hlMidterm 1 Flashcards
1
Q
what does primary health care encompass
A
- prevention
- community development
- community programs and services
2
Q
date of Florence Nightingale
A
1844
3
Q
what did Florence Nightingale stress
A
- health promotion and disease prevention
4
Q
date of Lilian wald
A
1893
5
Q
what did Lilian wald do
A
pioneered public health nursing by placing nurses in public schools
6
Q
date of Bernice reedman
A
1945
7
Q
bernice redmon was:
A
first black nurse to practice public health in Canada
8
Q
what did Bernice redmon face when becoming a nurse
A
was not able to enrol in Canadian nursing school
9
Q
primary care
A
a narrow concept of family doctor type services delivers to individuals, includes health promotion
10
Q
primary health care
A
is broader
- includes services delivered to individuals and population level public health (health promotion, illness prevention)
11
Q
what is primary care
A
- initial point of contact between a patient and the health care system
- provided by health care professionals
12
Q
what does primary care include
A
- preventive care (vaccines)
- diagnosis and treatment
- continuity of care
- coordination
13
Q
what is primary health care
A
- encompasses medical care, social, economic, and environmental factors that influence social determinants of health
14
Q
primary health care characteristics
A
- equity and access
- community centered
- interdisciplinary approach
- health promotion
- ## sustainability and empowerment
15
Q
Primordial care
A
- targets SDoH
- advocates for equity
- improved sanitation, housing
16
Q
Primary care level
A
- influenza vaccination
- birth control and sexual transmitted infection medications
- first level of contact
17
Q
secondary care
A
- screening and referrals
- referrals to specialists from primary care providers
18
Q
tertiary care
A
- wound care in ambulatory clinic
- hospitalized individuals need further specialization
19
Q
quaternary care
A
- most advanced care (surgery, palliative care)
20
Q
5 elements of primary health care
A
- primary care
- health
- car e
- health promotion
- population health
21
Q
5 principles of primary health care:
A
- accessibility
- appropriate skills and technology
- health promotion
- intersectional collaboration
- public participation
22
Q
accessibility
A
- access and equitable to all individuals and communities
23
Q
appropriate skills and technology
A
- use appropriate technology based on health needs in the community
24
Q
health promotion
A
- social, economic, environmental, and spiritual factors in communities
25
intersectional collaboration
- work with other sectors that influence that health of communities
26
public transportation
- partcipation regarding own health
27
how many health authorities are in BC and when were they established
- 5
- 2001
28
how many FN health authorities are there and when was it established
-1
- 2013
29
tuckmans phases of teams
- forming
- storming
- norming
- performing
30
forming
- establishing social ground rules and learning scope and roles
31
storming
- working out conflict
32
norming
- forging a collective identity working out conflict
33
performing
- inviting innovation
34
benefits of team-based care
- accessible to resources
- increase quality of care
- reduce costs
35
a client-entered approach
- improves health outcomes
36
upstream health care
- strength based
- where client is at
- empowering
37
what is a community assessment
- ongoing systematic quantitative and qualitative appraisal of a community
- data compiled regarding communities health status and resources
38
what is a windshield survey
- informal
- drives, rides, or walks around the community/area and records observations
39
what characteristics does a healthy community have
- clean water- access to food/health services
- safety
- social opportunities
- education
-
40
7 "A's" of community health services
- acceptability
- access
- adequacy
- affordability
- appropriateness
- availability
- awareness
41
what does Vollman et al say about community assessments
- 2012
- realistic profile of the community
- goes beyond documenting needs and also examines why the needs are occurring
42
public health nursing
- promtes, protecting, and preventing the health of populations
- links health to community
43
home health nursing
- prevention, health restoration, maintenance, and palliation
- focused on the people
44
primary care
- preventative health screening, education, comprehensive assessment
45
determinants of health
- broad range of personal, social, economic, and environmental factors
46
ottowa charter fundamental conditions and resources for health:
- peace
- shelter
- education
- food/income
- stable ecosystem
- resources
47
what is health equity
- no differences among groups
- everyone has full access to opportunities
48
what are the 3 principles to consider when addressing health equity
- people
- place
- partnership
49
health inequity
- differences in health or access to care
- disadvantages
50
health equalities
- ensures everyone gets the same things
- everyone needs to start at the same place and needs same things
51
health inequalities
- differences in health status between population groups
52
how many Canadians are working poor?
7.6%
- less stable jobs
- unpredictable hours
- few benefits
- health problems
53
aspects affecting peoples health
- culture
- sex/gender
- ability
- religion
- race
54
why should nurses care about health equity
- advocacy for individuals, organizational and systemic levels
- ethically mandated towards social justice
55
how do nurses practice equity-oriented care:
- closes unjust gaps
- improve health
- reduce cost
56
what does Dr. James liu and Len Pierre highlight about anti indigenous racism
- address indigenous cultural safe practices and clinical biases that exist in our health care system
57
Joyces principle
- all indigenous peoples the right of equitable access
58
in plain site report
- 2020
- 24 recommendations to address and mitigate systemic racism
59
what is palliative care
- focus on QOL
- relief of suffering
- interdisciplinary
- throughout course of illness
60
what did ward-griffin and McKeever (2000) state about dying at home
- regardless of preference they spend most of their time at home
61
was is SPICT used for?
- help identify people whose health is deteriorating
- assess for support and palliative care needs
62
Palliative performance scale
- measures progressive decline
63
PPS parameters
- degree of ambulation
- ability to do activities
- self care ability
- food/fluid intake
- LOC
64
palliative care benefits
- less than 6 months
- pharmacare and provincial health authorities
- good for year
- faxed to MOH
- covers meds and equipment
65
compassionate care benefits
- family or family of choice
- 55% of income
- 26 weeks time off
66
what does home health nursing encompass
- disease prevention, rehabilitation, restoration of health, health protection/promotion
67
elements of home health nursing
- assessing
- care planning
- health maintenance
- teaching
- communicating
relationships
- access and equity
68
foundations of home health nursing
- health promotion
- illness prevention and health protections
69
quality and professional responsibility
- quality care
- professional responsibility
70
ethical issues
- compliance
- right to live at risk
71
proportionate universality
- universal and proportionate to disadvantage
- acts on social gradient of health
- universal and targeted interventions to flatten the social gradient
