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PH 2
Factors Influencing Community Health
28
Nursing
Undergraduate 4
11/19/2013

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Cards

Term
Culture
Definition
Beliefs, values, attitudes, and behaviors shared by a group of people and transmitted
Term
Environmental Health
Definition
Refers to the influence of environmental conditions on the development of disease or injury
Term
Acculturation
Definition
process of merging with or adopting the traits of a different culture. Adapting to a new culture requires changes in daily living practices. These changes relate to language, education, work, recreation, social experiences, and the health care system.
Term
Cultural competence
Definition
respecting personal dignity and preferences, as well as acknowledging cultural differences. The provision of culturally competent care requires nurses to be responsive to the needs of clients from different cultures
Term
Cultural Assessment
Definition
provides info to the health care provider about the effect of culture on communication, space and physical contact, time, social organization, environmental control factors
Term
Cultural Assessment Parameters
Definition
ethnic background, religious preferences, family structure, language, communication needs, education, cultural values, food patterns, health practices
Term
3 steps of data collection
Definition
1. collection of self identifying data about the pt's ethnic background, relgious pref, family structure, food patterns, and health practices
2.Posing q's that address the pts perception of his health needs
3. Identification of how cultural factors may impact the effectiveness of nursing interventions
Term
Interpreter Rules
Definition
- Not be from same community as PT
Term
What is I PREPARE?
Definition
Method of determining current and pass environmental exposures
Term
I PREPARE
Definition
I: Investigate potential exposures
P: Present work (exposures, use of PPE, location of material safety data sheets (MSDS), taking home exposures, trends)
R:Residence (age of home, heating, recent remodeling, chemical storage, water)
E: Environmental concerns (air, water, soil, industries in neighborhood, waste site or landfill nearby)
P: Past work (exposures, farm work, military, volunteer, seasonal, length of work)
A: Activities (hobbies, activities, gardening, fishing, hunting, soldering, melting, burning, eating, pesticides, alternative healing/meds)
R: Referrals and resources ( environmental protection agency, agency for toxic substances and disease registry, association of occupational and environmental clinics, MSDS, OSHA, local health department, environmental agency, poison control)
Term
Environmental Health Nursing Interventions
Primary Prevention: Individual
Definition
Educate individuals to reduce environmental hazards
Term
Environmental Health Nursing Interventions
Primary Prevention: Community
Definition
-Educate groups to reduce environmental hazards
-Advocate for safe air and water
-Support programs for waste reduction and recycling
-Advocate for waste reduction and effective waste management
Term
Environmental Health Nursing Interventions
Secondary Prevention: Individual
Definition
-Survey for health conditions that may be related to environmental and occupational exposures
- Obtain environmental health histories of individuals
-Monitor workers for levels of chemical exposures at job sites
-Screen children 6 months to 5 years old for blood lead levels
Term
Environmental Health Nursing Interventions
Secondary Prevention: Community
Definition
Survey for health conditions that may ber elated to environmental and occupational exposures
-Assess homes, schools, work sites, and the community for environmental hazards
Term
Environmental Health Nursing Interventions
Tertiary Prevention: Individual
Definition
-Refer homeowners to lead abatement resources
-Educate asthmatic pts about environmental triggers
Term
Environmental Health Nursing Interventions
Tertiary Prevention: Community
Definition
- Become active in consumer and health-related organizations and legislation related to environmental health issues
- Support cleanup of toxic waste sites and removal of other hazards
Term
World Health Organization (WHO) [international health organization}
Definition
- Provides daily information regarding the occurrence of internationally important diseases
-Establishes world standards for antibiotics and vaccines
- The WHO primarily focuses on the health care workforce and education, environment, sanitation, infectious diseases, maternal and child health, and primary care
Term
U.S. Department of Health and Human Services [federal health agencies]
Definition
- under discretion of the secretary of health
- funded through federal taxes
-consists of: administration for children and families (ACF), administration for community living (acl), centers for medicare and medicaid services (CMS),
Term
Medicare
Definition
Individuals must be older than 65 and receiving social security, have been receiving disability benefits for 2 years, have amyotrophic lateral sclerosis and receive disability benefits, or have kidney failure and be on maintenance dialysis or had a kidney transplant to qualify for Medicare
Term
Four parts of medicare
Definition
Part A: hospital care, home care, limited skilled nursing care
Part B: medical, diagnostic, physiotherapy
Part C: (also known as the medicare advantage plan - combo of part A and part B and is provided thru a private insurance company)
Part D: prescription drug coverage
Term
Medicaid
Definition
Provides health care coverae for individuals of low socio economic status and children, through the combined efforts of federal and state governments. Eligibility is based on household size and income, with priority given to children, pregnant women, and those who have a disability.
Term
What does medicaid provide?
Definition
Inpatient and outpatient hospital care, lab and radiology services, home health care, vaccines for children, family planning, pregnancy-related care, and Early and Periodic Screening, Diagnosis, and treatment (EPSDT) services for those younger than 21
Term
State Departments of Health
Definition
- manages the woman, infants, and children (WIC) program
-oversees children's health insurance program (CHIP), which offers expanded health coverage to uninsured children whose families do not qualify for Medicaid
-establishes public health policies
-provides assistance/support for local health departments
-responsible for the administration of the medicaid program
-reports notifiable communicable disease within the state to the CDC
Term
State Boards of Nursing
Definition
-Development and oversight of the state's nurse practice act
-licensure of registered and licensed practical nurses
- oversight of the state's school of nursing
Term
Private Funding (3)
Definition
Health insurance
Employer benefits
Managed care
Term
Health Maintenance Organizations (HMO)
Definition
Comprehensive care is provided to members by a set of designated providers
Term
Preferred Provider Organizations (PPOs)
Definition
Predetermined rates are set for services delivered to members; financial incentives are in place to promote use of PPO providers
Term
Medical Savings Account
Definition
Untaxed money is put in an account for use for medical expenses
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