Exam 3 Flashcards
which war veterans are likely to have chronic multi symptom illness
Gulf War
exposed to burn pits, particulate matter, chemicals, heat stroke, infectious diseases, shrapnel
federal agency w/ designated responsibility for provisions of primary health care services to undeserved populations
DHHS (Department Health & Human Services) which includes FQHC (federal qualified health centers) and HCH (health care for homeless)
what do public assistance programs provide
cash assistance, food stamps, subsidized housing, SSI (Supplemental Security Income) / SSDI (Social security disability insurance) which gets you medicare benefits
what is the government’s role in child health?
promote and ensure children health
provide public health programs
monitor public health
CHN role in substance abuse
provide education, direct care, collaborate for continuity of care, coordinate services
warning signs of suicidality
substance abuse, withdrawal, hopelessness
strongest predictors of drug involvement in adolescents
poor school performance and drugs use around peers
Key goal of Substance Abuse & Mental Health Services Administration (SAMHSA)
promote behavioral health treatments and prevention programs
characteristics of health families include:
-interact w/ each other
-support/respect each other
-have flexible role relationships, support growth of others
-teach societal values/beliefs
-foster responsibility/value service
-have sense of play, humor and share leisure time
common characteristic of the elderly in rural areas?
they age in place
disparities in rural populations
limited healthcare access and low income
what does the contemporary disability policy do
maximizes opportunity for those w/ disabilities to live productively in their community (we used to keep them in institutions, now we let them live normal lives)
program that provides financial assistance to disabled individuals unable to work
SSI (Supplemental Security Income)
what is the largest minority group in the US
ppl w/ disabilities
limitations that manifest before adulthood and affect daily activities
developmental disabilities
clients w/ disabilities are knowledgeable about their disorders, so it’s important for the nurse to
Get the client’s perspective on desired or needed interventions. Listen to the pt!
what law profits discrimination against people w/ disabilities
ADA (Americans w/ Disabilities Act)
This ensures free and appropriate public education to children w/ disabilities in the least restrictive settings and encourages development of IEP
IDEA (Individuals w/ Disabilities Education Act)
this increased access to vocational services and provided methods for retaining health insurance, as well as addressed employment and benefits issues
Ticket to Work & Work Incentives Improvement Act
ways to improve health deliver in rural areas
Telehealth and grow their own with scholarships
Community Health Centers and Migrant Health Clinics are assisted by the government in that they
provide reimbursement by CMS at a higher rate
acute health problems common in homeless adults include?
trauma and respiratory infections
A community’s responsibility in child health is to provide?
-support families
-ensure access to health care
-provide education
-provide housing (safe neighborhoods)
-provide social service programs
-promote well being
what tool is used to assess a family’s link to community resources?
Ecomap
most common form of drug abuse among the elderly
misuse of prescription drugs
common chronic health problem seen in homeless population
-asthma
-iron deficiency anemia
-obesity / malnutrition
-skin disorders
-substance abuse
residents trusting lay caregivers for their healthcare is called use of???
informal social networks
what war veterans were likely to have been exposed to cold injury
korean war , WW1
also noise, occupational hazards
symptoms involving anxiety, hallucinations, nightmares, irritability, sleeplessness, CV/GI disorders, that exhibits within 3 months of exposure
PTSD
dysfunction in one family member does what?
affects all family members
ripple effect
characterized by 2 or more injuries sustained in same incident that affects multiple body parts of organ systems & results in impairment and functional disability
polytrauma
circumstances contributing to the homelessness are..
-shortage of affordable housing
-insufficient income
-inadequate support services
likely to have been exposed to radiation or have cold injury
mustard gas experiments
WWII veterans
as well as high levels of noise
one of the most significant health care issues for rural residents, identified due to high risk for unintentional injury
access to EMS
characterized by h/a, tinnitus, sleep disorders, suicidality, chronic pain, dizziness, or balance disorders
traumatic brain injuries (TBIs)
population more likely to be illicit drug users
males
purpose of the CHAMPVA program
offer medical coverage to the spouses and children of disabled veterans
veterans w/ a hx of substance abuse disorder and self harm or violence should be screed for?
suicidal risk or ideation
likely to have been exposed to agent orange
vietnam veterans
employee’s role in child health
-affordable insurance
-support nursing mothers
-offer time off for sick newborns or children
-offer flexible leave for prenatal and pediatric healthcare
rural areas have a heterogeneity of …
race
age
economic status
culture
common risk to agricultural workers
exposure to pesticides
barriers faced by migrant farmworkers
language
culture
goal of healthy people 2030
reduce misuse of drugs and alcohol
framework for community health that provides care for those in need is..
