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Nur 150 midterm 1
Global health, community health nursing,epidemology
141
Nursing
Undergraduate 1
09/27/2017

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Term
Global Health
Definition
health issues that transcend national boundaries, and may best be
addressed by cooperative action
Term
Purpose of global health
Definition
to improve global health and decrease inequities in the global burden
of disease by identifying priorities for programs to address the most pressing
needs; supporting primary health care initiatives; helping to address challenges
associated with the global nursing shortage; promoting global health equity
through leadership and involvement in health policy development; and participating in international exchanges and collaborations
Term
Globalization:
Definition
term used to refer to the increasing economic, political, social,
technological, and intellectual interconnectedness of the world
Term
Positive aspects of Globalization
Definition
Diffusion of ideas, technologies, and other innovations that lead
to improvements in many areas such as availability of safe water,
medications, and treatments for both acute and chronic health
problems
Term
Positive aspects of Globalization
Definition
Expansion of trade—increased living standards for many,
especially for women
Term
Positive aspects of Globalization
Definition
“global stewardship” in which there is a growing recognition of
common threats and opportunities and a sense of growing
solidarity and commitment to collaboration to promote global
social justice and equity
Term
Positive aspects of Globalization
Definition
Information and communication technology increases access to
information
Term
Negative aspects
Definition
Increased crowding in urban areas
Term
Negative aspects
Definition
Increased health problems associated with adopted Western lifestyles
Term
Negative aspects
Definition
Faster transmission of infectious diseases associated with increased global travel and “microbial hitchhikers”
Term
Negative aspects
Definition
“Brain drain” from lower resource countries to higher
Term
Negative aspects
Definition
Growing disparities
Term
Negative aspects
Definition
Disparities in the global burden of disease—effects of poverty and inequitable distribution of world’s resources
Term
Name a health disparity
Definition
Type of health difference or disadvantage that adversely affects groups of people based on any characteristic historically linked to bias and discrimination
Term
Name a health disparity
Definition
Great inequities in burden of disease, many of which are directly related to poverty and unequal distribution of resources
Term
Name a health disparity
Definition
Millennium Declaration: 8 goals and targets meant to reduce poverty and global inequities and promote health and social welfare to the world’s citizen
Term
Name a health disparity
Definition
People’s health and well-being suffer most when they can’t secure employment and can no longer access social support services
Term
Name a health disparity
Definition
Gaps between rich and poor are growing and making good education, healthcare, safe drinking water, etc. difficult to attain for the poor
Term
Name a health disparity
Definition
Poverty has been identified as a major source of malnutrition and illness
Term
Name a health disparity
Definition
The poor are more exposed to pollution and other health risks and are more likely to smoke
Term
Name a health disparity
Definition
Lack of health insurance
Term
Name a millennium declaration goal
Definition
reduce poverty
Term
Name a millennium declaration goal
Definition
reduce global inequities
Term
Name a millennium declaration goal
Definition
promote health and social welfare of the world's citizens
Term
Name a millennium declaration goal
Definition
goals to be achieved by 2015
Term
Name a millennium declaration goal
Definition
Eradicate extreme poverty and hunger
Term
How can eradication of extreme poverty and hunger be solved
Definition
Microfinance and microloans
Term
Name a millennium declaration goal
Definition
Achieve universal primary education
Term
Why is achieving universal primary education important
Definition
Strong correlation between education and health
Term
Name a millennium declaration goal
Definition
Promote gender equality and empower women
Term
Why is promoting gender equality and empowering women important
Definition
A clear relationship between health and goal of promoting gender equity and women's empowerment because women are often the major family caregivers and assume primary responsibility for healthcare decisions
Term
Name a millennium declaration goal
Definition
Reduce child mortality
Term
Why is child mortality so high
Definition
closely related to poverty, AIDS, malaria, wars, and conflicts
Term
Name a millennium declaration goal
Definition
Improve maternal health
Term
How can maternal health be improved
Definition
By having access to prenatal care and having skilled birth attendants, Prevention of teen and unplanned pregnancies
Term
Name a millennium declaration goal
Definition
Combat HIV/Aids, malaria and other diseases
Term
How can we combat HIV/Aids, malaria and other diseases
Definition
Insecticide, bed nets,President’s Emergency Program for AIDS Relief: funding for medications, care, and treatment of patients with HIV in 15 countries with the highest rates
Term
Name a millennium declaration goal
Definition
Ensure environmental sustainability
Term
How can we ensure environmental sustainability
Definition
Cleaner energy technologies: biofuels, hydroelectricity
Access to sanitation and clean water
Term
Name a millennium declaration goal
Definition
Develop a global partnership for development
Term
How can you help develop a global partnership for development
Definition
Collaboration of high resource countries and increasing availability of technology and communication
Term
What benefits does increasing availability of technology and communication have
Definition
Provides educational and collaborative learning programs, delivers care by telenursing or telehealth, provides EMR to share data and improve clinical decision making, facilitates knowledge management and utilization to promote EBP, develops a collaborative partnerships and communities of practice
Term
Name a millennium declaration goal
Definition
Web-based resources for health
Term
Definition of community health nursing
Definition
the practice of nursing by professional nurses who have been educated in the process of population-based nursing and whose principle client is the aggregate community
Term
What is community health nursing
Definition
population-based nursing practiced in a variety of settings including schools, worksites, shelters, health departments, etc.
