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PNUR 100
Health 1
108
Health Care
Undergraduate 1
09/23/2007

Additional Health Care Flashcards

 


 

Cards

Term
The Biomedical Model
of health care
Definition
empirical approach to health, based on scientific research and teaching
Term
The Behavioral Model
of health care
Definition
4 principle factors affect health:
1) biology
2) environment
3) lifestyle
4) health care organization
Term
Socioeconomic factors
in health care
Definition
- includes importance of relationship between health, economic and social dimensions of a community
- emphasis on health promotion and protection
Term
The Health illness Continuum
Definition
Health is a dynamic state that fluctuates as a person adapts to internal and external changes
Term
Determinants of Health:
Definition
1- living and working conditions
2- social support
3- genetic makeup
4- individual behaviors
Term
3 levels of preventive care
Definition
1. Primary = wellness

2. secondary = treats early symptoms

3. tertiary = prevents further complications
Term
Primary Care
Definition
maintain wellness
Term
Secondary Care
Definition
treats early symptoms
Term
Tertiary care
Definition
prevents further complications
Term
Health Belief Model
of health and illness
Definition
ideas and attitudes about health and illness influence health behavior, leading to an affect on the level of health
Term
Health Promotion Model
of health and illness
Definition
multidimensional, intended to increase level of wellbeing
Term
Holistic Health Model
of health and illness
Definition
comprehensive view of a person as a biopsychosocial and spiritual being
- empowers clients in own healing
Term
5 Principles of the 1984 Canadian Health Care Act
Definition
1. Public Administration
2. Comprehensiveness
3. Universality
4. Portability
5. Accessibility
Term
Public Administration
Definition
-not for profit
-publicly run
-subject to audits
Term
Comprehensiveness
Definition
-must cover all medically necessary services
Term
Universality
Definition
-entitles all insured people to the same coverage
Term
Portability
Definition
-max 3 month wait before eligible for provincial insurance
- services out of country covered at Canadian rate
Term
Accessability
Definition
-reasonable access by insured persons must be unimpeded by financial or other barriers
Term
Healthy Public Policy
Definition
policy enacted that is characterized by explicit concern for health and equity and by accountability for health impact
Term
Criteria Required for Federal Funding
Definition
5 Principles of Canadian Health Care

1. public administration
2. comprehensiveness
3. universality
4. portability
5. accessability
Term
Mental Health is ...
Definition
the ability for each person to feel, think, and act in ways that enhance ability to enjoy life and deal with challenges
Term
Mental Health Act (does 3 things)
Definition
1. ensure that people requiring mental health care receive it according to the 5 principles
2. set guidelines to aid h.c. workers with boundaries
3. ensure that abuse does not happen
Term
How do we ensure quality h.c. in Canada?
Definition
1. governing bodies for doctors, nurses and other health professionals
2. Canadian Council on Health Services Accreditation
3. provincial health care regulations
Term
what does Mental health promotion do?
Definition
enhances the capacity of person, family and community to take control of their lives and improve mental health
Term
empowerment
Definition
people and communities recognizing and fostering own sense of personal strength and control
Term
resilience
Definition
whether we bounce back from the lows in life or stay in frustration and depression
-level of flexibility
Term
involuntary consent
definition and 3 reasons
Definition
- patient is committed to a facility against his/her will
1. danger to self or risk of danger to self
2. potential danger/risk to others
3. requires treatment in a facility
Term
voluntary consent
Definition
informed consent
Term
implied consent
Definition
as when we undergo routine tests
Term
presumed consent
Definition
in life threatening situations
Term
vicarious consent
Definition
significant others or guardians giving consent when patient is unable to do so
Term
4 consumer rights in health care
Definition
1. right to be informed
2. right to be respected as an individual with responsibility for own health care
3. right to participate in decision making affecting one's own health
4. right of equal access

