Exam 2 Flashcards

1
Q

Health (WHO definition)

A

dynamic state of complete physical, mental, spiritual and social well-being and not merely the absence of disease or illness

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2
Q

Physical health

A

Bodily aspect of health

Efficient functioning of the body and its systems

Capacity to perform physical functions (eating, walking, talking, exercising)

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3
Q

Mental health

A

State of well-being

Can cope with the normal stresses of life

Can work productively and fruitfully

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4
Q

Social/psychosocial health

A

Ability to interact with others/participate in community

Independent and cooperative manner

Family and interpersonal relationships

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5
Q

Healthcare

A

the business, industry, institution of activity offering medical services

The set of medical services that an organization or country provides

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6
Q

Health care

A

a set of actions by a person to maintain or improve a patient’s health

Ex: patient care, medical care, preventative care

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7
Q

Pediatrics

A

the branch of medicine addressing health and medical care for infants, children and teens from birth up to age 18 years

(American Academy of Pediatrics extends it to 21 years old)

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8
Q

Pediatrician

A

specifically trained medical doctors who work with infants, childrens and adolescents

Established in the late 1800s and early 1900s

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9
Q

What were the main causes of death prior to 1950?

A

Lack of standardized training for doctors

Lack of regulation in pharmaceutical care

Treatment options had not been discovered

Contagious diseases

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10
Q

Infant mortality

A

the death of children under the age of 1 from birth

Reported in # of deaths per 1,000 live births

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11
Q

Public health

A

the science of protecting and improving the health of people (entire populations) and their communities

Focuses on prevention, rather than treatment

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12
Q

Welfare

A

the health, happiness and fortunes of a person or group
Ex: principles of hygiene, plumbing and housing for children and families

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13
Q

Public health strategies to prevent infant mortality (18-19th century)

A

Milk stations, Nursue home visit programs, school nurses

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14
Q

Sheppard-Towner Maternity and Infant Act (1921)

A

Authorized the federal government to grant funds to states for infant and maternal welfare

Decreased infant mortality rate

Was not renewed by Congress and defunded by 1929
- act could only address the social aspect of health care
- Medical providers thought the act would threaten their jobs so it prevented the act from addressing medical care
- pediatricans and other organizations were not united

American Academy of Pediatrics (AAP) was founded as a result

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15
Q

Child mortality

A

death of children for any reasons between the ages 0-19 years old

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16
Q

Title V of the Social Security ACT (SSA)
(1935)

A

Roosevelt’s New Deal to stabilize the economy

Provided funding to the states

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17
Q

Title V became the Maternal and Child Health (MCH) Block Grant Program
(1981)

A

State creates programs and priorities based on individual needs

More hands-off approach from the federal government

States have the ability to allocate funding

Still around today

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18
Q

US vs other developed nations on child mortality

A

By 1990s and 2000s the US ranked the lowest of all twenty nations in terms of child mortality
- US outspends other nations on healthcare

Gap between US and other nations grows more gradual after the 1980s ( less than age 1)

Gap between US and nations gradual after 1970s
(Ages 1-19)

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19
Q

Leading causes of death in the US ages 1 to 18 years

A

Suicide
Homicide
Cancer (malignant neoplasms)
Unintentional injury
Congenital abnormalities (birth defects)

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20
Q

Leading cause of death for ages 1-18

A

Unintentional injury

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21
Q

Leading causes of death in the US under age 1

A

Congenital abnormalities (birth defects)
Short gestation (preterm and low birth weight)
Sudden infant death syndrome (SIDS)
Unintentional injury (suffocation)
Maternal pregnancy complications

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22
Q

Leading causes of death ages 1-4

A

Unintentional injury
Congenital abnormalities
Homicide
Cancer
Heart disease

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23
Q

Leading causes of death ages 5-9

A

Unintentional injury
Cancer
Homicide
Congenital abnormalities
Heart disease

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24
Q

Leading causes of death ages 15-24

A

Unintentional injury
Homicide
Suicide
COVID 19
Cancer

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25
Q

Unintentional injury

A

unplanned events which produce damage to a person

Ex: Motor vehicle accidents, falls, burns, drowning

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26
Q

Disparity

A

if a health outcome is seen to a greater or lesser extent between populations

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27
Q

Health disparity

A

a particular type of health difference that is closely linked with social, economic and/or environmental disadvantages

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28
Q

Why do health disparities exist?

A

Low socioeconomic status and lack of education

More rural areas have less doctors

Cultural differences regarding health care and when to see a doctor

Racism can prevent people from having education and seeking out quality medical care

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29
Q

Infants (0-1 years old) in the hospital

A

Completely unaware of effects of illness

Limited cognitive capabilities

30
Q

Toddlers (1-3 years old) in the hospital

A

Beginning to understand illness, but not its cause

Concepts of the body are usually limited to the names and locations of some body parts

31
Q

Preschoolers (3-5 years old) in the hospital

A

Beginning to understand illness, but not its cause

Concepts of the body are usually limited to the names and locations of some body parts

Concepts of internal organs and body functions are vague

May view illness as a form of punishment or something magical

32
Q

School age children (6-12 years old) in the hospital

A

Understand how germs spread

Older school age are better at understanding the reason for illness

Better understanding of disease and how organs are affected

Gaining understanding of the function of different body parts and organs

33
Q

Adolescents (13-18 years old) in the hospital

A

Increasingly aware of the physiologic, psychological and behavioral causes of illness and injury

