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43 Cards in this Set

  • Front
  • Back
List the 3 levels of health prevention
primary - prevent initial occurrance
secondary - screening
tertiary - management plans, life improvement with disease
What type of prevention measures are
1) syringe exchange
2) pap smears
3) tax on cigarettes
Health prevention levels are:
1) tertiary
2) secondary
3) primary
List the burden of chronic disease in indigenous individuals
CV, respiratory (smoking, hygeine, diabetes), X syndrome, diabetes, substance abuse
Define health promotion
1) improve health of community
2) restore health
3) prevent illness & disease
4) empowerment via knowledge, education, legal, social, economic support
What are the 3 factors influencing disease prevention
1) upstream (material): infrastructure, social status, racism, ageism etc
2) midstream (psychosocial): immediate factors - occupation, social support
3) downstream (behavioural risk factors)
List the 3 levels of health prevention
primary - prevent initial occurrance
secondary - screening
tertiary - management plans, life improvement with disease
What type of prevention measures are
1) syringe exchange
2) pap smears
3) tax on cigarettes
Health prevention levels are:
1) tertiary
2) secondary
3) primary
List the burden of chronic disease in indigenous individuals
CV, respiratory (smoking, hygeine, diabetes), X syndrome, diabetes, substance abuse
Define health promotion
1) improve health of community
2) restore health
3) prevent illness & disease
4) empowerment via knowledge, education, legal, social, economic support
What are the 3 factors influencing disease prevention
1) upstream (material): infrastructure, social status, racism, ageism etc
2) midstream (psychosocial): immediate factors - occupation, social support
3) downstream (behavioural risk factors)
Define obesity in adults
BMI > 30
Define BMI in children
95th percentile
Divide health promotion into 3 broad categories, give examples wrt alcohol consumption
1) Primary prevention: before harm occurs (education campaigns, min legal age, taxation, RBTs)
2) Secondary: prevent progression (counselling services, medications)
3) Tertiary: minimise harm (monitor neurological, cardiovascular, LFTs)
What is the CHAP program and what are the benefits
1) Comprehensive Health Assessment Program
2) Improvements in diagnosis of vision impairment, hearing tests, immunisations & women's health (pap smears)
List 3 strategies aimed at reversing the inverse health law for intellectually disabled patients
1) CHAP review
2) ASK diary
3) Medicare items for comprehensive annual GP reviews
What are 5 experiences felt by families of disabled patients
1) marginalisation
2) blurring public and private spheres
3) treatment oas a set of conditions, not an individual
4) role of a burden & receiver of care, not contributer to society
5) shunted between many services not taking responsibility for patient's welfare
Describe the public health picture of down's syndrome patients
1) high mortality (early 50's)
2) high morbidity (ave 5 per person)
3) poorly treated (usually have 2 undiagnosed conditions)
4) pervasive devaluing by health providers
What is the medical model definition of intellectual disability
1) IQ < 70
2) onset < 18yo
3) deficit in adaptive behavoiur
What is the social model definition of intellectual disability
A level of functioning that requires superior training in adaptive behaviour and supporting assest so that normalisation is achieved
List 3 of the top items for where social disadvantage has exacerbated health problems
1) respiratory system
2) cardiovascular disease
3) trafffic accidents
How does "risky behaviour" explain the higher burden of disease borne by the socially disadvantages
smoking (far greater)
car accidents (alcohol, drugs, speed)
lifestyle: sedentary, obesity, poor nutrition
List 4 theories explaining poorer health outcomes in underpriveliged groups
1) risky behaviour (driving speed and alcohol, smoking, poor nutrition, infrequent health checks, unsafe sex)
2) downward social mobility
3) poor access to health care
4) structural: unhealthy work and living conditions, lack of social support and social exclusion -> stress -> higher tobacco and drug use
Dengue incidence and distribution has increased exponentially. Why
urbanisation and poverty, mass travel and migration
What is THE global health problem
When the determinants of health aren't restricted by national or geographical boundaries
What are the issues surrounding agriculture wrt global health
Grain shortage for biofuels
Globalisation
Use of antibiotics in food production
Tobacco pandemic
How does WHO view dengue
MDG (minimum development goals) include eradicating vector borne diseases and other infectious diseases
Give examples of zoonoses
salmonella, rabies, campylobacterosis, q fever, lyme disease
protozoa: giardia, toxoplasmosis
fungi
viruses: sars, h1n1, ebola
How is the population explosion in poor nations impacting on global health and vector borne diseases
Competition for space leading to migration, deforestation, urbanisaton (megacities with majority urban poor), intensive agriculture (land degradation) all impacting on proliferation of vectors, spread of infected individuals and vectors (mossie, ticks, mites, rats)
Dengue incidence and distribution has increased exponentially. Why
urbanisation and poverty, mass travel and migration
What is THE global health problem
When the determinants of health aren't restricted by national or geographical boundaries
What are the issues surrounding agriculture wrt global health
Grain shortage for biofuels
Globalisation
Use of antibiotics in food production
Tobacco pandemic
How does WHO view dengue
MDG (minimum development goals) include eradicating vector borne diseases and other infectious diseases
What is medical pluralism
Recognising cultural, social, linguistic diversity
What are the main considerations regarding refuges
Victims of physical, sexual and paychological violence
Women are often preliterate, even in native language
No experience with empowerment-little motivation to be proactive re medical treatment (need clear explanations, respect capacity and autonomy, overcome mistrust)
Dr can refer to Settlement Support Services regarding non med problems (getting path or xrays, difficulty paying for meds)8
What is medical pluralism
Recognising cultural, social, linguistic diversity
What are the main considerations regarding refuges
Victims of physical, sexual and paychological violence
Women are often preliterate, even in native language
No experience with empowerment-little motivation to be proactive re medical treatment (need clear explanations, respect capacity and autonomy, overcome mistrust)
Dr can refer to Settlement Support Services regarding non med problems (getting path or xrays, difficulty paying for meds)8
What is medical pluralism
Recognising cultural, social, linguistic diversity
What are the main considerations regarding refuges
Victims of physical, sexual and paychological violence
Women are often preliterate, even in native language
No experience with empowerment-little motivation to be proactive re medical treatment (need clear explanations, respect capacity and autonomy, overcome mistrust)
Dr can refer to Settlement Support Services regarding non med problems (getting path or xrays, difficulty paying for meds)8
What are the main tropical diseases
ARIs
TB
Diarrhoea
Malaria (2.7 mill deaths a year)
HIV
Name the millenium health goals
empowering women
?
What is a MUAC for
Mid upper arm circumference for nutrition status of paeds
what is kwashiorkor
protein malnutrition with adequate carbs causing oedema
What are the most common nutrient deficiencies in paeds in developing countries
iron (not if breast fed)
vit a (corneal scarring)