Preventive Medicine II- