Exam 1 Flashcards
What are the health determinants?
biological, socioeconomic, psychosocial, behavioral
What are the social determinants of health?
social environment, physical environment, health services
What are the levels of prevention?
primary: avoid development of disease and remove risk factor
secondary: early detection treatment, prevention progression
tertiary: reduce complications of established disease
primordial: avoiding the development of risk factors of a disease or condition
How can the levels of prevention be applied to ATODP?
primary: promotion of healthy lifestyles, drug education
secondary: screening, brief intervention, referral to treatment, urine drug screening
tertiary: education on safe substance use, NARCAN, infection prevention with needle usage
What are the five domains of social determinant of health?
economic stability, education access and quality, healthcare access and quality, neighborhood and build environment, social and community context
What are the four dimensions of health promotion?
health, illness, wellness, disease
What is illness? What is travis’ illness/wellness continuum? How are nurses involved?
the physical manifestations that the patient experiences; helps describe that in the absence of disease patients can suffer from illness, nurses are involved in the treatment paradigm to try and achieve the neutral point
What is morbidity versus mortality?
morbidity is the state of being symptomatic or unhealthy from a disease or condition
mortality is the number of deaths caused by some health event
What is the ecological perspective? What are the structure names? Description of each structure?
a framework created by Bronfenbrenner that enables us to consider the influence of individual and environmental factors and includes the social determinants of health;
microsystem: people that interact with the individual
mesosystem: direct relationships between members of the microsystem
exosystem: formal and informal structures that do not directly impact the individual but do influence the individual through its direct impact on a member of the microsystem
macrosystem: larger social and cultural context
chronosystem: role of time and when an event occurs in the individual’s life
What is the social ecological model? What are the structure names? Description of each structure?
framework for understanding multiple levels of a social system and interactions between individuals and environment within this system;
individual/intrapersonal: individual characteristics that influence behavior
interpersonal: formal and informal social networks and social support systems that can influence individual behaviors
institutional/organizational: organized social institutions that have formal or informal rules, regulation, policies, structures which constrain or promote behaviors
community: relationships among organizations and institutions
public policy/population: local, state, national, and global policies and laws that regulate or support healthy practices/actions
How does the social ecological model match up with the ecological perspective?
individual/intrapersonal=individual
interpersonal=microsystem
institutional/organizational=mesosystem
community=exosystem
public policy/population=macrosystem
What is the Framingham Heart Study? What did it conclude?
longitudinal study about obesity and the common factors/characteristics that contribute to CVD found that there was an increased chance of becoming obese based on social connection
How can the social ecological model be applied to obesity?
individual: genetics and epigenetics
interpersonal: cultural food choices, traditions, cultural meanings of thinness and fatness that are reinforced at the family level, caregiver behavior
institutional: school/workplace food options, opportunities for physical activity, access to health promoting services
community: access to and affordability of healthy foods, recreation facilities, health care services
social and policy: regulations of school food programs, agricultural subsides, zoning laws, exposure to obesogenic chemicals in food
