Lecture 2-Clinical Prevention II Flashcards
Vaccines, chemoprophylaxis, and behavior modification are types of _____ prevention
primary
_______ does Appropriate selection of vaccines and related agents for effective control of vaccine-preventable diseases in the civilian population. _______ Also determines Vaccines For Children program coverage
ACIP; ACIP
Define the term vaccination and immunization.
Vaccination – the act of giving someone the antigen
Immunization – the process by which the body makes itself immune to the antigen
No vaccine is ___% safe
No vaccine is ___% effective
All vaccines have possible side effects, most ___, rarely severe
The risk of disease far ___ the risk of vaccine
No vaccine is 100% safe
No vaccine is 100% effective
All vaccines have possible side effects, most mild, rarely severe
The risk of disease far outweighs the risk of vaccine
By choosing not to vaccinate one takes on the ____ of disease
Both vaccinating and not vaccinating carry ____
Children unvaccinated against measles are 35 times more likely than ____ children to catch the disease
By choosing not to vaccinate one takes on the risk of disease
Both vaccinating and not vaccinating carry risks
Children unvaccinated against measles are 35 times more likely than immunized children to catch the disease
Distrust of ______
Greater attention to ______
Better ______ to real-time information
Readiness to recur to the judiciary = they like to ______
science; risk; access; sue;
Name examples of chemoprophylaxis
Vitamin D
Aspirin for heart disease
Aprin/ NSAIDS for colorectal cancer
Estrogen receptor modulators for breast cancer
Hormone replacement therapy
Topical eye antibiotics
Folic acid
Stages of change: change is a continuum, we ask about change, figure out where they are ____, moving them to the _____ step. Used for smoking, weight loss, etc.
at; next
What is the Five A’s behavioral change method:
Ask, Advise, Assess, Assist, and Arrange
Motivational Interviewing: Work on patients’ “_______” about change
Risks/benefits.
Say stuff like, I am ready to talk more about quitting smoking when ______ decide you want to. (Then when that time comes), offer ________ quitting advice to the patient.
ambivalence; you; specific
Motivational interviewing:
People don’t change because of ________ so have patient acknowledge their ________
List ________ for and against change
Assess ________ to change
Find a “ ________” to move them toward change
ambivalence; ambivalence; reasons; readiness; next step