Term
What does community health nursing focus on
Definition
focused on prevention rather than illness care
Term
What are the 10 essential public health services by nurses
Definition
Monitor health status to identify community health problems;Diagnose and investigate health hazards;Inform, educate, and empower people about health issues;Mobilize community partnerships to identify and solve health problems;Develop policies and plans that support individual and community health efforts;Enforce laws and regulations that improve health and safety;Link people to health services and ensure provision of healthcare when unavailable;Ensure a competent public and personal health care workforce;Evaluate effectiveness, accessibility, and quality of health services;
Research new insights and solutions to health problems
Term
Who founded Henry St settlement house where they worked among the people teaching hygiene, visiting the sick, and crusading for better health care
Definition
Lillian Wald and Mary Brewster
Term
Who targeted root cause of ill health, taking on institutions, politics, and social policy to effect changes for improvement of the community’s health;First coined the term “public health nurse”;Regarded as the “mother of public health nursing”
Definition
Lillian Wald
Term
Whose contributions are the following:
1.Established nursing schools
2.Advocated better housing
3.Worked to change child labor laws
4.Taught preventive practices
5.Advocated occupational health nursing
6.Improved education of public health nurses
Definition
Lillian Wald
Term
What did public health contribute to people in the US
Definition
Added 25 years to the life expectancy and brought forward the 10 great achievements
Term
Benefits of immunizations
Definition
a.Primary prevention of disease
b.Inhibiting the development of disease before it occurs
Term
What is the focus of community health
Definition
Population-focused with the goals of promoting health and preventing disease and disability for all people through the creation of conditions in which people can be healthy
Term
What does the focus of community health offer
Definition
integrated services and activities that focus on minimizing threats to health, promoting wellness, and then focusing on illness management
Term
What did the focus of community health do for nurses
Definition
must focus on 10 essential public health services
Term
What is primary prevention
Definition
precedes disease or dysfunction
Term
What are examples of primary prevention
Definition
a.General health promotion: nutrition, hygiene, exercise, environmental protection
b.Specific health promotion: immunizations and PPE
Term
What is secondary prevention
Definition
early detection and treatment of adverse health conditions; detect and treat a problem at its earliest possible stage when disease already exists
Term
Which are considered secondary prevention
Definition
a.Cure of illnesses that may be incurable later
b.Prevention of complications or disability
c.Confinement of the spread of disease
Term
What are examples of secondary prevention
Definition
1.Blood pressure screening for hypertension
2.Skin test for TB
3.Early treatment of infectious disease
4.Audiometric testing for hearing impairment
Term
What is tertiary prevention
Definition
occurs after diseases or events have already resulted in morbidity
Term
What is the purpose of tertiary prevention
Definition
purpose is to limit disability and rehabilitate or restore affected people to maximum possible capacities
Term
What are examples of tertiary prevention
Definition
1.Physical therapy for stroke victims
2.Social support programs for alcoholics
3.Exercise programs for heart attack victims
4.Mental health counseling for rape victims
Term
What are considered the great public health achievements of the 20th centuray
Definition
a.Immunizations
b.Improvements in motor vehicle safety
c.Workplace safety
d.Control of infectious diseases
e.Decline in deaths from heart disease and stroke
f.Safer and healthier foods
g.Healthier mothers and babies
h.Family planning
i.Fluoridation of drinking water
j.Tobacco as a health hazard
Term
Definition of Epidemiology and demography
Definition
1.the study of the distribution and determinants of health-related states or events in specified populations and the application of this study to improve health
2.quantitative discipline based on statistics and research methodologies
3.includes investigating lifestyles, health-promotion strategies, injury, environmental conditions, risk factors, etc
4.analogous to nursing process
Term
Example of descriptive epidemiology
Definition
a.Distribution of frequencies and patterns of health events with groups in a population
b.Examines disease patterns and health related phenomena
c.Develops ratios, rates, and proportions of morbidity and mortality statistics for use in public health and vital statistics
