Exam 3 Flashcards by Emma Ware

which war veterans are likely to have chronic multi symptom illness

Gulf War

exposed to burn pits, particulate matter, chemicals, heat stroke, infectious diseases, shrapnel

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federal agency w/ designated responsibility for provisions of primary health care services to undeserved populations

DHHS (Department Health & Human Services) which includes FQHC (federal qualified health centers) and HCH (health care for homeless)

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what do public assistance programs provide

cash assistance, food stamps, subsidized housing, SSI (Supplemental Security Income) / SSDI (Social security disability insurance) which gets you medicare benefits

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what is the government’s role in child health?

promote and ensure children health
provide public health programs
monitor public health

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CHN role in substance abuse

provide education, direct care, collaborate for continuity of care, coordinate services

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warning signs of suicidality

substance abuse, withdrawal, hopelessness

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strongest predictors of drug involvement in adolescents

poor school performance and drugs use around peers

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Key goal of Substance Abuse & Mental Health Services Administration (SAMHSA)

promote behavioral health treatments and prevention programs

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characteristics of health families include:

-interact w/ each other
-support/respect each other
-have flexible role relationships, support growth of others
-teach societal values/beliefs
-foster responsibility/value service
-have sense of play, humor and share leisure time

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common characteristic of the elderly in rural areas?

they age in place

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disparities in rural populations

limited healthcare access and low income

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what does the contemporary disability policy do

maximizes opportunity for those w/ disabilities to live productively in their community (we used to keep them in institutions, now we let them live normal lives)

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program that provides financial assistance to disabled individuals unable to work

SSI (Supplemental Security Income)

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what is the largest minority group in the US

ppl w/ disabilities

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limitations that manifest before adulthood and affect daily activities

developmental disabilities

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clients w/ disabilities are knowledgeable about their disorders, so it’s important for the nurse to

Get the client’s perspective on desired or needed interventions. Listen to the pt!

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what law profits discrimination against people w/ disabilities

ADA (Americans w/ Disabilities Act)

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This ensures free and appropriate public education to children w/ disabilities in the least restrictive settings and encourages development of IEP

IDEA (Individuals w/ Disabilities Education Act)

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this increased access to vocational services and provided methods for retaining health insurance, as well as addressed employment and benefits issues

Ticket to Work & Work Incentives Improvement Act

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ways to improve health deliver in rural areas

Telehealth and grow their own with scholarships

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Community Health Centers and Migrant Health Clinics are assisted by the government in that they

provide reimbursement by CMS at a higher rate

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acute health problems common in homeless adults include?

trauma and respiratory infections

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A community’s responsibility in child health is to provide?

-support families
-ensure access to health care
-provide education
-provide housing (safe neighborhoods)
-provide social service programs
-promote well being

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what tool is used to assess a family’s link to community resources?

Ecomap

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most common form of drug abuse among the elderly

misuse of prescription drugs

common chronic health problem seen in homeless population

-asthma -iron deficiency anemia -obesity / malnutrition -skin disorders -substance abuse

residents trusting lay caregivers for their healthcare is called use of???

informal social networks

what war veterans were likely to have been exposed to cold injury

korean war , WW1 also noise, occupational hazards

symptoms involving anxiety, hallucinations, nightmares, irritability, sleeplessness, CV/GI disorders, that exhibits within 3 months of exposure

PTSD

dysfunction in one family member does what?

affects all family members ripple effect

characterized by 2 or more injuries sustained in same incident that affects multiple body parts of organ systems & results in impairment and functional disability

polytrauma

circumstances contributing to the homelessness are..

-shortage of affordable housing -insufficient income -inadequate support services

likely to have been exposed to radiation or have cold injury mustard gas experiments

WWII veterans as well as high levels of noise

one of the most significant health care issues for rural residents, identified due to high risk for unintentional injury

access to EMS

characterized by h/a, tinnitus, sleep disorders, suicidality, chronic pain, dizziness, or balance disorders

traumatic brain injuries (TBIs)

population more likely to be illicit drug users

males

purpose of the CHAMPVA program

offer medical coverage to the spouses and children of disabled veterans

veterans w/ a hx of substance abuse disorder and self harm or violence should be screed for?

suicidal risk or ideation

likely to have been exposed to agent orange

vietnam veterans

employee's role in child health

-affordable insurance -support nursing mothers -offer time off for sick newborns or children -offer flexible leave for prenatal and pediatric healthcare

rural areas have a heterogeneity of ...

