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27 Cards in this Set
- Front
- Back
What was the focus of Health People Surgeon General (1979)?
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Health promotion and disease prevention
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What is the goal of Healthy People 2000, which started in 1990?
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• raise infant mortality • raise life expectancy
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What is the goal of Health People 2010, which started in 2000?
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• increase quality of life • increase rate of advancement • eliminate health disparities
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What is primary prevention and give examples?
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• primary prevention removes/reduces diseases & risk factors • examples are immunization, smoking cessation, improved sanitation
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What is secondary prevention and give an example?
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• secondary prevention promotes techniques for early detection of disease or precursor states • ex. pap smear
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What is tertiary prevention and give examples?
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• tertiary prevention are measures aimed at limiting the impact of established disease • ex. partial mastectomy & radoiation therapy
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What are the 4 main bioethical principles?
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• autonomy • beneficience • nonmaleficence • justice
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What is autonomy, in regards to ethical conduct?
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• autonomy means self-rule • patients have the rightto make autonomous decisions and choices • PAs should respect these decisions & choices
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What is beneficience?
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• the PA should act in the patient's best interest
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What is nonmaleficence?
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• do no harm • impose no unnecessary or unacceptable burden upon the patient
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What is meant by justice, in regards to ethics?
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• justice means that patients in similar circumstances should receive similar care • applies to norms for the fair distribution of risks, resources, & costs
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What are 2 situations when confidentiality can be breached?
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• when the patient is dangerous to themselves or others • legal obligations in concern of public welfare (reporting communicable diseases to public authorities, reporting abuse to police)
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True/False: You should bring a pencil and driver's licence on the day you take the PANCE?
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You should bring your scheduling permit and your driver's licence. The test is taken on a computer. The correct answer is: False
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What are factors the impede compliance?
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• Complex regimens • Denial of Illness • Economics • Low level of subjective distress • Outside factors that make compliance difficult • Patient perception that make compliance difficult • Poor communication between provider and patient • Side effects that are significant for the patient • Treatment that is embarrassing or humiliating
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What are factors that enhance compliance?
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• Clear instruction that the patient can repeat back to the clinician • Family support • Good rapport between physician and patient • Increased level of distress • Increased time with physician • Simple regimens
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Who are the role players in health prevention?
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• Businesses • Clinicians • Communities • Individuals • Scientists
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What are aspects that encompass "Quality of Life"?
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• Aspiration • Beliefs • Culture • Health • Recreation • Rights • Values
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What factors contribute to health disparities?
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• Disability • Education • Ethnicity • Gender • Geographic location • Income • Race • Sexual orientation
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What were the top 3 causes of death in 1900?
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1. Pneumonia 2. Tuberculosis 3. Diarrhea & enteritis
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What are the top 3 causes of death today?
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1. Heart Disease 2. Cancer 3. Stroke
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How many specific focus areas are there in Healthy People 2010 and give a few examples?
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• 28 focus areas with 467 objectives • intervention to eliminate illnesses • improving access to quality health care • strengthening public health services • improving the availability and dissemination of health-related information
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Determinant of health is influenced by what factors?
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• Access to quality health care • Behavior and environmental factors • Health status • Individual biology and behaviors • Policies and interventions
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What does NCCPA stand for?
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National Commission on Certification of Physician Assistants
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How many CME must a PA-C log in?
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100 CME every two years
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Differentiate between Category I and Category II CMEs?
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• Category I: Activity or provider is preapproved; sometimes involves direct patient care • Category II: any other education or self-learngin activity pursued outside employment (reading medical journals, post-grad work, precepting)
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What are the requirements for the 100 CME hours?
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• at least 50 category 1 hours (40 hrs must be clinical) • 80 of 100 hours must be clinical
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What are the 2 ways to recertify?
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• PANRE: 5 hour test • Pathway II: take-home exam, open book, with 6 weeks to complete
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