Test 3 Nu210

Front 1

Official or Public Agencies

Back 1

these agencies are operated by state or local governments and primarily financed by tax funds. Most offer home care and disease-prevention programs in the community

Front 2

Voluntary or Private non-profit Agencies

Back 2

Supported by donations, endowments, charities, and insurance reimbursements. They are governed by a board of directors, usually representing the community they serve.

Front 3

Private agencies

Back 3

most are for-profit organizations governed by individual owners or national corporations. Their services are paid for through healthcare insurance or individual self-pay

Front 4

Institution-based agencies

Back 4

Operate under a parent organization, such as a hospital. The home care agency is governed by the institution, and most referrals for care come from within the institution

Front 5

High-technology pharmacy services

Back 5

intravenous therapy
home uterine monitoring
ventilator management
chemotherapy

Front 6

skilled professional/paraprofessional services

Back 6

nursing care
care by home health aides
personal care
All the therapists
medical social work

Front 7

Custodial services

Back 7

Homemaking and housekeeping
hourly or shift coverage
live-in services
companionship

Front 8

Home medical services

Back 8

providing durable medical equipment such as beds, braces, canes, crutches, wheelchairs, commodes, and oxygen

Front 9

Hospice services

Back 9

pain management
physician services
spiritual support
respite care
bereavement counseling

Front 10

Community support services

Back 10

meals on whels
transportation
friendly visitor
delivery services
emergency answering services

Front 11

Good death (box 43-1)

Back 11

guided by pt values
palliative care
cultural sensitive
funding for research of optimal care

Front 12

AIDs

Back 12

HIV, positive ELISA and western blot test
fatigue, diarrhea, weight loss, enlarged lymph nodes, fever, anorexia, and night sweats

Front 13

Cervical cancer

Back 13

Abnormal pap smears
women with multiple partners
asymptomatic
possible vaginal bleeding or spotting

Front 14

Chlamydia

Back 14

most prevalent STI to date
intracellular bacteria
vaginal discharge, burning on urination, urinary frequency, dysura, and uretheral soreness
women dont have symptoms
clear, liquid

Front 15

cytomegalovirus CMV

Back 15

same family as herpes + epstein-barr
may be asymptomatic or confused with pneumonia, mononucleosis, hepatitis
not exclusive to STI

Front 16

nonspecifc vaginitis

Back 16

foul-smelling, thin, grayish white vaginal discharge
male have no symptoms

Front 17

gonorrhea, "the clap" "the drip"

Back 17

may not have symptoms
men: purulent, dysuria, frequent urination
women: dysuria, abnormal menses, vaginal discharge, pelvic inflammatory disease
newbords exposed may be blind or have pneumonia
untreated can result in infertility, skin rash with lesions, and acute arthritis

Front 18

Herpes Simplex

Back 18

first infections last about 14 days, subsequent infections are shorter

Front 19

HPV, genital warts

Back 19

pale, soft, papillary lesions found around the genitilia and rectal
profuse watery vaginal discharge, dyspareunia, intense pruritis, and vulvar irritation
women are at risk for cervical cancer

Front 20

Syphilis

Back 20

3 stages:
primary- single painless genital lesion
secondary- generalized skin rash, enlarged lymph nodes, fever
latent- usually no clinical symptoms for as long as 20 yrs. may harm neuro/cardio

Front 21

trichomoniasis

Back 21

ID'd by wet mount of vag discharge
asymptomatic in males
foul-smelling discharge, thin, foamy, and green in color, cuases itching of vulva and vagina, burning on urination and dyspareunia, "strawberry" cervix"