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Accidents & Injury

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Question
Answer
Accident   a sudden event (such as a crash) that is not planned or intended and that causes damage or injury  
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Injury   an act or event that causes someone to no longer be fully healthy or in good condition (intentional or not)  
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Accident and injuries   All accidents are injuries not all injuries are accidents.  
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Developmental Considerations   To understand the type of accident and prevention strategies,nurses need to underst and developmental factors  
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Infants – causes of death and injury   Unintentional suffocation, homicide, motor vehicle accidents.  
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Infants and accidents   Infants have the second highest injury rate of all groups of children because small body, small airway, and handled on high surfaces.  
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Infants and MVA   due to small size, infants are easily propelled and crushed. Also, their immature motor skills inhibit ability to escape from injury.  
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Developmental Considerations: Infants   due to small size, infants are easily propelled and crushed. Also, their immature motor skills inhibit ability to escape from injury.  
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Ages 1-4 Development Factors   inquisitive, logical thinking abilities are immature, and active. Leading cause of death drowning, MVA, homicide.  
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Ages 5-14   Development Factors: Peer pressure, active, increases sports and athletic. Leading cause of death: MVA, drowning, fire/burn,suicde by suffoacation (10-14)  
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Ages 15-24   Developmental Factors: risk taking, use of weaons, alochol and drugs, suicide,gangs. LEADING CAUSE MVA,homicide (firearm), poisoning, suicide (fireman)  
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Ages 25- 64   Developmental Factors: stress, alocohol & drugs, high accessibility to cars. Leading Cause: Poisoing, MVA, Suicide (firearms), homicide (firearm)  
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Developmental Factors   Developmental Factors: Impaired balance, decrease muscle strenght, reaction time, sensory acuity. Leading Cause: Falls, MVA , Suicide (firearm)  
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Public Health Approach   Surveillance: “ongoing systematic collection, analysis, interpretation, and dissemination”  
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Survellience   leads to what is the problem, risk id (what is the cause), intervention (what works?), implementation (how do you do it), outcome measurements.  
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Injury primary prevention   eliminate the event  
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Injury secondary prevention   dimiinish the effect  
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Injury tertiary Prevention   improve the outcome  
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Examples of effective injury prevention   National highway speed limit, Cycle” helmet laws, Child passenger restraint laws, Apartment window guards, Smoke detectors, Violence/penetrating injury programs  
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Nursing’s Role (injury)   Support legislative efforts, Collaborate with schools, Initiate community efforts, Support family efforts, Identify populations at risk,Support community efforts  
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Community-based Programs   Ownership and empowerment,Novel partnerships and coalitions, Community-based data about etiology, Develop & test solutions, interventions, Consensus-based process, Implementation and evaluation  
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