Exam #3: Primary Care

Question 1

Immunizations for adults that would be suggested:

Answer 1

Tetanus
flu
TDap
MMR
Varicella
Zoster
HPV
Pneumococcal
Hep A and B
Meningitis
Meningococcal (A,B,C)
Hib (Haemophilus flu B)

Question 2

Core primary care

Answer 2

1. patient is the focus
2. patients must be partners in their care to be effective
3. entryway to the health-care system
4. meets the needs of the patients

Question 3

Primary care encompases:

Answer 3

1. health promotion
2. disease prevention
3. health maintenance
4. patient education
5. diagnosis
6. treatment of acute/chronic illness
7. reduces morbidity and mortality

Question 4

Primary prevention in primary care:

Answer 4

purpose is to keep a person free from disease
1. routine checkups
2. health education
3. supportive of positive health practices
4. assistance with changing behavioral risk
5. immunization

Question 5

secondary prevention in primary care:

Answer 5

1. identification of individuals with sub-clinical disease
2. initiating early treatment
3. screening

ethical issue is screening when treatment is not available

Question 6

Tertiary prevention goal is to:

Answer 6

minimize complication or sequelae of non-communicable and communicable diseases

Involves good case management (assessment, planning, advocacy)

Question 7

what are examples of clinical preventive services?

Answer 7

routine disease screening and scheduled immunization, are key to reducing death and disability and improving the nation’s health.

These services both prevent and detect illnesses and diseases – from flu to cancer – in their earlier, more treatable stages, significantly reducing the risk of illness, disability, early death, and medical care cost.

primary and secondary preventive services for all americans from infancy through old age.

Question 8

how/why a RN would screen for Social Determinants Of Health in this population?

Answer 8

Income and social status ( socioeconomic risk)
-Higher income and social status are linked to better health.
-The greater the gap between the richest and poorest people, the greater the differences in health.

Education
-Low education levels are linked with poor health, higher stress levels, and lower self-confidence.

Physical environment
-Safe water, clean air, healthy workplaces, safe houses, communities and roads all contribute to good health.

Employment and working conditions:
-People in employment are healthier, particularly those who have more control over their working conditions.

Social support networks:
-Greater support from families, friends, and communities is linked to better health.

Central risk factor:
-Lack of access to health care including preventive screening, early and ongoing treatment, and resources needed to manage care
-For those who are unable to obtain adequate insurance or who do not have adequate transportation to services, care is often delayed until the disease has become advanced.

Addressing these determinants is key in reducing health disparities and improving the health of all Americans.

Question 9

What would a population intervention look like in primary care ( think something big like a health fair that is looking to help entire population).

Answer 9

Evidence-based practice
HRQoL is a screening tool used in community assessments and survillance
main indicator for monitoring health in populations
evaluating outcomes and recommended by the CDC