Chapter 3 Flashcards
Acute illness
Rapidily occuring illness that runs its course, allowing person to return to normal
Chronic illness
irreversible illness that causes permenant physical impairment and requires long term health care
Disease
Pathologic change in the structure of the body or mind
Exacerbation
The period in chronic illness when symptoms reappear
Health disparity
a specific difference that is related to social, economic or environmental disadvantage
Health equity
attainment of highest level of health for all people
Health promotion
behavior of an individual motivated by personal desire to increase well being
Holistic health care
Health care that takes into account the whole person interacting with the environment
Illness
Abnormal process in which any aspect of a person’s functioning is altered
**Not always the presence of disease
**Response of a person to a disease
morbidity
frequencey that it occurs
mortality
number of deaths
Remission
peroid of a chronic illness when the disease is present but patient experiences no symptoms
risk factor
something that increases a persons risk for injury or illness
Social determinants of health
conditions in the environment in which people are born, live, work, play, worship and age that affect a wide range of health, functioning, and quality of life outcomes and risks
vulernable population
Disadvantaged parts of the community require utmost care, specific considerations, and protection. Poverty, women, children, older adults, new immigrants, homeless, mentally ill and disabilities
Wellness
An active process in which an individual progresses toward max potential, regardless of current state of health
Health
a state of complete physical, mental and social well-being, not merely the absences of disease
What are Dunns, states of self
Being - recognizing as individual
Becoming - growing and developing
Belonging - being part of a whole
Befitting - choices to benefit oneselve in future
What are the variables influencing health?
- perception of illness/functioning
-developmental stage
-emotional factors
-family practices/cultural background
-socioeconomic factors
Chronic illness is defined of having 1 or more of the following characteristics
- Permanent change
- Causes or caused by irreversible alterations to anatomy/physiology
- required rehab
- requires long patient care or support
What are the factors that increase the vulnerability to illness?
Genetic & physiological factors
Age
Environment
lifestyle
What are the 5 basic human needs?
Self-actualization
Self-esteem
Love and belonging needs
Safety and security
physiological (Oxygen, nutrition, shelter, sex, body temp, elimination)
What are the 4 stages of illness behaviors?
- experiencing symptoms
- Assuming the sick role
- Assuming the dependent role
- Achieving recovery
A basic human need is
essential for emotional and physiologic health and survival
The physical dimension includes?
genetics, age, developmental level, race and sex
The emotional dimension includes?
how the mind affects the body functions and responds to body conditions, can impact both positively or negatively
The intellectual dimension includes?
Cognitive abilities, educational background and experiences.
The environmental dimension includes?
Housing, climate, sanitation, pollution of air, food, water
The sociocultural dimension includes?
Economic level, lifestyle, family and culture
The religious dimension includes?
Catholic - baptism
Jews - kosher diet
Jehovah witness - oppose blood transfusion
What are the 6 risk factors?
Age, Genetics, Physiological, health habits, lifestyle, environment
What is the primary level of prevention for nursing?
Health promotion and preventing injury or developemnt of disease
What is the secondary level of prevention for nursing
Screening, early diagnosis and treatment
What is the tertiary level of prevention in nursing?
- Prevent further progression of disease
-Restoration and rehabilitation
What is the health belief model?
focuses on what people believe to be true about themselves in relation to their health
What are the 3 components of the health belief model?
- Susceptibility
- Seriousness
- Benefits of taking action
Does the NCLEX Differ from state to state?
NO - you only take it one time
Do all states have the same nursing practice act?
no each state differs also for CNA and LPN
how long is your liscense good for
?
2 years then need 30 credit hours to renew
What is the nursing process?
Assessment
Diagnosis
Plan
implement
evaluate
Is there a nurse to patient ratio law in nv?
no
What is a long term care facility?
Patient there for life
24.7 care
How long is hospice care?
1 year with family after patient dies
What does a physical therapist do?
Works with muscoskeletal system, improving strength
What does an occupational therapist do?
Helps people do daily life things.
Is medicaid the same in each state?
no varies from state to state, each state defines “low income”. Feds send set amount of $ and state determines how to use it
Is medicare the same in each state?
Yes its federal, same in each state
What is PART A medicare?
everyone gets / covers hospital stay
What is PART B medicare?
need to sign up / covers dr visits, outpatient
What is PART D medicare?
need to sign up / covers medicines from their list of meds
What is PART C advantage plan medicare?
Covers part A,B,D all on one
Prospective Payment System (PPS)?
got healthcare specialist to put certain amount on services so hospitals don’t over charge
** developed DRG
HCAHPS - what does this do?
survey after care
** bad surveys could result in medicare pulling payment or fining
What is the difference between teritary prevention and tertiary level of care?
Tertiary prevention - prevent further progression of disease
Tertiary level of care - specialized / compez care. IE Cardiac care,
