exam 2 Flashcards
STDs, physical/sexual abuse, skin disorders, anemia, drug/alcohol abuse, unintentional injuries
Depression; suicidal ideation; disorders of behavior, personality, or thought
Family disruption; school failures; prostitution or “survival sex”; involvement with the legal system
Unintended pregnancy
are common with
Homeless Adolescents
a specially trained registered nurse who applies the nursing process during forensic examinations to victims or perpetrators of sexual assault
sexual assault nurse examiner (SANE
The school-aged child with developmental delays or disabilities should work with a team of resource providers following an ________
individualized education plan
what are 2 common reasons for home health
about to be dicharged from hospital or nursing facility
safety issue
what 6 tests must be done every year for senior patients?
complete physical bp screening blood glucose fecal occult blood test visual screening dental exam
PSA blood test, digitial rectal and prostate examinartion must be done how often in senior patients?
yearly
mamogram is reccomended every ______ years if age 40 or older
1-2
Asthma, iron deficiency anemia, and obesity
Mental health problems and developmental delays
Problems with educational achievement and acceptance by other students
are common with
Homeless Children
Who are eligible for home health
clients who are homebound
5 occupational risk hazards
Biological Environmental Chemical Physical Psychological
The availability, relative costs, variety, and safety of foods and the health of animal and plant food sources
Food Quality
crossing guards no open toe shoes in gym Bicycle safety and helmets Proper use of backpacks Schoolyard and playground safety Motor vehicle safety for adolescents
are all examples of ______
Safety Measures in a school setting
The availability and volume of the water supply and the mineral content levels, pollution by toxic chemicals, and the presence of pathogenic microorganisms
consists of the balance between water contaminants and existing capabilities to purify water for human use and plant and wildlife sustenance
Water Quality
High levels can permanently affect the brain, bones, kidneys and the heart
Often there are no symptoms until too late
determined by a blood test
inhalation or ingestion
Lead
4 leading eye diseases affecting older adults
age related cataracts
macular degeneration
diabetic retinopathy
glaucoma
breast exam done every______
clinical breast exam done every ____
every month
every year
Isolation Precaution for:
MRSA
contact
Defined as an anatomical, mental, or psychological loss or abnormality
May be measured
Examples: Spina Bifida, spinal cord injury, amputation, detached retina
Impairment
For senior patients: how often for
Herpes zoster (shingles):
One-time dose
legal document used to perform a home health assessment
lay out physiological state
med condition and ability to perfom ADLS
assesses the need for home health, what services should be started and if the goals have been met
used in terms of reimbursment
OASIS form
gave all children the right to public education in the least restrictive environment possible regardless of mental or physical disabilities
Public Law 99-142 (1976)
Type of Homelessness that :
homeless under federal statutes- unaccompanied youths, and families with children
Category 3-
7 Components of School Health Programs
Health education
Physical education
Health services
Nutrition services
Counseling, psychological, and social services
Healthy school environment
Health promotion for staff
Family and community involvement
patient must be _________ in order to recieve home health paid by medicare
homebound
Impoverished and marginalized groups living close to industry contamination
Danger of illness or injury related to violence, poisoning, exposure, fires, malignant disease, work environment
Unable to move due to cost and family ties
Environmental Racism
what 4 screenings do schol aged children need
Vision is required in most states
Hearing screenings
Scoliosis or postural screening (pre adolescense)
High blood pressure screening (high risk)
Increases available choices-access to vocational services; provides new methods for retaining health insurance after returning to work.
Ticket to Work and Work Incentives Improvement Act (TWWIIA)
Respiratory infections, trauma, and skin disorders
Chronic disorders and poor dentition
HIV/AIDS, TB, HCV, and STDs
Alcohol abuse
Drug abuse
Mental health issues and minor emotional problems
are comon with:
homeless males
strong privacy protection act of education and health records
Family Educational Rights and Privacy Act (FERPA)—
describes a phenomenon in which public structures and homes cause occupants to experience a variety of symptoms, such as headache, fatigue, and exacerbation of allergies. It typically results from poor ventilation and building operations, hazardous building materials, furniture and carpeting substances, and cleaning agents
Sick Building Syndrome
Isolation Precaution for:
Pediculosis Capitis
contact
disability benefits are payable to workers or widow(er)s who are disabled or adults who have been disabled since childhood and are eligible
Funded through disability trust fund monies
must be “insured” through Federal Insurance Contributions Act (FICA) earnings of self, parents, and/or spouse
Social Security Disability Insurance
For senior patients
dentures must be cleaned every __years
2
Operate outside the Medicare system are licensed by the state of Illinois
provide services in patients home for a fee
Private Duty agencies
all the physical, chemical, and biological factors external to a person and all the related factors impacting behaviors
environmental health
Isolation Precaution for:
STI
contact
pelvic exam and pap smear are to be done _____ with older patients
every year
For senior patients
Tetanus-diphtheria: Every __ yr.
10
Type of Homelessness that :
Individuals who are fleeing or attempting to fell due to domestic violence, sexual assault, and other violence-related reasons.
Category 4-
For senior patients
hearing test every __-__ years
2-5
nurse that is responsible for maintaining records of workers exposed to physical or chemical risks, monitoring compliance with Occupational Safety and Health Administration (OSHA)
Occupational Health nurse
Home Health is paid for by what 3 methods
Insurance, Medicare and Medicaid
A restriction or inability to perform an activity within the normal range
May be objective and measureable
Examples: Cannot walk unassisted, uses crutches or a cane, blind
Disability
special cases of medicade and are free include what 2 things
children on vents
special needs
Environmental Health Assessment (I PREPARE )
stands for what?
