CFN 402 - Health & Aotearoa/NZ studies
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| What is primary health care? | 1st port of call. Provision of integrated accessible health care services for address a large marjoriyt of health care needs. Includes prevention/eduction as well as curative care. The GP is the gateway.
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| After having an operation where does the follow up occur? | at Primary health care level (back with your GP)
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| What is secondary health care? | Medical care that is more specialised focusing on specific organs or diseases such as cardiology, oncology, nurology. Also includes diagnostics such as biopsies or dialysis. Normally happens after referal from GP
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| What is tertiary health care? | Medical care given in a specialised facility eg - a hopsital where more advanced diagnostic and treatment technology is available.
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| What is the concept of health? | Diversity. World Health organisation quote "Health is a state of complete physical, mental and social well being and not merely the absense of disease or infirmity"
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| List 10 determinants of health? | Genetics, Housing, income, education, age (very young and very old), government, ethnicity/culture, access to GP, access to shops, gender
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| What year was Maslows Hierarchy created? | 1943
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| What is in the base level of Maslows Hierarchy? | phyisological needs - air, food, water, shelter, clothing, sleep
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| What is the second level of Maslows Hierarchy? | Safety & security - health, employment, property, family, social wellbeing
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| What is the third level of maslows hierarchy? | Love/Belongingness/affection - friendship, family, connection, intimacy
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| The 4th level of Maslows H. is esteem and self respect which means what? | confidence, respect of others, the need to be unique
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| The top level in Maslows H is? | Self actualisation - be the best you can be, feel like you have a purpose.
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| What does holistic mean? | Views the person as a whole - incorporates all the dimensions
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| What is a social model of health? | Focuses on groups/society. Causes linked with political/economic factors. Treatment looks at public policy/preventation
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| Given an example of a holistic model of health? | Te Whare Tapa Wha - places equal importance on all 4 walls. Taha hinengaro - mental and emotional wellbeing, Taha whanau - social wellbeing, taha wairua - spiritual wellbeing, Taha tinana - physical wellbeing
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| What does Taha hinengaro mean? | mental and emotional wellbeing
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| What does taha whanau mean? | social wellbeing
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| What are the maori words for the spiritual wellbeing side of the house? | Taha wairua
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| What are the maori words for the physical wellbeing side of the house? | taha tinana
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| What does the pacific model of health have in addition to the te whare tapa wha model? | Includes the environment "Fonua" meaning the ground.
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| What is a medical model of health | Based on knowledge of phiscal and biological causes of disease. Takes a curative approach. Goal is elimination of symptoms. What you can diagnose and what you can treat.
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| What is the bio/pscyho/social model of health? | links mind and body systems. Patient centered approach developed in 1977. Recognises that the working of the body can affect the mind and vice versa
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| what was the aim Ottawa Charter and what date it was written? | WHO - Health promotion International Conference for action to achieve health for all by 2000 and beyond. 21 Nov 1986
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| If we can fix (achieve) determinants we can solve health issues (true or false) | True
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| What is the importance of health promotion and why are some groups specifically targetted? | Money put into lower socio/ethnic health issues to raise level of health in that group and raise health of country.
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| list 5 examples of primary health care providers | GP, chemist, public health nurse, community nurses, plunket, physiotherapists, chiropractor
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| Primary health care is basically... | everything that happens outside of secondary & tertiary healthcare!
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| Maori arrived in NZ from where? | Polynesia (in 7 waka) Some debate over when arrived.
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| What year did Abel Tasman discover NZ? | 1642
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| What year did James Cook first visit NZ? | 1769
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| What year was the treaty signed? | 6th February 1840
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| Where was the treaty signed? | Waitangi
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| What are the three principles of the treaty? | Participation, parternship and protection
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| In terms of nursing - give an example of applying the three principles of the treaty | Nursing care plan.
participation - they have to participate - be a willing member
Partnership - agree on goals/strategies work together etc
Protection - protection of their rights.
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| What are some current issues facing NZ at the moment? | Water rights, selling off assets, unemployment eg mining layoffs/manufacturing, children/welfare - lack of good nutrition etc (paula bennett's white paper - sharing of info)
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| What is the interrelationship between nursing and the current socio political and cultural context? | Aging nursing workforce and aging population, focuse of culture is currently on babies/children protection not so much ethnic groups
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| Explain concept of power in the health sector. | Government sets agenda for health. Power is often where greater population is ie in NMDHB - Nelson over Marlborough, Blenheim over Picton etc
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| What are two examples that local government could do to help health issues? | Enforce better housing standards, reduce liquor licences so dairies can't sell liquor.
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| What does NHB stand for? | National Health Board
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| What does MOH stand for? | Ministry of Health
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| What is the abbreviation for District Health board and what one contols our area? | DHB, NMDHB (Nelson/Marlborough)
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| What is a PHO? | Public Health Organisation
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| What PHO do we belong to? | Kimi Hauora Wairau (or Marlborough PHO)
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| What is an NGO | Non government organisation
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| list 4 NGOs | Cancer society, plunket, maata waka, family planning
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| What does WHO stand for? | World Health Organisation
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| What does epidemiology mean? | The study of distribution and determinants of health related states and events and the applicaton of this study to control diseases and other health problems - prevalance and statistics, distribution and causes
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| What does demographics mean? | Gender, ethnic, relgious, geographic and economic background.
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| What is the health structure in NZ? | Minister of Health
National Health Board
Ministry of Health
DHBs
PHOs (funding)
GPs & NGOs
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| The public health unit is funded directly from the MOH - list some examples of what they provide | Smoke free - smoking cessation
Under 5 checks - wellchild services
Public Health nurses
Alcohol advisory
Health eduction (5 + a day)
Environment Health protection - water quality, health & safety
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| How many DHBs are there? | 20
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| What is the role of the DHB | created in 2000 - are responsible for providing or gunding the provision of health services in their district. has a provider arm and a funding arm.
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| What is the purpose and benefits of primary health care (PHO) | Better, sooner and more convenient health care
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| What are the target groups for PHOs | Maori, P.I and low socio economic (trying to remove the inequalities)
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| What are the MOE's current health targets? | Shorter says in ED, improved access to elective surgery, shorter waits for cancer treatment, increased immunisation, better help for smokers to quit, better diabetes and cardiovascular services.
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| Give two examples of legislation that goes against the treaty | Tohunga supression Act 1908 - stopped people from practicing natural medicine - took away what the 2nd article promised to protect.
1862 - Native Lands Act. Designed to break down Maori Communal ownership.
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| Other examples of legislation that goes against the treaty.. | 1953 Maori Affairs Act - if maori land not occupied or being used then it was declared as "waste land' and taken by government.
1990 - maori fisheries act 10% quota - article 2 says full exclusive possesion of lands, estates, forests and fisheries.
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| Another example of legislation... | 1955 Adoption Act which meant that Maori couldn't adopt children as per their custom
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| What are two examples of differences in treaty? | Article 1 - English version - gives all the rights (sovereignty), M version - gives up governship.
Article 2 - maori version retains full chieftanship, english version retains full, exclusive undisturbed possesion
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| What is another difference in treaty? | 4th Article in maori version gives maori religious freedom and customs. This article not included in English version.
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| The maori through the treaty would... | still give them full control of maori land and customs.
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