32. Rural Health

Question 1

remove farm to village to small town to larger town or city to large metropolitan area with core inner city

Answer 1

rural-urban continuum

Question 2

rural population characteristics

Answer 2

• more caucasian
• higher proportion of younger and older residents
• more likely to be married/widowed
• more likely to be poor
• fewer years of formal education
• at risk for being underinsured or uninsured

Question 3

health status of rural residents

Answer 3

• perceived health status
• increased risk of 2 or more chronic diseases
• decreased availability and access of health care
• physical limitations
• lack of maternal-infant health
• schools may not have school nurse
• decreased health of minorities
• environmental and occupational risks

Question 4

barriers to rural health care

Answer 4

• lack of providers/services
• great distances to obtain services
• lack of transpiration (no public)
• lack of phone services
• no outreach services
• inequitable reimbursement policies for providers
• unpredictable weather/travel conditions
• lack of health of insurance

Question 5

rural health nursing issues

Answer 5

• distance makes client self-reliant
• nurse professional and personal boundaries often overlap
• care for clients of all ages
• lack anonymity

Question 6

reward for rural nursing

Answer 6

close relationship w/ clients

Question 7

what is being done for rural areas

Answer 7

• increase in rural health clinics
• community oriented primary health care
• critical access hospitals (CAHs)
• tele-health
• increase in public/community health programs
• programs to provide more primary caregivers to rural areas