Family Health Care Flashcards

1
Q

3 AREAS OF FAMILY PARTICIPATION ON PREVENTION

A
  1. Primary prevention
  2. Secondary prevention
  3. Tertiary prevention
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2
Q

Refers to activities focused on health risk profiling of asymptomatic persons and appropriate use of screening test, followed by therapeutic interventions and rehabilitation when indicated.

A

Disease prevention

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3
Q

2 Types of primary prevention

A
  1. Health promotion

2. Specific prevention

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4
Q

Any combination of health education and related organizational, political and economic interventions designed to facilitate behavioral and environmental adaptations that will improve or protect health.

A

Health promotion

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5
Q

Health protection examples

A
  1. Lectures on lifestyle modifications to avoid hypertension and diabetes.
  2. Campaign on clean environment
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6
Q

Specific protection examples

A

Hygiene and proper protective equipment

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7
Q

Prevention that Starts with Early diagnosis and Prompt Treatment

A

Secondary prevention

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8
Q

Example of secondary prevention

A

Screening and diagnostic or confirmatory test; medications and dietary modifications as part of therapy.

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9
Q

Prevention that vows To maintain the remaining functional capacity

A

Tertiary prevention

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10
Q

Example of tertiary prevention

A

Rehabilitation of Stroke patient.

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11
Q

FAMILY WELLNESS AND HEALTH CONCIOUSNESS PROGRAM ( ADVANTAGES)

A
  1. For fam to know about health issues
  2. Very young are in good health
  3. Adolescent are not involved in adultescent problems
  4. Young families have embraced responsible parenthood
  5. All members have ceased from indulging of vices
  6. Family practice health maintenance
  7. Family consult with physician at early stage of illness
  8. Members support each other
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12
Q

5 GUIDING PRINCIPLES ON DEALING WITH THE FAMILY

A
  1. Physician-patient relationship is a triad
  2. Physician can mobilize family as therapeutic ally
  3. If not careful the ally can be an adversary
  4. Physician must explore family issues
  5. Physician must be holistic in the patient and family
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13
Q

Is a process which encompasses diagnostic, preventive, curative and rehabilitative approach for the whole family.

A

FAMILY HEALTH CARE PLAN

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14
Q

4 COMPONENTS OF FAMILY HEALTH CARE

A

A. Diagnostic
B. Preventive
C. Curative
D. Rehabilitative

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15
Q

includes the various laboratory and ancillary procedures in the management of the patient and their family

A

Diagnostic

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16
Q

test for symptomatic individuals to confirm

if the individual is indeed positive of the disease

A

Confirmatory tests

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17
Q

includes health promotion and maintenance for each

family member.

A

Preventive

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18
Q

includes the pharmacologic and non-pharmacologic

management of the patient’s illness as well as that of their family.

A

Curative

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19
Q

includes various exercises and rehabilitation

measures.

A

Rehabilitative

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20
Q

is the process of generating and sustaining the active and coordinated participation of all sectors at various levels to facilitate improvement of a certain group.

A

Social mobilization

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21
Q

5 health belief models

A
  1. Perceived severity
  2. perceived threat
  3. perceived benefits
  4. perceived barriers
  5. Self efficacy
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22
Q

belief that the health problem is serious

A

Perceived severity

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23
Q

the belief that one is susceptible to the problem

A

Perceived threat

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24
Q

the belief that changing one’s behavior will reduce the threat

A

Perceived benefit

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25
Q

a perception of the obstacles to changing one’s behavior

A

Perceived barriers

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26
Q

the belief that one has the ability to change one’s behavior

A

Self efficacy

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27
Q

STAGES OF CHANGE OR TRANSTHEORETICAL MODEL

A
  1. Pre contemplation
  2. Contemplation
  3. Decision
  4. Action
  5. Maintenance
  6. Termination
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28
Q

not thinking about changing behavior

A

Pre contemplation

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29
Q

thinking about changing behavior in the near future

A

contemplation

30
Q

making a plan to change behavior

A

Decision

31
Q

implementing the plan to change behavior

A

Action

32
Q

continuation of behavior change

A

Maintenance

33
Q

one has zero chances of having relapse

A

Termination

34
Q

either positive or negative consequences of a behavior

A

Reinforcement

35
Q

in order for a change to take place, one must learn what to do to change and how to do it

A

Behavior capability

36
Q

the value one places on the expected result

A

Expectancies

37
Q

belief in one’s ability to successfully change one’s behavior. It is connected with another construct called “outcome expectations

