Exam 3 Flashcards

1
Q

Historical myths of women’s healthcare

A

Hippocrates: uterus blamed for excessive emotions, cure is sex. women are mutilated males
-Histeria: uterus to describe and dismiss female illness, real diagnosis until 1980
-Women can’t be educated
-Lobotomies performed because women were not ideal domestic women

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2
Q

Consequences of men pushing women out and replacing women as healers

A

Care of women no longer from women, now from powerful men
women treated as lesser

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3
Q

3 most common gender disparities

A

Pregnancy and birth are women’s roles and so they sacrifice all else
clinical research exempts women from studies and clinical trials because their hormones fluctuate too much
Women’s pain is more likely to be seen as having an emotional or psychological reason rather than a bodily or biological one

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4
Q

Pregnancy and birth

A

-contraception responisbilites fall on women
- Traumatic experiences, but dismissed if you have a healthy baby
- maternal mortality rate is high in US, POC 3x more likely to die in child birth

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5
Q

Caregiving

A

Women provide the majority of caregiving at the cost of their health
66% of care givers are female
25% have health related issues
less likley to have preventitive visitis

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6
Q

Pain

A

More likely to be offered antidepressants
-50% more likely to receive pain medicine after heart surgery
-70% of those with chronic pain, 80% of medication studies done on men
-ED women have to wait about 16 mins longer than men to recieve pain medication

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7
Q

Key points of women’s health

A

-Women receive inequitable health care compared to men
-The lack of power women had throughout history has lead to modern women receiving low quality care
-Women are taken less seriously and believed less by providers, less research with women leading to delayed or misdiagnosis and treatment
Nurses can and should help minimize the inequity

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8
Q

LGBT Disparities

A

-youth are 2x more likely to attempt suicde
lesibians are less likely to receive preventitive cancer care
-gay men at higher risk for HIV
-elderly face isolation because they don’t have children/friends are passing, lack social services, and lack culturally competant providers
-LGBT have higher rates of tobacco, alcohol, and other drug use

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9
Q

LGBT Discrimination

A

9x more likely to attempt suicide
30% have 1 experience with homelessness
50% trans people experience mistreatment from medical providers
28% report avoiding or delaying healthcare due to fear of mistreatment
48% report health insurance denying gender affirming care

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10
Q

Sexualities

A

Lesbian
Gay
Bisexual

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11
Q

Gender identities

A

Transgender
Queer
Intersex
Asexual

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12
Q

Sex

A

based on apperance of external genitalia
-chromosomes, reporductive orangs
FAAB or AFAB
Intersex: differences of sexual development

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13
Q

Gender idenity

A

personal sense of self and being

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14
Q

gender expression

A

clothing, mannerisms, voice, communications

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15
Q

gender norms

A

social and cultural expectation of expression

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16
Q

tranistion

A

nonlinear process of moving from one gender to another

17
Q

Sexuality

A

identity/orientation
-heterosexual, queer, homosexual, bisexual, lesbian, gay, pansexual, asexual, questioning

18
Q

LGBT reminders

A

Sex does not = gender does not = sexuality
Not at automatically at higher risk for mental/physical illness or trauma
Help by using up to date and appropriate language

19
Q

Gender idenity terms in other cultures

A

two spirit: distingush and distance native americans from non native people
third gender: in indian society, 3rd gender is not male or female, not transitioning
Mahu: hawaiian, 3rd gender, AMAB, different from early on in lives, key social and spirutual roles: guardians of cultural rituals/dances, care of children and elders

20
Q

1948

A

Sexual behavior in the human male (alfred kinsey) published. Reports 37% of men interviewed participated in homosexual behavior.

