Prevention and Screening- Moen Flashcards
What are the factors responsible for poor health?
-genetics
-environment (is a social factor)
-lifestyle
limited medical care (the answer is affordable healthcare)
What is the natural course of disease?
- Exposure
- Preclinical disease
- Clinical disease
- Complications
- Death
What are the levels of prevention?
- influenza vaccination: annually
- pneumococcal vaccination: after age 65
- tetanus vaccination: every 10 years
- chemoprophylaxis
- correct Identification of patient BEFORE providing medical care services
Health is not the absence of disease.
it is a privilege. You have to pay for it to get it. It is to keep your physical, emotional wellbeing.
What are the 3 correct Identification of patient BEFORE providing medical care services?
Name
Birthday
Social security
Level of Prevention
- hypertension screening
- coronary artery disease screening
- diabetes screening
- breast cancer screening (men are also at risk)
- colon cancer screening
What are at least two factors in evaluating prevention services?
- screening tests
- accuracy of tests
- effectiveness of early detection - immunization/chemoprophylaxis
- efficacy of vaccine/chemoprophylaxis
- effectiveness
VACCINE delays mortality more than preventing
You have to be precise with your questions to the patients.
??
What are the reasons for screening?
- to separate those most likely to have a disease from those least likely
- to exclude or confirm a diagnosis
What is the difference between incidence and prevalence?
all the new cases
incidence conveys information about the risk of contracting the disease, whereas prevalence indicates how widespread the disease is
HIV incidence rates have reduced because of screening and vaccinations
Where are places to screen?
- community
- prevalence survey - provider’s office
- health and risk assessment
- diagnostic testing - Hospital
- Work place
What are the appropriate reason for screening?
- disease must be serious (you don’t just do screenings—they COST; you do it when they are Asymptomatic)
- treatment before symptoms occur more beneficial
- High prevalence of preclinical disease
What is the acceptability of screening tests?
- affordable
- acceptable to the public
- conducted in confidence
- treatment for the disease
What are the evaluative criteria for screening tests?
- reliability
- accuracy
- yield
What is reliability?
-test performs consistently when given to individual under same conditions (not be being biased based on one pt dressed up nicely as opposed to another not dressed nicely)
reliability improves with standardization, training, and periodic checks