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Block 1 Module 2: The Family in medicine > Family Wellness, Health Promotion and Maintenance > Flashcards

Family Wellness, Health Promotion and Maintenance Flashcards

1
Q

PAFP vision

A

promotion of optimum family health and quality care attained through the Family Wellness Program

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2
Q

PAFP meaning

A

Philippine Academy of Family Physicians

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3
Q

Organization that Evolved from the 1989 Family Health Development and Advocacy through Primary Health Care initially funded by UNICEF

A

PAFP

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4
Q

Year when the PAFP requires all accredited departments to maintain a Family Health Care Program and a Community Health Program

A

1990

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5
Q

Year when DOH declares all its hospitals as centers of wellness

A

1994

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6
Q

Year when WHO emphasized importance of promoting healthy lifestyle and health education

A

1995

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7
Q

2 major legal documents in the Philippines which help ensure health promotion and maintenance thereof in the country

A
  1. Section 15 of the 1987 constitution

2. Executive Order 227 (formerly 209)

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8
Q

The State shall protect and promote the right to health of the people and instill health consciousness among them

A

Section 15 of the 1987 constitution

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9
Q

It is maintaining the different components of health in sufficient amounts and in balance with one another

A

Wellness

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10
Q

Health and behavior linked together

A

Wellness

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11
Q

Family practice sees health maintenance an important part of the whole treatment regimen

A

Wellness

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12
Q

How is Patient awareness improved

A
  1. enables individuals to make decisions that can improve health status, minimize or prevent disease or prevent death
  2. Support for health promoting behaviors
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13
Q

3 goals Family physicians should take the opportunity to…..

A
  1. Modify patient behavior
  2. Provide education about illness
  3. promote health by relating present condition to previous unhealthy behavior
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14
Q

Helps the patients and their families know what to expect during their lifetime, especially on the condition of their health

A

Anticipatory Guidance

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15
Q

provides personalized instructions and education

A

Anticipatory guidance

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16
Q

important addition to the proper physical examination

A

Anticipatory guidance

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17
Q

anticipatory guidelines allow physicians to

A
  1. program the guidance
  2. clear up misconceptions
  3. introduce new information
  4. reinforce healthy practices
  5. emphasize deleterious effects of unhealthy lifestyle choices
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18
Q

Young growing families who are within the reproductive age group have embraced responsible parenthood as a way of life, thus practicing

A
  1. Family planning
  2. Maternity Care
  3. Proper Child Care
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19
Q

Strategies / Approaches for young couple family wellness

A 
Prenatal care
• Family planning
• Child rearing class
• Parenting seminars
• Nutrition program
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20
Q

This form of counseling provides anticipatory guidance for the upcoming stages of pregnancy, delivery and the postpartum period

A

Prenatal Care

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21
Q

Both focus on prevention or detection of potential complications to the pregnant woman, the fetus, and the newborn

A

Preconception counseling and prenatal care

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22
Q

Identifying women with _______ facilitates provision of anticipatory guidance regarding proper referral to a suitably equipped facility during delivery

A

High risk of complications

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23
Q

3 Hypertensive disease of pregnancy

A
  1. Headache or edema
  2. Proteinuria
  3. ACE-I (Angiotensisn converting enzyme inhibitor)
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24
Q

common among teen-age pregnant women

A

Iron deficiency anemia

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25
Q

How doe iron deficiency anemia be determined during first trimester of pregnancy

A

HB determination

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26
Q

can lead to premature labor and subsequent UTI in a pregnant woman

A

Asymptomatic bacteriuria

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27
Q

How is asymptomatic bacterium assessed?

A

Pelvic examination with culture of cervix or urethral discharges

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28
Q

USPSTF recommends urine culture in pregnant women at _____ weeks ____ or at ______

A

12 to 16 weeks, AOG, First prenatal visit

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29
Q

blood testing for pregnant mother to determine what?

A

Hepatitis B infection

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30
Q

Part of PhilHealth newborn care package

A
  1. first dose of anti-hepatitis vaccine

2. Newborn screening

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31
Q

Indicates glucose intolerance when first detected during pregnancy can lead to macrosomia

A

Gestational Diabetes Mellitus

32
Q

Prenatal genetic screening for what and how long?

A

amniocentesis from 15 to 18 weeks AOG

33
Q

single best predictor of neonatal survival

A

Low birth weight / prematurity

34
Q

Newborn screening process

A

done 48 hours after birth

may be screened again after 2 weeks

35
Q

Act stating that Newborns shall be screened after 24 hours of life but not later than 3 days from complete delivery

A

Republic Act 9288 or the Newborn Screening Act of 2004

36
Q

Act stating that If born ill, they may be tested by 7 days of age

A

Republic Act 9288 or the Newborn Screening Act of 2004

37
Q

Diseases screened for under the Republic Act 9288 or the Newborn Screening Act of 2004

A
  1. Congenital hyperthyroidism
  2. Congenital adrenal hyperplasia
  3. Galactosemia
  4. Phenylketonuria
  5. Maple syrup urine disorder
  6. G6PD deficiency
38
Q

Republic Act 9709 or the Universal Newborn Hearing Screening and Intervention Act of 2009

A
  1. To Ensure hearing loss screening
  2. To Invoke policies for hearing screening programs
  3. To Train practitioners for screening research
  4. To Establish screening database
  5. To Ensure linkage to diagnosis
  6. To develop public policy in early hearing detection
  7. To develop models which ensure effective screening
39
Q

AAP recommends visual screening for children to start at ____ to ___ years

A

birth to 3 years

40
Q

Focuses of visual screening

A
  1. External inspection of the eyes and lids
  2. Ocular motility assessment
  3. Pupil examination
  4. Red reflex examination
41
Q

Common problems in infants

A

Colic and atopic dermatitis

42
Q

How to prevent Colic?

