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Nursing 406 Final
Public, Community Health Nursing
88
Nursing
Undergraduate 4
03/19/2013

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Term
What document expressed a call to action by all governments & world communities to promote and protect all people, stating "Health is a fundamental human right"
Definition
The Declaration of ALMA-ATA, created at the International Conference on Primary Health Care (1978)
Term
What is: "an event that causes human suffering and demands more resources than are available in the community?"
Definition
A Disaster
Term
Surveillance
(as defined by the Minnesota model)
Definition
Describes and monitors health events through ongoing & systematic collection, analysis & interpretation of health data for the purpose of planning, implementing & evaluating public health interventions.
Term
Function of the 10 Essential Public Health Services? Who created list?
Definition
The 10 essentials provide a GUIDING FRAMEWORK for the responsibilities of local public health systems & the FOUNDATION for strategy building toward a healthy, integrated public health system capable of ensuring the health of the public.
-Created by the U.S.D.H.H.S.
Term
Key S & S of the
SPANISH FLU?
Definition
*Severe CYANOSIS - peoples' faces turned blue or black
*Severe headache
*Coughing/Breathing difficulties
*Nosebleeds
*Aching joints
*Weight loss
Term
What disease became a world-wide pandemic and caused great stress on the U.S. health system in 1918?
Definition
Spanish Influenza
Term
What are the
3 CORE FUNCTIONS OF PUBLIC HEALTH?
-Created by whom?
Definition
1. Assessment
2. Policy Development & Planning
3. Assurance

*Created by the IOM
Term
During the Plague, which country set up "Specialist Health Boards?"

Why were they important?
Definition
Italy
*These boards were important because they attempted to legislate for cleanliness & were the most effective/efficient organizations for controlling the plague in W. Europe.
*Their measures became models for establishments of health controls in other countries/states.
Term
Population
Definition
A collection of individuals who have one or more personal or environmental characteristics in common.
Term
Primary sign of
SUBSTANCE ABUSE
Definition
DENIAL
Term
4 Overaching goals of
HEALTHY PEOPLE 2020
Definition
1. Attain HIGH QUALITY, LONGER LIVES, FREE OF preventable disease, disability, injury & premature death.
2. Achieve HEALTH EQUITY, eliminate disparities & improve health of all groups.
3. Create social & physical ENVIRONMENTS that promote good health for all.
4. Promote QUALITY OF LIFE, healthy development & healthy behaviors across ALL LIFE STAGES.
Term
SUICIDE:
More ________ attempt it, but more ______ are successful.
Definition
More women attempt suicide but men are more successful at it.
Term
Common sites of
ABUSE
(on the body)
Definition
*Lower back/Buttocks
*Genitals/Inner thighs
*Cheeks/Earlobes
*Upper/Lower Lip, Frenulum
Term
Any bruise on a child under
________ __________ of age should be
evaluated
Definition
9 months
Term
Has PUBLIC HEALTH FUNDING
increased or decreased in the past 20 years?
Definition
DECREASED
Term
GENTRIFICATION
Definition
Upgrading the infrastructure of a poor, dilapidated neighborhood to attract business & wealthier residents but at the same time, displaces the poor who originally lived there but can now no longer afford it.
Term
Genetics, Individual Behavior, Physical Environment, Discrimination, Literacy Levels, Legislative Policies, Racism, Health Services are all examples of:
Definition
Health Determinants
or
Determinants of Health

(however you like to say it:)
Term
Health Equity
Definition
Attainment of the highest level of health for all people.
Term

What is this the formula for: 

 

# of People at Risk Who Develop a Certain Disease

Total # of People at Risk 


 

Definition
Attack Rates
Term
Attack Rates
defined by P. Spencer
Definition
A special incidence rate calculation for a particular population for a single disease outbreak expressed as a percent.
Term
Class "A" Bioterrorist Agents
include:
Definition
*Smallpox
*Botulism toxin
*Anthrax
*Tularemia
*Hemorrhagic virus (Ebola, Marburg)
*Plague
Term
Incidence
vs.
Prevalence
Definition
Incidence rate: The # of NEW cases (within a certain time frame)

