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44 Cards in this Set
- Front
- Back
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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. |
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Secondary Prevention involves:
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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 |
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Tertiary Prevention involves:
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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 hospice provide rehabilitation restoration and maintenance of optimal functioning. |
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ADL's
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activities of daily living
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Respite care
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tertiary care
gives caregiver a temporary break from caring for patient for a period of time |
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Adult Day Care
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tertiary care
provides daily drop-off adult activities physical and recreational therapy hygiene administer medications |
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Hospice care
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tertiary care
usually in a home setting provides end of life care for terminally ill patients |
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Home health care
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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 |
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Continuity of care:
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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 |
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VA
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Veterans Administration
an official agency |
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PHS
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Public Health Service
encompasses the: US Coast Guard's Medical Branch Indian Health Services for Native Americans CDC & NIH |
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PT
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Physical Therapist
seek to restore function or prevent further disability after an injury or illness |
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RT
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Respiratory Therapist
trained in techniques that improve pulmonary function & oxygenation. |
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OT
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Occupational Therapist
assist physically challenged patients to adapt to limitations in order to be able to perform ADL's |
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Speech Therapist
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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. |
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RD
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Registered Dietician
manage and plan dietary needs of patients |
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Social Worker
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council patients and families and informs them of various community services
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Medicare
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National and State insurance for those older than 65 and permanently disabled workers that qualify for Social Security
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Medicaid
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Federally funded public assistance for people of any age with low income
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HMO
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Group health plans
Health Maintenance Organization managed care where patients receive their healthcare through a group of affiliated providers |
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PPO
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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. |
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LTC Insurance
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Long Term Care Insurance
covers: 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. |
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Consumer
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someone who uses a commodity or service.
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Private Insurance
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Third Party Payers
whereby monthly premiums are paid by the consumer. the provider and service is chosen by the consumer. |
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Fragmentation of care
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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 |
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Managed Care Systems
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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. |
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Ambulatory care
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centers and clinics that deliver care on an outpatient basis.
often staffed by APRN's improves access to the uninsured |
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outpatient care
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care for those not needing to stay in an institution.
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inpatient care
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care for patients that require staying in a facility for 24 hours or more.
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palliative care
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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 |
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Informatics in Nursing
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a specialty that integrates nursing science, computer science and informational science to manage and communicate data, information and knowledge in nursing practice.
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The Nursing Process' 5 steps
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systematic method for giving patient care:
assessment diagnosing planning implementing evaluation |
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critical pathways
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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.
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DRG's
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Diagnostic Related Groups
the classification of patients by major medical diagnoses for the purpose of standardizing healthcare costs. |
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What is the setting considered the organizational center of the US healthcare system?
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the acute care setting.
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What is the factor that most affects health care delivery to the older population?
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the high tendency for older adults to fall and become injured.
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A patient's plan of care is developed through..
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the nursing process.
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Acuity in a hospital setting is defined as:
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the severity of a hospitalized patient's condition & the level od attention needed from the professional staff.
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Which population group is the greatest challenge to the financing of health care in the US?
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older adults
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Which group is the most underserved in the US healthcare system?
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children, because:
they cannot be theiir own advocates 1 in 5 live in poverty conditions 1 in 5 are uninsured 35% are not immunized. |
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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:
accessible familiar & friendly. |
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Give the best example of where inpatient care is delivered:
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an ECF - Extended Care Facility.
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in 1990, Healthy People 2000 differentiated the primary prevention delivery of healthcare into 3 areas. They are:
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health promotion
health protection preventive health services |
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community forum
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inviting people from the community to share opinions and concerns on an issue for the purpose of collecting data.
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