d.Provides data, info, and insight into characteristics of a population with a disease or without a disease
Term
Example of analytic epidemiology
Definition
a.Seeks to identify associations between a disease or health problem and its etiology
b.Concerned with determinants of disease and seek to identify causes
Term
Definition of Incidence
Definition
1.Number of people in a population who develop the condition during a specified period of time
2.Number of new cases
3.Allows estimation of risk necessary to assess causal association
Term
Example of incidence
Definition
the number of passengers boarding a train
Term
Definition of prevalence
Definition
i.Total number of people in a population who have the condition at a particular time
ii.One shot, cross-sectional study
iii.Examines the extent of morbidity and is influenced by the rate of new cases, the number of existing cases, effective new treatment modalities, and deaths
Term
Example of prevalence
Definition
number of passengers already on a train, affected by new passengers (new cases) and leaving passengers (by death or recovery)
Term
Definition of outbreak
Definition
unexpected occurrence of an infectious disease in a limited geographic area in a limited period of time
Term
Definition of "web of causation"
Definition
i.Views a health condition as the result not of individual factors but of complex interrelationships of numerous factors interacting to increase or decrease risk of disease
ii.Synergism: the whole is more than the sum of its parts
iii.Can be overwhelming; examination of one portion of the web may provide sufficient information for initiation of useful actions to improve community health
Term
Example of "web of causation"
Definition
infant mortality
1.Identify all factors related to infant mortality
2.Identify factors related to those factors
3.Examine relationships among all identified components of the web and attempt to determine a point of intervention
Term
What is the epidemiologic triangle
Definition
agent-host-environment model used to analyze the roles and interrelatedness of the agent, host, and environment; they can coexist unless there is an interaction or altered equilibrium
Term
Definition of Agent in regards to the epidemiologic triangle
Definition
organism capable of causing disease
Term
Definition of host in regards to the epidemiologic triangle
Definition
population at risk for developing disease
Term
Definition of environment in regards to the epidemiologic triangle
Definition
combination of physical, biological, and social factors that surround and influence the agent and the host
Term
Bioaccumulation definition
Definition
introduction of substances into ecological food webs
Term
Bioaccumulation examples
Definition
chemicals that behave similarly to essential elements can be susceptible to rapid uptake and retention; radionucleotides that behave similarly to calcium and potassium can be introduced into the environment by nuclear reactors
Term
Name all 7 ethical priciples
Definition
i.Distributive justice: fair distribution of rights and resources
ii.Autonomy: right to self-determination; decisions should be made by those most affected
iii.Nonmaleficence: the avoidance of harm
iv.Veracity: commitment to tell the truth
v.Respect for people: every person and community has intrinsic value
vi.Beneficence: the desire to act in the best interest of others
vii.Fidelity: faithfulness, keep your promises
Term
What are ethical principles
Definition
can be used in the process of ethical decision-making involving the analysis of alternative actions
Term
What is teleology
Definition
(John Stuart Mill) outcome-based decision making; decisions are made on basis of greatest good for greatest number
Term
Who does this describe: i. Targeted root cause of ill health, taking on institutions, politics, and social policy to effect changes for improvement of the community’s health
ii. First coined the term “public health nurse”
iii. Regarded as the “mother of public health nursing”
iv. Contributions
1. Established nursing schools
2. Advocated better housing
3. Worked to change child labor laws
4. Taught preventive practices
5. Advocated occupational health nursing
6. Improved education of public health nurses
Definition
Lillian Wald
Term
Who founded henry st settlement house where they worked among the people teaching hygiene, visiting the sick, and crusading for better health care
Definition
Lillian Wald and Mary Brewster
Term
Name a contribution to the history of nursing
Definition
Antibiotics, immunizations, and improvements in sanitation in the 40s resulted in a considerable decline in morbidity and mortality
Term
Name a contribution to the history of nursing
Definition
public health contributed to adding 25 years to life expectancy in the US