Prevalence rate: All current, existing cases (new & old) within a population
Term
"Endemic"
Diseases are...
Definition
Diseases that occur regularly in the population
(Ex: heart disease in the U.S.,
Malaria in Africa)
Term
What is the first item/supply brought out by FEMA to an affected population after a disaster?
Definition
Porta-Potty's
Term
EPIDEMIOLOGY
Definition
The study of the distribution & determinants of diseases and injuries in human populations.
-or-
The study of disease trends for the purpose disease prevention & health maintenance
Term
Who was instrumental in the organization of the AMERICAN NATIONAL RED CROSS in 1881?
Definition
Clara Barton
Term
Shattuck
Report
Definition
-Written in 1850 by Lemuel Shattuck
-Became blueprint for American health organization.
-It was a survey of sanitary conditions in Massachusetts & made recommendations to rectify situation.
Term
3 LEVELS OF DISASTER MANAGEMENT
Definition
1. Preparedness
2. Response
3. Recovery
Term
DIRECT CONTACT
diseases include:
Definition
- STD's
- Mono
- Impetigo
- Lice
- Scabies
Term
Name 3
VECTOR-BORNE
diseases
Definition
1. Lyme Disease
2. Rocky Mountain Spotted Fever
3. Malaria
Term
What type of CHILD ABUSE is:
"most reported - least followed-up on?"
Definition
NEGLECT
Term
Effects of CHILD ABUSE on the VICTIM:
Definition
-Lack of empathy for others
-Lack of guilt/remorse
-Depression/Anxiety/Fear
-Low self-esteem
-Detachment from others
-PTSD
-Learn that violence is the "norm", may become abusers themselves
Term
T.B., Measles, & Chickenpox are all
__________-borne diseases
Definition
AIR-BORNE
Term
The 10 ESSENTIAL PUBLIC HEALTH SERVICES
(just the key terms/words)
Definition
1. MONITOR health status
2. DIAGNOSE & INVESTIGATE
3. INFORM, EDUCATE, & EMPOWER
4. MOBILIZE partnerships
5. DEVELOP policies
6. ENFORCE laws
7. LINK people to services
8. ASSURE competent workforce
9. EVALUATE
10. RESEARCH for new insights.
Term
What is this the definition of:
"A healthy population who may in fact, improve their health by making certain choices that will further promote health and/or protect against disease or injury?"
Definition
POPULATION OF INTEREST
Term
4 FOOD-BORNE
diseases
Definition
1. Salmonella
2. Hepatitis A
3. Trichinosis
4. E. Coli
Term
81.5% of victims of child abuse are abused by whom?
Definition
Their Parent(s)
Term
Giardia & Cholera are
_______-borne diseases
Definition
Water-borne
Term
When/Where was the
FIRST INTERNATIONAL CONFERENCE ON AIDS?
Definition
1985 - ATLANTA, GEORGIA
Term
What is the goal of the
IOM REPORT?
Definition
To INCREASE HEALTH LITERACY
Term
Which country, among 19 industrialized nations, has the HIGHEST rate of PREVENTABLE deaths?
Definition
U.S.A.
Term
3 types of
POLICY
and their definitions
Definition
1. PUBLIC policy - term used to describe government actions, including, for example: economic and social policy

2. ECONOMIC policy - promotes and regulates markets

3. SOCIAL policy - seeks to improve the conditions of American society and achieve greater social equity
Term
ADVOCACY
(as defined by Minnesota DPH)
Definition
To plead someone's case or act on someone's behalf, with a focus on developing the community, system, individual or family's capacity to plead their own case or act on their own behalf.
Term
POPULATION OF RISK
Definition
Those with a common risk factor leading to the threat of a particular health issue.
Term
How are BIOTERRORIST agents classified?
-Which is the "worst"?
Definition
*They are classified as "A, B, or C".

"A" - being the "worst" or highest priority because it is easily transmittable with high mortality rates. These agents "post a risk to national security".

"B" - agents that are moderately easy to spread, with moderate morbidity and mortality rates.

