Shared Flashcard Set

Details

Exam #4
chronic disease, health care, environment, aging, death, and dying
128
Health Care
Undergraduate 2
12/09/2012

Additional Health Care Flashcards

 


 

Cards

Term
idiopathic
Definition
of unknown cause
Term
chronic diseases
Definition

conditions that develop over long periods of time and cause progressive damage

  • pain, suffering, and long-term disability
  • treatment to cop but not to cure
  • learn to change lifestyle and avoid triggers
Term
Which chronic disease is the #1 cause of missing work at 50%?
Definition

musculoskeletal diseases

(joint pain, back/neck pain)

Term
osteoarthritis
Definition
  • degenerative joint disease
  • progressive deterioration of bones and joints that has been associated with the wear and tear of aging
  • most common form of arthritis
  • becoming an epidemic due to:
    • obesity, sedentary lifestyle, injury
Term
rheumatoid arthritis
Definition
  • form of chronic inflammation/autoimmune disease
  • most crippling form of arthritis
  • most common in 25-45 year olds
Term
low back pain
Definition
  • pain or discomfort in the lumbosacral region
  • 85% of the population will incur a back injury at some time in life
  • pain may be mild or severe
  • Many factors that can contribute to LBP include
    • age
    • body type
    • posture
    • strength/fitness
    • depression
    • financial stress
    • family stress
Term
neurological disorders
Definition
  • more than 600 disorders affect the nervous system
  • an estimated 50 million Americans are affected by neurological disorders each year
Term
tension headaches
Definition

caused by muscular contraction or tension in the head or neck

  • most common. nearly 80% or adults
  • women slightly more than men
  • caused by trauma, stress, fatigue, depression
Term
cluster headaches
Definition

produce severe pain behind or around one eye

  • usually have to go to ER
Term
secondary headaches
Definition
result from an underlying, usually organic condition
Term
Migraine
Definition

painful, disabling, and have recurring symptoms with no known cause or cure

  • possibly results from alternating dilation and constriction of blood vessels
  • everything is hypersensitive when you have a migraine (light, sound, touch, smells)
Term
aura
Definition
  • about 25% of cases, a sensory warning sign precedes a migraine
  • ex: flashes of light, flickering vision, blind spots, tingling in arms and legs, or a sensation of odor or taste
Term
What are some other causes of headaches?
Definition
  • eyestrain
  • caffeine
  • allergies
  • hunger
  • sinus
  • hangover/dehydration
Term
seizure disorders
Definition
  • abnormal electrical activity in the brain
  • can lead normal, seizure-free lives when they remain under medical supervision
  • alcohol increases chance of seizures
Term
epilepsy
Definition
seizure disorder that can be accompanied by altered consciousness or loss of control of motor activity (convulsions)
Term
allergy
Definition
when the body makes antibodies (immune response) to a normally harmless environmental substance
Term
histamine
Definition
chemical substance that dilates blood vessels, increases mucous secretions, and triggers other allergy symptoms
Term
Ehat are some possible allergens?
Definition
environment, foods, medicine, dust, mold
Term
intolerance
Definition
inability to digest, improper enzymes (does not make antibodies)
Term
hay fever
Definition

pollen allergy, a chronic allergy-related respiratory disorder that is most prevalent when ragweed and flowers bloom

Term
immunotherapy
Definition
(allergy shots) treatment strategies based on the concept of regulating the immune system, as by administering antibodies or desensitization shots of allergens
Term
food allergies
Definition

triggered by milk, eggs, peanuts, other nuts, soy, wheat, fish, and shellfish

  • mouth swlling, breathing difficulty, stomach pain, and diarrhea
Term
Medication allergies
Definition
  • body produces antibodies and histamines in response to chemical medication
  • most cause minor hives/skin rashes
  • common meds:
    • penicilling and related antibiotics most common
    • sulfa drugs
    • anticonvulsants
    • insulin 
    • iodine
Term
lung disease
Definition

any disorder or disease that impairs lung function

  • 4th leading cause of death in US
  • Bronchitis, emphysema, asthma
Term

COPD

Chronic Obstructive Pulmonary Disorder

Definition

the chronic lung diseases of

  • emphysema and
  • chronic bronchitis

80-90% caused by smoking

Term
chronic bronchitis
Definition

inflammation of the lining of the bronchial tubes

(at least 3 months of the year for 2 years)

 

Term
emphysema
Definition

a respiratory disease in which the alveoli become distended or ruptured and are no longer functional

