Health Care System Flashcards
Is a mechanism for providing services that meet the health—related needs of individuals
Health Care Delivery System
Health Promotion and Illness Prevention
Primary Level
Diagnosis and Treatment
Secondary Level
Rehabilitation
Tertiary Level
What are the three levels of HCDS?
Primary Level
Secondary Level
Tertiary Level
Immunization
Primary Level/ Prevention
To decrease the risk to a client (individual or community) for disease or dysfunction
Goal of primary Level
General health promotion and protection against specific illnesses
Primary Level
•Teaching
•Lifestyle modification for health (e.g., smoking cessation nutritional counseling)
•Referrals
•Immunization
•Promotion of a safe environment (e.g., sanitation, protection from toxic agents)
Primary Level
Early detection and intervention to alleviate disease and prevent further disability
Goal of Secondary Level
Early detection and intervention
Secondary Level
•Screenings
•Diagnostic Procedures
•Acute Care
•Surgery
Secondary Level
To minimize effects and permanent disability of chronic irreversible condition
Goal of Tertiary Level
Restorative and rehabilitative activities to obtain optimal level of functioning
Tertiary Level
•Education and retraining
•Provision of direct care
•Environmental modification (e.g., advising on necessity of wheelchair accessibility for a person who has experienced a cerebrovascular accident or stroke)
Tertiary Level
Provides care to individuals who are unable to care for themselves; with a holistic approach, _____ assist client to cope with illness or disability
Nurse RN
Address the needs of the client (individual, family, community)
Nurse RN
Emphasize health promotion
Nurse RN
Emphasize health promotion
Nurse RN
Makes medical diagnosis and prescribes therapeutic modalities
Physician MD
Perform medical procedures (e.g., surgery)
Physician MD
May specialized in variety areas (e.g., gynecology, obstetrics/ oncology, surgery)
Physician MD
Provides medical services under the supervision of a healthcare practitioner
Physician Assistant (PA)
•Diagnosis and manages common health problems
•Performs medical procedures (e.g., suturing, casting)
Advanced Practice Registered Nurse
•Prepares and dispenses drugs for therapeutic use
•Often involved in client education
Pharmacist (RPh)
•Diagnosis and treats condition affecting mouth, teeth, and gums
Dentist (DDS)
Provides dental health education and preventive services
Dental Hygienist
Plans diets to meet special needs of clients
Dietitian (RD)
Assists clients with psychological problems (e.g., financial, marital)
Social Workers
•Administers pulmonary function tests
•Performs therapeutic measures to assist with respiration (e.g., oxygen administration, ventilations)
Respiratory Therapist (RT)
Works with clients experiencing musculoskeletal problems
Physical Therapist
Assess person’s strength and mobility
Physical Therapist
Performs therapeutic measures (e.g., range of motion, massage application of heat and cold)
Physical Therapist
Teaches new skills (e.g., walking with crutches)
Physical Therapist
Wound Care
Physical Therapist
Works with clients with functional impairement to learn skills for activities of daily living
Occupational Therapist (OT)
Assists in helping clients meet spiritual needs
Chaplain
Provides individual counseling
Chaplain
Provides support to families
Chaplain
Conducts religious services
Chaplain
Assists in provision of client care activities under the direction of the RN
Unlicensed Assistive Personal
May include certified nurses aide, personal care assistant, nursing assistant, orderly, and certified phlebotomist
Unlicensed Assistive Personnel
Traditional and most essential role
Caregiver
Functions as nurturer
Caregiver
Provides direct care
Caregiver
Is supportive
Caregiver
Demonstrates clinical proficiency
Caregiver
Promotes comfort of client
Caregiver
Provides information
Teacher
Serves as counselor
Teacher
Seek to empower clients for self-care
Teacher
Encourages compliance with prescribed therapy
Teacher
Promotes healthy lifestyle
Teacher
Interprets information
Teacher
Protects the client
Advocates
Provides explanations in clients language
Advocates
Acts as change agent
Advocates
Supports client’s decision
Advocates
Makes decision
Manager
Coordinates activities of others
Manager
Allocates resources
Manager
Evaluates care and personnel
Manager
Serves as a leader
Manager
Takes initiative
Manager
Advanced practice clinician
Expert
Conducts research
Expert
Teaches in schools of nursing
Expert
Develops theory
Expert
Contributes to professional literature
Expert
Provides testimony at governmental hearings and in courts
Expert
•Tracks clients progress through the healthcare system
•Coordinates care to ensure continuity
Case Manager
Collaborates with others
Team member
Possesses highly skilled communication methods
Team member
Performs therapeutic measures to assist with respiration (e.g., oxygen administration, ventilations)
Team member
What are the 7 Nursing Roles
- Caregiver
- Teacher
- Advocates
- Manager
- Expert
- Case manager
- Team member
It is the factors influencing the delivery of healthcare, has been a driving force for change in healthcare system, as widened by the strength and numbers of managed care plans, increased use out —patient treatment and shortened hospital stays.
Cost
Factors that hinders access to HCDS:
•LOW INCOME OR LOW INSURANCE
•POVERTY
•LIMITED TRANSPORTATION
Access
May supervise preparation of meals
Dietitian
Conducts discharge planning
Social Workers
Makes referrals for placement
Social workers
It is a Health Care Settings that directs access to professional nursing service
Community Nursing Centers
Stabilized clients until they are physiologically able to be transferred to more skilled facilities
RURAL PRIMARY HOSPITALS
Maintain health and safety of workers
INDUSTRIAL CLINICS
Reimbursement for health care services
MANAGED CARE ORGANIZATION
•Treatment of illnesses (acute and chronic)
•Diagnostic Testing
•Simple surgical procedures
OUTPATIENT SETTINGS
Wide range of services including curative and rehabilitative
HOME HEALTH AGENCIES
•Care of individuals with terminal illnesses
•Improving the quality of life until death
HOSPICES
Intermediate and long-term care for people with chronic illness or those who are unable to care for themselves
EXTENDED CARE FACILITIES
Long Term Care
Restorative care until client is ready for discharge to home
EXTENDED CARE FACILITIES
Long Term Care