Future Directions for Client Education: Greater emphasis on wellness and Increase third-party reimbursement

Question 1

a word derived
from the old English word
for heal which is HAEL. It
means WHOLE

Answer 1

Health

Question 2

is holistic (total health) and it
includes the different dimensions of
health taking into account the
separate influences and interaction of
these dimensions (Aggleton &
Homans, 1987).

Answer 2

Health

Question 3

societal and

environmental

Answer 3

Broader dimension

Question 4

physical,
mental, emotional, social, spiritual,

sexual

Answer 4

Individual Dimension

Question 5

defined health as “a
state of being well and using every power the
individual possesses to the fullest extent.”

Answer 5

Florence Nightingale

Question 6

defines health as “a state of complete
physical, mental and social well-being. And
not merely the absence of disease or

infirmity.”

Answer 6

WHO -

Question 7

(Hippocrates) human well-being was
influenced by the sum-total of the environmental
factors: living habits, climate, quality of air, water, and
food.-

Answer 7

400 BC

Question 8

• health was a result from the harmony
  among three vital components, namely, body,
  environment and lifestyle.

Answer 8

Ancient times

Question 9

health and disease considered to be two
extremes of the same continuum, with health at one
extreme and death at the other-the absence of one,
indicated the presence of the other.

Answer 9

Historically

Question 10

is considered as the goal of
public health in general and of
community health nursing in particular.

Answer 10

HEALTH

Question 11

– refers to the
optimum level of functioning (OLOF) of
individuals, families and communities
which is affected by several factors in the
ecosystem

Answer 11

Modern concept of HEALTH

Question 12

1. Political factor
2. Behavioral factor
3. Hereditary factor
4. Health care delivery system
5. Environmental influences
6. Socio-economic influence

Answer 12

Factors in the ecosystem which
affect the Optimum level of
functioning (OLOF)

Question 13

________ can be
considered to be the
precursor of HEALTH.
It is an active process
involved in making
choices for a healthy
and fulfilling life.

Answer 13

WELLNESS

Question 14

All three components
collectively influence the
overall health of an
individual

Answer 14

WELLNESS, HEALTH, AND ILLNESS

Question 15

“everyone has the right to a standard of
living adequate for the health and well-being of himself
and of his family, including foods, clothing, housing and
medical care and necessary social services and the right
to security in the event of unemployment, sickness,
disability, widowhood, old age, or lack of livelihood in
circumstances beyond his control”.

Answer 15

Universal declaration of human rights

Article 25, section 1

Question 16

• states that: “the state shall adopt an integrated and comprehensive
  approach to health development which shall endeavor to make essential goods,
  health and other social services available to all the people at affordable cost.
  There shall be priority for the needs of the underprivileged, sick, elderly,

disabled, women, and children. The state

shall endeavor to provide free medical services to paupers”.

Answer 16

Philippine constitution of 1987, art. XIII, sec. 11

Question 17

believes that “governments have a responsibility for the
health of their people which can be fulfilled only by the
provision of adequate health and social measures.” It
emphasizes three basic positive concepts of health
which are:
a. Reflecting concern for the individual as a total person;
b. Placing health in the context of the environment, and,
c. Equating health with productive and creative living.

Answer 17

WHO (1995)

Question 18

the
way forward to a
healthy life.

Answer 18

Health

Promotion:

Question 19

viewed the
philosophy of wellness as a positive quality (as opposed to illness being
always negative) and visualized it as the integration of the spiritual,
intellectual, physical, emotional, environmental and social dimensions

of health to form a whole “healthy person”.

Answer 19

Greenberg (1992) and Donatelle and Davis (1996)

Question 20

as “an integrated
method of functioning w/c is oriented toward maximizing the potential

which the individual is capable of.”

Answer 20

Dunn (1977) emphasized high-level wellness (HLW)

Question 21

A state of mind
❖ The perception
❖ The integration of the mind, body
and spirit
❖ The level of self-actualization

Answer 21

Wellness IS NOW THE NEW HEALTH GOAL.

IT IS REALLY IS:

Question 22

Insurance coverage for healthcare services
historically has been structured on a model of care
with the physician as the primary provider being
reimbursed on a free-for-services basis.

Answer 22

INCREASE THIRD-PARTY
REIMBURSEMENT

Question 23

WHAT DAE a new Medicare rule allows for
payment of Advanced Practice Registered Nurses
(APRNs) for the delivery of primary care services in
outpatient settings.

Answer 23

January 1, 2013,

Question 24

• Now a separate billing code for patient education and
  counseling by RNs is included in the _________ Common Procedural Terminology (CPT) codes, but
  many restrictions exist in being able to use this code for
  reimbursement of staff nurse services.

Answer 24

American Medial Association

Question 25

the most independently functioning nurse.

Answer 25

Advance Practice Registered Nurse (APRN) –

Question 26

The four core roles:

Answer 26

B. Certified Nurse Practitioner

C. Certified Nurse Midwife

D. Certified Registered Nurse Anesthetist

Question 27

Is an APRN who is an expert in a
specialized area
of practice

Answer 27

Clinical Nurse Specialist (CNS)

Question 28

a. population
b. a setting
c. a disease specialty
d. a type of care
e. a type of a problem
f. Some other examples of CNS practice
setting include community, acute care,
restorative and palliative.

Answer 28

The specialty may be identified by:

Question 29

Who provides health care to a group
of patients, usually in an outpatient,
ambulatory care, or community
based setting.

Answer 29

Certified Nurse Practitioner (NP)

Question 30

An APRN who is also educated in
midwifery

Answer 30

Certified Nurse Midwife

Question 31

• With an advance education from a
  nurse anesthesia-accredited
  program.

Answer 31

Certified Registered Nurse
Anesthetist (CRNA)

Question 32

teaches behaviors
that promote wellness. They develop and
implement strategies to improve the health of
individuals and communities.

Health education specialists offer knowledge,
skills and training that complements the work of
others — health care providers, policy makers,
and human resource personnel.

Answer 32

health education specialist?

Question 33

Assess the health needs of people and
communities.

• Test the effectiveness of programs and
  educational materials.
• Help people find health services or information.
• Provide training programs for other health
  professionals or community health workers.

Advocate for improved health resources,
policies, procedures and services that
promote health.

• Collect and analyze data to learn about a
  particular community to improve programs
  and services.
• Supervise staff who implement health
  education programs.

Answer 33

Health educations specialists:

Question 34

Where do health education specialists work?

Answer 34

Healthcare facilities, hospitals and clinics
* State, county, and public health departments
* Schools and universities

• Nonprofit organizations
• Businesses and industries

Question 35

TRUE OR FALSE : Health education specialist employment is expected to
grow by 12 percent from 2014-2024. Growth is driven by
efforts to improve health and reduce healthcare costs.

Answer 35

TRUE