Preventative Med II Flashcards

1
Q

Leading of causes of death in black population

A
  • Heart
  • Cancer
  • Stroke
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2
Q

Leading causes of death in males

A
  • Heart disease
  • Cancer
  • Accidents
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3
Q

Leading causes of death in females

A
  • Heart disease
  • Cancer
  • Chronic lower respiratory disease
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4
Q

Goals of preventative medicine

A
  • Protect, promote, & maintain health/well-being

- Prevent disease, disability, & death

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5
Q

What is health?

A
  • Physical well-being
  • Mental well-being
  • Social well-being
  • Not just absences of disease
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6
Q

What impacts health?

A
  • Biologic factors
  • Lifestyle / behavior = *Largest impact on health
  • Medical care
  • Social/economic environment
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7
Q

Biologic factors

A
  • Genetics/heredity
  • Sex/gender
  • Immunologic factors
  • Use of services that prevent/tx disease
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8
Q

Lifestyle/behavior factors

A
  • Balanced eating
  • Nutrition
  • Exercise
  • Spiritual factors
  • Stress management
  • Smoking
  • Alcohol
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9
Q

Medical care factors

A
  • Access to health care

- Use of services that prevent & tx disease

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10
Q

Social/economic environment factors

A
  • Education
  • Income/social status
  • Physical environment
  • Social support networks
  • Use of services
  • Nutrition: Access to healthy, safe food
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11
Q

Social determinants of health

A
  • Length of life
  • QOL
  • Rates of disease, disability, & death
  • Severity of disease
  • Access to tx
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12
Q

Health equity

A
  • Everybody attains full health potential
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13
Q

Shifting of medicine

A

Moving towards health promotion & disease prevention

  • Changes in reimbursement
  • Pt centered medical homes
  • Accountable care organizations
  • Federally qualified health centers
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14
Q

What are the components of preventative medicine?

A
  • Primary
  • Secondary
  • Tertiary
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15
Q

Primary prevention

A

Prevention of disease from occurring

- Vaccines

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16
Q

Secondary prevention

A

Screening services

- Identifying risk of disease early

17
Q

Tertiary prevention

A

Illness maintenance/control

18
Q

Wellness exam components

A
  • Screening
  • Immunizations
  • Behavioral counseling
  • Chemoprevention
  • Individualized preventative care
19
Q

Wellness exam - screening

A
  • Cardiovascular disease
  • Cancer
  • STIs & blood borne infections
  • Osteoporosis
  • Vascular disease
20
Q

Wellness exam - immunizations

A
  • Td/Tdap
  • Influenza
  • Pneumonia
  • Herpes zoster
  • Other considerations: varicella, HPV, etc.
21
Q

Wellness exam - behavioral counseling

A

Motivate lifestyle changes

  • Smoking
  • Diet
  • Alcohol
  • Physical activity
  • High risk sexual behaviors
22
Q

Readiness to change: Steps

A
  1. Pre-contemplation : not even thinking about changing
  2. Contemplation: thinking about changing
  3. Preparation: starting to take the steps towards change
  4. Action: quitting
  5. Maintenance
  6. Termination: unsuccessful (back to old ways)
23
Q

Pediatric preventative care (Bright futures)

A
  • Immunizations
  • Screening
  • Behavioral counseling
  • Anticipatory guidance
  • Developmental milestones
24
Q

Pediatric preventative care - screening

A
  • Newborn
  • Sensory - vision/hearing
  • Psychosocial/behavioral - depression
  • Dyslipidemia
  • Obesity
  • STIs/HIV
  • Oral health
  • Safety
25
Q

Pediatric preventative care - behavioral counseling

A
  • Tobacco, alcohol, drug use
  • Risky behavior
  • Academics
  • Relationships
  • “Screen time”
26
Q

Well woman exams

A
  • Immunizations
  • Screening
  • Behavioral counseling
  • Chemoprevention
  • Reproductive health
  • Preconception counseling
  • Intimate partner violence
27
Q

Healthy people 2020

A
  • 10 year national goals for health promotion & disease prevention that provides a framework for public health
  • US Dept HHS
  • Stakeholders (public health experts, government officials, organizations, the public)
28
Q

HP 2020 objectives

A
  • 42 topic areas
  • 1200 objectives
  • 26 leading health indicators
29
Q

HP 2030

A
  • Under development

- Vision: Society in which all people achieve full potential for health