NURS 6630 MIDTERM STUDY GUIDE
1.Non-compliant patient - What is the doctor’s role? A doctor’s primary concern is to do their best for their patients; this includes giving advice and treatment, and arranging investigatio
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NURS 6630 MIDTERM STUDY GUIDE
1.Non-compliant patient - What is the doctor’s role? A doctor’s primary concern is to do their best for their patients; this includes giving advice and treatment, and arranging investigations in accordance with the current evidence base and the patient’s best interests. Why can non-compliant patients present difficulties? All practices will have a cohort of patients whose autonomous choices conflict with the suggested course of action of their doctor. Given that there is no obligation to provide a treatment requested by a patient that is not to their overall benefit, this can give rise to clashes between doctor and patient. What are the commonest scenarios in relation to non-compliance?
■A patient has been started on treatment, but declines to attend for subsequent review and/or monitoring checks ■ A patient who declines the investigation or treatment of symptoms with a potentially serious and/or treatable underlying cause ■ A patient who insists on alternative treatment without an appropriate evidence base. These scenarios put a GP in an insidious position, in that a decision has already been taken that it is in the patient’s best interests to commence a particular treatment. This can create a new risk that must be balanced when judging what is in the best interests of the patient.
2.Neurotransmitters - Agonist to antagonist spectrum- agonist are activating,
partial agonists will restore neurotransmitter levels to "normal" levels. Basically, in the presence of hypo-functioning systems (let us presume that Dopamine is under- functioning) and boost the levels of the neurotransmitter and vice versa of the levels were too high. Antagonists are neutral in activity and do nothing but occupy the receptor. The activity is said to be silent. It will block the effects of an agonist should an agonist be present. An inverse agonist shuts a receptor's effects down completely.
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