  • decreaed O2/CO2 exchange
  • inability to exhale
Term
asthma
Definition

a chronic respiratory/inflammatory disorder that blocks air flow in and out of the lungs and is characterized by attacks of wheezing, shortness of breath, and coughing spasms

  • 25% of all school absences are due to asthma
Term
What is the more common form of asthma?
Definition
extrinsic or allergic athma, triggered by allergies, most likely environment
Term
what is the physiolofical reaction associated with asthma?
Definition
  • increased mucous production
  • spasms of the muscles lining the bronchioles
  • inflammation of the lining of the bronchioles
Term
extrinsic asthma
Definition
runs in families, often goes away completely by adulthood, triggered by environmental allergens
Term
intrinsic or nonallergenic asthma
Definition

may be triggered by anything except an allergy

  • infections
  • genetics
Term
Inflammatory Bowel Disease
Definition

a group of disorders in which the intestines become inflamed

  • Symptoms: severe, including stomach cramping, bloating pain, and bouts of blood diarrhea
  • ages 15-35
Term
ulcerative colitis
Definition
inflammatory disorder of the mucous membranes of the large intestine (ulcers in colon)
Term
crohn's disease
Definition
an autoimmune inflammatory disease of the gastrointestinal tract characterized by cramping and diarrhea
Term
Irritable Bowel Syndrome (IBS)
Definition

a functional bowel disorder rather than an inflammatory process

  • ucoordinated peristalsis: food processed or eliminated abnormally
  • Symptoms: nausea, pain, gas, or diarrhea caused by certain foods or stress
  • NO CURE
  • triggers: stress, high fat diet, caffeine, artificial sweeteners
Term
Gastroesophageal reflux disease (GERD)
Definition

commonly reffered to as "heartburn" or "acid reflux"

  • risk factors include: age, diet, alcohol, obesity, pregnancy and smoking
  • symptoms usualy begin after a meal and can include: coughing, choking, heartburn, and vomitng
  • prevention focuses on avoiding foods that cause attacks
Term
self care
Definition
  • recognizing symptoms or conditions that occur frequently but may not require a physician
  • over-the-counter (OTC) medications and supplements
  • nutrition
  • monthly breast or testicular exams
  • first aid for common, uncomplicated injuries and conditions
  • self-education
  • meditation/exercise
Term

Fever Limits

(when to go to the doctor)

Definition
over 102 degrees for children and 103 for adults
Term
What are some important factors to consider when choosing a healthcare provider?
Definition
  • do they listen to you, repect you, give time for questions, return phone calls?
  • credentials?
  • accredited institution?
  • complimentary or alternative medical strateges?
Term
state-dependency phenomenon
Definition
The phenomenon whereby people are more able to remember an event if they are in the same state as when it occurred. If they are in a greatly different state when they try to remember, memory is poorer.
Term
What are patients rights?
Definition

You have the right to informed consent 

• You have the right to know if your treatment is standard 

or experimental 

• You have the right to privacy 

• You have the right to receive care 

• You are entitled to access all your medical records 

• You have the right to seek second opinions 

Term
evidence based practice
Definition
decisions regardin care based on clinical experiences, patient values, and current best scientific evidence
Term
What is the fundamental principle of health insurance?
Definition
depending on circumstances, you may never pay for what your medical care costs, or you may pay much more than what your medical bills total
Term
deductibles
Definition
amount you are responsible to pay before insurance starts paying
Term
copayments
Definition
set amount you are responsible to pay at the time of service for each appointment
Term
coinsurance
Definition
the percentage of bill you are responsible to pay
Term
managed care
Definition

cost procedures to coordinate treatment for group care

  • HMO
  • PPO
  • point of service plans
Term
Health Maitenance Organizations
Definition
hospitals, clinics, all paid by insurance company. Must stay in network
Term
Preferred Provider Organization
Definition
you have a choice of who to see, but varying cost within or outside of specified network
Term
Point of Service plans
Definition
merely have to get a referral from your primary care doctor
Term
capitation
Definition
payment of a fixed amount to healthcare provider regardless the number of services provided
Term
diagnosis related groups
Definition
  • categories of established amounts paid to healthcare businness for treatment
  • Medicare and Medicaid
Term
COBRA
Definition

system where health insurance plan allows an employee who leaves a company to continue to be covered under the company's health plan.

designed to prevent employees who are between jobs from experiencing a lapse in coverage

Term
defensive medicine
Definition
the use of medical practices designed to avert the possibility of malpractice suits in the future
Term
allopathic medicine
Definition

conventional western medicine practice; in theory based on scientifically validated methods and procedures

 

