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51 Cards in this Set

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A ____ ____ system is the totality of services offered by all health disciplines. It is one of the largest industries in the United States. The primary purpose was to provide care to the ill and injured.
health care
What kind of prevention: health promotion and illness prevention?
primary prevention
What kind of prevention: diagnosis and treatment
secondary prevention
What kind of prevention: rehabilitation and health restoration
tertiary prevention
The US departion of health and human services project that evolved from the original work is called _______ and has two primary goals: increase quality and years of health life and eliminate health disparities.
Healthy People 2010
____ is a process of restoring ill or injured people to optimum and functional levels of wellness. Care emphasizes the importance of assisting clients to function adequately in the physical, mental, social, economic, and voactional areas of their lives. The goal is to help people move to their previos level of health or the highest level they are capable of given their current health status.
rehabilitation
The ____ ____ Service of the U.S. Department of Health and Human Services is an official agency at the federal level. Its functions include conducting research and providing training in the health field, providing assistance to commmunities in planning and developing health facilities, and assisting states and local communities through financing and provision of trained personnel.
Public Health System (PHS)
_____ _____ centers are used frequently in many communities. They have diagnostic and treatment facilites providing medical, nursing, laboratory, and radiological services, and they may or may not be attached to or associated with an acute care hospital. Some provide services to people who require minor surgical procedures that can be performed outside the hospital. These centers offer two advantages: They permit the client to live at home whille obtaining necessary health care, and they free costly hospital beds for seriously ill clients.
ambulatory care centers
___ hospitals admit clients requiring a variety of services, such as medical, surgica, obstetric, pediatric, and psychiatric services.
general
An ____ care hospital provides assistance to clients who are acutely ill or whose illness and need for hospitalization are relatively short term for example, 2 days.
acute
The ____ ____ role is to ensure that clients receive fiscally sound, appropriate care in the best setting. They may be a nurse, a social worker, an occupational therapist, a physical therapist, or any other member of the health care team.
case manager
____ ____ describes a health care system whose goals are to provide cost-effective, quality care that focuses on decreased costs and improved outcomes for groups of clients. In this setting health care providers and agencies collaborate so as to render the most appropriate, fiscally responsible care possible.
managed care
_____ management describes a range of models for integrating helath care services for individuals or groups. Generally it involves multidisplinary teams that assume collaborative responsibility for planning, assessing needs, and coordinating, implementing, and evaluating care for groups of clients from presdmission to discharge or transfer and recuperation. May be a nurse, social worker or other appropriate professional
case management
Both case management and managed care systems often use ___ ___ to track the client's progress. It is an interdisciplinary plan or tool that specifies interdisciplinary assessments, interventions, treatments, and outcomes for health related conditions across a time line. They are also call critical paths, interdisciplinary plans, and action plans.
critical pathways
_____ ____ care is a delivery model that brings all services and care providers to the clients. These units often have their own admitting, pharmacy, laboratory, and radiology areas, although variations exist among some agencies. Cross training is an essential component.
patient focused care
The purpose of _____ practice is to make the best possible use of nursing personnel based on their educational preparation and resultant skill sets. This model further requires the delination of roles between both licensed nursing personnel and UAPs. This enable nurses to progress and assume roles and responsibilities appropriate to their level of experience, capability,a nd education. It seeks to provide quality care at an affordable cost.
differentiated
This is an organizational model in which nursing staff are cooperative with administrative personnel in making, implementing, and evaluating client care policies. The focus of this model is to encourage participating of nurses in decision making at all levels of the organization. More commonly, nurses participate through serving in decision-making groups, such as committees and task forces. The principle is that employees will be more committed to the organizational goals if they have had input into planning and decision making.
shared governance
The ___ method, also referred to as total care, is one of the earliest nursing models developed. In this client centered method , one nurse is assigned to and is responsible for the comprehensive care of a group of clients during an 8 or 12 hour shift. For each client, the nurse assesses needs, makes nursing plans, formulates diagnoses, implements care, and evaluates the effectiveness of care. In this method, a client has consistent contact with one nurse during a shift but may have different nurses on other shifts.
case method
The ____ nursing method focuses on the jobs to be completed. In this task oriented approach, personnel with less preparation than the professional nurse perform less complex care requirements. Its disadvantages are framentation of care and the possibility that nonquantifiable aspects of care, such as meeting the client's emotional needs, may be overlooked.
functional
____ nursing is the delivery of individualized nursing care to clients by a team led by a professional nurse. It consists of registered nurses, licensed practical nurses, and unlicensed assistive personnel. The registered nurse retains responsibility and authority for client care but delegates appropriate tasks to the other team members. Proponents of this model believe the team approach increases the efficiency of the registered nurse.
team
_____ nursing is a system in which one nurse is responsible for total care of a number of clients 24 hours a day, 7 days a week. It is a method of providing comprehensive, individualized, and consistent care. Assesses and prioritizes each client's needs, identifies nursing diagnoses, develops a plan of care with the client, and evaluates the effectiveness of care. It encompasses all aspects of the professional role, including teaching, advocacy, decision making, and continuity of care.
primary
____ ____ care is defined as essential health care based on practical , scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the communitey through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self reliance and self determination. It incooperates five principles: equitable distribution, appropriate, technology, a focus on health promotion and disease prevention, community participation, and a multisectoral approach
primary health care (PHC)
_____ care according to the Institute of medicine is the provision of integrated accesible health care services by clinicians who are accountable for addressing a large majority of personal health services, developing a sustained partnership with patients, and practicing in the context of family and community.
