Preventive Medicine II- Foundations Flashcards

1
Q

Leading causes of death

A
  1. Heart Disease
  2. Cancer
  3. Chronic lower respiratory dz’s
  4. Unintentional injuries
  5. Stroke
  6. Alzheimers dz
  7. Diabetes
  8. Influenza and pneumonia
  9. Kidney dz
  10. Suicide
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2
Q

Leading cause of death in infants (2014)

A
  1. Congenital malformations, deformations, and chromosomal abnormalities
  2. Disorders related to short gestation and low birth weight
  3. Newborn affected by maternal complications of pregnancy
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3
Q

Leading cause of death in 1-4 y.o.

A
  1. Accidents (unintentional)
  2. Congenital Malformations, deformations, and chromosomal abnormalities
  3. Assault (homicide)
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4
Q

Leading cause of death in 5-14 y.o.

A
  1. Accidents (unintentional injuries)
  2. Cancer
  3. Intentional self-harm (suicide)
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5
Q

Leading causes of death in adolescents, 15-19 y.o.

A
  1. Accidents (unintentional injuries)
  2. Suicide
  3. Homicide
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6
Q

Leading causes of death, age 65+

A
  1. Heart dz
  2. Cancer
  3. Chronic lower respiratory dz
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7
Q

Leading causes of death in American Indian or Alaska Native

A
  1. Heart dz
  2. Cancer
  3. Accidents (unintentional injuries)
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8
Q

Leading causes of death in Asian or Pacific Islander

A
  1. Cancer
  2. Heart dz
  3. Stroke
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9
Q

Leading causes of death in African American non- Hispanic

A
  1. Heart dz
  2. Cancer
  3. Stroke
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10
Q

Leading causes of death in Hispanic or Latino

A
  1. Cancer
  2. Heart dz
  3. Accidents
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11
Q

Leading causes of death in White

A
  1. Heart dz
  2. Cancer
  3. Chronic lower respiratory dz’s
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12
Q

Death rates highest in what population?

A

African Americans

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13
Q

Leading causes of death in men

A
  1. Heart disease
  2. Cancer
  3. Accidents (unintentional injuries)
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14
Q

Leading causes of death in females

A
  1. Heart disease
  2. Cancer
  3. Chronic lower respiratory dz
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15
Q

Goals of Preventive Medicine:

PPM + 3Prevents & 3D’s

A
  1. Protect health and well-being
  2. Promote health and well-being
  3. Maintain health and well-being

*Prevent: disease, disability, death

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16
Q

What is health?

A
  • Physical, mental and social well-being

- NOT just absence of dz

17
Q

What impacts health?

A
  1. Lifestyle/behavior!
  2. Biological factors
  3. Medical care
  4. Social/Economic environment
18
Q

Biologic Factors

A
  1. Genetics/heredity
    - Likelihood of developing certain illnesses
  2. Sex/gender
    - Types of dz’s and ages affected
  3. Immunologic factors
  4. Use of services that prevent and treat diseases
19
Q

Differences in social determinants of health

A
  • Length of life
  • Quality of life
  • Rates of dz, disability, and death
  • Severity of dz
  • Access to tx
20
Q

Barriers

A
  1. Financial burdens
    - Cost sharing–>deductibles, co-insurance, copayments
  2. Lack of access to quality HC
  3. Unaware of or doubt benefits
  4. Discomfort
  5. May not want to change
  6. Social or cultural factors
21
Q

Overcoming Barriers

A
  1. Prioritizing Prevention
  2. Critically evaluate effectiveness of services
  3. Learn how to do. motivational interviewing or behavioral counseling
  4. Specific visits for preventive services
22
Q

Wellness Exam-Immunizations

A
  • Td/Tdap boosters
  • Influenza
  • Pneumonia
  • Herpes zoster (shingles)
  • Other considerations
  • ->meningococcal, Hep A/B, varicella (chicken pox), HPV, MMR
23
Q

Wellness Exam- Behavioral Counseling

A
  • Motivate lifestyle changes in the areas of:

- ->smoking, diet, alcohol, physical activity, high risk sexual behavior

24
Q

Wellness exam-Chemoprevention

A
  • Aspirin prophylaxis
  • Vitamins
  • Statins