Chapter 2 Flashcards
What is Healthy People 2020?
federal health promotion and disease prevention agenda developed to improve the health of Americans
What is the Health People 2020 vision?
a society in which all people live long, healthy lives
Overarching goals that Health People 2020 hopes to achieve by 2020 are:
Attain high-quality, longer lives free of preventable disease, disability, injury and premature death
Achieve health equity, eliminate disparities and improve health of all groups
Create social and physical environments that promote good health for all
Promote quality of life, healthy development, and healthy behaviors across all life stages
What are some of the determinants that affect societal health outcomes?
the physical environments, the social environment, available health services, and individual behavior as its affects biological and genetic risk factors
Action Step 1 for CHANGE:
Identify and assemble a diverse team of 10 to 12 individuals
Action Step 2 for CHANGE:
Develop team strategy to complete CHANGE as a whole team or divide into subgroups
Action Step 3 for CHANGE:
Review all CHANGE sectors
Action Step 4 for CHANGE:
Gather data from individual site or location within each sector
Action Step 5 for CHANGE:
Review data gathered with the community team
Action Step 6 for CHANGE:
Enter data
Action Step 7 for CHANGE:
Review consolidated data to determine areas of improvement
Action Step 8 for CHANGE:
Build the Community Action Plan by developing and organizing annual objectives that reflect the collected data
Physical activity
bodily movement that is produced by the contraction of skeletal muscle and that substantially increases energy expenditure
Moderate physical activity
activities that use large muscle groups, such as walking, swimming, housework, bicycling and occupational activities
Vigorous physical activity
rhythmic, repetitive physical activities that use large muscle groups at 70% or more of maximum heart rate for age
Screening:
checking for pathology when there are no symptoms of disease
Common screening activities:
Screening for lifestyle factors (amount of exercise, stress, weight, and sports activities)
Screening posture for scoliosis
Identifying high risk factors for slipping, tripping or falling of older adults
Performing pre work screenings to ID risk factors in the workplace and the health status of potential workers
Examination:
taking the client’s history, reviewing the body systems for potential pathology, and performing specific tests and measures guided by the initial screening
What is the most common and powerful nonverbal behavior?
eye contact
LEARN model L=
listen with sympathy and understanding to the client’s perception of the problem
LEARN model E=
Explain your perceptions of the problem
LEARN model A=
Acknowledge and discuss the differences and similarities
LEARN model R=
Recommend a course of action
LEARN model N=
Negotiate an agreement
What questions are sensitive for screening for depression during a screening?
During the past month, have you often been bothered by feeling down, depressed, or hopeless?
During the past month, have you often been bothered by little interest or pleasure in doing things?
Signs of poor mental health:
an obsession with negative thoughts and negative consequences, loss of creative and imaginative thoughts and ideas, unclear decision making or foggy mental state
Holmes and Rahe Social Readjustment Rating Scale
questionnaire to determine the stress of life events and correlate it to potential illness
Yeaworth’s Adolescent Life Change Event Scale
lists personal, social and negative changes in a person’s life may contribute to that individual’s stress
What does a wellness screening include?
a broad range of questions reviewing social, physical, emotional, career/leisure, intellectual, environmental and spiritual wellness
What are some risks to development?
Method of delivery, length of gestation, birth complications, mother’s health status during pregnancy
A
asymmetry in lesion
B
borders: irregular or poorly circumscribed
C
color variation (melanomas tend to have color variations that include tan, brown, black, white, red and blue)
D
diameter greater than 6mm (size of pencil eraser) because cancerous lesions tend to grow
E
elevation; normal skin lesions tend to be flat, raised lesions represent abnormal growth. Could also be used for evolving=new symptoms
Which infants are at risk for ear infections?
Infants who drink from bottles while lying on their backs
What are risk factors for pathology of the mouth and throat?
include pain (such as toothache, jaw pain, sore throat, or lesions in the mouth or throat), altered taste or changes in the mouth or throat region
Signs and symptoms of sickle cell anemia?
joint pain, fatigue, rapid HR, breathlessness, delayed growth and puberty, ulcers on LE, jaundice, attacks of abdominal pain, or fever
What does the endocrine system control?
the pituitary, thyroid, parathyroid, adrenal gland, pancreas and gonads
During which system should you screen for diabetes?
endocrine system
CAGE quesionnaire
questionnaire is most efficient and widely used for drinking screen
C
Cut down on drinking
A
Annoyance with criticisms about drinking
G
Guilt about drinking
E
Eye opener about using alcohol
Questions for intimate partner violence:
Have you been hit, kicked, punched, or otherwise hurt by someone in the past year?
Do you feel safe in your current relationship?
Is there a partner from a previous relationship who is making you feel unsafe now?
