Term
|
Definition
Created Integrated Model
-Bio, Psych, Social and illness experience |
|
|
Term
|
Definition
| the absence of disease or disability |
|
|
Term
|
Definition
| process caused by environmental trauma, biologic malfuction, or an identifiable agent, structural defect, or funtional impairment |
|
|
Term
|
Definition
| the PERCEPTION of feeling sick or unhealthy |
|
|
Term
|
Definition
| the totality of how the patient behaves (observable) and feels (subjective) |
|
|
Term
|
Definition
| the person's place and position in the family or community |
|
|
Term
| Integrated Sciences Model |
|
Definition
| Psychosocial phenomena are funtionally connected to biological phenomena |
|
|
Term
| 5 domains of the integrated sciences model |
|
Definition
| biological, behavioral, cognitive, sociocultural, and environmental |
|
|
Term
| Tresolini: Importance of Relationship |
|
Definition
#1 relationship with the patient
#2 relationship among other health care professionals
#3 relationship of the above with the community |
|
|
Term
| Best Predictor of Symptom Improvement is... |
|
Definition
| if the patient thought the physican listened carefully and agreement was reached on the nature of the problem |
|
|
Term
| Malterud's 4 basic questions |
|
Definition
#1 What would you most of all want me to do for you today?
#2 What do you yourself think is causing the problem?
#3 What do you think I should know about your problem?
#4 What have you found to be the best way of managing the problem? |
|
|
Term
| Importance of Malterud's 4 questions? |
|
Definition
|
|
Term
| 3 styles of communicating |
|
Definition
| Paternalistic, Shared-decision making, consumer-based |
|
|
Term
| Best communication style in an EMERGENCY situation |
|
Definition
|
|
Term
| Type of communication where patients dominate the conversation |
|
Definition
|
|
Term
|
Definition
| the effect of a medication or tx that is best attributed to expectations or beliefs of the patient |
|
|
Term
| Placebo effect's workings: |
|
Definition
| Release of: Catecholamines, serotinin and endorphins |
|
|
Term
| Psychoanalytic Perspective (2 Explain) |
|
Definition
| Transferrance and Countertransferrance |
|
|
Term
|
Definition
| beliefs, values, social structures, situational behavioral expectations, language, and technology shared by a grp of people |
|
|
Term
|
Definition
| motivation to want to engage in the process of becoming culturally aware, culturally knowledgable, and culturally skillful, and actively seeking cultural encounters |
|
|
Term
| Dualism belief (by Descartes) |
|
Definition
| the distinction between mind and body |
|
|
Term
| written moral obligations of a health care professional is an example of what? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Wedding's 3 step process to resolving ethical dilemmas |
|
Definition
#1 establish the facts
#2 ID the ethical issues of both the provider and patient
#3 Reconcile the facts and values, then ID the preferred action |
|
|
Term
| Ethnomedical systems include: (3) |
|
Definition
#1 a theory of the etiology of illness
#2 techniques for the diagnosis of illness
#3 methods of appropriate therapy |
|
|
Term
|
Definition
What we know to be true about
-life
-relationships
-work
-world
-spirituality |
|
|
Term
| STDs are high in what country |
|
Definition
|
|
Term
| suicide rate is high amoung what individuals? |
|
Definition
| american indians and alaskan natives -- 1.5 times the national avg |
|
|
Term
| #3 cause of death in adolescents is.. |
|
Definition
|
|
Term
| first example of multidisciplinary practices was ... |
|
Definition
|
|
Term
| the number of veteran administration hospitals and ambulatory centers |
|
Definition
| 173 hospitals, and 238 ambulatory care centers |
|
|
Term
| Managed Care Organization |
|
Definition
| any organization that is accountable for the health of an enrolled group of people |
|
|
Term
|
Definition
| members receive comprehensive, preventative, hospital, and medical care from a specific medical provider -- have to have a primary care physician |
|
|
Term
|
Definition
| unlimited choice of physicians and hospitals -- usually a higher cost |
|
|
Term
|
Definition
| services from providers who have negotiated with a payer to provide services at a lower price than the area or regional usual = 90 to 100% is paid |
|
|
Term
|
Definition
| coverage for hospital, post-hosptial and home health |
|
|
Term
|
Definition
| coverage for physician services and supplies |
|
|
Term
| 3 things that MCO's control |
|
Definition
#1 cost-effectiveness of services
#2 quality of care - health of enrollees
#3 number of services - results of services |
|
|
Term
| Erickson's Stages of Development (8) |
|
Definition
-trust vs. mistrust
-autonomy vs. shame
-initiative vs. guilt
-Industry vs. Inferiority
-Identity vs. Role Confusion
-Intimacy vs. Isolation
-Generativity vs. Self absorption
-Integrity vs. Despair |
|
|
Term
| Development challenges for trust vs. mistrust |
|
Definition
-development of stranger anxiety
-development of object permanence |
|
|
Term
| What neurotransmitter initially start the SNS response? |
|
Definition
|
|
Term
| developmental challenges for preschool years (initiative vs. guilt) |
|
Definition