Respected
Informed
Participate
Access
Term
Health Care Professional Responsibilities
Definition
1. ensure that clients know their rights
2. advocate for clients as needed
3. support and direct clients to work in and through the health care system
4. educate clients, empower them
Rights
Advocate
Support
Educate/empower
Term
ethnicity
Definition
race, origin, heritage.
not necessarily birth place
Term
ethnorelativism
Definition
belief that there are many valid interpretations of behavior based on ethnicity/culture
Term
ethnocentrism
Definition
looking at the world through the lens of one's own culture
Term
acculturation
Definition
process of learning beliefs, values and life ways of a different culture
Term
cultural mosaic
Definition
multicultural society retaining the distinct cultural identity of all groups
Term
cultural melting pot
Definition
blending of nationalities into a homogeneous identity
Term
race
Definition
classification based on traits
Term
socialization
Definition
learning ways and beliefs of one's own culture
Term
assimilation
Definition
absorbing people into a larger group causing minority to acquire the characteristics of the majority
Term
integration
Definition
bringing into equal participation or membership of a society
Term
cultural sensitivity
Definition
ways of thinking and behaving that enable members of cultural groups to work effectively together
Term
LEARN
(acronym for working with people from other cultures)
Definition
L listen
E explain
A acknowledge
R recommend
N negotiate
Term
psychosocial dimension
Definition
emotional, mental, social
Term
cognitive dimension includes
Definition
memory, attention/concentration, thought, social judgement, insight, speech
Term
developmental dimension
Definition
comparison of developmental milestones to client data in areas of tasks, behaviors and changes
Term
developmental dimensions
Definition
psychosocial
physical
cognitive
spiritual
Term
influential (developmental) dimensions
Definition
culture
environment
Term
confusion
Definition
-disoriented to time and space
-can come and go
Term
dilirium
Definition
-state of mental confusion
-frenzied, excited
-develops suddenly, lasts short time
Term
disorientation
Definition
-perception of the environment is incorrect in relation to time, place and person
Term
A & O x3
Definition
alert and oriented to time place and person
Term
dementia
Definition
impaired intellectual functioning
-interferes with ADLs
-permanent
Term
Alzheimers Characteristics (4 A's)
Definition
amnesia
agnosia
apraxia
anomia
Term
amnesia
Definition
memory loss
Term
agnosia
Definition
inability to recognize sensations
Term
apraxia
Definition
inability to coordinate purposeful movement
Term
anomia
Definition
inability to name objects
Term
4 levels of consciousness
Definition
conscious
lethargic
semi-comatose
comatose
Term
conscious
Definition
alert and aware
Term
lethargic
Definition
abnormal drowsiness, sluggish
Term
semi-comatose
Definition
stuporous, not completely unconscious
Term
comatose
Definition
unconscious, no response to verbal or painful stimuli
Term
perception
Definition
the end result of the process of receiving and interpreting sensory input
Term
adaptation (to stimulus)
Definition
brain stops perceiving available stimuli because there has been too much or too little of the same stimuli
Term
proprioceptor
Definition
sensory nerve endings which provide info about movement and position of the body
Term
kinesthesia
Definition
sense of where body parts are in relation to other body parts
Term
vestibular system
Definition
gives info about body position in space, gives sense of balance
Term
vestibular system
Definition
gives info about body position in space, gives sense of balance
Term
kinesthesia
Definition
sense of where body parts are in relation to other body parts
Term
vestibular system
Definition
info about body position in space, gives sense of balance
Term
sensory deficit
Definition
loss or decrease in one of the senses
Term
aphasia
Definition
inability to speak
Term
sensory distortion
Definition
false perception, hallucination, illusion
Term
expression of spirituality (4 relationships)
Definition
1. relationship with deity/god/faith
2. relationship with self
3. relationship with others
4. relationship with nature
Term
environment
Definition
all factors physical and psychological that influence life and survival of a person
Term
environment - 3 aspects
Definition
physical
socioeconomic
political
Term
stress
Definition
effect of life's pressures and events
Term
stressor
Definition
stimulus that disrupts homeostasis
Term
eustress
Definition
beneficial stress
Term
distress
Definition
harmful stress, causes disease
Term
types of stress (3)
Definition
extrinsic - no control over
intrinsic - internal
modifiable- changeable
Term
extrinsic stress
Definition
no control over
Term
intrinsic stress
Definition
internal, created by poor choices, negative behaviors and thoughts
Term
modifiable stress
Definition
changeable
Term
physiological stress
Definition
gravity, poison, pain, nutrition, exercise, etc
Term
psychological stress
Definition
fear, worry, faulty thought patterns, etc
Term
sociocultural stress
Definition
relationships, changes, major life events
Term
environmental stress
Definition
rain, pollution, etc
Term
General Adaptation Syndrome
GAS
3 stages
Definition
1. alarm reaction
2. stage of resistance
3. stage of exhaustion
Term
GAS
stage 1
Definition
1. alarm reaction - fight/flight
Term
GAS
stage 2
Definition
1. alarm reaction
2. stage of resistance - attempt to balance - homeostasis
Term
GAS stage 3
Definition
1. alarm reaction
2. stage of resistance
3. stage of exhaustion - sick, depressed
Term
General Adaptation Syndrome
GAS is triggered by this body part
Definition
the hypothalamous
Term
0-1 year old
stage?
conflict?
outcome?
Definition
stage - oral sensory
conflict - trust vs. mistrust
outcome - drive and hope
Term
1-2 year old
stage?
conflict?
outcome?
Definition
stage - musculo-anal
conflict - autonomy vs shame and doubt
outcome - self control and willpower
Term
3-6 year old
stage?
conflict?
outcome?
Definition
stage? locomotor
conflict? initiative vs guilt
outcome? direction and purpose
Term
6-12 year old
stage?
conflict?
outcome?
Definition
stage? latency
conflict? industry vs inferiority
outcome? method and competence
Term
12-18 year old
stage?
conflict?
outcome?
Definition
stage? adolescence
conflict? identity vs role confusion
outcome? devotion and fidelity
Term
19-40 year old
stage?
conflict?
outcome?
Definition
stage? young adulthood
conflict? intimacy vs isolation
outcome? affiliation and love
Term
40-65 year old
stage?
conflict?
outcome?
Definition
stage? middle adulthood
conflict? generativity vs stagnation
outcome? production and care
Term
65+ year old
stage?
conflict?
outcome?
Definition
stage? maturity
conflict? integrity vs despair
outcome? wisdom and renunciation
Term
crisis point (Erikson)
Definition
previous self-understanding is no longer sufficient
Term
4 patterns of development
Definition
1. simple to complex
2. general to specific
3. cephalocaudal (head to toe)
4. proximodistal (inner to outer)
Term
Denver Screening Test
who for?
4 things it assesses
1 it does not
Definition
assessment for 1-6 month old

1.gross motor
2.language
3.fine motor adaptive
4.personal-social

does not assess intelligence
Term
growth vs development
Definition
growth is measurable, quantitative
while development is a change in capacity or function
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