social justice
most import thing a CHN can do when visiting a family is to…
establish a therapeutic relationship
risk to homeless women
-sexual assault
-preterm brith
-low birth weigh infant
homeless adolescent are at increased risk for …
prostitution or survival sex
family in which an unmarried couple lives together
cohabitation
early exposure to tobacco and alcohol increases risk for..
use of illegal or street drugs
most frequent diagnosed mental illness
depression
gives federal grants to states for serving nutritionally at risk low income pregnant and postpartum women and children up to 5 y/o
WIC (women, infants, and children program)
mechanism of recording family’s medical and health histories
family health tree
families have 2 purposes ..
-to meet the needs of society
-to meet the needs of individual family members
a family is…
who they say they are
according to Wright & Leahey
a tool used to outline three generations of a family structure
used to meet the health needs of families
used in early family interview
helps the nose outline the family’s structure
genogram
covers those 170-400% below FPL (or 1/2 low income kids) but has stigma associated so many eligible do not participate
CHIP (Children’s Health Insurance Program)
greatest threat to child health
poverty
primary cause of death for children under 14 y/o
unintentional injury
issues that affect children’s health
-caregivers income, education, stability
-safety of home
-nutritional and environmental issues
-healthcare access/use
parents role in child health
-ensure health of fetas
-provide nutritious food
-provide immunizations
-receive healthcare services
-acquire healthy lifestlyes
-ensure safe environment
part of the population most likely to be homeless is…
men
homeless children are at risk for
developmental / intellectual delay
Examples of direct health care delivery programs
Maternal and Child Health Block Grant (Title V)
Community and Migrant Health Centers Program
School-Based Health Centers
Special Supplemental Nutrition
Program for Women, Infants, and Children (WIC)
the CHN uses this in the interview process
- Manners and professionalism
- Therapeutic conversations
- Genogram and ecomap
- Identify family and individuals strengths and commending them
- Issues in family interviewing many locations, family informant, family health portrait, involvement of children
the health of a community is measured by the well being of…
its people and families
Fetal alcohol syndrome, spina bifida, down syndrome , cerebral palsy are examples of what
developmental disabilities
-present challenges to perform ADLs and manifested by limitations before legal age of 18
what is it important for the PHN to discern?
discern the NEEEDS and RESOURCES of the client and family
what does the intersystem model refer to?
refers to the first described person as the ‘knowledgeable client’
Client has been living with disability for extended period of time, Sensitive to needs of their body, Nurse should ask what woks best and what goals need to be pursued
vs
“knowledgable nurse”…. Client need the services of the ‘knowledgeable nurse’ : Client newly diagnosed can benefit from the information about the disability and
available community and governmental factors
examples of veteran health risks
TBI
radiation
noise
cold injuries
amputation
occupational hazard exposure
PTSD
what does mustard gas cause
irritated airways
cancer
sarin (nerve agent)
exposure to chemicals is known to cause what
- AL amyloidosis
- Diabetes mellitus type 2
- Chronic B-bell leukemia
- Chloracne
- Hodgkin disease
- Ischemic heart disease
- Parkinson’s disease
- Prostate cancer
- Respiratory cancers
- Soft tissue sarcomas
- Lou Gehrig’s disease
Chronic multisystem symptom illness exhibits signs and symptoms such as
- Fatigue
- Dizziness
- Headaches
- Cognitive dysfunction
- Musculoskeletal pain
- Rashes
- Diarrhea
- And may cause
o Chronic fatigue syndrome
o Fibromyalgia
o GIillnesses
alcohol abuse places ppl at risk for drinking and driving, that risk is higher in who?
younger adults
largest growing segment of the homeless?
families w/ children
An umbrella term describing impairment, activity limitations, and participation restrictions.
disability
how does alcohol affect women differently?
Body composition differences and production of less gastric alcohol dehydrogenase
Metabolize alcohol at a different rate
Believes individuals should be responsible for own health and not government
Market justice model
Belief that people are entitled to valued ends (i.e., status, income, and happiness) according to their own individual efforts
Dominant model
Cold injury from Battle of the Bulge
(WW2)
Belief that all people are equally entitled to key ends (e.g., access to health care and minimum standards of income). A foundational aspect of public health and nursing
Social justice system
