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44 Cards in this Set

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Primary Prevention involves:

avoiding disease aand illness through health promotion and disease prevention e.g: DARE program

Occupational: industry hires its own nurses and gyms, creates stretching programs
Clinics: e.g. well baby programs and vaccination programs
Schools: health education programs and requiring
immunizations for admission.
Secondary Prevention involves:
usually in an acute care setting
ICU/Psychiatry units
perform screening and diagnostic procedures aimed at early detection
quick intervention
health maintenance
prevention of complications
Tertiary Prevention involves:
Restorative care/specialized services
usually found in long term care situations:
ECF Extended care facilities patients can go home
Skilled nursing facilities-SNFpatients can't go home
Respite care
Adult day care
provide rehabilitation
restoration and maintenance of optimal functioning.
activities of daily living
Respite care
tertiary care
gives caregiver a temporary break from caring for patient for a period of time
Adult Day Care
tertiary care
provides daily drop-off adult activities
physical and recreational therapy
administer medications
Hospice care
tertiary care
usually in a home setting
provides end of life care for terminally ill patients
Home health care
tertiary care
e.g. Visiting Nurse Service - VNS
works off a plan of care for the patient who needs assistance
documentation is important for insurance reimbursement
may be governed by the Dept. of Health
Continuity of care:
involves documentation and communication
uses case management planning to ensure a smooth transition from: admission to discharge
transfer between hospital units
transfer to long term care
or home care referrals
Veterans Administration
an official agency
Public Health Service
encompasses the:
US Coast Guard's Medical Branch
Indian Health Services for Native Americans
Physical Therapist
seek to restore function or prevent further disability after an injury or illness
Respiratory Therapist
trained in techniques that improve pulmonary function & oxygenation.
Occupational Therapist
assist physically challenged patients to adapt to limitations in order to be able to perform ADL's
Speech Therapist
help hearing impaired patients to speak more clearly
help stroke victims to relearn speech
correct speech disturbances
diagnose and treat swallowing problems in patients who have had head injury or a stroke.
Registered Dietician
manage and plan dietary needs of patients
Social Worker
council patients and families and informs them of various community services
National and State insurance for those older than 65 and permanently disabled workers that qualify for Social Security
Federally funded public assistance for people of any age with low income
Group health plans
Health Maintenance Organization
managed care where patients receive their healthcare through a group of affiliated providers
Group health plans
Preferred Provider Organization
patients use affiliated health providers but have the option of choosing outside providers by paying the difference in cost out of pocket.
LTC Insurance
Long Term Care Insurance
long term care, nursing home,home care, adult daycare, respite & other services that help prevent the institutionalization of the older, debilitated and chronically ill patient.
someone who uses a commodity or service.
Private Insurance
Third Party Payers
whereby monthly premiums are paid by the consumer.
the provider and service is chosen by the consumer.
Fragmentation of care
breaks continuity of care
occurs when a patient sees multiple specialists for illnesses.
can create conflicting care plans and medication prescriptions.
results in high health costs
Managed Care Systems
a model of providing care designed to control costs while still maintaining quality
care is planned and monitored by the primary care provider(Gatekeeper)
from initial contact to discharge.
Ambulatory care
centers and clinics that deliver care on an outpatient basis.
often staffed by APRN's
improves access to the uninsured
outpatient care
care for those not needing to stay in an institution.
inpatient care
care for patients that require staying in a facility for 24 hours or more.
palliative care
evolved from hospice care,
not restricted to end of life care. focused on the relief of physical, mental and spiritual distress.
provided by an interdisciplinary team
Informatics in Nursing
a specialty that integrates nursing science, computer science and informational science to manage and communicate data, information and knowledge in nursing practice.
The Nursing Process' 5 steps
systematic method for giving patient care:
critical pathways
a case management system that identifies specific protocols and timetables for care and treatment by various disciplines designed to achieve expected patient outcomes within a specific time-frame.
Diagnostic Related Groups
the classification of patients by major medical diagnoses for the purpose of standardizing healthcare costs.
What is the setting considered the organizational center of the US healthcare system?
the acute care setting.
What is the factor that most affects health care delivery to the older population?
the high tendency for older adults to fall and become injured.
A patient's plan of care is developed through..
the nursing process.
Acuity in a hospital setting is defined as:
the severity of a hospitalized patient's condition & the level od attention needed from the professional staff.
Which population group is the greatest challenge to the financing of health care in the US?
older adults
Which group is the most underserved in the US healthcare system?
children, because:
they cannot be theiir own advocates
1 in 5 live in poverty conditions
1 in 5 are uninsured
35% are not immunized.
What is the cornerstone of
"Nursing's Agenda for Healthcare Reform"?
all people have the right to healthcare and services must be provided in environments that are:
& friendly.
Give the best example of where inpatient care is delivered:
an ECF - Extended Care Facility.
in 1990, Healthy People 2000 differentiated the primary prevention delivery of healthcare into 3 areas. They are:
health promotion
health protection
preventive health services
community forum
inviting people from the community to share opinions and concerns on an issue for the purpose of collecting data.