5 Star Physician Flashcards

1
Q

ROLES OF A 5-STAR PHYSICIAN

A
A. HEALTH CARE PROVIDER
B. HEALTH EDUCATOR/COMMUNICATOR
C. DECISION MAKER/RESEARCHER
D. ADMINISTRATOR/MANAGER
E. SOCIAL MOBILIZER
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2
Q

HEALTH CARE PROVIDER

OUTSIDE the hospital

A

o Recognize an emergency (life threatening) situation.
o Identifying the cause of the problem.
o Apply first aid /emergency measures.
o Transport the patient properly to the Emergency
Hospital.

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3
Q

HEALTH CARE PROVIDER

IN a hospital emergency room

A

o Recognize an emergency condition, identifying the cause ofthe problem.
o Critical thinking is applied
o Apply initial corrective measures.
o Refer the case to consultant / resident for definitive
measures

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4
Q

HEALTH CARE PROVIDER

NON-EMERGENCY situation in the hospital ward, ambulatory clinic (hospital, community) or domiciliary situation

A

o Arrive at the most probable diagnosis.
o Plan and/or implement the therapeutic management.
o Assess progress of patient.
o Refer patient or consult with expert or specialist.
o Provide the patient and family with psychological or spiritual
support.
o Educate the patient, family and community on how to
prevent disease/recurrence of disease or prevent/delay complications.

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5
Q

HEALTH EDUCATOR/COMMUNICATOR

● Patient and his/her family in a clinical encounter

A

o Determine baseline knowledge and attitude of
patients/families about the problems/condition.
o Address issues/concerns to be resolved.
▪ Reinforce positive knowledge and practices.
▪ Correct misconceptions
▪ Bridge gaps in knowledge
▪ Assess patients/ families action
o Continuous monitoring on knowledge and practices.

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6
Q

HEALTH EDUCATOR/COMMUNICATOR

● Population group in community

A

o Plan an educational activity for Barangay Health Workers,mothers, adolescents and other groups.
o Implement the educational activity and evaluate the
performance of the health workers.
o Evaluate educational activity.

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7
Q

HEALTH EDUCATOR/COMMUNICATOR

● Group of students

A

o Plan an instructional design for a module.
o Implement the instructional design for a module.
o Evaluate instructional design for a module.

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8
Q

DECISION MAKER/RESEARCHER

● A patient that is difficult to diagnose or treat

A

o Formulate appropriate question.
o Conduct literature search.
o Critically appraise selected journal/article.
o Make clinical decision based on appraisal.

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9
Q

DECISION MAKER/RESEARCHER

● A problem area or a research question

A

o Formulate a research proposal.
o Implement the research proposal.
o Disseminate research result in an appropriate forum.

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10
Q

ADMINISTRATOR/MANAGER

● A health care facility in the community

A

o Plan and/or monitor operations of the health care facility

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11
Q

ADMINISTRATOR/MANAGER

● An area to start a project in the community

A

o Plan and market project.
o Establish/Organize project.
o Operate/ Manage project.
o Continuously monitor and evaluate project

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12
Q

SOCIAL MOBILIZER

● A community or population issue of concern

A

o Act as an advocate of people empowerment and self-reliance.
o Get the people involved in the affairs of their own
communities.
o Participate in community organization. o Promote people participation in:
-Identifying and analyzing the problems of the community
-Finding and developing solutions to the problems -Implementing the solutions to the problems
o Contribute to the building of partnerships and collaborations among different institutions, agencies and groups.

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13
Q

PRIMARY CARE PHYSICIAN

A
● General Medical Practitioner
● LGU Physician
● School Physician
● Company/Corporate Physician 
● Community Physician
● Clinical Specialist
● Researcher/Medical
● Scientist/Innovator
● Health Professions Teacher 
● Health Administrator
● Health Information Manager
● Health Economist
● Health Policy Maker
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14
Q

A state of complete physical,mental,andsocialwell- being; not just an absence of disease or infirmity (by WHO)

A

HEALTH

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15
Q

Biomedical Scientist define Health as:

A

The harmonious functioning of all parts of the body or the physical ability of the components of the body to self-heal

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16
Q

Social Scientist define Health as:

A

Well-functioning biological state that provides the body physical capacity to fulfill higher order task.

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17
Q

One of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.

A

Enjoyment of the highest attainable standard of

health

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18
Q

Bio-physiological phenomena which manifest themselves as changes in and malfunction of the human body.

Failure of adaptive mechanism of an organism to counteract adequately, normally, or appropriately to stimuli and stresses to which an organism is subjected resulting in a disturbance in the function or structure of some part of the organism.

A

DISEASE

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19
Q

● occurrence of something
● body changes and the malfunction

VS

● experience of something
● being sick

A

DISEASE

VS

ILLNESS

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20
Q

Disease was attributed to bad air and elements

A

MISAMA PHASE

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21
Q

Specific pathogens were recognized as the cause of the disease

A

GERM PHASE

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22
Q

Natural History of Disease

A

Stage of Susceptibility
Stage of Subclinical Disease
Stage of Clinical Disease
Stage of Recovery or Disability or Death

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23
Q

Before exposure

A

Stage of Susceptibility

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24
Q

Asymptomatic
Pathologic changes
Disease process begin

A

Stage of Subclinical Disease

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25
Q

Onset of symptoms
Diagnostic stage
Evident disease manifestations

A

Stage of Clinical Disease

26
Q

o Before the disease process begins, early intervention may avert exposure
o Stage of Susceptibility

A

PREDISEASE STAGE

27
Q

o disease process begins but without symptoms
o stage of subclinical disease
o time of exposure to onset of symptoms
o incubation period for infectious disease
o latency period for chronic disease

A

LATENT STAGE

28
Q

o evident disease manifestations
o stage of Clinical Disease
o most diagnoses are made

A

SYMPTOMATIC STAGE

29
Q

Cause or origin of a disease or abnormal condition

A

ETIOLOGY

30
Q

Progression of a disease process in an individual over

time, in the absence of treatment.

