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Counseling Process Components:
- Effective Listening (acceptance, concern, patience, specificity, honesty, faithfulness)
- Discussion, negotiation, explaining, and educating
Elements of Medical Counselling
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GREET THE CLIENT: Introduce yourself, ask how you can help, explain what will happen during the visit, conduct the consultation privately.
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ASK CLIENTS ABOUT: Reasons for coming, experiences with health matters, information needed for records, ask about themselves and their conditions.
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TELL THE CLIENTS ABOUT: Their condition, choices, possible results of available options, if service isn’t immediately attainable. Explain how/when/where it will be provided.
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HELP CLIENTS TO UNDERSTAND: Help the patient clarify information, repeat and rephrase as needed. Check if the understanding is clear, allowing the patient to answer “what have you understood?” or “what have you decided to do?”
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EXPLAIN WHAT TO DO: Provide necessary supplies if appropriate, describe potential side effects, and ensure the client understands instructions. If needed, provide printed materials.
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EXPLAIN WHEN TO COME BACK: For routine follow-up, complications, side effects, or any reason desired. Confirm if there are any questions or issues.
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RETURN VISITS & FOLLOW UP: Check if the client is satisfied, ask about any problems, any issues that occurred since the last visit and refer as appropriate.
Family Health Team
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Definition: A group of professionals (including doctors, dentists, nurses, psychologists, pharmacists, lab technicians, epidemiologists, sociologists, administrators, health inspectors, and health educators) collaborating towards a shared goal of delivering optimal patient care.
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Factors for Team Improvement: Job descriptions, regular training, and regular meetings to enhance team cohesion and efficiency.
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Services Provided: Creating family folders, conducting initial examinations, early detection of health issues, providing curative care, chronic condition follow-up, implementing specific health programs.
Family Health Records (FHR)
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Definition: Comprehensive records that gather patient information centrally, facilitating quick access and care delivery.
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Importance: Enables easy access to family-member health information, documents main health problems, and supports accurate care delivery.
Referral in Family Practice
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Definition: Formal communication between family physicians and specialists to provide care to patients beyond the primary physician's expertise.
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Consultation: Obtaining an opinion or assistance from another physician.
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Referral Purpose: To improve overall care quality by leveraging specialized knowledge and skills. Determining when to refer depends on the patient receiving the best care and/or efficiently assisting within the current practice setting.
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Referral Reasons: Inadequate resources or diagnostic capabilities, confirmation of a diagnosis, unsatisfactory prognosis, patient request, or doctor preference for a specialist.
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Referral Types: Urgent, elective, lateral referrals.
Elements and Criteria of Referral Letters
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Elements: Socio-demographic data (name, age, sex, medical record number), hospital or specialty name, nature of referral, complaints or present history, past medical/surgical history, medications, relevant examinations, clinical diagnosis, and the reasons for the referral.
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Criteria: Concise, includes essential data needed, clarifies the reasons, uses simple and clear language, accurate information, and the referral should be documented in the patient's file and referral register.
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Description
Test your knowledge on various consultation and referral models in healthcare. Explore the definitions, types, and tasks involved in medical consultations. This quiz covers essential concepts that are crucial for effective team care.
