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Flashcards in COMMUNITY---Week # 1 Deck (85)
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31

Describe "WINDSHIELD SURVEY"
Strengths?
Limitations?

DESCRIPTIVE APPROACH THAT ASSESSES SEVERALCOMMUNITY COMPONENTS BY DRIVING THROUGH A COMMUNITY.


STRENGTHS---provides descriptive overview of the community

LIMITATIONS---Need a driver---time consuming---results based only on visualization-no input from community members

32

Medicaid provides coverage for _________________

for individuals of low socioeconomic status and children.
*funded by federal and State governments

33

Examples of TERTIARY PREVENTION interventions (2)

1) DISABILITY LIMITATIONS

2) REHABILITATION

3) SUPPORT GROUPS

34

How do community nurses keep the populations "safe" (11)

1) Prevent Epidemics
2) Protect environment, workplace, food, water
3)Promote Healthy behavior
4) Monitor health status
5) mobilize community resources
6) Health promotion, disease prevention, risk reduction
7) Respond to disasters
8) Assure public of trained personnel
9) Reaching out to those at high risk
10) injury prevention through interventions
11) Influence policies that effect change

35

What is distributive Justice

Distribution of the benefits / burden in society.
*Everyone gets their fair share

36

When collecting data for the community assessment, it is essential to combine several methods of data collection. Relying only on one or two key pieces can result in an incomplete assessment (TRUE) OR (FALSE)

TRUE

37

What are the PUBLIC HEALTH "Benefits" from the increased use of Technology? (5)

1) Increased prevention

2) Earlier detection of infectious disease

3) Better tracking of chronic disease

4) Better health evaluation measures

5) Accurate assessments of disease and disability burden in the community

38

Define "Health Promotion

action or effort that supports the well being of the individual, groups and communities by decreasing risk of illness and injury

39

TERTIARY PREVENTION deals with the _________

People that already have the illness

40

Examples of SECONDARY PREVENTION interventions (2)

1) EARLY DIAGNOSIS---screening tests (ie, breast exam, pap smear, case findings)

2) ADEQUATE TREATMENT

41

Describe "OBSERVATIONS" (community assessment)


Strengths?
Limitations?

OBSERVATION OF FORMAL OR INFORMAL COMMUNITY ACTIVITIES


STRENGTHS---indication of community priorities---environmental profile---ID of power structures

42

Healthy People is Coordinated by _______________

US Department of Health and Human Services

43

Equation for CRUDE MORTALITY RATE

Number of deaths divided by population total x 1,000 =_______________ per 1,000

44

What are the roles of the Community Health nurse?
(4)

1) Interact with and establish community partners serving the community at large

2) Witness the interaction between the community program and the response of the client to the services.

3) identify future services

4) Coordination, continuity of care, evaluating outcomes

45

Action taken prior to the onset of disease which removes the possibility that disease will ever occur

PRIMARY PREVENTION

46

Public Health Achievements (1900-1999)

Vacc. Vehemently Work IN Cardiac Stroke
Food Fluoride To Mothers Family

*Vaccinations
*Vehicle Safety
*Workplace Safety
*Decreased infectious diseases
*Decreased Cardiac Disease
*Decrease Stroke Death
*Food Safety
*Fluoridation in water
*Tobacco = HAZARD
*Mother / Baby (healthier)
*Family Planning

47

What are the "4" parts of Medicare??

PART A--- hospital, home, hospice care and limited skilled nursing care

PART B-- medical/diagnostic services, mh services, preventative care

PART C-- a combination of Part A & Part B--typically provided through a private insurance

PART D -- RX med coverage

48

__________ and ____________ rates are used to measure the existence of a particular disease, and allows the nurse to compare the rate of disease from one population to another

INCIDENCE AND PREVELANCE

49

"2" main components of a community assessment?

People
Places

50

Define "PANDEMIC"

When an EPIDEMIC occurs in multiple countries or continents

51

overall death rate is known as __________

CRUDE MORTALITY RATE

52

An action which halts the progress of a disease at its incipient stage and prevents complications

Secondary Prevention

53

What is Autonomy?

* Individuals right to make his or her own decision-actions which fulfill their goals

54

Upstream thinking

use to focus on interventions that promote health or prevent illness, as opposed to medical treatment models that focus on care after they are ill.

55

GOALS (6) of the PPACA
"Patient Protection and Affordable Care Act"

Affordable insurance coverage
Access to primary care
Lower costs
Coverage up to 26 years of age
Ban lifetime limits
Cover preventive care

56

Report notifiable communicable diseases to_____________________

State Depart of Health

57

Healthy People started in __________ and is completed every _____________

1979

10 years

58

Define "Community Health Nursing"

A systematic process of delivering care to improve the health of the entire community

59

What is accountability?

accepting responsibility for ones own actions

60

The "2nd" major change to healthcare in the 21st century is "The patients' responsibility for their own health"..What are the "4" things that THE PATIENT IS RESPONSIBLE FOR?

1) Be an active participate

2) Review their own health records

3) Monitoring drugs (and their side effects)

4) Educating themself