Term
Name a contribution to the history of nursing
Definition
in 1960s, as communicable diseases declined, focus shifted to prevention of chronic diseases and related risk factors
Term
Name a contribution to the history of nursing
Definition
community health nurses focused on screenings, case findings, home health visits, health education activities
Term
Name a contribution to the history of nursing
Definition
in the 1980s, focus shifted to health promotion
Term
Name a contribution to the history of nursing
Definition
1990's marked by considerable emphasis on clinical care and high-tech medicine as ways to increase life span; also, high costs of healthcare became a major concern for policymakers
Term
Name a contribution to the history of nursing
Definition
recent years, official agencies are more involved in direct clinical care, and community health nursing has focused on clinical and illness care or “clinic” roles and functions, assigning less importance to family- and community-focused roles and functions
Term
Name a contribution to the history of nursing
Definition
public health is shifting back to its roots by focusing more on disease prevention, health promotion, and assurance that care is provided rather than providing one-on-one care
Term
Understanding how cultural and ethnic beliefs and practices influence our daily lives, and recognizing that people with cultural backgrounds different from our own have unique values, life ways, health practices, and interpersonal styles

is an example of what?
Definition
cultural competence
Term
It involves setting aside biases and prejudices to work together effectively

is an example of what?
Definition
cultural competence
Term
it is the ability to express an awareness of one’s own culture, to recognize the differences between oneself and others, and to adapt behavior to appreciate and accommodate those differences

is an example of what?
Definition
cultural competence
Term
Definition of ethnocentric
Definition
evaluating other people and cultures based on the standards of one’s own culture
Term
Definition of diversity
Definition
the condition of being different or having differences; it does not imply a ranking, ordering, or prioritizing of differences; they just exist
Term
what is ethnicity
Definition
Ethnic groups are composed of people who share a unique cultural background and social heritage passed from one generation to another
Term
what is ethnicity
Definition
membership in a distinct group and differentiates us from those in other groups
Term
what is ethnicity
Definition
common ancestry, shared history, common place of origin, language, food preferences, participation in rituals, networks, activities, etc.
Term
What are the goals of healthy people 2020
Definition
a.Increase length and improve quality of healthy life
b.Eliminate disparities among subgroups of the population
c.Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death
d.Create social and physical environments that promote good health for all
e.Promote quality of life, healthy development, and healthy behaviors across all life stages
Term
What is Healthy policy
Definition
the laws to promote the health of citizens; often considered a part of public policy; can be at community, state, national, or international levels
Term
What is the Women, Infants, and Children program
Definition
i.Benefits: supplemental foods, nutrition education, referrals to healthcare
ii.Eligibility: pregnant, breast-feeding, and postpartum women; infants; and children up to age 5 who meet a low-income standard and are determined to be at nutritional risk
Term
What is the State Children's health insurance Program
Definition
i.Benefits: doctor visits, immunizations, hospitalizations, emergency room visits
ii.Eligibility: children <19 years of age from families who earn too much to qualify for Medicaid but who meet SCHIP eligibility and are not covered by other insurance; US citizen of legal immigrant
Term
What is informatics
Definition
the science of information
Term
Who uses informatics in practice to reduce errors; to obtain, evaluate, and manage information; in decision making; and in communication
Definition
community health nurses
Term
i.Author: who wrote it? Credentials? Institutional affiliation? Previous work on the topic? Evidence of expertise?
ii.Credibility and accuracy: is the info true and can it be confirmed with at least 2 other sources? Is it different from all other sources you’ve seen?
iii.Currency: when was it last updated? Is it current? Is more recent info available?
iv.Objectivity vs. bias: information should be used to inform the reader, not influence; be aware of bias
v.Navigation: is the site easy to navigate? Are you lost constantly? Does the site make it clear how to find the info you need?

All are examples of what?
