Term
| Factors influencing community health |
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Definition
* family / cultural values
* social / environmental influences
* economic concerns |
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Term
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Definition
| defined as beliefs, values, and assumptions about life widely held among a group of people and are transmitted across generations |
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Term
| Community health nurses are responsible |
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Definition
| for increasing access to health care for vulnerable populations |
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Term
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Definition
| influences health beliefs and practices |
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Term
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Definition
| process of learning a new culture |
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Term
| adapting to new culture requires changes r/t |
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Definition
| language, education, work, recreation, social experiences, health care system |
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Term
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Definition
| self-awareness of one's own cultural background, biases, and differences |
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Term
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Definition
| knowing, appreciating, considering culture of someone else in resolving problems |
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Term
| cultural assessment parameters |
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Definition
* ethnic background
* religious preferences
* family structure
* language
* communication needs
* education
* cultural values
* food patterns
* health practices |
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Term
| 3 steps of data collection |
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Definition
* collection of self-identifying data
* posing questions that address client's perceptions of his health needs
* identification of cultural factors that may impact choice of nursing interventions |
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Term
| Conveying cultural sensitivity |
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Definition
* address clients by last names
* introduce self by name; explain position
* be authentic and honest about you know or don't know about client's culture
* use culturally sensitive
* find what clients know about their health problems and treatments; assess cultural congruence
* don't make assumptions about clients
* encourage clients to ask about anyting they may not understand
* respect clients' values, beliefs, and practices
* show respect for clients' support systems |
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Term
| Assessment of Environmental Health: I Prepare model |
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Definition
I = investigate potential exposures
P = present work (exposure, use of PPE)
R = residence (age of home, etc.)
E = environmental concerns (air, water)
P = past work
A = activities
R = referrals and resource (EPA, OSHA)
E = educate |
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Term
| Key questions for envronmental health hx |
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Definition
* housing
* occupation
* tobacco
* home remodeling
* hobbies done in home
* recent exposure to chemicals or radiation
* pets
* lead exposure
* source of drinking water
* sewage / waste disposal
* pesticide use around home
* where do children play
* environment -- highways, business |
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Term
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Definition
Reduce
* people exposed to air pollutants
* toxic air emissions
* waterborne disease outbreaks
* per capita domestic water use
* # of beach closings
* human exposure to persistent chemical by decreasing fish-containated levels
* pesticide exposures
* amt of toxic pollutants used for energy recovery
* indoor allergen levels |
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Term
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Definition
Increases in
* use of alternative modes of transportation to reduce motor-vehicle emissions
* nation's air quality
* proportion of people served by community water system receiving a drinking water supply that meets Safe Drinking Water Act regulations
* proportion of rivers and lakes that are safe for fishing
* recycling of waste
* eliminate elevated blood levels of lead in children |
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Term
| Primary prevention of environmental health |
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Definition
* educate individuals to reduce environmental hazards
* educate to reduce environmental hazards
* advocate for safe air and water
* support programs for waste reduction and recycling
* advocate for waste reducting and effective waste mgt |
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Term
| Secdonary prevention in environmental health |
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Definition
* survey for health conditions that may be r/t environmental and occupatioinal exposures
* obtain environmental health histories of individuals
* monitor workers for levels of chemical exposrues at job sites
* screen children 6 months to 5 years for blood lead levels
* survey for health coditins r/t environmental and occupational exposures
* assess homes, schools, work sites and community for environmental hazards |
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Term
| Tertiary prevention in environmental health |
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Definition
* refer homeowners to lead abatement resources
* ed asthmatic clients about environment triggers
* become active in consumer and health-related orgs and legislation r/t environmental health issues
* support cleanup of toxic waste sites and removal of other hazards |
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Term
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Definition
* inadequate health care insurance
* inability to pay
* language barriers
* cultural barriers
* lack of health care providers in a community
* geographic isolation
* social isolation
* lack of communication tools
* lack of persoanl or public transporation
* inconvenient hours
* attitudes of health care personnel toward clients of low socioeconomic stats or those with different cultural/ethnic backgorunds
* eligibilty requirements for state/federal assistance programs |
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Term
| WHO (World Health Organizations) |
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Definition
* provides daily info regarding occurrence of internationally important diseases
* establishes world standards for ABX and vaccines
* focuses on health care workforce and education, environment, sanitation, infectious diseases, maternal / child health, primary care |
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Term
| US Dept of Health & Human Services |
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Definition
* under sec'y of health
* funded through federal taxes
* 12 agencies |
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Term
| 12 agencies of US Dept of Health & Human Services |
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Definition
* Administration for Children and Families
* Administration on Aging
* Centers for Medicare and Medicaid Services
* HIPAA
* disability insurance
* AFDC
* SSI
* Agency for Healtcare Research and Quality
* CDC
* Agency for Toxic Substances and Disease Registry
* FDA
* Health Resources and Service Administration
* Division of Nsg
* Division of Medicine, Dentistry, and Allied Health Professions
* Indian Health Service
* NIH
* Substance Abuse and Mental Health Services Administration
* Office of the Secreatary
* Veternals Health Administration |
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Term
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Definition
* WIC
* SCHIP
* Board of Examiners of Nurses
* establishment of public health codes
* assistance/support for local health depts
* funded thru state taxes and federal funding
* admin of medicaid
* nsg roles -- advocate, teacher, coordinator, consultant |
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Term
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Definition
* primary focus health of citizens
* direct services such as referring caregivers to respite care / hospice
* funded thru local taxes
* nsg roles include advociate, teacher, coordinator, consultant |
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Term
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Definition
* health insuranc
* employer benefits
* managed care |
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Term
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Definition
* HMO's -- comprehensive care provided to members by set of designated providers
* PPOs -- predetermined rates are set for services delivered to members; financial incentives are in place to promoste use of PPO providers
* medical savings accounts -- untaxed money put in acct for use for medical expenses |
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