module 3+4 PPD

1) how is prima facie used? how does it relate to the 4 principles

-' a competent person choices something which isn't in their best interest' which 2 of the four principles does this apply to 

- '2 people require an organ donation, only one organ is available, one of them is a smoker' which 4 principles apply 

2) what is the role of medical student with respect to confidentiality?

3)describe the role of a specialist diabetes nurse

4) what happens at a diabetes clinic

5) GPs role in diabetes care

1) used when there is a clash between different duties , used to decide which duty is more morally important

-autonomy V beneficence

-  beneficence V non-maleficence V justice  

2) same as doctor

3) educator, manager, counsellor, clinical expert

home visits, clinics, newly diagnosed, trains them with medication, 'review'

4) talk to multidisciplinary team (doctors, nurses, dieticians), assess diabetes control, 'review', obtain new equipment

5) generally in charge of the care of type 2 diabetics, if control is bad refer them to a hospital clinic with a diabetes consultant  

1)describe the role of a radiologist

2) describe the role of a practice nurse with respect to asthma

3) role of doctor in advocating for reduction in pollution

4) describe the united kingdoms healthcare system including advantages and disadvantages

5)describe the united states healthcare system including advantages and disadvantages

6)  resource allocation in the UK 

1)doctor who specialises in interpreting images of the body such as xrays CT scans, MRI scans, ultrasound. Images used to diagnose disease and help other healthcare professionals to decide which treatment is necessary

2)conduct asthma review (spirometry), provide info and education (inhalers)

3) support and promote the rights of a patient and help build capacity to improve community health and enhance health policy. 'how doctors can close the gap'- eg cycle schemes promoted by GPs. NHS sustainable development unit -> support development schemes in deprived areas

4) state run funded through taxation, every citizen covered.                                                                             -combats the inverse care law, coordinated planning, easier to meet emergencies 

5) private healthcare insurance with market based healthcare provision                                                            -choice, similar quality for a lower price, short waiting lists, patients are the consumers-> know their rights.  -choice for only those who can pay, inverse care law, services concentrated on rich, improvement stimulated by profit

6)equity, needs, equality, effectiveness, cost effectiveness, QALYS (quality adjusted life years) estimating how many extra years of life gained from a particular intervention)