"C" - Compromising, emerging pathogens possibly engineered in future. They are available and easy to produce
Term
4 Categories of emergency/disaster
TRIAGE
Definition
1. GREEN - "Minimal", the walking wounded
2. YELLOW - "Delayed", serious, potentially life-threatening & needs to be seen within 6 hours, transport can be delayed.
3. RED - "Immediate", Life-threatening, needs to be seen now or needs immediate transport.
4. BLACK - "Expectant", those expected to die, injuries so severe responders will not be able to get to them in time or the victim will not survive transport.
Term
Which nurse organized nurses in NY city to work during the SPANISH flu outbreak?
Definition
Lillian Wald
Term
NATURAL
VS.
ARTIFICIAL
IMMUNITY
Definition
NATURAL immunity - antigen/antibody response of the body.

ARTIFICIAL immunity - through VACCINATION; two types:
1. Active (vaccination with live,
killed, or toxoid)
2. Passive (from antitoxin or
antibodies)
Term
This occurs when the vaccination of a large portion of the population provides a measure of protection for individuals who have not developed immunity (or have not got the vaccine themselves)...
Definition
HERD IMMUNITY
Term
Group A & Group B Streps
Definition
Group A Streps include:
-Strep throat
-Scarlet Fever
-IMPETIGO
-Toxic shock
-Cellulitis
-Necrotizing fascitis, "flesh-eating" disease

Group B:
Mom's who have this need to be screened or during labor they can pass onto baby; the newborn can then get blood infections, pneumonia, &/or meningitis.
*Also group B's can cause UTI's, Blood/skin infections and pneumonia in adults.
Term
First effective medicine against AIDS was?
Definition
AZT (Azidothymidine)
- It helps to delay the development of AIDS from HIV
Term
Per the CDC, how long should you wash your hands?
Definition
At least
20 SECONDS.
Term
S & S of
SHAKEN BABY SYNDROME
Definition
-Extreme irritability
-Difficulty staying awake
-Breathing problems
-Poor eating
-Tremors
-Vomiting
-Pale/bluish skin
-Seizures
-Paralysis
-Coma
Term
"SIGNIFICANT TRAUMA"
as defined by California law
Definition
"Any injury beyond temporary redness of the skin..."