21
Q

1953

A

Executive Order 10450 is signed by Pres Dwight Eisenhower, ordering the dismissal of government workers who engage in sexual perversion and other immoral acts. Although the order does not explicitly mention homosexuality, hundreds of gays and lesbians lose their job as result

22
Q

1956

A

At a meeting of the American Psychological Association, Evelyn Hooker presented research comparing the psychological health of homosexual and heterosexual men. No differences in the mental health of these 2 groups

23
Q

1962

A

Illinois becomes the first state to decriminalize homosexual acts between 2 consenting adults in private

24
Q

1969

A

Stonewall Riots, June 28 1969. Owned by the mafia, but arrested for being “in the bar while gay”. Marsha P Johnson, Sylvia Riveria (transwomen), and Storme Delarverie (trans man). Threw bricks and shoes and fought against the police. START- provided housing for transgender and LGBTQ in NYC.

25
Q

AIDS Epidemic

A

Not a gay disease
-hemophiliacs killed
-spread by vaginal secretions, semen, blood, breast milk

26
Q

AIDS timeline

A

1981: first cases reported in MSM, people who inject drugs, people who exchange sex for money
1982: labled as Acquired Immunodeficiency Syndrome
1984: Researcher identified the cause as a virus
1985: first test for the virus was introduced, need to not have sex for 6 months
1987: AZT as treatment, made people very sick
1990s: antiviral therapies, 20 pills a day
1996: protease inhibitors, 1-2 pills a day
2012: PrEP introduced

27
Q

Disability Stats

A

26.6% of adults in US have disabilites
23% of adults in Iowa
-mobility
-Cognition- understanding/making decisions

28
Q

Disability disparities

A

-82% of Drs believe people with significant disababilites have a worse life than those without
-56% of Drs said they would welcome a person with a disbability into their practice
-18% of Drs felt that people with disabiliites often receive inadequate care
-2x more likely to be obese
3x more likely to have diabetes
7-9x more likely to be sexually abused
poor maternity care
lower income and education
higher unemployment
poor housing
rely on public transit or rides from others

29
Q

Ableism

A

normal is better, disability is abnormal
shape our environment for normal
beleive everyone wants to be normal and would be better off that way, but people really just want better and safe resources

30
Q

SUD Stigma

A

Through pt eyes
- labled as drug/pill seeking
- not feeling care for
- secrets keep you sick
-feeling like using again
What we see
- laughing when pt with SUD behavoir that is protentially difficult
-delays of care
-inaccurate or incomplete pt assessment
-choosing not to repsond to pt concerns
Why
-members of healthcare team fear their standing
-not wanting conflict with colleagues
-conflict with their own beleifs
-beleving pt experiences is related to their character

31
Q

Causes of Obesity

A

Food, activity, sleep, SODH, genetics, illness, medications

32
Q

Terminology

A

USE: person of size, weight, unhealthy weight, body mass index, nutrition, activity
DONT USE: fat, obese, morbidly obese, heaviness, diet, exercise

33
Q

BMI

A

Screening tool only
does not diagnose the body fatness or health
requries only ht and wt, inexpensive and easy
USE instead: blood prs, pain, dexa scan, A1c, activity tolerance

34
Q

Landing in the US as immigrants

A

housing
family dynamics
trauma/stress
misinformation
work (permit)
debt

35
Q

Barriers in US as an immigrant

A

health insurance
language
low SES
Rising rent/limited housing options
housing/transportation (cost, need work permit/social security, light/internet/water, mobile homes, frequent moves, liscense, care insurance, tickets)
overcrowing
family sepration, monitoring, check in (deporation)
trauma
legal expectations
generaltional wealth

36
Q

Role of Chaplain

A

visit pt and families, provides emotionl/spirtual/relational/decision making support
-highlights emotional./spiritual matters
-listens
-culturally appropriate care
-suppor for unit members
-end of life religous support

37
Q

Offering chaplain support

A

-interfaith
-listener
-masters educated
-spirutal and emotional wellness
- have stigma around them
-pt go through spritual screening process to see if chaplain would be helpful to them

38
Q

Chaplain cultural/religous consideration

A

-medical treatments (end of life decision making, organ donors, blood products, preganancy care, gender surgery)
-religous practices/supports
-dietary restrictions
-gender and sex taboos, same sex nurse preferences
-greetings
-culture vision

39
Q

Agism Nuanceses

A

language is a form of othering
older adults not elderly
geezer jokes, pearly gates
-we are programmed to think of aging as scary
-fear of death