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Care and Wellness102
LU Kozier Notes on Chp 6 and 17
| Question | Answer |
|---|---|
| Primary Prevention | health promotion and illness prevention Healthy People 2010, 2 goals (increase quality and years of healthy life, eliminate health disparities) Addresses nutrition, stress reduction, patient reaching healthy goals |
| secondary prevention | diagnosis and treatment |
| Tertiary prevention | rehab, health restoration and palliative care |
| extended care facilities | includes nursing homes, assisted living, independant living facilities |
| providors of health care | remember that most specialties overlap somewhat |
| occupational therapist | ADL's |
| vocational therapist | job skills |
| Factors affecting health care delivery | increasing number of elderly, technology, economics, women's health, disparity of services, health insurance, homeless and poor |
| managed care | health care system whose goals are to provide cost effective quality care that focuses on decreased costs and improved outcomes |
| case managements | range of mnodels integrating health care |
| critical pathway | interdisciplinary plan that speficies assessments, interventions, treatments and outcomes |
| patient focused care | brings all services and care providors to client |
| Medicare | age 65+, part a, part b, part d |
| SSI | disabled and blind. Also people not elegible for SS. Does not have to be used for health care |
| Healthy People 2010 | framework for national health promotion, protection and preventative care. 10 year strategy. Two major goals: increase quality and length of life, eliminate health disparity. 28 focus areas |
| Health | not simply the absence of disease, personal definition which fluctuates. Includes physical, mental and social well being |
| clinical model of health | narrowest interpretation, physiologic systems focus. health is determined by absence of signs and symptoms of disease or injury |
| role performance model | individuals ability to fullfill their role |
| adaptive model | disease is a failure in adaptation |
| wellness | is a continuum |
| Internal variables | things we cannot control, biological, psychological, cognitive dimension |
| external variables | environment, standards of living, family and cultural beliefs, support networks |
| locus of control | who is in control? The client or someone else |
| adherence | extent to which an individual's behavior coincides with medical advice |
| factors influencing adherence | motivation, degree of change necessary, perception of severity, value, understanding, inconvenience, beliefs in helping or not, complexity, cultural, satisfaction of relationship with health care providers, cost |
| acute illness | definitive beginning and end, short time period, sometimes severe |
| chronic illness | extended period, 6 months or more |
| illness behaviors | not held responsible, excused from roles, obligated to get well quickly, obligated to seek help |
| assumption of sick role | admits they can't do something because they are sick |
| effects of illness | impacts client, impacts family |
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