this per my class notes, it may not be complete
Term
What is the PRIORITY assessment used when triaging disaster victims? (per ATI)
Definition
The client's LIKELIHOOD OF SURVIVAL
Term
For how long does a smallpox vaccination provide immunity?
Definition
10 years
Term
When a public health nurse identifies an epidemic (ie. 5 people present with avian flu at a county clinic), what are her/his priority interventions?
Definition
1. NOTIFY the public health department
2. Containment including QUARANTING those inside the clinic, closing the clinic.
Term
The 3 most common pneumonia-capable Bioterrorist agents
Definition
1. Respiratory Anthrax
2. Tularemia
3. Bubonic plague
Term
The phase of disaster RESPONSE includes what activities?
Definition
1. Activation of the disaster management plan
2. Triage and management of disaster victims.
3. Evacuation
4. Quarantine
5. Management of shelters as needed
Term
A community health nurse is a first responder to a bombing incident and is assigned to the triage area. Which of the following victims with life-threatening injuries should be given the highest priority?
a. The most seriously injured victims
b. Victims with the highest probability of survival
c. Victims needing immediate transportation to a trauma center
d. Victims at the highest risk for systemic complications
Definition
b. Victims with the highest probability for survival.
Term
Preparation with bioterrorism drills, vaccines, and abx's for exposure prophylaxis & Bioterrorism planning are what level of prevention? (ie.primary, secondary, tertiary)
Definition
PRIMARY
Term
Secondary prevention in disaster response/management includes what activities?
Definition
*Early recognition
*Activation of bioterrorism/disaster plan
*Immediate implementation of infection controls and containment measures
*Screening population for exposure, assessing rates of infection, & administering vaccines
*Assisting with educating the population regarding S & S identification and management
*Monitoring mortality and morbidity
Term
Rehabilitition of survivors, Monitoring medication regimens and referrals, and evaluating effectiveness of plan are what level of prevention in disaster management/response?
Definition
Tertiary
Term
S & S of
INHALATION ANTHRAX
Definition
*Sore Throat
*Severe dyspnea
*Meningitis
*Fever
*Muscle Aches
*Shock
Term
S & S of
BOTULISM
Definition
*Difficulty swallowing
*Progressive weakness
*Nausea, vomiting & abdominal cramps
*Difficulty breathing
Term
S & S of
SMALLlPOX
Definition
*Rash (starts centrally and spreads outward), turns into pus-filled lesions..mmmm yummy...
*High fever
*Fatigue
*Severe headache
*Vomiting
*Delirium
*Excessive bleeding
Term
S & S of
EBOLA
Definition
*Internal and external bleeding
*Sore throat
*Headache
*High Temperature
*Shock
Term
Treatment for
INHALATION ANTHRAX
Definition
IV CIPROFLOXACIN
Term
Treatment for
BOTULISM
Definition
*Airway Management
*ANTITOXIN
*Elimination of toxin
Term
Treatment for SMALLPOX
Definition
*No cure, supportive care
*Hydration
*Pain meds
*Antipyretics
Term
Treatment for EBOLA
Definition
*No cure, supportive care
*Minimize invasive procedures
Term
3 agencies involved in
DISASTER RESPONSE
Definition
*FEMA
*Office of Emergency Management (OEM)
*American Red Cross
Term
Why was there a "lack of response" after Hurricane Katrina?
Definition
The initial assessment of damage was underestimated
Term
What became an epidemic after the 2005 Pakistani-Indian earthquake?
Definition
TETANUS - due to lack of vaccines, the remoteness of villages, the isolation of populations, and # of infected wounds
Term
What 2 psych illnesses are common after disasters?
Definition
PTSD & Delayed Stress Reactions
Term
*POPULATIONS AT RISK (IN REGARDS TO A DISASTER- IDENTIFIED DURING PREDISASTER ASSESSMENT)
Definition
Those populations that have fewer resources or less of an ability to withstand and survive a disaster without physical harm. AKA Susceptible population
Term
What are the infectious diseases that cause the most deaths world-wide?
Definition
*Pneumonia
*Diarrheal diseases
*Tuberculosis
*Malaria
*Measles
*HIV/AIDS
Term
What populations are most at risk for getting a communicable disease?
Definition
*Young children
*Older adults
*Immunosuppressed clients
*IV drug users
*Health care workers :(
Term
Which population has higher rates of infant/maternal morbidity rates, higher rates of chronic illnesses, higher occupational risks, higher rates of suicide, high risk of trauma/injury & are less likely to seek medical care?
Definition
RURAL RESIDENTS
Term
This population has high incidence/prevalence rates of: Dental disease, TB, HIV, Depression/other mental, Domestic Violence, Lack of prenatal care, and Infant Mortality
Definition
MIGRANT WORKERS
Term
What population is the fastest growing segment of the HOMELESS?
Definition
FAMILIES WITH CHILDREN
Term
The FOCUS of tertiary prevention with SUBSTANCE ABUSERS is?
Definition
Focus is on avoiding relapse of individuals who have already been treated for substance abuse.
Term
What is the most preventable cause of death in the U.S.
Definition
SMOKING
Term
What is the most commonly used substance in the U.S.?
Definition
Alcohol...shoooot....
Term
How many hours after one stops drinking do withdrawal symptoms start?
Definition
About 6 hours after last drink
Term
What group of people should ALWAYS and CONSISTENTLY be screen for abuse?
Definition
Pregnant women
Term
It is important to build TRUST AND CONFIDENCE with whom?
Definition
VICTIMS OF ABUSE
Term
The philosophy of hospice care includes which of the following?
a. Provide the client with all life-sustaining measures
b. All diseases can be cured
c. Provide support for clients and families during the dying process
d. Provide pain management only
Definition
c. Provide support for clients and families during the dying process.

Hospice goal: provide best quality of life at the end of life; pain management and symptom control become the foci of care
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