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Flashcards in NR 472 Final Exam Deck (78):
1

What does public health do in terms of policy?

  • inform
  • educate
  • empower
  • set goals for health services
  • mobilize community partnerships to idenfity and solve health problems
  • standards of care
  • ex:social marketing, health promotion, Setting immunization standards for children

2

Web of Causation

Age, Family Hx, Smoker, Sedentary, Nutrition

Prevention- address each issue

3

How does public health assess?

  • diagnose/investigate
  • monitor health status
  • ex: does community have enough doctors?
  • recording the number of births and deaths
  • tracking health trends
  • conducting laboratory analyses
  • evaluating the effectiveness of programs

4

Home Health nurse

  • ANA standards
  • Community Based
  • Issues

5

What is a pandemic

outbreak of exteremely large number of people in many countries

6

Numerator

number of events (top#)

7

Analytical

observe and answer questions, about cause/effect of disease

8

Infant Mortality Rate

  • determines health of a country
  • # of death of children (/ total number of live births in same year x 1000

9

What is a population

  • collection people with common tratis (phys, environmental)

10

4 ways to advocate for patients

housing, education, access to care, lifestyle changes

11

Family Functioning Stages of Development

  • Chaotic
  • Intermediate- unable to support growth, parents are immature
  • Adolescent- teenage level
  • Adult- steady

12

Teeter Totter Family

family members trade roles.

13

Define Epidemiology

provides a structure o ssytemically studying the distribution and determinant of health, disease and condition r/t health status

14

Rate:

a statistics used to understand health events in a population. during a certain time period, therefore the probability of that even occurring for a specific population can be inferred.

15

Vector

any agent (person, animal or microorganism) that carries and transmits an infectious pathogen into another living organism

16

Who is Lilian Wald

public health nurse, found of american community nursing. Created Henry Street.

17

Initiation Phase Home visit

greeting, assessing

18

Morbidity

illness rates

19

Disorganized family style

unpredictable, unstructured. Difficulty cooperating or planning.

20

Vital statistics

data collected from ongoing events

i.e. Birth certificate, death, divorce, etc

21

Host

demographics, level of health state, immunity

example: human

22

Ratio

2 population at risk for disease, a comparison of one number to another

23

Rural Nurse

  • consider diversity of location, culture, Where 20% of american live
  • Health probs: injury, accidents, trauma
  • Acess to care
  • partnerships

24

What is primary care

  • Community based
  • individual
  • cure
  • generalist providers
  • professional dominance

25

Incidence Rate

how many new cases. It is the rate at which a specfic disease develops in a population

26

What is a family

unit of care with identifiable roles, family assumes crucial role in maintaining health

27

Resistive Family Style

disagrees with instiutional interpretation of the problem.  Feels powerless in the face of the larger system. Focus on families priorities.

28

Distancing Family Style

undertands the problem but has diffculty making connections with resources. Embarrased.

29

Case Control

Retrospective. After health outcome has occured

30

What is primary health care

  • Community oriented
  • prevention
  • self reliance
  • curative, rehab

31

Surveillance

ongoing collection, analysis and dissemination

32

3 Components of Epidemiology

Agent, Host, Environment

33

Mortality

death rates

34

Surveys

samples of the total population

35

What is an individual comprised of?

individuals  & families

36

Hepatitis B

body fluids, can be cancerous

37

  1. What is primary prevention
  2. What is secondary prevention
  3. What is tertiary prevention

  1. No health issue, education, health promotion, and specific protection, Vaccinations
  2. Screenings! early diagnosis,p rompt tx, disability limitation
  3. Restoration, rehab. Most severe admtted

Decide how severe disease is, before answering. If no disease its primary

38

Termination phase home visit

discharge

39

Lopsided Family Style

responsibiity lies with one adult member

40

Public Health Nurse

  • Vaccinations
  • Animal Control
  • Food Safety
  • Sewage Tx
  • Safe Water

41

What is a community

  • grps of individuals held together by similar characteristicsn, needs, functions.
  • Part of the whole

42

Hepatitis C

blood and body fluids. Most common

43

What is an Epidemic

infection affecting large numbers of people

44

What is mandated mean

  • Report of Abuse
  • Screening
  • Health promotion
  • Regulatory record keeping
  • Care plan

45

What is a partnership?

partner w/ communities and populations to address health and social conditions

46

Numerator/Denominator:

# of events/# population at risk

47

What does public health assure?

  • enforce laws (sanitary codes)
  • fit to work?
  • access to health services
  • competency
  • effectiveness, accessibility
  • research
  • Ex: education. licensure, inspection

48

What is a subpopulation

  • group within the context of a larger group
  • ex: older than 65- that smoke

49

Triangulation

tension with 2 people, may distance 3rd member

50

Core Public Health Functions x3

  1. Assessment
  2. Assurance
  3. Policy Development

51

Dependent Family Style

family prefers to look to others to provide direction and supply their needs. No member available to take leadership role. May be learned from previous generations

52

Mental Health Nurse

  • Disorders: Schizo, affective, Suicide, Anxiety
  • Issues: inappropriate discharge, inadequate system, undue burden of care, isolation
  • Mandated

53

Implementation Phase home visit

interventions, safety issues

54

Tight Family Style

talking to one member means talking to the rest

55

What is the focus of population based care?

greatest good for greatest number of people

56

Rigid Family style

incapable of carrying out new routines

57

Ordered Family

hierarchical, lines of communication clearly spelled out

58

Whos is John Snow

father of epidemiology, cholera, water contamination

59

What is an aggregate?

  • population group within defined population
  • many different communities
  • sum/whole
  • ex: federal gov't, the unemployed in a community

60

What is a system?

Policy or decision making how they affect communities.  Ex: health teaching, counseling

61

What is case management?

  • ensure utilization of services and resources
  • assistance within, between and outside of facilities.

62

Receptive Family style

open to suggestions

63

  1. Examples of Primary
  2. What is an example of prevention of all three (1,2,3)

  1. fluoride i water, hand hygiene campaign, teaching
  2. Health fairs

64

Agent

Biological, physical, chemical. Ex : HIV virus

65

Name 3 epi investigations types

descriptive, analytical, case control

66

What is the Henry Street Settlement

social services, art programs and healthcare services

67

Descriptive

amount of disease in a population

68

Preplanning Phase Home visit

preparation

69

Prevalence

All cases at a given time

70

Hepatitis A

food borne

71

Cultural vallues effects on care

  • maternal/paternal
  • Blood Transfusions
  • Traditions

72

Reportable diseases

  • Passive surveillance
  • Tracking expected and unexpected numbers
  • Examples: ebola, TB, measles/mumps

73

What are the 3 levels of interventions

  1. Systems
  2. Community
  3. Individual

74

Post home visit Phase

follow up

75

What is homelessness?

no fixed night time rsidence

76

Outcome of vulnerable population

  • shorter lifespan by 30 years
  • low health status
  • high prevalence of chronic illness
  • communicable diseases

77

What is resileniency

not succumbing to risks that impact health

78

Highest abortion and pregnancy

russia and u.s.