Term
primary care practitioner
Definition
a medical practitioner who treats routine ailments, advises on preventative care, gives general medical advice, and makes appropriate referrals when necessary
Term
osteopath (DO)
Definition
general practitioner who receives training similar to a medical doctor but with an emphasis ont he skeletal and muscular systems; often use spinal manipulation as a part of treatment
Term
complimentary medicine
Definition
using alternate therapy together with conventional medicine
Term
alternative medicine
Definition
treatment is used in place of conventional medicine
Term
Nurse Practitioner
Definition

professional nurse with advanced training obtained through either a master's degree program or a specialized nurse practitioner program

  • do not need to be supervised
  • can write prescriptions
Term
Physicians Assistant
Definition

a midlevel practitioner trained to handle most standard cases of care under the supervision of a physician

  • can prescribe medications
Term
naturopathic medicine
Definition
system of medicine originating from europe that views disease as a manifestation of alterations in the body's natural self healing processes, and that emphasizes health restoration as well as disease treatment
Term
manipulative medicine
Definition
chiropractic, massage
Term
biofield medicine
Definition
acupuncture, reiki, somatic experiencing, therapeutic touch
Term
psychoneuroimmunology
Definition
  • mind-body connection for health/healing
  • identify that which is causing you the tense reaction within your body
  • adjust your perception of the situation giving you the opportunity to shift your reaction
  • used in combination with cancer therapy, rheumatology, chronic pain, etc.
  • the "new medicine"
Term
ayurveda
Definition
a comprehensive system of medicine derived largely from ancient india that places equal emphasis on the body, mind, and spirit, and strives to restore the body's innate harmony through diet, exercise, meditation, herbs, massage, exposure to sunlight, and controlled breathing
Term
nutraceuticals
Definition
the use of foods and food supplements for pharmaceutical benefit
Term
generic drugs
Definition

medications marketed by chemical names rather than brand names

  • dont have to be exactly identical
  • must be actively identical (produce same effects)
Term
aging
Definition
a pattern of life changes that occurs as one grows older
Term
chronilogical age
Definition
legal age
Term
social age
Definition
expected; refers to a persons habits and roes relative to societies expectations, people in a similar life state often share similar taste in music and television shows for example
Term
psychological age
Definition
adaptive capacities; person's awareness of his or her individual capabilities, self-efficacy, and general ability to adapt to new situations
Term
functional age
Definition
comparison; refers to the way, heart rate, hearing and so on, in which people compare to others of a similar age
Term
wear and tear theory
Definition
the human body wears out or breaks down
Term
cellular theory
Definition
finite number of reproductions; at birth we only have a certain amount of usable cells, which are genetically programmed to reproduce a limited number of times
Term
autoimmune theory
Definition
attributes aging to the decline of the body's immunological system. the ability to produce necessary antibodiess declines, and our immune systems become less effective in fighting disease.....etc
Term
genetic mutation theory
Definition
mistakes in replication; the number of body cells exhibiting unusual or different characteristics increased with age. aging is related to the amount of mutational damage within the genes, the more mutation, the greater chance that the cells will not function properly
Term
How aging affects skin?
Definition
loss of surface body fat, loss of elasticity
Term
How aging affects head?
Definition
skull increased in thickness, brain shrinks, nose grows, earlobes grow
Term
How aging affects bones?
Definition
osteoperosis, osteoarthritis
Term
How aging affects urinary system?
Definition
kidneys filter less, bladder holds 1/2 as much, incontinence
Term
How aging affects cardiovascular?
Definition
stroke volume diminishes, vital capacity declines
Term
osteoperosis
Definition
a degenerative bone disorder characterized by increasingly porous bones
Term
cataracts
Definition
clouding of the lense that interrupts the focusing of light on the retina, resulting in blurred vision or eventual blindness
Term
glaucoma
Definition
elevation of pressure within the eyeball, leading to hardening of the eye, impaired vision, and possibe blindness
Term
macular degeneration
Definition
breakdown of the macula, the light sensitive part of the retina responsible for sharp, direct vision
Term
changes to hearing with age?
Definition
eardrum thickens, inner ear bones affected (harder to balance), ability to hear high frequency sounds decreases with age
Term
changes to sexual health with age?
Definition

