| Question | Answer |
| key changes to address gaps | 1) conduct individualized care and d/c plans
2) assessed post transition risk and follow up
3) reconcile meds at key transition points
4) strengthen health literacy |
| Transitions of Care | 1) pre-entry
2) entry
3) in pt flow
4) pre exit
5) exit |
| Ways to decrease hospitalization | Fewer preventable adverse events
Better chronic disease management
More effective care transitions |
| - 6 change acutely ill ppl may experience – Health determinants | o Financial problems
o Decreased self-concept/ Body image
o Decreased eating
o Diet/ activity/ exercise lifestyle
o Rest/ sleep patterns
Loss of autonomy
Family task reassignment/ Family role changes |
| Normative cause of disease | Involves a mind-body interaction so physical manifestations occur in response to a psychological disturbance (anxiety and heart |
| - 3 causes of disease | o Mechanical
o Biologic
o Normative |
| 3 defining features of an acute illness | o Rapid onset
o Short duration
o Treatable |
| - Define illness | o Response a person has to a disease is highly individualize |
| 3 things can reduce avoidable hospital re-admission in an effective CoNtinuum of care | Fewer preventable adverse events
o Better chronic disease preventions and management
o More effective care transition |
| 3 ways a nurse can evaluate learning | o Oral questioning
o Direct observation of behaviour
Self reporting/monitoring |
| hat are the current mammogram screening recommendation | o 40-49 and >70 talk w/ doc about personal breast cancer risk along with benefits & risks of mammogram
o 50-69 – q2yrs |
| How is a colonoscopy performed and what is it used to screen for | o Cleanse bowel night before
o Insert camera
• Colon Cancer, precancerous growths |
| - 3 potential strategies to teach health-related information | o Demonstration
o Explanation
o Discussion
o Printed and audiovisual
o Role playing
o Modelling |
| - CoC | o An integrated system of care that guides and tracks pts over time through an array of health services spanning all levels of intensity of care |
| 5 harms ongoing drug use in the acute care setting | Discharged against medical advice
o Aggression
o Missed tx
o Overdose
o Diagnostic dilemmas treatment complications
o Trigger for other pts |
| - Reasons for involuntary d/c | o Abusive behaviour
o Repeated uncooperative
o Drug dealing/ Drug use
o Unexpected absence more than 6 hours |
| - 5 harm reduction strategies | o Methadone tx
o Smoking room
o Needle exchange
o Condom distribution
o Treatment withdrawl
o Opiate overdose protocols |
| - High-threshold service | o Has minimal requirements for involvement and put IV drug users in contact with care even if not ready for abstinence-based treatment |
| - 7 components of the lesson plan for health promo | o Goal
o Content
o Time allotted
o Resources
o Objective
o Method of instruction
o Method of evaluation |
| 4 common to barriers to learn | o Language
o Culture/Religion
o Pain
o Age
o Physical or mental disability
o Acute illness
o Prognosis
o Emotion
o Medication or treatment |
| - Average literacy level of Canadian | o Below level 3 or Grade 6. |
| Determinants of health | Income/social status
Social support networks
Education /literacy
Employment/ working conditions
Physical environment
Biological/genetic
Culture
Gender
Health services
Social environment
Healthy child development
Individual coping |
| Gordon's functional health | Health perception/health management
Nutrition
Elimination
Activity
Reproduction
Cognitive/perceptual
Sleep/rest
Self concept
Role relationship
Coping/stress
Value/belief |
