Community health nursing Flashcards

1
Q

NZ Health Care Strategy 2016 includes what concepts

A
  • people powered
  • closer to home
  • value and high performence
  • one team
  • smart system
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2
Q

What are the social determinants of health

A

conditions in which people are born, grow, live, work and age .

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3
Q

What is the ottowa charter and the 3 foundations

A

conference on health promotion including the prerequisites of health
- advocate
-Enable
-mediate

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4
Q

Chicken pox
- Signs and symptoms
- treatment
- transmission

A
  1. Viral infection causing itchy, blister-like rash on the skin, fever and spots with blisters
    - has an incubation period of 10–21 days and is contagious 1-2 days prior and 1 week from appearance
  2. no treatment; may be reactivated as shingles
  3. contact and droplet transmission with weeping blisters
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5
Q

Hand, foot and mouth disease
- Signs and symptoms
- treatment
- transmission

A
  1. a mild viral illness that causes fluid-filled blisters, fever and flu-like symptoms and rash on soles palms and in mouth
  2. no treatments
  3. incubation 3-5 days, contagious until blisters have dried
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6
Q

Head lice
Signs and symptoms
- treatment
- transmission

A
  1. itchy scalp, occasional scalp infection
  2. contact transmission
  3. contagious until no lice are present
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7
Q

Measles
Signs and symptoms
- treatment
- transmission

A
  1. runny nose, cough and fever followed by rash
  2. immunisation to prevent
  3. airborne and contact, contagious 4 days before rash and 5 days after
    severe complications
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8
Q

Rubella (german measles)
Signs and symptoms
- treatment
- transmission

A
  1. fever, swollen glands and rash on face scalp and body
  2. immunisation schedule
  3. airborne and contact, contagious 7 days before symptoms appear and 7 days after appearance of rash
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9
Q

Strep throat
Signs and symptoms
- treatment
- transmission

A
  1. headache, vommiting, sore throat
    2,. antibiootics
  2. droplet, intubation 1-3 days, and 24 hours after antibiotics
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10
Q

Meningicocal meningitis
Signs and symptoms
- treatment
- transmission

A
  1. fever, headache, vomiting, neck stiffness, non-blanching skin rash
  2. Anitbiotics
  3. contagious during intubation 7-14 dyas after onset of symptoms
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11
Q

What is a vaccine and how does it work

A

contains a dead or weakened form of an antigen which stimulates the immune system to produce specific antibodies
- if infection in the future occurs, the immune system is able to fight off and protect against the antigen

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12
Q

What is community/herd immunity

A

approximately 95% of people in a community are immunised which prevents the infection from circulating the community and protects those who aren’t immunised

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13
Q

immunisation schedule: pregnancy

A
  • TDaP
  • Influenza
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14
Q

immunisation schedule: 6 Wks

A
  • Rotarix
  • DTaP- Hep B
    -PCV10
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15
Q

immunisation schedule: 3 months

A

Rotoarix
DTaP-IPV-Hep B
-PCV10

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16
Q

immunisation schedule: 5 months

A

DTaP-IPV-Hep B
-PCV10

17
Q

immunisation schedule: 15 months

A

Hiberix
MMR
PCV10
Varicella

18
Q

immunisation schedule: 4 years

A

DTaP-IPV
MMR

19
Q

immunisation schedule: 11+12 yrs

A

TDaP
HPV

20
Q

immunsation schedule: 45 yrs

A

Td injection (ADT booster)

21
Q

Immunisation schedule: 65 years

A

TD injection (ADT booster)
Influenza

22
Q

How are STIs transmitted

A

unprotected vaginal, oral or anal sex or skin to skin contact with someone

23
Q

Chlamidya
- transmission
- signs and symptoms

A
  1. sexual contact, babys can contract during birth
  2. vaginal/ penis discharge, bleeding between periods, lower abdo pain, pain during urination
    treated with abx
24
Q

HPV and genital warts
- transmission
- signs and symptoms

A
  1. close skin to skin contact, during sex
  2. small skin cloured lumps that may be itchy
    self limiting and will clear
25
Q

Genital herpes
- signs and symptoms
-treatment

A
  1. close skin to skin contact with someone who has the virus,
    painful blisters, ulcers or sores
  2. treated with anti-herpes medication
26
Q

gonorrhea
- signs and symptoms
– treatement

A
  1. unprotected vaginal, anal or oral sex can also be spread from mother to baby during birth
  2. a combo of anitbiotics due to resitant bacteria
27
Q

Reasons to get STI tested

A

If you are beginning a new sexual relationship -If you have had unprotected sex -If you have any symptoms or think you may have an STI-Routine sexual health check -If a condom broke -If you are pregnant

28
Q

How many doctors need to agree forabortion to be legal

A

two

29
Q

can a woman under the age of 16 consent to abortion without parental input

A

yes, with two agreeing doctors

30
Q

Upto how many weeks gestation is the EMA (early medical abortion) available?

A

9 weeks with a 97-99% success rate

31
Q

At how many week gestation is a surgical abortion available til

A

upto 12 weeks and 6 days gestation

32
Q

cervical screening is required for people with a cervix from what age

A

25