Primary care
___ is community driven and involves and approach that requires active community involvement in making decision to improve health. It is community based, PC, on the other hand, is expert driven and involves an approach by health professionals who advise individuals and communities about what is best for theith health.
PHC
_____ health care is a PHC system that provides health related services within the context of people's daily lives-that is, in places where people spend their time, for example, in the home, in shelters, in long-term care residences, at work, in schools, in senior citizens centers, in ambulatory settings and in hospitals. Care is provided to individuals who have common needs and live within defined region.
community based
An _____ health care system is one that makes all levels of care available in an integrated form- primary care, secondary care, and tertiary care. Its goals are to facilitate care across settings, recovery, positive health outcomes, and the long term benefits of modifying harmful lifestyles through health promotion and disease prevention. This type of system is sometimes referred to as seamless care.
integrated health care
____ nursing centers provide primary care to specific populations and are staffed by nurse practitioners and community health nurses. although the nurses are the primary providers of care to clients visiting the center, a physicians consultation is available as needed.
community nursing
These are relatively small freestanding clinics providing services similar to those traditionally provided by large public health clinics but focused on a narrower population.
community outreach centers
These are associated with a large parent organizatin such as a hospital, corporation, or university or college.
institution based centers
These provide services such as health promotion, health maintenance, education, counseling, and screening. In some settings they are staffed by members of the health care team other than nurses (e.g. physical therapists or occupational therapists).
wellness center
Who founded parish nursing?
Reverend Granger Westberg
____ nursing is one of the few community based nursing roles found with a similar structure and focus in nations around the world.
parish
____ projects use communication and information technology to provide health information and health care services to people in rural, remote or underserved areas.
Teleheath.
_____ based nursing is nursing care directed toward specific individuals. However, it involves nursing care that is not confined to one practice setting. It extends beyond institutional boundaries and involves a network of nursing services: nursing wellness centers, ambulatory care, acute care, long term care nursing services, telephone advice, home health, and hospice services
community based
Community based nursing focuses on care of individuals in geographically local settings, whereas community ___ nursiing emphasizes the promotion and preservation of the health of groups (populations or aggregates).
health
____ means a collegial working relationship with another health care provider in the provision of (to supply) patient care. These practices require (may include) the discussion of patient diagnosis and cooperatin in the management and delivery of care.
collaboration
_____ of care is the coordination of health care services by health care providers for clients moving from one health care setting to another. Ensures uninterrupted and consistent services for the client from one level of care to another, and when coordinated appropriately, it maintains client focused individualized care and helps optimize the client's health status.
continuity of care
____ ____ is the process of preparing a client to leave one level of care for another within or outside the current health care agency.
discharge planning
____ prevention focuses on health promotion and protection against specific health problems The primary purpose is to decrease the risk or exposure of individuals or community to disease. e.g. immunization against hep B
primary
____ prevention focuses on early identification of health problems and prompt intervention to alleviate health problems. Its goal is to identify individuals in an early stage of a disease process and to limit future diability.
secondary
____ prevention focuses on restoration and rehabilitation with the goal of returning the individual to an optimal level of functioning.
tertiary
health ____ is a behavior motivated by the desire to increase well being and actualize human health potential. not disease oriented, motivated by personal positive approach to wellness, and seeks to expand positive potential for health
promotion
health ___ or illness prevention is the behavior motivated by a desire to actively avoid illness, detect it early, or maintain functioning within the contraints of the illness. Illness or injury specific, motivated by avoidance of illness, seeks to thwart the occurence of insults to health and wellbeing.
protection
In the ____ stage, the person typically denies having a problem, views others as having a problem, and therefore, wants others to change their behavior. They do not think about changin behavior, nor are they interested in information about the behavior. has no intention to take action within the next 6 months
precontemplation
During the ____ stage, the person acknowledges having a problem, seriously considers changing a specific behavior, activly gathers informatin, and verbalizes plans to change the behavior in the near future. INtends to take action within the next 6 months
contemplation
The ____ stage occurs when the person undertakes cognitive and behavioral activities that prepare the person for change. At this stage, the person makes the final specific plans to accomplish the change. Some people in this stage may have already started making small behaviorla changes, such as eliminating sugar in their coffee. Intends to take action within 30 days and has taken some behavioral steps
preparation
The ___ stage occurs when the person activly implements behavioral and cognitive strategies to interrupt previous behavior patterns and adopt new ones. This stage requires the greatest commitment of time and energy.
action
During the ____ stage, the person integrates newly adopted behavior patterns into his or her lifestyle. This stage lasts until the person no longer experiences temptation to return to previous unhealthy behaviors. has change overt behavior for more than 6 months
maintenance
The ____ stage is the ultimate goal where the individual has complete confidence that the problem is no longer a temptation or threat. Overt behavior will never return, and there is complete confidence that you can cope without the fear of relapse.
termination
Information ____ is the most basic type of health promotion program. This method makes use of a variety of media to offer information to the public about the risk of particular lifestyle choices and personal behavior, as well as the benefits of changing that behavior and improvingn the quality of life.
dissemination
A ___ ___ assessment is an assessment and educational tool that indicates a client's risk for disease or injury during the next 10 years by comparing the client's risk with the mortality risk of the corresponding age, sex, and racial group.
health risk