Module 1 Flashcards
(46 cards)
How did the US healthcare system change over time
Our technology got better and so did our healthcare. People are living longer but suffering more.
there’s now focus on preventing diseases, chronic illness management, health promotion, and emphasis on Wellness
- a need for community health centers, professional, home health services, assisted-living and long-term care facilities, and primary care providers
What is the WHO initiative
its aim is to ensure equal distribution of resources and access to healthcare. Encourages illness prevention.
diversity in nursing?
cultural influence effects treatments seeking patterns, an interactions with healthcare providers
nurses should respect, cultural differences while assessing patients
effectively assessing culture is a combination of just observing, talking to them, and being sensitive to their cultural sensitivities
patient centered care overview
– we recognize that patients have intrinsic value and we try to collaborate with other healthcare professionals to provide individualized care regardless of the patient’s setting. There’s a focus on holistic care.
– Patients act as a co-partner. You collaborate with a patient, not tell them what to do. You do something called decision-making. In the past patients were commanded by healthcare professionals but we don’t do that anymore.
Define assessment in nursing
– Detect abnormalities using your senses. Hearing seeing smelling feeling
– Use a holistic focus and assess not only the physical, but also the mental and cultural. Pick up nonverbal cues.
Is nursing practice a broad or narrow continuum?
broad. It covers prevention, health, promotion, and stress illness management. It also uses effective communciation to collaborate with patients and families which ensures better outcomes.
what two things can the subjective nature of health impact?
It can impact an individuals quality of life and functional ability. Healthcare is also subjective and meaning because it means different things to different people, communities, and families.
How is health defined by the World Health Organization WHO?
is defined as a state of complete physical, social, and mental well-being. Health is not merely the absence of disease or infirmity.
– It is seen from the holistic perspective by that WHO. Health is a balance of body mind and spirit. It’s influenced by the following; external environment, physiological, biological, behavioral, and economic political factors.
what are the five key determinants of health?
Genetics and biology, individual behavior, social environment, physical environment, health services
Who established the five key determinants of health?
The CDC.
And the five key determinants of health, what is genetics and biology?
Agent sex. Influence predisposition to certain diseases and conditions.
What is individual behavior as part of the five key determinants of health?
Alcohol, smoking, unpredicted sex. Behavior plays a crucial role in health outcomes.
What is social environment from the five key determinants of health?
it includes income level and lifestyle. Socioeconomic factors shape health access and habits.
what is physical environment in the five key determinants of health?
Physical environment refers to the conditions of where individuals LIVE and WORK.
And also the environmental quality.
What is health services in the five key determinants of health?
it means how accessible is healthcare services, including insurance. It means availability and quality of the services that you receive.
What is healthy people 2030?
it’s established by the US Department of health and human services. Updated every 10 years. Every 10 years they release a list of things they want to achieve in healthcare. It also identifies risk factors for diseases. Understanding risk is important to prevention of diseases. This is done to track progress we’ve made towards getting to the goals.
- health promotion
- disease prevention
What are the overarching goals of healthy people 2030?
although they have many goals, a summary of them is the overarching goals.
– Attain, healthy, thriving, lives, free, preventable diseases, disabilities, injuries, and premature death.
– Eliminate health, disparities and achieve health equity well improving health literacy.
– Create social, physical and economic environment conducted to health and well-being.
– Promote healthy development, behaviors, and well-being across all life stages.
– engage leadership and public sectors to design policies, improving health and well-being.
main objectives of healthy people, 2030?
– Collaborate with government, communities, and private public sectors.
– Guide individuals to make informed health decisions
– Measure progress and prevention overtime
– Achieve the vision of everyone living up to their potential and having maximum health
– Perform risk assessments across the lifespan, behaviors, populations, and social determinants of health.
What is the nursing rule and healthy people 2030?
Align patient care plans with healthy people 2030 objectives and goals.
of all the possible goals that healthy people 2030 has set, those goals are organized into five categories to be found online. What are five categories that they’ve decided to organize all of their goals into?
Health conditions, health behaviors, populations, settings and systems, social determinants.
- Examples of health conditions are Raitis, addictions., STI, Mental Health, STI
- examples of health behaviors are using drugs, family planning, physical activity, vaccinations, sleep.
- examples of populations are adolescence, children, LGBTQ, disabled, workforce
- examples of settings and systems are community, health insurance, IT, public health, infrastructure, workplace, transportation, environmental health
- examples of social determinants was outlined earlier. Economics, education, access, healthcare access, neighborhoods, social and community context.
What is the USPSTF?
- It’s the US preventative services task force. doctors use it to see what screenings pt qualifies for at their current age, weight, smoking status etc.
- it was establish in 1984 as an independent group of interprofessional national experts. Use evidence based medicine to improve the health of Americans in the United States. They use the evidence from research to see what someone most likely needs for preventative testing.
- make recommendations for screenings, counseling, preventative medication’s
- they issue recommendations statements for proven of the services.
what does US PSTF grade definitions mean? Do the definition for A to D and then I.
- A: offer or provide the service. High certainty that the benefit is substantial.
- B: Offer or provide the service. High certainty that the net benefit is moderate, or moderate certainty that there’s more benefit than not.
- C: Offer based on circumstances. Recommend selective offering based on professional judgment. Small net benefit with a moderate certainty.
- D: contraindicated. Discourage use of the service. Moderate or high certainty that the service has no benefit or that the harm outweigh the benefits.
- I: insufficient evidence to assess the benefit versus the harm. Suggestion for practice is to read clinical considerations and the patient that there’s uncertainty if the service is offered.
What is a preventative service? (4)
- screening for diseases
- health promotion counseling
- preventative medications
- immunization recommendations
What is primary prevention?
- Prevents ONSET of disease/disability by focusing on overall health and well-being.
- Focus on risk reduction.
Ex: immunizations, nutrition, physical activity promotion, safe driving practices.
