GMC PC - Patient 2

A 22 year old mother of a Traveller background who just gave birth to a healthy child has come in for a 6 week postnatal check in which you will mention the recommended vaccinations. She doesn’t really want her child to receive vaccination. You need to talk to her regarding the importance of vaccination.

There are estimated 200,000 Roma and Travellers in Britain, although this is thought to be an underestimate due to their lack of participation and fear of discrimination in the 2011 census.

Created by: Student

What is the official definition of a Traveller?
- A person who likes to backpack and travel for more than 30 days or more.
- A person with no fixed abode and likes to travel in a group to various places.
- Persons of nomadic habit of life whatever their race or origin, including such persons who on grounds only of their own or their family's or dependants' educational or health needs or old age have ceased to travel temporarily, but excluding members of an organised group of travelling show people or circus people travelling together as such.
People of the Gypsy, Roma and Traveller (GRT) community face many challenges, access to healthcare being one of them. Tick true or false regarding some of the barriers that the GFT community faces: Low health literacy
- True
- False
People of the Gypsy, Roma and Traveller (GRT) community face many challenges, access to healthcare being one of them. Tick true or false regarding some of the barriers that the GFT community faces: Lower expectations to health
- True
- False
People of the Gypsy, Roma and Traveller (GRT) community face many challenges, access to healthcare being one of them. Tick true or false regarding some of the barriers that the GFT community faces:Mistrust of authority
- True
- False
People of the Gypsy, Roma and Traveller (GRT) community face many challenges, access to healthcare being one of them. Tick true or false regarding some of the barriers that the GFT community faces: Lower rates of GP registration
- True
- False
How many years is a Traveller’s life expectancy less than the non-Traveller population?
- 8-10 years
- 10-12 years
- 12-14 years
Approximately what proportion of Traveller children had completed the relevant vaccination schedule, compared to the non-Traveller community (9 in 10)
- 2 in 10
- 5 in 10
- 8 in 10
What may be an appropriate way of communicating the risks to the Traveller mother?
- 1) Thank the patient for coming in as travellers may be travelling during pregnancy. 2) Do the normal 6-week post natal check and talk about the recommended vaccinations 3) Ask why do they not want vaccination and whether they understand the implication of not receiving vaccinations. 4) Ask where the information was from and whether they’ve read any information leaflets. 5) The Gypsy and Irish Traveller community have comparatively low level of literacy. Empower them to make an informed decision
- 1) Arrange a telephone consultation as this would save them from travelling in. 2) Go through the 6 week post natal check checklist. 3) Discuss the risks and benefits of not taking a vaccination. 4) Post her leaflets regarding vaccination and its benefits. 5) Arrange a follow up phone call regarding vaccination.
Along with lower rate of vaccinations, the GRT community experiences a range of different health problems. Which of the following are the common health issues experienced by the GRT community? A) HypertensionB) Mental health problems (i.e. psychosis)C) Safeguarding issuesD) Domestic violence
- A
- B
- C
- D
- All of the above
There is an estimated 62% illiteracy rate amongst groups of Gypsies and Travellers in the UK, meaning that a proportionally large percentage of Gypsies and Travellers may have little or no knowledge of primary services.What are some good resources that you can point the patient towards?A) Read Easy - recruits, trains and supports volunteers to give one-to-one tuition to adults who struggle with readingB) The Reading Agency - provides a number of free resources to help improve adult reading skillsC) Learn Direct - provides online courses and a network of learning centres. D) English My Way - is a resource for tutors who support and teach adults with no or low levels of English, providing free teaching resources and tools to manage classes.
- A
- B
- C
- D
- All of the above

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