Definition
Evaluating sources
Term
Definition of disasters
Definition
function of the risk process; it results from the combination of hazards, conditions of vulnerability, and insufficient capacity or measures to reduce the potential negative consequences of risk; they are sudden or serious events of such a scale that there is considerable human, property, or environmental damage or loss, with resultant serious breakdowns or disruptions in community or societal functioning, and requiring exceptional efforts or outside resources for community management and recovery
Term
Definition of natural disasters
Definition
caused by environmental or natural forces (hurricanes, earthquakes, tornadoes, etc.)
Term
Definition of man-made disasters
Definition
disasters caused by people, deliberately or accidentally)
Term
What does the "D" in disaster stand of
Definition
Detect: is this disaster mass-casualty? Potential terrorism? Is the cause known?
Term
What does the "I" in disaster stand of
Definition
incident command: should emergency response or management be activated? Is an Incident Command System needed? Who will be in charge of the scene?
Term
What does the "S" in disaster stand of
Definition
scene security and safety: is the scene safe and secure? Unsafe until proven otherwise; PPE; priorities of protection: self, health team members, the public, patients, and environment
Term
What does the "A" in disaster stand of
Definition
assess hazards: are scene hazards known? What hazards are or might be present? Could this event be an act of terrorism?
Term
What does the "S" in disaster stand of
Definition
support: what personnel, equipment, or supplies may be needed?
Term
What does the "T" in disaster stand of
Definition
triage and treatment: what are the injuries? Is triage (sorting of patients to determine treatment priorities using a standardized method) needed? What treatments are needed
Term
What does the "E" in disaster stand of
Definition
evacuation and transport of victims and casualties: how many persons need evacuation and transportation, in what order, and by what mode of transport? Decontamination? Use triage categories to establish priorities
Term
What does the "R" in disaster stand of
Definition
recovery: what are immediate needs? What are needs several days later? What are long-term needs?
Term
Infectious agent, reservoirs,and portals of exit and entry are all part of what?
Definition
chain of transmission
Term
What is an infectious agent
Definition
organisms capable of producing infection; viruses, bacteria, fungi, protozoa, helminths, prions, Rickettsia
Term
What is a reservoir
Definition
the environment in which a pathogen lives and multiplies; humans, animals, arthropods, plants, soil, other organic substances
Term
What is a portal of exit and entry
Definition
agents are communicated from the human host through a portal of exit and invade through a portal of entry; sometimes may occur in the same place; respiratory passages, mucous membranes, open wounds
Term
Name the modes of transmission
Definition
Direct, indirect, biologic, mechanical and airborne
Term
Describe direct transmission
Definition
immediate transfer of an agent from an infected host to a portal of entry through physical contact
Term
Describe indirect transmission
Definition
spread through a vehicle of transmission outside the host (i.e. fomites (inanimate objects) or vectors (insects, animals, etc.))
Term
What is host susceptibility
Definition
some populations are at greater risk than others; age, personal behaviors, healthy lines of defense
Term
definition of incubation
Definition
period referring to the time of invasion to the time when disease symptoms first appear
Term
Definition of virulence
Definition
an agent’s ability to produce serious disease in its host
Term
Definition of Immunity
Definition
indispensable defense against infection
Term
Definition of Pandemic
Definition
steady occurrence of disease over a large geographic area or worldwide (malaria)
Term
Definition of Endemic
Definition
occur at a consistent, expected level in a geographic area (STDs, common cold)
Term
Definition of Epidemic
Definition
unexpected increase in an infectious disease in a geographic area over an extended period of time
Term
Definition of Acquired
Definition
derived from actual exposure to the specific infectious agent
Term
What are the two ways a disease can be acquired
Definition
Active and passive
Term
describe active acquired
Definition
when the body produces its own antibodies against an antigen, either as a result of infection or introduction of the pathogen via vaccine
Term
describe passive acquired
Definition
temporary resistance donated through transfusions of plasma proteins, immunoglobin, antitoxins, or transplacentaly
Term
What is the triage color for green and meaning
Definition
care may be delayed up to 3 hours
Term
What is the triage color for yellow and meaning
Definition
urgent care, but delayed up to one hour
Term
What is the triage color for red and meaning
Definition
life threatening, need immediate care
Term
What is the triage color for black and meaning
Definition
no emergency care needed
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