I- Investigate
P- Present work R-Residence E-Environmental concerns P-past work A- activities R- referrals and resources E- educate
Are Home Health services intermittent or continuious?
intermittent
Isolation Precaution for:
Cholera
contact
6 Psychosocial Issues and Role Changes Affecting Seniors
Retirement
Relocation
Widowhood
Loss of family and friends
Possibly raising their grandchildren
Sexuality
Number of years a person has lived
Chronological age
2 Common medical illnesses affecting school aged children
diabetes
asthma
4 things to remember with occupational health nursing when addressing the needs of the employees (CARE)
charachteristics
age group
risk factors
environment
Isolation Precaution for:
Scabies
contact
Isolation Precaution for:
Pertusis
droplet
Hospice to be eligible according to Medicare have less than ______ to live.
6 months
Isolation Precaution for:
TB
airbourne
following the death ofthe client, the nurse can work with the family for up to __ years
1 year
3 government agencies that help control environmental problems
The Environmental Protection Agency (EPA) Sets regulations (water &air qulity)
Occupational Health and Safety Administration (OSHA)
Work place safety
Nuclear Regulation Commission (NRC)
protects public in relation to nuclear energy
patients between 65- 70 can discontinue pap smear and pelvic exam if what 2 things occur
3 consecutive negative tests
no abnormal results in previous 10 years
circle model for spiritual care stands for what
Caring Institution Respect for religious beliefs Caution Listening Emotional support
________ are licensed by the state of Illinois and follow state law
Not covered by Medicare.
Usually paid for privately.
Special home health programs can include chronic care in specific cases depending on patient and insurance.
Private duty agencies
disability benefits are payable to adults and children who are disabled or blind and are eligible
Funded through general tax revenues
person with disabilities (PWD) must have limited income and resources
Supplemental Security Income (SSI)
5 things that contribute to Food Quality
Malnutrition
Bacterial food poisoning
Food adulteration
Disrupted food chains by ecosystem destruction
Carcinogenic chemical food additives
Who are eligible for hospice care
clients who have 6 months or less to live
More stressful life events, foster care as children, Intimate Partner Violence as adults, hospitalization for psychiatric issues
Pregnancy (often unintended) with higher preterm births and low-birth-weight infants
History of violence from childhood to adulthood
High risk for victimization (history of mental illness, substance use/abuse, and engaging in survival strategies, including selling sex and drugs)
are common with
homeless women
For senior patients
Pneumonia vaccine: Once after age __; ask physician about booster every __ yr.
65
5 years
For senior patients
Influenza (flu) vaccine:____ years
every year
A disadvantage resulting from an impairment or disability that prevents the fulfillment of an expected role
It is not objective or measureable but more about the responses of others
Reflects on specific circumstances and the physical and psychological characteristics of the person
Handicap
healthy home refers to what 6 things
availability safety structural strength cleanliness location indoor air quality
The management of waste materials resulting from industrial and municipal processes, human consumption, and efforts to minimize waste production
waste control
Type of Homelessness that :
An individual who lacks a fixed, regular, and adequate nighttime residence – live in shelter
Category 1
employers must inform employees of the different occupational hazards that they can be exposed to on the job
proper documerntation of injuries & treatment in timely manner
must provide training in a perfered language
is federal legislation enforced by ____
OSHA
Discrimination avoided
Equal oppertunity
Accomidations (reasonable)
are the important factors of
Americans with Disabilities Act (ADA)
Guarantees equal opportunities for people with disabilities related to employment, transportation, public accommodations, public services, and telecommunications.
Americans with Disabilities Act (ADA)
Type of Homelessness that :
Imminent risk of being homeless- who will imminently lose their night time residence
Category 2-
Average indoor radon concentration of __ pCi/L
1.3
Average Exposure Radon
_____mrem
620
Most useful in determining health
Refers to the ability to perform ADL’s
Functional age
For senior patients
colonoscopy every ___-____ years
5- 10
what is the main focus with faith based (parish) nursing
spiritual health
For senior patients
cholesterol screening every __years
5
EPSDT stands for what?
Early and Periodic Screening, Diagnosis, and Treatment created by Medicaid
The availability, safety, structural strength, cleanliness, and location of shelter, including public facilities and family dwellings
Housing
Can Home Health services be ordered by any medical professional?
must be ordered by an MD
Health dangers posed by the various forms of ionizing radiation relative to barriers preventing exposure of humans and other life forms
Radiation Risks
Increases available choices when obtaining employment services, vocational rehabilitation services, and other support services needed to get or keep a job.
Ticket to Work and Work Incentives Improvement Act (TWWIIA)
Home Health services are determined by the__________
OASIS assessment
4 things to remember with Environmental Health History
Asessment
Accuracy
Agrivation
Awareness
All _________ in State of Illinois are licensed by the State and must comply with state and federal guidelines.
Services paid by Medicare or Medicaid or Private insurance if patient is covered by one of these insurances.
home care agencies
Ensured a free appropriate public education (FAPE) in the least-restrictive setting to children with disabilities based on their needs.
Individuals with Disabilities Education Act (IDEA) (1975)
