hlMidterm 1 Flashcards

1
Q

what does primary health care encompass

A
  • prevention
  • community development
  • community programs and services
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2
Q

date of Florence Nightingale

A

1844

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3
Q

what did Florence Nightingale stress

A
  • health promotion and disease prevention
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4
Q

date of Lilian wald

A

1893

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5
Q

what did Lilian wald do

A

pioneered public health nursing by placing nurses in public schools

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6
Q

date of Bernice reedman

A

1945

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7
Q

bernice redmon was:

A

first black nurse to practice public health in Canada

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8
Q

what did Bernice redmon face when becoming a nurse

A

was not able to enrol in Canadian nursing school

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9
Q

primary care

A

a narrow concept of family doctor type services delivers to individuals, includes health promotion

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10
Q

primary health care

A

is broader
- includes services delivered to individuals and population level public health (health promotion, illness prevention)

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11
Q

what is primary care

A
  • initial point of contact between a patient and the health care system
  • provided by health care professionals
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12
Q

what does primary care include

A
  • preventive care (vaccines)
  • diagnosis and treatment
  • continuity of care
  • coordination
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13
Q

what is primary health care

A
  • encompasses medical care, social, economic, and environmental factors that influence social determinants of health
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14
Q

primary health care characteristics

A
  • equity and access
  • community centered
  • interdisciplinary approach
  • health promotion
  • ## sustainability and empowerment
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15
Q

Primordial care

A
  • targets SDoH
  • advocates for equity
  • improved sanitation, housing
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16
Q

Primary care level

A
  • influenza vaccination
  • birth control and sexual transmitted infection medications
  • first level of contact
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17
Q

secondary care

A
  • screening and referrals
  • referrals to specialists from primary care providers
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18
Q

tertiary care

A
  • wound care in ambulatory clinic
  • hospitalized individuals need further specialization
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19
Q

quaternary care

A
  • most advanced care (surgery, palliative care)
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20
Q

5 elements of primary health care

A
  • primary care
  • health
  • car e
  • health promotion
  • population health
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21
Q

5 principles of primary health care:

A
  • accessibility
  • appropriate skills and technology
  • health promotion
  • intersectional collaboration
  • public participation
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22
Q

accessibility

A
  • access and equitable to all individuals and communities
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23
Q

appropriate skills and technology

A
  • use appropriate technology based on health needs in the community
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24
Q

health promotion

A
  • social, economic, environmental, and spiritual factors in communities
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25
Q

intersectional collaboration

A
  • work with other sectors that influence that health of communities
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26
Q

public transportation

A
  • partcipation regarding own health
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27
Q

how many health authorities are in BC and when were they established

A
  • 5
  • 2001
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28
Q

how many FN health authorities are there and when was it established

A

-1
- 2013

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29
Q

tuckmans phases of teams

A
  • forming
  • storming
  • norming
  • performing
30
Q

forming

A
  • establishing social ground rules and learning scope and roles
31
Q

storming

A
  • working out conflict
32
Q

norming

A
  • forging a collective identity working out conflict
33
Q

performing

A
  • inviting innovation
34
Q

benefits of team-based care

A
  • accessible to resources
  • increase quality of care
  • reduce costs
35
Q

a client-entered approach

A
  • improves health outcomes
36
Q

upstream health care

A
  • strength based
  • where client is at
  • empowering
37
Q

what is a community assessment

A
  • ongoing systematic quantitative and qualitative appraisal of a community
  • data compiled regarding communities health status and resources
38
Q

what is a windshield survey

A
  • informal
  • drives, rides, or walks around the community/area and records observations
39
Q

what characteristics does a healthy community have

A
  • clean water- access to food/health services
  • safety
  • social opportunities
  • ## education
40
Q

7 “A’s” of community health services

A
  • acceptability
  • access
  • adequacy
  • affordability
  • appropriateness
  • availability
  • awareness
41
Q

what does Vollman et al say about community assessments

A
  • 2012
  • realistic profile of the community
  • goes beyond documenting needs and also examines why the needs are occurring
42
Q

public health nursing

A
  • promtes, protecting, and preventing the health of populations
  • links health to community
43
Q

home health nursing

A
  • prevention, health restoration, maintenance, and palliation
  • focused on the people
44
Q

primary care

A
  • preventative health screening, education, comprehensive assessment
45
Q

determinants of health

A
  • broad range of personal, social, economic, and environmental factors
46
Q

ottowa charter fundamental conditions and resources for health:

A
  • peace
  • shelter
  • education
  • food/income
  • stable ecosystem
  • resources
47
Q

what is health equity

A
  • no differences among groups
  • everyone has full access to opportunities
48
Q

what are the 3 principles to consider when addressing health equity

A
  • people
  • place
  • partnership
49
Q

health inequity

A
  • differences in health or access to care
  • disadvantages
50
Q

health equalities

A
  • ensures everyone gets the same things
  • everyone needs to start at the same place and needs same things
51
Q

health inequalities

A
  • differences in health status between population groups
52
Q

how many Canadians are working poor?

A

7.6%
- less stable jobs
- unpredictable hours
- few benefits
- health problems

53
Q

aspects affecting peoples health

A
  • culture
  • sex/gender
  • ability
  • religion
  • race
54
Q

why should nurses care about health equity

A
  • advocacy for individuals, organizational and systemic levels
  • ethically mandated towards social justice
55
Q

how do nurses practice equity-oriented care:

A
  • closes unjust gaps
  • improve health
  • reduce cost
56
Q

what does Dr. James liu and Len Pierre highlight about anti indigenous racism

A
  • address indigenous cultural safe practices and clinical biases that exist in our health care system
57
Q

Joyces principle

A
  • all indigenous peoples the right of equitable access
58
Q

in plain site report

A
  • 2020
  • 24 recommendations to address and mitigate systemic racism
59
Q

what is palliative care

A
  • focus on QOL
  • relief of suffering
  • interdisciplinary
  • throughout course of illness
60
Q

what did ward-griffin and McKeever (2000) state about dying at home

A
  • regardless of preference they spend most of their time at home
61
Q

was is SPICT used for?

A
  • help identify people whose health is deteriorating
  • assess for support and palliative care needs
62
Q

Palliative performance scale

A
  • measures progressive decline
63
Q

PPS parameters

A
  • degree of ambulation
  • ability to do activities
  • self care ability
  • food/fluid intake
  • LOC
64
Q

palliative care benefits

A
  • less than 6 months
  • pharmacare and provincial health authorities
  • good for year
  • faxed to MOH
  • covers meds and equipment
65
Q

compassionate care benefits

A
  • family or family of choice
  • 55% of income
  • 26 weeks time off
66
Q

what does home health nursing encompass

A
  • disease prevention, rehabilitation, restoration of health, health protection/promotion
67
Q

elements of home health nursing

A
  • assessing
  • care planning
  • health maintenance
  • teaching
  • communicating
    relationships
  • access and equity
68
Q

foundations of home health nursing

A
  • health promotion
  • illness prevention and health protections
69
Q

quality and professional responsibility

A
  • quality care
  • professional responsibility
70
Q

ethical issues

A
  • compliance
  • right to live at risk
71
Q

proportionate universality

A
  • universal and proportionate to disadvantage
  • acts on social gradient of health
  • universal and targeted interventions to flatten the social gradient