Exam 3.3 Flashcards

(50 cards)

1
Q

Examples of Anabolic drugs

A

steroids, testosterone, human growth hormone

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2
Q

Inhalants

A

psychoactive breathable chemicals, acute and chronic effects

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3
Q

Examples of inhalants

A

paint solvents, motor fuels, cleaners, glues, aerosol sprays, paint thinner, butane, nitrous oxide

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4
Q

Inhalants are mostly used by

A

young teens due to low cost and easy availability

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5
Q

Primary prevention of drug abuse

A

aimed at those who have never used drugs, education in schools

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6
Q

Secondary prevention of drug abuse

A

aimed at those who have used but are not chronic abusers

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7
Q

Tertiary prevention of drug abuse

A

aimed at drug abuse treatment and aftercare, including relapse prevention

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8
Q

Demand reduction

A

education to reduce demand for drugs; treatment to remove physical, emotional, and environmental conditions that contribute to drug dependency, aftercare; social marketing to influence behavior

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9
Q

Supply reduction

A

public policy, law enforcement to control drug use, crime, prevent crime organizations, and protect neighborhoods

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10
Q

Office of National Drug Control Policy

A

leads nation’s anti-drug efforts, publishes annual report detailing national strategy and budget

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11
Q

Dept of Health and Human Services

A

gets largest amount of drug budget, education, automatic protection and regulation, demand reduction emphasis, rapid diagnosis and intervention with treatment

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12
Q

Substance Abuse and Mental Health Services Administration

A

lead agency focused on providing services for those with substance abuse problems

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13
Q

National Institute on Drug Abuse

A

lead federal research agency on drug abuse

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14
Q

Department of Justice

A

addresses supply side of drug trade

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15
Q

Department of Justice Agencies

A

DEA, FBI, Office of Justice Programs, Bureau of Alcohol, Tobacco, Firearms, and Explosives

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16
Q

Dept of Homeland Security (DHS)

A

prevention and control of drug trafficking

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17
Q

Agencies within Dept of Homeland Security

A

US Coast Guard, Immigration and Customs Enforcement, Customs Border Patrol, Counternarcotics Enforcement

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18
Q

Dept of Veteran Affairs

A

treatment of drug-related health problems of veterans

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19
Q

Dept of Defense

A

assists foreign allies to control the production of illegal drugs

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20
Q

Dept of Education

A

primary prevention or demand reduction, programs for drug-free schools

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21
Q

Health care delivery pre-1870

A

far behind Great Britain and Europe for both care and education, not grounded in science until about 1870 (germ theory), education provided through apprenticeships, treatment in home and 1st party payment, hospitals only in cities and seaports

22
Q

Health care delivery - 1960s

A

late 1950s had overall shortage of quality care, increased interest in health insurance, third-party payment system became standard

23
Q

Third party payment system

A

caused the cost of health care to rise in response to the disconnect between patient and medical care costs

24
Q

Medicare and Medicaid

A

1965, government insurance for seniors and poor

25
Health care delivery - 1970s
Health Maintenance Organization Act of 1973, National Health Planning and Resources Development Act of 1974, aimed at comprehensive federal planning for healthcare
26
Health care delivery - 1980s
Reagan and Congress repealed the NHPRD Act of 1974 which eliminated health system agencies, deregulation of health care delivery, proliferation of new medical technology
27
Health care delivery - 1990s
American Health Security Act of 1993 (Clinton) failed to pass, managed care became dominant, US health care bill (1996) $1 trillion, creation of CHIP (1997)
28
Health care delivery in the 21st century
medicare part D created for expansion to cover prescriptions, costs in 2010 were $2.6 trillion, costs outpacing inflation for past few decades, Patient Protection & Affordable Care Act (Obamacare) passed in 2010
29
Spectrum of healthcare delivery
population-based public health practice, medical practice, long-term practice, end-of-life practice
30
Population-based public health practice
interventions aimed at disease prevention and health promotion, health education is a major component, helps to empower and motivate, mostly occurs in governmental health agencies
31
Medical practice
primary, secondary, and tertiary care
32
Primary medical care
clinical preventive services, first-contact treatment, ongoing care for common conditions
33
Secondary medical care
specialized attention and ongoing management
34
Tertiary medical care
highly specialized and technologically sophisticated medical and surgical care, for unusual and complex conditions
35
Restorative care
provided after surgery or other treatment, rehab care, therapy, home care, inpatient and outpatient units, nursing homes, other settings
36
Long-term care
help with chronic illnesses and disabilities, time-intensive skilled care to basic daily tasks, nursing homes and various settings
37
End of life practice
services provided shortly before death
38
Hospice care
terminal diagnosis, variety of settings
39
Types of health care providers
over 200 types categorized into 6 groups: independent providers, limited care providers, nurses, nonphysician practioners, allied health care professionals, community health professionals (public and voluntary)
40
Independent providers
specialized education and legal authority to treat any health problem or disease
41
Allopathic MD
4 years of med school and 3 to 5 years of residency in their specialty, focus on the provision of specific remedies or including drugs, medication, and surgical tx
42
Osteopathic DO
same as MD, same as allopaths, yet might have a greater recognition of the reciprocal interrelationship between the structure and function of the body in providing tx
43
Nonallopathic
complimentary and alternative medicine, natural products, mind-body medicine, manipulation, etc., used together with conventional medicine, therapy is considered complimentary, in place of considered alternative, chiropractors, acupuncturists, naturopaths, homeopaths, etc.
44
Limited (or Restricted) Care Providers
advanced training in a health care specialty, provide care for a specific part of the body, dentists, optometrists, podiatrists, audiologists, psychologists
45
Licensed practical nurses
1-2 years of education in vocational program, pass licensure exam
46
Registered nurses
complete accredited academic program, state licensure exam
47
Advanced practice nurse
master of doctoral degrees
48
Nonphysician practitioners
practice in many areas similar to physicians but do not have MD or DO degrees, training beyond RN, less than physician, nurse practitioners, midwives, physician assistants
49
Allied health care professionals
assist, facilitate, and complement work of physicians and other health care specialists, education and training varies
50
Categories of allied health care professionals
laboratory technologist/technician, therapeutic science practitioners, behavioral scientists, support services