men: erection problems, shorter orgasms

women: menopause, intercourse can be more painful, softening of breasts

Term
changes to body comfort with age?
Definition
greater difficulty regulating body temperature
Term
dementias
Definition
progressive brain impairments that interfere with memory and normal intellectual functioning
Term
Alzheimer's Disease
Definition
progressive brain impairment that interferes with memory and normal intellectual functioning; changes in nerve fibers of the brain result in mental deterioration
Term
death
Definition
the permanent ending of all vital functions; irreversible cessation of circulatory and respiratory functions
Term
brain death
Definition
irreversible cessation of all function of the entire brainstem
Term
persistent vegetative state
Definition
wakeful unconscious state, no awareness; NOT considered death by any government
Term
rational suicide
Definition
a reasoned, coherent process in which a person chooses death as a preferable alternative to unbearable pain
Term
active euthanasia
Definition
involves ending the life of a person who is suffering greatly and has no chance of recovery
Term
passive euthanasia
Definition
the intentional witholding of treatment that would prolong life
Term
Living will/Advanced healthcare directive
Definition

document that stipulates an individual’s wishes 

regarding medical care 

  • designed to allow people to make decisions about their care in the event of becoming incapacitated. 
Term
health care proxy
Definition
individual who is appointment to make healthcare decision for the individual who is incapacitated
Term
hospice
Definition
end of life care that increases quality, helps with peace, comfort while dying, provides emotional support
Term
pallative care
Definition
relieving the pain and symptoms in order to improve quality of life. no treatment or cure for condition
Term
intestate
Definition
dying without a will
Term
holographic will
Definition

will written in the person's own handwriting and unwitnessed

(not honored in all states)

Term
What are the 5 psychological states that people coping with death often experience?
Definition
  1. denial
  2. anger
  3. bargaining
  4. depression
  5. acceptance
Term
social death
Definition
a seemingly irreversible situation in which a person is not treated like an active member of society
Term
grief
Definition
state of mental distress that occurs in reaction to significant loss
Term
disenfranchised grief
Definition
a person experiences a loss that cannot be openly acknowledged, publicly mourned, or socially supported
Term
mourning
Definition
culturally prescribed and accepted time periods and behavior patterns for the expression of grief
Term
total zero population growth theory
Definition
limits couples to two offspring
Term
negative population growth
Definition
more people die than are born
Term
pollutant
Definition
a substance that contaminates some aspect of the environment and causes potential harm to living organisms
Term
temperature inversion
Definition

a weather condition occuring when a layer of cool air is trapped under a layer of warmer air

(these areas are at a greater risk for smog)

Term
smog
Definition
brownish yellow haze resulting from the combination of hydrocarbons and nitrogen oxides
Term
air quality index
Definition
  • measure and released by EPA
  • focuses on health effects that can occur within a few hours or days after a person breathes polluted air
  • runs from 0-500
  • above 100 are considered unhealthy
Term
acid deposition (rain)
Definition

precipitation that has fallen through acidic air pollutants

  • wet deposition- rain, fog, and snow
  • dry deposition- dust or smoke
Term
asbestos
Definition
if disrupted, produced tiny particles that become airborne/inhales; lodges into lungs and can cause various diseases
Term
formaldehyde
Definition
is contained in many home materials; a colorless, strong-smelling gas released through off gassing; causes respiratory and other health problems
Term
radon
Definition
seeps into homes through cracks and pipes; radioactive gas resulting from decay of certain radioactive elements
Term
molds and fungi
Definition
both live in and outdoors
Term
sick building syndrome
Definition
a problem that exists when 80% of a buildings occupants repory maladies that tend t lessen or vanish when they leave the building
Term
chlorofluorocarbons (CFCs)
Definition
contribute to the rapiddepletion of the ozone layer
Term
greenhouse gases
Definition

gases that accumulate in the atmosphere, where they contribute to global warming by trapping heat near the earths surface

(CO2, CFCs, nitrous oxide, hydrocarbons, methane)

Term
enhanced greenhouse effect
Definition
warming of the earth's surface caused by trapping more of the sun's radiation in the atmosphere - caused by human activites that release greenhouse gases
Term
Kyoto Protocol
Definition
  • international plan to reduce the human-made emission responsible for climate change
  • signed by more that 160 countries, including more that 30 industrialized nation
  • unsigned by the United States
  • would require 33% reduction in emissions
Term
point source pollutants
Definition

pollutant that enter water ways at a specific location

EX: sewage plants, and industrial facilities

Term
nonpoint source pollutants
Definition

pollutant that enter water ways from broad areas of land by run-off or seepage

EX: soil erosion, sedimentation, construction wastes, pesticides, and fertilizer run off.. etc.

Term
solid waste
Definition
solid wastes such as durable goods; non durable goods; containers and packaging; food waste; yard waste; and miscellaneous wastes from residential, commercial, institutional, and industrial sources
Supporting users have an ad free experience!