A

Elimination of allergenic foods from the maternal diet

43
Q

How to prevent Atopic dermatitis

A

Delaying introduction of solid foods until 6 months of age

44
Q

7 Counselling and Anticipatory Guidance for Children Birth to 6 months

A
  • Normal functions of infants
  • Iron, Vit D and E nutritional supplementation
  • Milk intake ≤ 32 oz, juices 8 to 16 oz
  • Parents should not leave the infant alone in bed
  • Pets should not be allowed near the child
  • Anticipatory guidance on child feeding especially during feeding transitions, energy needs and physical activity is helpful.
  • It should start early, be consistent and continue throughout the preschool years.
45
Q

leading cause of death among children

46
Q

Counselling and Anticipatory Guidance for Children 7 months to 2 years

A
  1. Parents should be counseled about temper tantrums

2. Nutrition and weaning, development, discipline, toilet training, oral hygiene, regular exercise and safety

47
Q

Counselling and Anticipatory Guidance for Children 3 to 6 years

A
  1. Health and hygiene
  2. sleep and leisure
  3. Separation
  4. school readiness
  5. No more bottle
  6. electronic entertainment control
  7. chores and responsibilities
48
Q

7 Counselling and Anticipatory Guidance for Children 7 to 12 years

A
  1. Independence and responsibilities
  2. Fitness and diet
  3. sexual development
  4. Immunization
  5. Psychosocial development
  6. speech
  7. hearing and vision
49
Q

very young children are in a great state of health if: (5 of them)

A
  1. Immunized
  2. Normal nutrition
  3. Breastfed
  4. Normal with mental and physical
  5. No existing intestinal parasites
50
Q

7 strategies in having your child grow strong and healthy

A
  • Immunization program
  • Growth monitoring
  • Breastfeeding campaign
  • Nutrition program
  • Development monitoring
  • Psycho-social development
  • Control of Parasitism program
  • School Health program
51
Q

5 Adolescent care components (Mostly comprising it)

A
  1. BMI
  2. Nutrition and Vitamin D
  3. Social life
  4. Accidents
  5. Sexual health
52
Q

Adolescent children of such families are not involved in adolescent problems such as:

A
  1. Drug addiction
  2. Misbehavior in school
  3. Premarital sex
53
Q

Strategies in avoiding these

A
  1. Drug control programs
  2. Sex education
  3. Sports program
  4. Health risk assessment
  5. School Health Program
  6. Out of school youth project
54
Q

Elderly care components (Mostly comprising it)

A
  1. Dietary and physical risk and activities
  2. BMI
  3. Cardio, pulmo-, osteo-, and dental related disease/injury and CANCER
  4. Smoking
  5. Immunization
55
Q

Immunization for elderly more than 60 years old

A

Zoster vaccine

56
Q

Immunization for elderly more than 65 years old

A

pneumococcal vaccine

57
Q

Immunization for elderly more than 50 years old

A

influenza vaccine

58
Q

peak bone mass acquired in what stage of life

A

Adolescence

59
Q

Objectives of Family Wellness and Health Consciousness Program for Families with Ill-health members

A

During state of ill health or disease, families consult their family physicians at the earliest stage of illness and have improved compliance to management

60
Q

strategies in dealing with families with Ill-health members

A
  1. Send to a Morbidity clinic
  2. Send to Health education
  3. Send to Palliative center
61
Q

Objectives Family Wellness and Health Consciousness Program for Families with Chronically Ill members

A

Members support each other especially during ill-health and rehabilitation

62
Q

strategies in dealing with families with chronically Ill-health members

A

Counselling program

63
Q

Risk assessment for families with chronically Ill-health members

A
  1. Medical and family history
  2. Diet and nutrition
  3. Tobacco and alcohol use
  4. exercise activities
  5. Sexual history
  6. Occupational and Environmental History
  7. Stressors and Coping Mechanisms
  8. Support Systems
64
Q

hazardous drinking for men

A

more than 4 drinks at one time or greater than 14 drinks weekly

65
Q

hazardous drinking for women

A

more than or equal to 3 drinks at one time or greater than 7 drinks weekly for women

66
Q

Entails affirming health-promoting behaviors as well as motivating patients to modify those that lead to illness

A

Lifestyle counseling

67
Q

Laboratory exams, x-rays, ultrasound, electrocardiogram, other diagnostic tests

68
Q

Vaccines may not always be beneficial. There are certain_____ that every family physician must be familiar with.

A

contra indications in administering

69
Q

is the use of drugs to prevent or delay the occurrence of a disease.

A

Chemoprevention

70
Q

Drugs that Decreases the incidence of breast cancer in up to 50% of healthy women at increased risk

A

Selective estrogen receptor modulators

71
Q

Drugs that prevent colon cancer

A

Nonsteroidal anti-inflammatory drugs, calcium and selenium

72
Q

Drugs that protect against ovarian cancer

A

Long term use of oral contraceptives

73
Q

Drug that guards fetuses of pregnant women against neural tube defects

A

Folic acid

74
Q

Drug that prevents spread of serious infectious conditions among close contacts of infected individuals

A

Chemoprophylaxis

75
Q

Drugs for household family members or close contacts of individuals with meningococcal disease

A

rifampicin or ciprofloxacin

Block 1 Module 2: The Family in medicine (13 decks)

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