Class #11 - Correctional/Rural Health Flashcards
1
Q
Common health challenges in correctional health (CH)?
A
- Substance abuse
- Infectious diseases: STDs, HIV, TB
- Mental illness - deinstitutionalized
- FASD
2
Q
Nurses Primary prevention in CH?
A
- immunization
- health promotion
- education
- referals
- political involvement
- classification of stressors
3
Q
Nurses Secondary prevention in CH?
A
-Assess screening -first aid -substance abuse treatment -suicide risk assessment - Emergency/trauma care
4
Q
Nurses tertiary prevention in CH?
A
- Case management
- community reintegration
- relapse prevention
- EOL care/pall. care
5
Q
Diversion programs (CH)?
A
redirect clients with mental illness away from correctional facilities
6
Q
nurse challenges?
A
Confidentiality Difficult access to clients Ethics Safety Harm-reduction, not understood by correctional officers
7
Q
Rural different approach to defining it?
A
Technical: geo
Social: Nature of community
8
Q
Technical def of rural subdivisions?
A
- non-isolated: road access <90km to physician
- Semi-isolated: Road access to physician >90km.
- Isolated: good telephone services, scheduled airflights, no road access.
- Remote, isolated: No scheduled flights, minimal telephone/radio, no road.
9
Q
Rural vulnerabilities?
A
Occupational: farming (medium-sized = high incidence of injury), oil, gas, mining - lower income - lower education - aging pop. - less access to specialized care -
10
Q
Rural strengths?
A
- Stronger sense community belonging
- Some have improved life expectancy
- lower risk of some cancers
- less stress
11
Q
Nursing characteristics in rural health?
A
Environment: isolation, knowing pt personally, limited research, retention difficulties
Practice: autonomy, change, complex task infrequently, confidentiality
12
Q
Rural grade 4 brain cancer parcours?
A
Flying to mtl for treatments
Family presence lacking
lack resources back in village
