Chronicity & SDOH Flashcards

1
Q

A health problem that goes on for an extended period of time, existing for at least 3 months to 1 year

A

Chronic health problem

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2
Q

Any physical or mental/behavioral problem that can cause a disability

A

Disabling health problem

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3
Q

A disadvantage that results from a disability that substantially limits one or more activities of daily living

A

Handicap

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4
Q

The continuous process of learning to live with and manage chronic and disabling conditions, often those resulting from trauma

A

Rehabilitation

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5
Q

What is the primary desired outcome of rehabilitation?

A

For the client to return to their highest level of functioning

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6
Q

Chronicity risk factors

A

65+, lack of access to quality health care, lifestyle, multiple comorbidities

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7
Q

Chronic disruptions in children

A

Depression and anxiety in adulthood

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8
Q

Interventions for chronic disruptions in children

A

Address mental health issues early, social engagement with other children, family-centered approach including parents

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9
Q

Interventions for chronic disruptions in older adults

A

Control symptoms and maintain comfort, address depression, maximize functional capability

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10
Q

Framework for providing care for patients with chronic illness

A

Chronic Care Model

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11
Q

What are the 6 elements of the Chronic Care Model?

A

Health system, delivery system design, decision support, clinical information systems, self-management support, community

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12
Q

Which element of the chronic care model focuses on safety and quality of care?

A

Health system

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13
Q

Which element of the chronic care model occurs in a variety of settings and focuses on prevention through evidence-based practice centered on patients?

A

Delivery system design

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14
Q

The element of Delivery System Design in the Chronic Care Model is occurs most importantly in what setting?

A

Community

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15
Q

Element of the chronic care model used by healthcare providers that implements evidence-based guidelines, patient education, and encourages patients to take active participation in their care

A

Decision support

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16
Q

Element of the chronic care model that maintains, shares, and communicates patient health information among providers and patients to ensure effective communication and quality patient care

A

Clinical information systems

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17
Q

Element of the chronic care model that requires healthcare providers to collaborate with patients and empower patients to take responsibility for the management of their chronic disease

A

Self-management support

18
Q

Element of the chronic care model that helps develop partnerships to enhance the effectiveness of chronic disease management programs

A

Community

19
Q

Act that established the federal administration on aging

A

Older Americans Act of 1965

20
Q

Act that provides protection against discrimination for people with disabilities

A

Americans with Disabilities Act of 1990

21
Q

Act that requires clients are given written information regarding their legal options for treatment choices should they become incapacitated (ex: advanced directives, living will, power of attorney)

A

Patient Self-Determination Act of 1990

22
Q

Act that provides job protection and continuous health benefits for people who need extended leave for their illnesses

A

Family and Medical Leave Act (FMLA) of 1993

23
Q

A reform act that was enacted to focus on welfare reform

A

Personal Responsibility and Work Opportunity Reconciliation Act 1996

24
Q

Acts that expanded the healthcare marketplace, particularly for insurance (such as Medicare & Medicaid), setting maximum out-of-pocket expenditures that people were allowed to pay

A
  1. Health Care and Education Affordability Reconciliation Act of 2010
  2. Patient Protection and Affordable Care Act of 2010
25
Q

Interventions aimed at preventing a disease before it occurs or is diagnosed

A

Primary Prevention

26
Q

Examples of primary prevention

A

Education (diet, exercise, lifestyle modifications such as smoking and alcohol intake) & immunizations

27
Q

Interventions providing early detection of diseases

A

Secondary prevention

28
Q

Example of secondary prevention

A

Screening

29
Q

Interventions focused on slowing or stopping the disease process and its complications after the disease has been diagnosed

A

Tertiary prevention

30
Q

Examples of tertiary prevention

A

Rehabilitation, support groups

31
Q

Recommended physical activity for adults

A

150 min of moderate intensity activity/week OR 75 min of vigorous aerobic activity/week

32
Q

Recommended physical activity for children

A

60 min of moderate to vigorous activity/day

33
Q

Recommended physical activity for older adults with limited mobility

A

Activity to enhance balance 3 or more days per week

34
Q

Recommended physical activity for ALL ages

A

Strengthening exercises 2 or more days per week

35
Q

A health diet should limit intake of

A

Sugar, total fat, sodium

36
Q

A healthy diet involves increasing intake of

A

Fruit and vegetable servings each day

37
Q

What two factors should be balanced to attain a normal weight?

A

Dietary food intake and physical activity

38
Q

What is the priority goal of the Joint Commission 2024

A

To improve health care equity and patient safety

39
Q

What are the 5 social determinants of health?

A

Education Access and Quality, Health Care Access and Quality, Neighborhood/Environment, Social and Community Context, Economic Stability

40
Q

__________ is achieved when every person can attain their health potential, and no one is disadvantaged

A

Health equity

41
Q

The ability to understand, appreciate, and work with people from cultures other than your own

A

Cultural competence

42
Q

Four components of cultural competence

A

Cultural: awareness, knowledge, skill, and encounter