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22 Cards in this Set

  • Front
  • Back
What is the basis of the assessment in underserved populations?
Grounded in trusting approaches that are mutually defined between health professionals and those living in situations that are less than ideal
What is vulnerability?
May be at risk for a negative outcome
Describe underserved populations.
–Subgroup of the population
–Higher risk of developing health problems
–Greater exposure to health risk because of marginalization
•Sociocultural status
• Access to economic resources
• Age
•Gender
What is a transgender male?
A biologically born female that has begun or finished the process of becoming male and identifies as male
In terms of mental health, what are LGBT populations at risk for?
Higher rates of depression and suicide
List the examples of populations whose social determinants of health make them at higher risk for health
•High-risk mothers
•Chronically ill and disabled people
•People living with HIV/AIDS
•Mentally ill people
•Substance abusers
•Homeless people
•Immigrants and refugees.
Why are rural populations considered vulnerable?
They must fight social inequities and health disparities
What 3 things can definitions of rural areas be based on?
–Administrative
–Land use
–Economic concepts
Define a health professional shortage area.
Geographic area, population group, or medical facility with shortages of health care professionals that may not allow a full complement of health care services
Define a medically underserved area.
Area that is determined with a calculation of a ratio of primary medical care physicians per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population age 65 or above.
What is a medically underserved POPULATION?
•US federal designation for those populations that face economic barriers (low-income or Medicaid-eligible populations) or cultural and/or linguistic access barriers to primary medical care services.
What are the 7 A's of challenges to elders in rural areas?
•Availability
•Accessibility
•Affordability
•Awareness
•Adequacy
•Acceptability
•Assessment
What are the reasons for homelessness?
–Deinstitutionalization efforts of the 1960s to mainstream the mentally ill into society
–Unemployment and underemployment
–Domestic violence
–Abandonment
–Natural disasters and fires
–Disability
–Substance abuse and addiction
–Immigration
–Political unrest and wars
What is the average age of inmates?
37
Which populations make up the majority of inmates in the prison system?
African Americans and Latino
What are the proper nursing approaches to homelessness?
•Show respect and use a positive approach, which builds trust.
•Support primary (advocacy), secondary (tuberculosis screening), and tertiary ("detox" treatment) prevention to make it easier to cope with difficult, challenging lives.
what levels of prevention must be addressed for people who end up in correctional facilities?
All levels!!!!
According to health people 2010, what are the top 14 health priorities in rural settings?
1. Access to quality healthcare
2. Heart Disease
3. Diabetes
4. Mental health
5.Oral health
6. Tobacco use
7. substance abuse
8. education and community-based programs
9. maternal, infant, and child health
10. Nutrition and overweight
11. cancer
12. public health infrastructure
13. immunization and infectious diseases
14. injury and violence protection
What is CLAS?
National standards for "Culturally and Linguistically Appropriate Services in Health
How many standard were created by CLAS? and why>?
14 must/should be met in ordered to be reimbursed/accredited
according to the VNSNY, What are the criteria for Medicaid?
 Homebound not required
 Skilled need defined by Medicaid
 May be custodial care or short-term
 Physician generated orders  Financial eligibility required
What criteria for medicare to cover visiting nurses?
 Patient is homebound – cannot go out without assistance
 Skilled need defined by Medicare
 Part-time/intermittent care
 Physician-generated orders  Reasonable and necessary care