| -delays in motor, speech/language and cognitive areas |
|
|
Term
|
Definition
| substantial difference in the rate or progress of development in two different areas |
|
|
Term
| behavioral disorders best predictor is.. |
|
Definition
| synergy between parents and child = goodness of fit |
|
|
Term
| Alcohol dependence is high in what country? |
|
Definition
|
|
Term
| Cardiovascular disease is more suspectible to people in... |
|
Definition
|
|
Term
| Piaget is associated with what? |
|
Definition
| Cognitive stages of development |
|
|
Term
| Key concepts in Piaget's stages of cognitive development (2) |
|
Definition
-Assimilation
-Accomodation |
|
|
Term
|
Definition
| Hospitals or physicians agree to accept and set advanced payment for providing healthcare services to a grp of people -- can't go past the cap |
|
|
Term
|
Definition
| the primary physician in an HMO plan |
|
|
Term
| Examples of Social Health Ins. (2) |
|
Definition
|
|
Term
|
Definition
| improve safety and quality of patient care - requires/encourages organizations to report safety violations |
|
|
Term
|
Definition
| promotes quality of care in rehabilitation facilities thru equal rights, patient empowerment, etc. |
|
|
Term
| APGAR scale scores what? (5) and when? |
|
Definition
heart rate, repiratory effect, muscle tone, color and reponse to stimili
-given and 1 and 5 minutes after birth |
|
|
Term
| Those with Asperbergers syndrome are also known as... |
|
Definition
|
|
Term
| Freud is associated with what? |
|
Definition
| Personality development theory |
|
|
Term
|
Definition
| tx approach that allows the free flow of thoughts from the unconscious mind to the conscious mind |
|
|
Term
|
Definition
|
|
Term
| Reasons for school phobia (5) |
|
Definition
-unresolved dependency issues
-fear of something at school
-problem of social withdrawal
-unrealistic fear of harm to parents
-hx of chronic illness |
|
|
Term
| ADHD affects what part of the brain? |
|
Definition
|
|
Term
| adolescence is between what ages? |
|
Definition
|
|
Term
| Difference between puberty and adolescence? |
|
Definition
puberty = biological changes
adolscence = psychosocial changes |
|
|
Term
| problems associated with early adolescense (4) |
|
Definition
-loss of interest in school
-moodiness
-emotional volatility
-conflicts with parents |
|
|
Term
| problems associated with middle adolescence (3) |
|
Definition
-questioning discipline boundaries
-vacillation in mood
-shifts between childlike behavior and adultlike behavior |
|
|
Term
| number one cause of death among adolescent males is... |
|
Definition
| homicide by the use of firearms |
|
|
Term
| Major issue of adult life is... |
|
Definition
|
|
Term
| The divorce rate of parents with a developmentally challenged child |
|
Definition
|
|
Term
| #1 reason people go to marriage conseling is.. |
|
Definition
|
|
Term
|
Definition
#1 intial idealation
#2 midlevel disenchantment |
|
|
Term
| Issues in mid-life marriage (5) |
|
Definition
-establishing boundaries
-coping with careers and finances
-parenting
-sex and romance
-facing chronic illness / disability |
|
|
Term
| Factors of Infidelity (10) |
|
Definition
#1 unrealistic expectations
#2 success in one's career
#3 travel for work
#4 depression
#5 change in job status
#6 low self concept
#7 pregnancy / birth of a child
#8 bereavement
#9 emotional crisis
#10 monotony in both work and maritial setting |
|
|
Term
| life expectancy of boys and girls |
|
Definition
|
|
Term
| Selye is associated with what? |
|
Definition
|
|
Term
| When does brain weight peak? |
|
Definition
|
|
Term
| Goal of geriatric care is... |
|
Definition
| -maintain independence and a sense of control |
|
|
Term
| Elder abuse refers to what 3 things? |
|
Definition
abuse :
#1 physically
#2 psychologically
#3 financially |
|
|
Term
|
Definition
-coming to terms with one's life
-review of relationships |
|
|
Term
|
Definition
| the strain, impact, implications, and process of interaction between the organism and the environment |
|
|
Term
| General Adaptation Syndrome (3 stages) |
|
Definition
-Alarm
-Resistance
-Exhaustion |
|
|
Term
|
Definition
-vulnerabilities
-appraisal
-coping skills
-social support
-resources |
|
|
Term
| Moderate stress promotes... |
|
Definition
|
|
Term
| Chronic stress causes... (11) |
|
Definition
-growth disorders
-immune system disorders
-cancer
-cardiovascular disorders
-metabolic disorders
-GI disorders
-Reproduction and sexual disorders
-Respiratory disorders
-musculoskeletal disorders
-pain
-inability to sleep |
|
|
Term
| 2 ways that stress effects the immunue system |
|
Definition
-reduces its effectiveness
-heightens its effectiveness to the extent of attacking the host body |
|
|
Term
| MCO can be what three things? |
|
Definition
| a physician grp, health plan, hospital or health system |
|
|
Term
| 2 ways in which chronic stress promotes cancer |
|
Definition
-blocks production of t and b cells
-increases capillary growth to tumor cells |
|
|
Term
| an anerysum is caused by what? |
|
Definition
| sustained arterial pressure causing the blood vessel to rupture |
|
|
Term
| ___% of people over the age of 65 suffer from what? |
|
Definition
|
|
Term
| Diabetes is the leading cause of ___ and __ leading cause of death |
|
Definition
|
|
