Flashcards in ATI Ch 1,2,16,17 Quiz Deck (46)
The following are what?
state and local public health agencies
state licensing boards
The Joint Commission
Professional Standards Review Organizations
Utilization review committees (appropriate diagnosis and treatment of clients)
Components of health care systems regulatory agencies
2 public federally funded programs
medicare and medicaid
primary care providers oversee comprehensive care for enrolled clients and focus on prevention and health promotion
MCOs - Managed care organizations
Clients choose from a list of providers within a contracted organization
EPOs - Exclusive provider organizations
LEVELS of health care- focuses on educating and equipping clients to reduce and control risk factors for disease. Examples include programs that promote immunization, stress management, and seat belt use.
preventative health care
LEVELS of health care- emphasizes health promotion, and includes prenatal and well-baby care, nutrition counseling, and disease control. This level of care is a sustained partnership between clients and providers. Examples include office or clinic visits and scheduled school- or work-centered screenings (vision, hearing, obesity).
primary health care
LEVELS of health care- includes the diagnosis and treatment of acute illness and injury. Examples include care in hospital settings (inpatient and emergency departments), diagnostic centers, and emergent care centers.
secondary health care
LEVELS of health care- involves the provision of specialized and highly technical care. Examples include intensive care, oncology centers, and burn centers.
tertiary health care
LEVELS of health care- involves intermediate follow-up care for restoring health. Examples include home health care, rehabilitation centers, and skilled nursing facilities.
restorative health care
LEVELS of health care- addresses long-term or chronic health care needs. Examples include end-of-life care, palliative care, hospice, adult day care, and in-home respite care.
continuing health care
QSEN-The minimization of risk factors that could cause injury or harm while promoting high-quality care and maintaining a secure environment for clients, self, and others.
QSEN-The provision of caring and compassionate, culturally sensitive care that addresses clients’ physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values.
QSEN-The use of current knowledge from research and other credible sources on which to base clinical judgment and client care.
evidence based practice
QSEN-The use of information technology as a communication and information-gathering tool that supports clinical decision making and scientifically based nursing practice.
QSEN-Care-related and organizational processes that involve the development and implementation of a plan to improve health care services and better meet clients’ needs.
QSEN-The delivery of client care in partnership with multidisciplinary members of the health care team to achieve continuity of care and positive client outcomes.
teamwork and collaboration
Works with clients and families by coordinating inpatient and community resources to meet
psychosocial and environmental needs that are necessary for recovery and discharge.
◯ Example of when to refer – A client who has terminal cancer wishes to go home but is no longer able to perform many activities of daily living. The spouse needs medical equipment in the home to care for the client.
genetics, gender, physiologic factors, environmental factors, lifestyle-risk behaviors, age, frequency of exams and screenings
risk factor assessment
How often? routine physical exam
generally every 3-5 years from 20-40 and then more often
How often? BP
every 2 yrs, annually if elevated
How often? BMI
at each routine health care visit
What age? How often? blood cholesterol
at 20, min every 5 years
What age? How often? blood glucose
45, min every 3 years
What age? How often? colorectal screening
50, high sensitivity fecal occult blood test every year
flexible sigmoidoscopy every 5
colonoscopy every 10
What age?How often? cervical cancer screening
21-29 pap smear every 3
30-65 pap and HPV every 5
What age? How often? breast cancer screening
20-40 clinical exam every 3, then annually thereafter
50-74, mammogram every 2
How often? clinical testicular exam
at each routine health care visit starting at 20
What age? prostate specific antigen test, digital rectal exam
50 if indicated
Levels of prevention: addresses the needs of healthy clients to promote health and prevent disease with specific protections.
› Immunization programs
› Child car seat education
› Nutrition, fitness activities
› Health education in schools