A

Self-efficacy

38
Q

the dynamic relationship between the individual and the environment

A

Reciprocal determinism

39
Q

3 types of SOCIAL NETWORKS/ SOCIAL SUPPORT THEORIES

A
  1. Structural
  2. Interactional
  3. Functional
40
Q

size (number of people) and density (extent to which members really know one another);

A

structural

41
Q

include reciprocity (mutual sharing), durability (length of time in relationship), intensity (frequency of interactions between members), and dispersion (ease with which members can contact each other);

A

interactional

42
Q

providing social support, connections to social contacts and resources, and maintenance of social identity

A

Functional

43
Q

FOUR KINDS OF SUPPORTIVE BEHAVIORS OR ACTS:

A
  1. Emotional support
  2. Instrumental support
  3. Informational support
  4. Appraisal support
44
Q

Support by listening, showing trust and concern;

A

emotional support

45
Q

Support by offering real aid in the form of labor, money, time;

A

instrumental support

46
Q

Support by providing advice, suggestions, directives, referrals;

A

informational support

47
Q

Support by affirming each other and giving feedback.

A

appraisal support

48
Q

4 Individual patient assessment and health care plan

A

A. History
B. Physical exam
C. Risk Factors
D. Assessment

49
Q

2 types of Recommended Screening or Diagnostic Test

Management

A

A. Non pharmacologic

B. Pharmacologic

50
Q

Example of Non Pharmacologic

A

Counseling and Education

51
Q

Example of Pharmacologic

A

anti-TB meds; HTIG inj.; Insulin inj.

52
Q

usual signs and symptoms of Past medical histories

A
  1. Cerebrovascular disease
  2. Cardiovascular
  3. Pulmonary
  4. Renal
53
Q

Usual disorders in Family history

A

DM II, CAD,BA

Genetic disorders

54
Q

Usual personal and social history

A

Alcohol or smoking

55
Q

Usual Sexual Function and Behavior

A

STD and sexual practices

Unwanted pregnancies

56
Q

Usual Nutrition and Physical Activity

A

Food intake Cholesterol or carbohydrate.

Exercise and frequency

57
Q

usual Occupational Hazards

A

Exposure to chemicals or mechanical hazards.

58
Q

usual Physical Functioning

A

Visual and audio functions.

59
Q

Physical examination

A
  1. Vital signs
  2. System examinations
  3. Physical examination
60
Q

6 Types of vital signs

A

Weight and Height, BP, RR, CR, Temperature

61
Q

7 Types of Systems Examination

A

Skin, HEENT, Chest, Cardiac, Abdomen,

Reproductive system and Extremities

62
Q

Physical examination for high risk patients

A
  1. Complete Skin Exam
  2. Complete Oral Cavity
  3. Palpation of Thyroid Nodules
  4. Auscultation for Bruits
  5. Rectal Prostate Exam
63
Q

6 types of general laboratory test

A

CBC, FBS, Total cholesterol and HDL cholesterol

Urinalysis, Fecalysis

64
Q

3 types of specific laboratory test

A

Pap Smear
Mammogram
Colon cancer screening

65
Q

6 Types of STD tests

A
  1. VDRL for syphilis
  2. Chlamydia testing
  3. Gonorrhea culture
  4. Urinalysis
  5. Tuberculin Skin test
  6. Electrocardiogram
66
Q

2 types of laboratory assessment for High Risk groups

A
  1. Fasting Blood sugar (FBS)

2. Chest X ray

67
Q

Test for obese men and women over 40 years old,
patients with strong family history of disease,
or lifestyle.

A

FBS test

68
Q

SCREENING PROCEDURES

A

As recommended by PHEX (Periodic Heath Examination)
•General guidelines Family Medicine
•Filipino Guidelines for Screening (most recommended)
•USA Preventive Screening
•Canadian Preventive Recommendations
•Recommendations from specialties

69
Q

OTHER RECOMMENDED SCREENING PROCEDURES IF NEEDED ( ON HIGH RISK INDIVIDUALS

A
Screen for Breast CA
•Screen for CA of cervix
•Screening for Hypercholesterolemia
•Screening for Hypertension
•Screening for Obesity
•Screening for Hearing or visual
•Screening for TB
70
Q

COUNSELING INTERVENTIONS YOU CAN USE BASED ON PATIENTS NEEDS

A
Counseling on Tobacco
•Counseling on Healthy Diet
•Counseling to Promote Physical Activity
•Counseling to Prevent injuries
•Counseling on Dental Health
•Counseling on Sexual Behavior
•Counseling on Alcohol use
•Counseling on Osteoporosis and hormone
71
Q

3 Recommended vaccines

A
  1. Annual Influenza
  2. Pneumococcal
  3. Tetanus-diptheria