A

NATURAL HISTORY

31
Q

Disease process illness ranges from mild to severe or

fatal

A

SPECTRUM OF DISEASE

32
Q

Human who can get/susceptible to disease

A

HOST

33
Q

Degree to which the individual is able to adapt to the stressors produced by the agent.

A

HOST FACTORS

34
Q

Person’s genotype, Nutritional Status and BMI, Immune System, and Social Behavior

A

HOST RESISTANCE

35
Q

Variety of factors intrinsic to the host, that can influence an individual’s exposure, susceptibility, or response to a causative agent.

A

RISK FACTORS

36
Q

CATEGORIES OF RISK FACTORS (BEINGS MODEL)

A
Biologic and Behavioral Factors
  o eg. cigarette smoking 
Environmental Factors 
Immunologic Factors 
Nutritional Factors
Genetic Factors
Services, Social and Spiritual Factors
37
Q

Infectious microorganism or pathogen

A

AGENT

38
Q

Allergens, Infectious organisms, Biologic Toxins and Food

A

BIOLOGIC AGENTS

39
Q

Chemical Toxins

A

CHEMICAL AGENTS

40
Q

Kinetic energy, Radiation, Heat, Cold and Noise

A

PHYSICAL AGENTS

41
Q

FACTORS FOR INFECTIOUS AGENTS

A
Infectivity
Pathogenicity
Virulence
Pathogen
Environment
42
Q

Proportion of exposed persons who become infected

A

INFECTIVITY

43
Q

Proportion of infected individuals who develop clinically apparent disease

A

PATHOGENICITY

44
Q

Proportion of clinically apparent cases that are severe or fatal

A

VIRULENCE

45
Q

Present for the disease to occur

A

PATHOGEN

46
Q

Influences the probability and circumstances of contact between the host and agent
▪ physical
▪ biologic
▪ socioeconomic

A

ENVIRONMENT

47
Q
Vehicles to transmit disease (may be a part of the environment)
▪ Insects (ex: mosquitoes)
▪ Arachnids (ex: ticks or spiders) 
▪ Mammals (ex:racoons or dogs) 
▪ Human (ex: rabies human, HIV) 
▪ inanimate objects
A

VECTORS

48
Q

MODELS OF DISEASE CAUSATION/ Epidemiological Triad

A

AGENT/S (A)
ENVIRONMENT (E)
HUMAN HOST (H)

49
Q

o includes biological, nutrient, chemical, physical, and mechanical factors.
o must be present for the disease to occur; however, the presence of agent alone is not sufficient.
o ex. SARS-CoV-2
▪ strain
▪ pathogenicity
▪ virulence

A

AGENT/S

50
Q

o extrinsic factors that affect the agent and the host. o physical, social, economic, biologic factors.
o contaminated droplets/surfaces
▪ virus survival
▪ airflow

A

ENVIRONMENT (E)

51
Q

o can acquire the disease.
o Age, sex, personality, race, and genetic factors, co-
morbities, viral susceptibility.

A

HUMAN HOST (H)

52
Q

LEVELS OF PREVENTION

A

PRIMORDIAL PREVENTION

PRIMARY PREVENTION

SECONDARY PREVENTION

TERTIARY PREVENTION

53
Q

o seeks ways to “avoid the emergence and establishment of the social , economic and cultural patterns of living that are known to contribute to an elevated risk of disease.” (Beaglehole , Bonita & Kjellstrom , Basic Epidemiology)
o includes environment control of disease vectors, and eliminating predisposing factors such as illiteracy and maternal deprivation (JM Last, Dictionary of Public Health)
o promotes health education and it applies to the generic population
o target: general/entire population

A

PRIMORDIAL PREVENTION

54
Q

o preventing disease from starting
o aversion of exposure
o intervening before health effects occur through (poor eating, habits, tobacco use)
o and banning substances known to be associated with a
disease of health condition
o general health promotion
o specific protection - diseases , deficiency states ,injuries
and toxic exposures
o target: susceptible/at risk of exposure individuals

A

PRIMARY PREVENTION

55
Q

o stage of subclinical disease
o prevention of disease progression to
symptomatic disease
o screening of disease , case findings , and provision of
appropriate treatment
o screening to identify disease in the earliest stages before
the onset of signs and symptoms, through measures such as mammography and regular blood pressure measurement

A

SECONDARY PREVENTION

56
Q

o intervention to slow ,arrest or reverse the progression of disease
o managing disease post diagnosis to slow or stop disease progression through measures such as chemotherapy , rehabilitation , and screening for complication
o treatment of established disease
o disability limitation and rehabilitation

A

TERTIARY PREVENTION

57
Q

prevention further damage

A

DISABILITY LIMITATION

58
Q

reverse or strengthen remaining functions

A

REHABILITATION

59
Q

The study of the occurrence, distribution, and determinants of diseases, injuries, and other health- related issues in specific populations.

A

Epidemiology

60
Q

Often the first scientific methods applied to a new health problem to define its pattern in the population and to develop hypotheses about its causes, methods of transmission, and prevention.

A

Epidemiologic methods

61
Q

generally describe the causes of a disease in terms of the host, agent, and environment, sometimes adding the vector as a fourth factor for consideration

A

Epidemiologists