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residency outside area zoned as "city limits" usually infers involvement in agriculture |
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stress related to contiditons and mental illness are common among rural adults depressed agricultures, lumber and mining industries during the 1980s resulted in numerous job losses in rural communities |
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| focus on changes in health status |
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| an intentional release of viruses, bacteria or their toxins for the purpose of harming or killing civilians |
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| the intentional release of hazardous chemicals into the environment for the purpose of harming or killing civilians |
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Term
| Passive surveillance system |
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Definition
| case reports are sent to local health departments by HC providers or lab reports of disease occurrence are sent to the local health department, summarized and forwarded to state health department, national government or organizations responsible for monitoring the problem like the CDC |
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| Active Surveillance System |
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| public health nurse as an employee of the health department may begin a search for cases through contacts with local health providers and HC agencies. The nurse names the disease/event and gathers data about existing cases to try to determine the magnitude of the problem |
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| Sentinel Surveillance System |
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| trends in commonly occurring diseases or key health indicators are monitored |
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| persistently high number of cases |
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| the occurrence of a disease within an area is clearly in excess of expected levels for a given time period |
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| implies a highly prevalent problem found in a population commonly acquired early in life |
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| refers to the epidemic spread of the problem over several countries or continents |
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| outbreak that refers to a group exposed to a common noxious influence such as the release of noxious gases |
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| outbreak that involves all persons exposed becoming ill at the same time during one incubation period |
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| a common source followed by secondary exposures related to person to person contact as in the spreading of influenza |
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| Intermittent or Continuous source |
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Definition
| cases that may be exposed over a period of days or weeks |
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| does not have a common source and spreads gradually from person to person over more than one incubation period (TB) |
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| results from bacterial, viral, or parasitic infection of food by pathogens |
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| caused by toxins produced by bacterial growth, chemical contaminants, and a variety of disease producing substances found naturally in certain foods such as mushrooms and some seafood |
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| refers to species determined, innate resistance to an infectious agent |
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| the resistance acquired by a host as a result of previous natural exposure to an infectious agent |
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| refers to immunity of a group or community |
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| refers to the immunization of an individual by administration of an antigen and is usually characterized by the presence of an antibody produced by the individual host |
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| refers to immunization through the transfer of a specific antibody from an immunized individual to an nonimmmunized individual, like from mother to infant |
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| the ability of the host to withstand infection |
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| the ability to enter and multiply in the host |
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| ability to produce a severe pathological reaction |
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| the passing of the infection from parent to offspring via sperm, placenta, milk or contact in the vaginal canal at birth |
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| the person to person spread of infection through 1+ of the following four routes: direct/indirect contact, common vehicle, airborne or vector-borne |
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| refers to transportation of the infectious agent from an infected host to a susceptible host via food, water, milk, blood, serum, saliva or plasma |
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| time interval between invasion by an infectious agent and the first appearance of signs/symptoms of the disease |
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| refers to the constant presence of a disease within a geographic area or population |
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| group of people that gather in churches, congregations, parishes, synagogues, temples/mosques and acknowledge common values, beliefs and practices |
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| nursing practice with an intentional focus on spiritual care as central to promoting holistic health and prevention of illness |
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those activities and programs in faith communities organized around health and healing focus to promote wholeness in health across the lifespan |
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| basic science applied to understanding the health effects associated with chemical exposures |
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| are individual, identifiable sources such as smoke stacks |
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| come from more diffuse exposures like the pollution from cars and trucks |
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| tool that specifies activities providers may use in a timely sequence to achieve desired outcomes for care |
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| activities target chronic and costly disease conditions that requires long term care interventions |
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| Five Rights of Case Management |
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Definition
Right Care Right Time Right Provider Right Setting Right Price |
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| another tool used in case management that assesses the current and future needs of a client for catastrophic or chronic diseas eover a life span |
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| strategic process used to move conflicting parties toward an outcome |
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| ability to present one's own needs |
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| ability to understand and meet the needs of others |
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Term
| Vulnerable Population Group |
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Definition
| subgroup of the population that is more likely to develop health problems as a result of exposure to risk or to have worse outcomes from the health problems than the rest of the population |
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| racial or ethnic differences in the quality of care that are not due to access related factors or clinical needs, preferences, and appropriateness of intervention |
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| a measure of patients' ability to read, comprehend, and act on medical isntructions |
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| persons whose income is above the federal guidelines but whose income is inadequate |
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| refers to individuals and families who remain poor for long periods and whose poverty is multigenerational |
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| individual using the drug as well as that individual's expectations, including unconscious expectations about the drug being used |
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| the influence of the physical, social and cultural environment within which the use occurs |
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| pattern of abuse characterized by an overwhelming preoccupation with the use of a drug, securing its supply and high tendency to relapse if drug is removed |
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| state of neuroadaptation cause by chronic regular administration of a drug, continued use necessary to prevent withdrawals |
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| 4 Hs for Assessment of Drug use patterns |
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Definition
How is it taken How much How often How long |
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Pre-contemplation Contemplation Preparation Action Maintenance |
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| ranges from violent physical attacks to passive neglect |
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| failure to provide for the child (physical, emotional, medical and education) |
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