Increased understanding that disease may involve several causes and effects

Understand that many organs or body parts may be involved with illness

Understand how symptoms can be related to certain organ functions of the body

34
Q

Separation anxiety

A

an infant, toddler or child’s distressed reaction when their caregiver leaves the room

Begins to emerge around 6-8 months old

35
Q

Stranger anxiety

A

wariness and hesitation in response to new people

Emerges in the second half of infancy (~8-9 months of age)

36
Q

Infant Stressors in the hospital

A

Separation anxiety
Stranger anxiety
Stimulation issues (over or under)
Disruption of routine
Painful, invasive procedures

37
Q

Toddler Stressors in the hospital

A

Fear of strangers/new places
Separation anxiety and fear of abandonment
Fear of losing control
May view pain as punishment
Immobilization
Fear of the dark

38
Q

Preschool Stressors in the hospital

A

Struggle with reality vs fantasy
Fear of long separation from loved ones
Fear loss of control
Fear of bodily harm
Regression of developmental milestones
Fear of dark/monsters

39
Q

School age Stressors in the hospital

A

Loss of independence and competence
Loss of bodily function
Concerns about pain, death, disability
Fear going under anesthesia

40
Q

Adolescent Stressors in the hospital

A

Separation from peer group
Loss of independence and control
Invasion of privacy
Fear of body image/acceptance
Concerns about keeping up with school/activities

41
Q

Patient and family centered care (PFCC)

A

a philosophy of health care in which a mutually beneficial partnership develops between the patients, families and health care providers

42
Q

Core concepts of PFCC

A

Dignity and respect

Participation/involvement

Information sharing

Collaboration

43
Q

Family

A

a self-identified group of two or more people joined together by sharing resources and emotional closeness, whether or not they are related by blood, marriage or adoption or even living in the same household

44
Q

Positive outcomes of PFCC

A

Better collaboration and stronger alliance between families and health care team
Decreased anxiety for both parents and children when parents are present and involved
Greater child and family satisfaction with health care

45
Q

Family

A

a self-identified group of two or more people joined together by sharing resources and emotional closeness, whether or not they are related by blood, marriage or adoption or even living in the same household

46
Q

Attitudinal barriers

A

personal thoughts/barriers about PFCC

47
Q

Organizational barriers

A

rules, policies or values within an organization that prevent the use of PFCC

48
Q

Health promotion

A

activities that increase well-being and enhance wellness or health

Assisting people in achieving their positive health potential, even in the presence of chronic or acute illnesses

49
Q

anticipatory guidance

A

The process of understanding upcoming developmental needs and teaching caregivers to meet those needs

50
Q

Health maintenance (protection)

A

activities that preserve an individual’s present state of health and prevent disease or injury occurrence

Focus on prevention

51
Q

Screening

A

procedures to detect the possible presence of health conditions before symptoms are apparent

52
Q

Surveillance

A

ongoing process in which observations are carried out in collaboration with families, specialists, childcare providers and other professionals

53
Q

Health literacy

A

the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions

Conventional literacy
Numeracy
Communication with health care providers
Navigating the healthcare system

54
Q

Personal health literacy

A

the degree to which individuals have the ability to find, understand and use information and services to inform health-related decisions

55
Q

Organizational health literacy

A

the degree to which organizations equitably enable individuals to find, understand and use information and services to inform health-related decisions

56
Q

What is the #1 leading cause of death among children in the US between ages 1-18?

A

Unintentional injury

57
Q

Unintentional injury

A

unplanned events which produce damage to a person

No evidence of predetermined intent

58
Q

Sudden unexpected infant death (SUIDs)

A

sudden and unexpected death of a baby under age 1

Includes deaths that can due to suffocation by soft bedding, overlay, entrapment, strangulation, Sudden Infant Death Syndrome

59
Q

Cultural awareness

A

a deliberate, cognitive process in which health-care providers become appreciative and sensitive to values, beliefs, lifestyles, practices and problem-solving strategies of clients’ cultures

60
Q

Cultural skill

A

The ability to collect relevant cultural data regarding clients’ health histories and presenting problems and accurately perform culturally sensitive physical histories

61
Q

Cultural knowledge

A

The process of seeking and obtaining a sound educational knowledge concerning worldviews of various cultures

62
Q

Cultural encounter

A

A progress that encourages health-care providers to engage directly in cross-cultural interactions with clients from culturally diverse backgrounds

63
Q

Positive stress response

A

short lived physiological responses that promote growth and change necessary for healthy development

64
Q

Tolerable stress response

A

activates the body’s alert system to a greater degree as a result of more severe, longer-lasting difficulties

65
Q

Toxic stress

A

occurs when a child experiences strong, frequent and/or prolonged adversity

66
Q

Adverse childhood experiences (ACEs)

A

potentially traumatic events that occur in childhood (0-17 years old)

67
Q

What percentage of the population has at least 1 ACE?

A

67% of the population had at least one ACE

68
Q

Top unintentional injury for under age 1

A

Unintentional suffocation

69
Q

Top unintentional injury for ages 1-4

A

Unintentional drowning

70
Q

Top unintentional injury for ages 5-9, 10-14 and 15-24

A

Unintentional motor vehicle traffic