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Chapter 2
Community Health ATI
22
Nursing
Undergraduate 4
11/12/2013

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Cards

Term
Factors influencing community health
Definition
family and culture
social and environmental
access to health care
health care financing
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 related to: language, education, work, social experiences and health care systems
Term
Cultural assessment provides info on what
Definition
effect on communication, space and physical contact, time, social organization and environmental factors
Term
Parameters of cultural assessment
Definition
ethnic background
religious preferences
family structure
language
communication needs
education
cultural values
food patterns
health practices
Term
Environmental risks: specific examples
Definition
Toxins: Lead, pesticides, mercury, solvents, asbestos and radon

Air pollution: carbon monoxide, particulate matter, ozone, lead, aerosols, nitrogen dioxide, sulfur dioxide, tobacco smoke

Water pollution: wastes, erosion after mining or timbering and run off from chemicals added to soil
Term
Nursing roles in environmental health
Definition
Facilitate public participation
Perform individual and population risk assessments
implement risk communication
conduct epidemiological investigations
participate in policy development
Term
mnemonic for environmental health assessment to determine past/current exposure
Definition
"I PREPARE"
I: investigate potential exposures
P: present work
R: residence
E: environmental concerns
P: Past work
A: activities
R: referrals and resources
E: educate
Term
Primary Level Environmental Health nursing intervention
Definition
Individual: educate to reduce environmental hazards

Community: educate to reduce environmental hazards, advocate safe air and water, support/advocate waste/recycle management
Term
Secondary level prevention for Environmental Health nursing interventions
Definition
Individual: survey for health conditions that may be related to exposures; obtain environ. health histories, monitor occupational level of exposure, screen 6m-5y for lead

Community: survey health conditions that may be r/t exposure; assess homes/schools/work sites and community for hazards
Term
Tertiary level prevention for environmental health nursing interventions
Definition
Individual: refer homeowners to lead abatement resources; educate asthmatic on triggers

Community: be active in consumer and health organizations and legislation r/t env. health issues; support cleanup of toxic waste sites and removal of hazards
Term
Barriers to access of health care
Definition
insurance
language
hours
geographic/social isolation
lack of communication tools
culture
lack of HCP in area
finances
HCP attitudes towards low socioeconomic
eligibility for assistive program
transportation
Term
(WHO) World Healthcare Organization
Definition
international health organization that provides daily info on internationally important disease and sets the world's antibiotic and vaccination standards

Primary focus: maternal and child health, primary care, infectious disease, sanitation and education with HC
Term
Federal Health Agencies
Definition
US Dept of HHS
Veterans health Administration
State health agencies
Term
US Dept of HHS under Secretary of
health through def taxes consists of what agencies?
Definition
ACF
ACL
CMA
AHRQ
CDC
FDA
ATSDR
NIH
IHS
SAMHSA
Term
Federal Health Agencies
Definition
US Dept of HHS
Veterans health Administration
State health agencies
Term
US Dept of HHS under Secretary of
health through def taxes consists of what agencies?
Definition
ACF
ACL
CMA
AHRQ
CDC
FDA
ATSDR
NIH
IHS
SAMHSA
Term
State Health Agencies
Definition
State Dept of Health
- WIC and CHIP
- establish PH policies
- assistance/support of local health dept
- administration of medicaid
- reports communicable disease to CDC

State Board of Nursing
- oversight/development of states nurse practice act
- licensure of RN, LPN
- oversee state schools of nursing
Term
Local Health Dept
Definition
health of its citizens
- ID/intervene for health needs of local community
- Report communicable disease to State Dept of Health
- Local taxes and fed/state support
Term
Medicare qualifiers
Definition
- > 65 y.o with social security
- disability > 2 years
- ALS with disability
- kidney failure with dialysis or transplant
Term
Medicare parts
Definition
A: hospice, home care, limited skill nursing care

B: medical care, diagnostics, physiotherapy

C: Medicare Advantage Plan> A&B through private insurance

D: prescription coverage
Term
Medicaid qualifiers
Definition
individuals of low socioeconomic status and children

Eligibility by:
house size
income
priority to child, pregnant or disabled
Term
Medicaid aspects
Definition
State and fed funded

- inPT and outPT care
- Labs and radiology
- vaccinations
- home health care
- family planning
- pregnancy related care
- EPSDT < 21: early/period screening, diagnosis/treatment
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