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
investig
...
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 underfunctioning) 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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