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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 |