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IM4 E1 > Healthcare Delivery System > Flashcards

Healthcare Delivery System Flashcards

1
Q

Health is the state of

A

Complete physical, mental, and social well being

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2
Q

What are some challenges for healthcare delivery (6)

A

Uninsured patients
Costs
Access
Healthy behaviors
Services
New Milennium

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3
Q

How can we as nurses be financial advocates for our patients?

A

By know their financial situation

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4
Q

What are the six levels of healthcare?

A

Preventive
Primary
Secondary
Tertiary
Restorative
Continuing

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5
Q

Which health care settings are preventive or primary care? (5)

A

Physician offices
Nurse managed clinics
Schools
Community health centers
Parish and block nursing?

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6
Q

What is the focus for preventive and primary care?

A

Health promotion and disease prevention

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7
Q

What are some ways to achieve preventive and primary care? (3)

A

Health and nutrition education
Immunizations
Occupational health programs

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8
Q

What are some secondary health care settings? (3)

A

Medical units
Surgical units
Mother/baby units

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9
Q

What is the focus of secondary health care? (3)

A

Early diagnosis, Treatment , and Prevention of worsening of conditions.
Disease, illness, or injury

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10
Q

What are Tertiary healthcare settings?

A

ICUs
Oncology centers
Burn Centers
Psychiatric facilities
Rural hospitals ( Critical access)

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11
Q

What is the focus of tertiary care?

A

Specialized patient populations?

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12
Q

What is quaternary care?

A

An extension of tertiary care. A highly specialized level of care
Ex. Level IV NICUs

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13
Q

When does discharge planning start?

A

On admission

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14
Q

What are the components of discharge planning? (5)

A

Health education
Medication education
Determining discharge destination
Identifying post- discharge needs
Developing discharge instructions

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15
Q

What are the benefits of discharge planning? (3)

A

Fewer complications
Fewer readmissions
Improved outcomes

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16
Q

What are some barriers to discharge planning? (3)

A

Ineffective communication
Lack of role clarity
Lack of resources

17
Q

What is the way to reduce barriers to discharge plan

A

Communication

18
Q

What are some Restorative care settings? (3)

A

Skilled nursing facilities, rehab centers, HH care

19
Q

What is the focus of restorative care

A

Helps individual regain maximal function and enhances quality of life

20
Q

What are some continuing care settings and their focus (2)

A

Nursing centers- prolong care for people
Assisted living- long-term care settings

21
Q

What are some other examples of continuing care? (3)

A

Respite care
Adult Day care
Hospice

22
Q

What is the focus of respite care?

A

Short-term relief for the caregiver

23
Q

What is the focus of Adult day care?

A

Provide a variety of health and social services to patients who live with family

24
Q

What is the focus of hospice care?

A

Family- centered care that allows patients to live with comfort, independent, and dignity while easing the pains of terminal care.
Focuses on symptoms, and not curative care

25
Q

Which practitioners fall under physicians (3)

A

PCP
Specialists
Hospitalists

26
Q

Which practitioners are in the mid-lvl practitioners?(5)

A

NPs
CRNA
CNM
CNS
PA

27
Q

What are types of nurses (2)

A

RN
LVN/LPN

28
Q

What is considered an assistive team member (3)

A

CNA, PCA, Unit secretaries

29
Q

Who are apart of the supportive team members?

A

Pharmacists, and therapists

30
Q

What are speciality team members?

A

Social workers, case managers, dietitians, or spiritual care

31
Q

Who are ancillary team members?

A

EVS, Food and nutrition, and security

32
Q

What are the two types of nursing interventions?

A

Direct and indirect care

33
Q

What is Total Patient Care nursing?

A

The RN is assigned patients who whom the nurse provides all specks of nursing care

34
Q

What is case method nursing?

A

One-to-one care
Ex, ICU and L&D

35
Q

What is functional nursing

A

Compartmentalization of tasks
Most effiecientive during staffing challenges

36
Q

What is team nursing>?

A

A RN is paired with an LVN, CNA, or NAP to care for patients

37
Q

What is primary nursing?

A

One RN manages care for a group of patients, establishing a plan of care for each patient

38
Q

What is differentiated practice nursing?

A

Patients are assigned accordingly to the best nurse for them based on their portfolio

IM4 E1 (1 decks)

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