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Community Test 1

Community nursing

Purpose of Healthy People 2010 Promoting health and preventing illness, disability, and premature death. Prevent illness of elderly and decrease infant mortality and low birth weight.
When did Healthy People come out? It came out in 1979 from the Surgeon General. In 1980, the nation set goals for the next 10 years.
What are the 2 major goals of Healthy People 2010 1) increase quality and years of healthy life. 2) Eliminate health disparities that occur in gender, race, or ethnicity, education, income, disability, living in rural areas, or sexual orientation.
Healthy People, Health Indicators Physical Activity, Overwt and obesity, tobacco use, substance use, responsible sexual behavior, mental health, injury and violence, environmental quality, immunization, access to health care.
Primary prevention is prevention of initial occurrence of disease or injury
Primary prevention activities include: Immunization, family planning, well child care, smoking cessation, hygiene teaching, fitness classes, alcohol/drug prevention, seat belts/car seats.
Secondary prevention is: early identification of disease or disability with prompt intervention to prevent or limit disability
Secondary prevention activities include: physical assessments, HTN screening, developmental screening, breast/testicular self-examination, hearing/vision screening, mammography, pregnancy testing
Tertiary prevention is: assistance (after disease or disability has occurred) to halt further disease progress and to meet one's potential and maximize quality of life despite illness
Tertiary prevention activities include: Teaching/counseling regarding lifestyle changes (Diet/exercise), stress management and home management, support groups, support for caretaker, meals on wheels, physical therapy, mental health counseling
Children's Bureau (foster care), US Public health services, and Red Cross Town & country (American Red Cross) occured in what year? 1912
Division of Nursing occurred in what year? 1944
Funds for hospital construction called Hospital Survey & Construction Act (Hill-Burton) occured in what year? 1946
Medicare instituted to fund care for elderly in... 1966
Medicaid instituted to fund care for the indigent in.. 1967
Healthy people was first developed in... 1980
What did Lillian Wald start? founder of public health and school nursing.
Henry Street Settlement House was started in what year and by who? 1893, Lillian Wald
Occupational Health Nursing was established... in PA in 1888
Margaret Sanger spent time in jail for what? conducting a birth control clinic in Brooklyn (1913)
Functions of CBN are? Assessment, Teaching, Managing/Delagating
Assessment in CBN focuses on what? Self-care.
Teaching in CBN consist of? Goals are assisting client/family to achieve self-care; Assess and ID needs or problems; evaluate if teaching was understood
Teach is only reimbursable if.. it is properly documented
Teach is NOT reimbursed if.. not documented; not working within reasonable time. (adapt, use new methods); CNAs and LPNs CANNOT teach. OT/PT can
Public Health Systems are funded by? Federal, State, or Local Tax money
DHHS is most involved with? the health and welfare of US citizens
The mission of DHHS is: promote the protection and advancement of the Nation's physical and mental health.
DHHS accomplishes it's mission though: medical research, track/ID disease, alcohol/substance abuse programs, ID/Correct health hazards, FDA
Medicare is health insurance for? people over 65, people with disabilities, end-stage renal dx patients. Federally funded
Medicaid is health insurance for? low income people or fit within an eligibility
How is medicaid funded? is it federally funded but ran by the state
Department of Social Services assists with? public assistance, housing of delinquent children, inspection of maternity clinics, inspection/operation of jails
How is DSS funded? federally funded, state mandated
What is the primary focus of Health Services? Tracks infectious disease, mainly TB
What is Health Services Epidemiology in the Public Health division (DHHS) that collects data and collaborates with other providers to decrease infectious diseases
Rural health clinics are part of? state ran health services
Local health services are provided by... the Health department
What services does the Health Dept provide? disease prevention, health promotion, education.
Private health care systems are funded by: private sources, donations, grants
There are 2 types of private health care, what are they? profit and nonprofit
Non profit are tax exempt. Examples are: United Way, Salvation Army, WISH, American Heart Association
Profit HCS receive payment for services. Examples are: Home Health Agencies; Assisted Living; Urgent Care; MD offices
Managed care is an organized system of health care that plans and monitors the use of HCS
What are the focuses of managed care? efficiency and cost control
Case management is also called? Care coordination
What is case management? a process for delivering healthcare to a client or group, including: assessment, developing of a plan of care, initiation & coordination of referrals & services, & evaluation of care
What are the goals of case management? improve quality of care, decrease cost (empowering clients/families), improve satisfaction by promoting multidisciplinary collaborative practice
Steps of Case Management: steps 1-4 1) involve clients/family in assessing lvl of fx 2) ID resources/services necessary for max quality of life 3)Involve client/family in ID, explore, accessing resources 4) Have client/family ID most appropriate referral for their needs.
Steps of Case Management: steps 5-7 5)Make referrals and supply services with needed info. 6) act as advocate/troubleshooter as necessary 7) Evaluate progress toward health outcomes, revise plan if needed.
What is delegation? transferring to a competent individual the authority to perform a selected nursing task. RN retains accountability for delegation
What CANNOT be delegated? assessment, evaluation, nursing judgment
NA I tasks consist of: Personal care, body mechanics, nutrition, elimination, safety, VS, Ht/Wt, hot/cold application, skin preps/scrubs, clean dressing change, TEDs, EKG leads, postmortem care
NA II task consist of NA I task and.. O2 therapy, break-up/removal fecal impaction, IV Fluid assistive, nutrition activities, suctioning, trach care, elimination procedures, urinary cath,
Third party reimbursement: refers to fiscal payments by a middleman such as: insurance co., medicare/medicaid. The individual usually pays a premium for coverage and insurer pays health care bills on his behalf
Medicaid is: income related started in 1965, provides coverage for eligible indigent, blind, uninsured children, disabled, pregnant.
Medicare is: natl insurance started in '65 for persons over 65 yr old, disabled, or patient with end stage renal dx. Provides post hospital rehab, home health care, and hospice care
Medigap private insurance to supplement original medicare plan. Fills in the gaps.
Managed care: a health care delivery system developed to provide quality health care with cost control
HMO (Health maintenance organization) is managed care that: contracts to provide health care for enrollees. HMO agrees to provide a set of services for a set fee (capitated fee). The provide care to clients with no or minimal deductibles and copays. Referrals are needed to see a specialist
PPO (Preferred Provider Organization) are: business arrangements/contracts between a panel of health care providers and purchasers of health care services.
Gatekeeper is: the primary care physician within magaged care plan. Usually family practitioner, pediatrician, gynecologist. Gatekeeper coordinates all care and determines when to refer to specialist.
Workman's Comp began in early 1900s as social insurance operated by each state. Cover workers against costs of medical care and loss wages from work related injury or illness
Capitation is described as: a negotiated, prepaid fixed fee for each covered individual or family in a managed care plan
Coinsurance is a.. predetermined amount or percentage of the cost of covered services that a beneficiary will pay. The coinsurance may be an agreed on percentage of the total cost of care (20-30%)
DRG (diagnosis related group)represents a classification system that groups patients into categories based on the coding system.
TANF (Temp Assistance for Needy families) is funded from: a cash black grant from the fed govt.
TANF is designed to decrease number of people dependent on fed assistance. There is a 5 yr time cap on this assistance.
Created by: 705757596