Module 10 - Patient Care Coordination And Education Flashcards
Team-based patient care provides a partnership between what?
partnership between providers and patients to ensure that patients are educated and actively involved in their care
Patient-Centered Medical Home Core Function and Attributes
- Comprehensive care is an approach that includes care for the patient’s need
- Patient-centered care positions patients and their families as core members of the team
- Coordinated care means the provider-directed medical practice oversees all specialty care, hospital, home health care, and community services
- Accessible services
- Quality and safety commitments include delivering quality health care.
Accountable Care Organizations
Group of medical professionals associated with a defined patient population that are accountable for the quality and cost of care delivered to those patients.
key to achieving full participation of families and patients?
Communicating effectively
What is a requirement for receiving resources from the CDC?
within a specific geographical location and does not require a fee or someone to receive federal or local resources to be eligible.
suggested screening for breast cancer
mammogram starting at 40 y.o
suggested screening for cervical cancer
- every 3 years from age 21 to 29 years of a pap test
- every 3 or 5 years from 30-65 of a pap test and hpv test
Colorectal cancer suggested screening
age 45 and can be done by performing a fecal occult blood test (FOBT)
cholesterol screen suggested screening
Adults who have a family history of high cholesterol levels may need to be tested more regularly.
Lung cancer suggested screening
- annually for adults age 50 to 80 years who have a 20-pack-year smoking history or currently smoke or have quit within the past 15 years.
Diabetes screening test
- recommended every 3 years for adults
Abdominal aortic aneurysm Recommended One-Time Screening
male patients aged 65 to 75 years who have ever smoked
Hepatitis C Recommended One-Time Screening
- being born between 1945 and 1965; history of blood transfusions or organ transplant before 1992; use of injected illegal drugs; and chronic liver disease, HIV, or AIDS.
What are common signs of substance use disorder?
- tired and sad
- very energetic and talking fast
When conducting the patient interview, what should be included?
- changes in health status
- medication reconciliation, refills needed?
- confirm allergies
- screen for health conditions (fall risks, MH status, screening tests)
- update health history
- educate pt on preventive services
- any needed or recommended immunizations
Community Resource Examples
- Transportation and medical equipment
- Adult day programs
- Assistive living
- Long-term care
- Low-cost medication programs
TASH
Advocates for human rights and inclusion for people who have significant disabilities and support needs.
When speaking with a patient to determine if any community resources are needed, what action should you take?
Handle it with privacy.
Communicable Diseases to Report
Tuberculosis (TB)
Escherichia coli (E. coli)
Foodborne diseases
Lyme disease
Hepatitis B, C, D, and E
Human immunodeficiency virus (HIV)
Gonococcal infections
COVID-19
Auditory learning
achieved by hearing information.
- reading follow-up instructions to the patient while they listen to the MA.
kinesthetic learning
Involves seeing the action and performing it
- demonstrating how to check blood sugar using a glucometer.
Visual learning
reading information and seeing diagrams or graphics.
