Exam 1 Flashcards
Primordial
preventing the risk factor
primary
to prevent/advert diseases from happening
secondary
screening, early diagnosis, and treatment
teritary
person is already diagnosed with disease, taking medication, etc
prevent disease from becoming a disability
to ensure they become as functional as possible
4 goals of Healthy People 2020
- attain high-quality, longer lives free of preventable disease, disability, injury, and premature death
- achieve health equity, eliminate disparities, and improve the health of all groups
- create social and physical environment and promote good health for all (promote quality of life, healthy development, and healthy behavior
- implementing 3 levels of prevention
infant mortality rate
determines how healthy the population is, a metric used globally to tell how healthy a nation is
life expectancy
determines a person’s social determinants to health, access to schools, access to resources
when comparing life expectancy, US is way behind
margaret newman continnum
Health is not lack of illness, or a process to become healthy from being ill, but it instead the expansion of consciousness as a result of choices made within the context of patterns of behavior
wellness illness continuum
- wellness is a positive state, opposite is illness
- a person is assessed not only is term of his or her relative health compared with that of others, but also in terms of the favorability of the persons environment for health and wellness
- a favorable environment allows for high-level wellness to occur and an unfavorable environment allows low-level wellness to exist
clinical model
- health is defined by the absence and illness by the conspicuous presence of signs and symptoms of disease
- people who use this model may not seek preventive health service or they may wait until they are very ill to seek care
- the clinical model is the conventional model of the discipline of medicine
role performance model
- defines health in terms of individual’s ability to perform social roles
- includes work, family, and social roles, with performance, based on societal expectations
- the basis for occupational health evaluation, school PE, and physician-excused absence
- “sick role” which excuses people from performing their social functions, is a vital component of the role performance model
adaptive role
- ability to adjust positively to social, mental and physiological change is the measure of their health
- illness occurs when the person fails to adapt or becomes maladaptive to these changes
endiamonistic model
- exuberant well-being indicates optimal health
- emphasizes the interactions between physical, social, psychological, and spiritual aspects of life and the environment that contribute to goal attainment and create meaning
- illness is reflected by a denervation or languishing, a lack of involvement with life
medicaid
for impoverished and disabled population
medicare
hospital, doctors’ appointment, for populations 65 and older and some chronic disease
private healthcare
- traditional insurance companies
- PPO: brokers between insures/providers
- HMO: prepayment plans
- POS: combination of HMOs and PPOs
- self-insurance/self-funded
public insurance/assistance
medicare, medicaid
The affordable care act
expected to reduce the number of uninsured people by 60% through the use of the following measures
- Expansion of Medicaid
- Subsidies to pay premiums in health insurance exchanges
- A federal mandate requiring most legal citizens to enroll in an insurance plan or face tax penalties for noncompliance
- A provision allowing children to remain on employer family insurance until the age of 26
verbal vs nonverbal communication
verbal: spoken
nonverbal: gestures, facial expression, body language
therapeutic vs non-therapeutic response
therapeutic: tell me ___ for the pt to elaborate
non therapeutic: yes or no questions
growth
quantifiable change in structure
development
advance in skill from lower to more advanced complexity
CDC growth chart
for American children
WHO growth chart
for children from other countries
