PH FINAL EXAM Flashcards
Before pregnancy
Preconception
-Health promotion, screening, and interventions to those of reproductive age to reduce risk factors that might affect future pregnancies.
-Focus is on optimal health- integration into primary care.
Period between end of one pregnancy and conception of next
Interconception
-Access to medical care between pregnancies
-Continuance of care and follow up are critical
-Pregnancy complications can cause problems later on such as GDM increases chances of DM II in the future.
Pregnancies that were unwanted or that occurred earlier than desired
unintended pregnancies
Prenatal care visit frequencies
-Frequency every 4 weeks up to 28 weeks gestation
-Every 2 weeks until 36 weeks gestation
-Every week until birth after 36 weeks gestation
Preterm birth is defined as
birth prior to 37 weeks gestation
What is included in peds preventative care?
- tracking growth and development
-raising concerns
-team approach
-the key period is the first 3 years of life
What does the CDC”s Youth Risk Behavior Surveillance System (YRBSS) do?
CDC’s YRBSS monitors priority health behaviors and experiences among students across the country.
The results help in understanding the factors that contribute to the leading causes of illness, death, and disability among youth and young adults. (7 main categories)
Autism Spectrum Disorder and vaccines:
Studies have now shown:
-The age of onset of ASD does not differ between vaccinated and unvaccinated children
-The severity or course of ASD does not differ between vaccinated and unvaccinated children
-The risk of ASD recurrence in families does not differ between vaccinated and unvaccinated children
How old is old?
Chronological perspective: varies, generally 50-65 years; as the average life expectancy rises this may change
Biological perspective: outward expression of genetically-driven cellular changes 🡪 phenotype, drives the medical model
Functional perspective: when the person can no longer perform usual activities of self-care and interest
Levels of Prevention - Medical Model
Primary: Prevent illness before it occurs
Secondary: Early detection & treatment
Tertiary: Slowing disease or limiting complications
Levels of Prevention - Wellness based Model
Primary: Health promotion & enhancement
Secondary: Early assessment to determine priorities
Tertiary: Maximize function
Big Four of Primary Prevention (Wellness based Model)
physical activity, nutrition, stress reduction, & social engagement
Levels of Prevention in a Wellness based Model
Primary- health promotion and enhancement
● The big 4: physical activity, nutrition, stress reduction, social engagements
● Vaccinations
Secondary- early assessment to determine priorities
● Mainly colorectal/breast cancer
Tertiary- Maximize functioning
● Chronic disease: focus on self management and health provider management
● Rehabilitation: regaining skills, abilities, or knowledge lost or compromised by illness or injury
● Habilitation: Attaining, keeping, and improving skills for daily living
Healthy People 2030: Older Adults
Focus on quality of life and well-being of the older adult.
Geriatric specific concerns include:
○ Geriatric population growing faster than the amount of healthcare resources available to care for them
○ Cognitive decline
○ Depression (especially r/t social isolation)
○ Driving safety
■ Screen for safe driving capacity
■ Must weigh the safety of the aging driver and others v. the drivers mobility needs and independence
○ Falls
■ Fallphobia can lead to decrease walking, frailty, and an increased risk of falling w/ injury
■ Should be screened for fall potential
■ Educate on safe walking (shose, lighting, etc)
○ Abuse and neglect
■ Recognize risks, and signs/symptoms
■ Report!!
Geriatric-Specific Concerns: Abuse & Neglect
Types of Abuse:
Physical
Sexual
Emotional
Financial – aka exploitation
Types of Neglect:
By caregiver
Self-neglect
