Final exam Flashcards
What is the definition/description of “chronic conditions”.
- non-communicable diseases
- chronic illness
- Long-term conditions
- Chronic disease
- Complex causality with multiple factors of onset
- Long development period
- Prolonged course of illness
- Associated with functional impairment
What are the top 10 chronic conditions?
Arthritis Asthma Back pain Cancer Cardiovascular disease COPD Diabetes Chronic kidney disease Diabetes Mental health Osteoporosis A lot of them are prevented
What are some modifiable risk factors?
Behavioural: - tobacco smoking - excess alcohol use - physical inactivity - poor diet Biomedical - excess weight - high BP - high cholesterol
What are some Broad influences?
Modifiable? - socio-environmental - psychosocial factors - early life - political non Modifiable: - age - biological sex - indigenous status - family history - ethnic background - genetic makeup
What is the acute model?
- Disease-centred
- doctor-centred
- focus on individuals
- secondary care emphasis
- reactive, symptom driver
- episodic care
- cure focus
- single setting: hospital, specialist centres
- 1: 1 contact
What is the chronic care model?
- person centred
- team centred
- population health approach
- primary care emphasis
- proactive
- ongoing care
- prevention/management focus
- community setting, collaboration across primary and secondary care
- 1:1 or group contact
- support for self management
what are the 6 elements of the Wagner model ?
- the community
- the health system
- self-management support
- delivery system design
- clinical information systems
What are the 6 principles of the Innovative Care for Chronic Conditions Framework (ICCCF)?
- evidence based decision making
- population health approach
- focus on prevention
- emphasis on quality of care
- integration
- flexibility and adaptability
What are the aspects of competent nursing practice ?
Critical thinking
Clinical reasoning
Clinical nursing judgement
Describe the aspects of competent nursing practice .
- Critical thinking= cognitive processes used for analyzing knowledge
- Clinical reasoning = cognitive and metacognitive processes used for analysing knowledge relative to a clinical situation or patient
- Clinical nursing judgement is the cognitive psychomotor, affective processes demonstrated through action and behaviors
What are the principles of Self-management? (PDRFTS)
- Problem solving
- Decision Making
- Resource Utilisation
- Forming a relationship with a provider
- Taking action
What is health literacy and the two aspects of HL?
It is a term used to describe a person’s ability to engage with health information.
Two aspects are :
1. Individual health literacy: skills, knowledge, motivation, capacity of an individual to access , understand and act on information
2. Health literacy environment: infrastructure, policies, processes, materials, how effective health professionals communicate.
What are red flags for poor HL?
- frequently missed appointments
- incomplete forms
- unable to name medications
- identifies pills by looking at them
- ask few or no questions
What percent of Australians do not have adequate level of health literacy?
60%
how can we improve health literacy?
- do not assume- give information anyone would understand
- encourage them to ask questions
- use visual aids
- ask clients how they remember things
