FMCH3 Finals Flashcards
The science and art of preventing disease, prolonging life and promoting health through organized efforts and informed choices of society, organizations, public and private, communities and
Public Health
com plex and related developm ents of collections and analysis
of s tatis tics . The unders tanding of variations in dis eas e patterns in hum an
societies
usually called Epidemiology
Generally accepted international bioethics guidelines state that clinical care
and research should be conducted in accordance with four ethical principles:
o Respect for autonomy
o Beneficence
o Non-maleficence
o Justice
The collection and analys is of identifiable health data by an
authority for the purpos e of protecting the health of a particular community where the benefits and risks are primarily designed to accrue to the participating com m unity
Public Health Practice
the
collection and analys is of identifiable health data by a public health authority for the purpos e of generating knowledge that will prim arily benefit thos e LIBERALISM
beyond the participating com m unity who bear the ris k of participation
Public Health Research
In order to be ethically s ound, public health interventions m us t have:
o Political acceptance
o Public jus tification and com munity participation
o Equity and jus tice
individuals
o Confidentiality
Reflectively analyzing and evaluating the rightness or wrongness of
actions
Practically making decisions often in the context of conflicting values or
com peting s takeholders
Prioritizing and integrating diverse values in crafting decis ions , policies or
recom m endations
First Guideline
Establishing ethical principles of action
It im plies the pos s es s ion of an element of power in order to carry out the
mandate
The need to exercis e power to ens ure health and at the same time to avoid
the potential abus es of power are at the crux of public health ethics
THIRD GUIDELINE:
RATIONALE FOR A PUBLIC HEALTH CODE OF ETHICS
4 is s ues were identified that m ight as s is t in the creation of an ethical conduct
code for public health
SECOND GUIDELINE: THE MORAL AND ETHICAL BASES FOR PUBLIC HEALTH
Sets a s tandard of accountability to ethically orient public health ins titutions
and practitioners Lays out 12 key principles for analyzing ethical challenges and practicing
public health Key concept: interdependence of com m unity m em bers
FO URT H GUI DEL I NE: CODE OF ETHICS FOR PUBLIC HEALTH:
erves as a goal to guide public health ins titutions and
practitioners and as a s tandard to what they can be held accountable
Code of ethics
What principle underscore the principle
of ensuring the resources necessary for health to all.
Each institution must decide for itself what risks it will take to achieve that.
PH should advocate and work for the empowerment of disenfranchised community members, aiming to ensure that the basic resources and conditions necessary for health are accessible to all
It is like the ethical principle from
medicine, “do no harm” but it is worded
in a positive way
Pub lic health program s and
policies should b e
im plem ented in a m anner
that m ost enhances the
physical and social
environm ent
resulting from previous existing disease but which was aggravated by physiologic effects of pregnancy.
INDIRECT OBSTETRIC DEATH
The major complications that account for nearly 75% of all maternal deaths are:
Severe bleeding ○ Infections ○ High blood pressure during pregnancy ○ Complications from delivery ○ Unsafe abortion
Given via intradermal, subcutaneous, oral
Live vaccines
Mandatory vaccine for pregnant women women
Flu and Tdap
Type of vaccine for pregnant women
Inactivated vaccines (intramuscular)
Vaccines upon Dr’s recommendation
Meningococcal, Hep B, and Hep A
Pregnant women with no previous tetanus immunization or
unknown tetanus immunization history should receive
1 dose of Tdap and two doses of Td at (0, 1, 6-12) interval.
0-on the day
1- after 1 month
6-12 - months after day 0
True or False
All women should be given one dose of Tdap during each
pregnancy respective to the patient’s prior history of receiving Tdap
true
Should be given 27-36wks AOG to maximize infant transfer
Dose of Iron folate supplementation for pregnant women
30-60 mg of iron with 400 ug of folic acid
Routine hookworm treatment
Dose for pregnant
single-dose albendazole (400 mg) or mebendazole
(500 mg)
Iodine supplementation
Dose for pregnant
220 micrograms of iodine per day when pregnant
and 270 micrograms per day when breastfeeding
