Class #11 - Correctional/Rural Health Flashcards Preview

NUR1 421 - Ressources: Special Populations (Xavier) > Class #11 - Correctional/Rural Health > Flashcards

Flashcards in Class #11 - Correctional/Rural Health Deck (12):
1

Common health challenges in correctional health (CH)?

- Substance abuse
- Infectious diseases: STDs, HIV, TB
- Mental illness - deinstitutionalized
- FASD

2

Nurses Primary prevention in CH?

- immunization
- health promotion
- education
- referals
- political involvement
- classification of stressors

3

Nurses Secondary prevention in CH?

-Assess
screening
-first aid
-substance abuse treatment
-suicide risk assessment
- Emergency/trauma care

4

Nurses tertiary prevention in CH?

- Case management
- community reintegration
- relapse prevention
- EOL care/pall. care

5

Diversion programs (CH)?

redirect clients with mental illness away from correctional facilities

6

nurse challenges?

Confidentiality
Difficult access to clients
Ethics
Safety
Harm-reduction, not understood by correctional officers

7

Rural different approach to defining it?

Technical: geo
Social: Nature of community

8

Technical def of rural subdivisions?

1. non-isolated: road access <90km to physician
2. Semi-isolated: Road access to physician >90km.
3. Isolated: good telephone services, scheduled airflights, no road access.
4. Remote, isolated: No scheduled flights, minimal telephone/radio, no road.

9

Rural vulnerabilities?

Occupational: farming (medium-sized = high incidence of injury), oil, gas, mining
- lower income
- lower education
- aging pop.
- less access to specialized care
-

10

Rural strengths?

- Stronger sense community belonging
- Some have improved life expectancy
- lower risk of some cancers
- less stress

11

Nursing characteristics in rural health?

Environment: isolation, knowing pt personally, limited research, retention difficulties
Practice: autonomy, change, complex task infrequently, confidentiality

12

Rural grade 4 brain cancer parcours?

Flying to mtl for treatments
Family presence lacking
lack resources back in village