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Comm. Health Final
Question | Answer |
---|---|
Assimilation | community identify more strongly with dominant culture; muslim wearing clothing but adapting to america |
Acculturation | one group learning to exist in new culture; over long period of time |
community | people, location, or social system |
4 nursing competencies | communication, teaching, management, physical care giving |
HP 2010 way to eliminate health disparaties | NURSES - educating self about disparities, use evidence based practice, identify vulnerable populations, and help clients pursue high quality care, |
windshield survey | drives through neighborhood to observe the community |
secondary data | data from schools or health depts to observe community |
Resolution to culture barrier of health teaching | build trust, show respect, overcome language barrier |
what is discharge planning aimed at | prevention of problems after discharge; starts at admission |
common barriers to successful referals | insurance coverage, accessibility |
social barriers to successful care | attitude of health care worker, client motivation, lack of knowledge of client |
barriers to continuity of care | family, communication, transcultural |
health care system barriers to care | reimbursement, failed systems (insufficient staff, lack of time, communication, waiting on labs etc.) |
leading cause of death for infants | congenital anomalies |
leading cause of death for children | unintentional injuries |
leading cause of death in adults up to 44 | unintentional injuries |
leading cause of death in 45-64 | malignant neoplasms |
leading cause of death in 65 and over | heart disease |
who is at risk for HIV | over 25, sexually active blacks -> whites -> hispanic |
cholesterol | 35-65 woman; 45-65 men q 5 yrs |
hearing test | over 65 |
male over 50 | prostate exam |
family member with skin cancer | need skin exam |
tetanus immun. ever ___ years | 10 for adults |
doses for hep A vaccine | 2 |
doses for hep B vaccine | 3 |
activities that optimize the self care capacities of clients and families by coordinating services | case management |
keeping employees healthy, preventing illness and accidents, providing assistance to the employee who is returning to work after an illness or injury, and ensuring a safe business of industrial environment | occupational health nurse |
NP's and CNS are? | APN's |
advantages of home health nursing | lower cost, more comfortable for client, increased quality of life for clients, families dont have to travel to hospital nurses are happier b/c of independent nature of job |
disadvantages of home health nursing | nurse is intrusion to privacy, financial pressure, high amount of paperwork for nurse, weather and wear and tear on car of nurse, |
when did medicare allow payment for home health care | 1965 which allowed for an alternative to hospital care |
goal of home health care | provide services to individuals and families and promote, maintain, and restore health; teach self care, and use communication to enhance continuity of care |
specialized home health care nursing | disease management, telehomecare, infusion therapy, wound care, maternal-child, pain management, hospice care |
what qualifies a client for hospice care | terminally ill with 6 or less months to live |
Goal of hospice care in the home | to make the dying process as dignified as possible while providing physical, emotional, and spiritual comfort |
primary prevention | avoid the initial occurrence of disease or injury; immunizations |
secondary prevention | early ID and treatment of disease or injury with the purpose of limiting disability; self exams; BP screen |
tertiary prevention | maximize recovery and potential after disease or injury; HTN counseling; speech therapy |