Preventative Medicine Flashcards
What is the leading causes of death in teens 15-19 yo?
accidents, Suicide, homicide
What % of adolescents are obese?
20.6%
leading cause of death for american indian or alaskan native?
heart disease, cancer, accidents
% obesity in african american populations?
37% men, 57% female
goals of preventative medicine
protect health and well being
promote health
maintain health
prevent disease, disability and death
What is health?
physical , mental, and social well being
what impacts health?
biological factors, lifestyle (biggest impact), medical care, social/economic environment
biologic factors effecting health
genetics/heredity, sex, immunologic factors, use of services that effect disease
lifestyle/behavioral factors effecting health
diet, nutrition, exercise, smoking, etoh, drugs, etc.
medical care factors effecting health
access to health care, preventative services
socioeconomic factors effecting health
income, education, environment, social support networks, nutrition
barriers to preventative health care
financial burdens
lack of access to quality health care
unaware of or doubt of benefits
discomfort
may not want to change
social/cultural factors
components of preventative medicine
primary
-prevention of disease from happening in the first place ex. vaccines
secondary
-screening services
tertiary
-already have disease, focusing on making sure that we are controlling it to the best of our ability, working to prevent complications
components of wellness exam
- screening
- immunizations
- behavioral counseling
- chemoprevention
What do we screen for in wellness exams?
CV disease CA STDs, blood borne infections psych osteoporosis vascular disease vision/hearing injury prevention oral health
stages of readiness for change
- pre-contemplation: pt doesn’t want to think about it or talk about it
- contemplation: pt thinking about it and talking about but is not ready to take step
- Preparation: getting themself ready for change
- Action
- Maintenance
- Termination: unsuccessful, starting over
Two types of preventative physicals for medicare pts
- IPP “welcome to medicare”
- Annual wellness visit
anticipatory guidance
Talking to parents about what to expect in next stages, “milestones” that kids should be meeting
well woman exams include:
immunizations screening behavioral counseling chemoprevention reproductive health precontraceptive counseling intimate partner violence
US life expectancy
78.8 yrs
leading cause of death for infants in the US?
congenital malformations, deformities, and chromosomal abnormalities
leading causes of death 1-4 y/o
accidents, congenital malformations, homicide
leading cause of death 5-14 y/o
accidents, cancer, suicide
What percent of children 6-11 are obese?
17.4%