race age economic status culture

common risk to agricultural workers

exposure to pesticides

barriers faced by migrant farmworkers

language culture

goal of healthy people 2030

reduce misuse of drugs and alcohol

framework for community health that provides care for those in need is..

social justice

most import thing a CHN can do when visiting a family is to...

establish a therapeutic relationship

risk to homeless women

-sexual assault -preterm brith -low birth weigh infant

homeless adolescent are at increased risk for ...

prostitution or survival sex

family in which an unmarried couple lives together

cohabitation

early exposure to tobacco and alcohol increases risk for..

use of illegal or street drugs

most frequent diagnosed mental illness

depression

gives federal grants to states for serving nutritionally at risk low income pregnant and postpartum women and children up to 5 y/o

WIC (women, infants, and children program)

mechanism of recording family's medical and health histories

family health tree

families have 2 purposes ..

-to meet the needs of society -to meet the needs of individual family members

a family is...

who they say they are according to Wright & Leahey

a tool used to outline three generations of a family structure used to meet the health needs of families used in early family interview helps the nose outline the family's structure

genogram

covers those 170-400% below FPL (or 1/2 low income kids) but has stigma associated so many eligible do not participate

CHIP (Children's Health Insurance Program)

greatest threat to child health

poverty

primary cause of death for children under 14 y/o

unintentional injury

issues that affect children's health

-caregivers income, education, stability -safety of home -nutritional and environmental issues -healthcare access/use

parents role in child health

-ensure health of fetas -provide nutritious food -provide immunizations -receive healthcare services -acquire healthy lifestlyes -ensure safe environment

part of the population most likely to be homeless is...

men

homeless children are at risk for

developmental / intellectual delay

Examples of direct health care delivery programs

Maternal and Child Health Block Grant (Title V) Community and Migrant Health Centers Program School-Based Health Centers Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

the CHN uses this in the interview process

* Manners and professionalism * Therapeutic conversations * Genogram and ecomap * Identify family and individuals strengths and commending them * Issues in family interviewing many locations, family informant, family health portrait, involvement of children

the health of a community is measured by the well being of...

its people and families

Fetal alcohol syndrome, spina bifida, down syndrome , cerebral palsy are examples of what

developmental disabilities -present challenges to perform ADLs and manifested by limitations before legal age of 18

what is it important for the PHN to discern?

discern the NEEEDS and RESOURCES of the client and family

what does the intersystem model refer to?

refers to the first described person as the ‘knowledgeable client’ Client has been living with disability for extended period of time, Sensitive to needs of their body, Nurse should ask what woks best and what goals need to be pursued vs "knowledgable nurse".... Client need the services of the ‘knowledgeable nurse’ : Client newly diagnosed can benefit from the information about the disability and available community and governmental factors

examples of veteran health risks

TBI radiation noise cold injuries amputation occupational hazard exposure PTSD

what does mustard gas cause

irritated airways cancer sarin (nerve agent)

exposure to chemicals is known to cause what

* AL amyloidosis * Diabetes mellitus type 2 * Chronic B-bell leukemia * Chloracne * Hodgkin disease * Ischemic heart disease * Parkinson’s disease * Prostate cancer * Respiratory cancers * Soft tissue sarcomas * Lou Gehrig’s disease

Chronic multisystem symptom illness exhibits signs and symptoms such as

* Fatigue * Dizziness * Headaches * Cognitive dysfunction * Musculoskeletal pain * Rashes * Diarrhea * And may cause o Chronic fatigue syndrome o Fibromyalgia o GIillnesses

alcohol abuse places ppl at risk for drinking and driving, that risk is higher in who?

younger adults

largest growing segment of the homeless?

families w/ children

An umbrella term describing impairment, activity limitations, and participation restrictions.

disability

how does alcohol affect women differently?

Body composition differences and production of less gastric alcohol dehydrogenase Metabolize alcohol at a different rate

Believes individuals should be responsible for own health and not government

Market justice model

Belief that people are entitled to valued ends (i.e., status, income, and happiness) according to their own individual efforts

Dominant model

Cold injury from Battle of the Bulge

(WW2)

Belief that all people are equally entitled to key ends (e.g., access to health care and minimum standards of income). A foundational aspect of public health and nursing

Social justice system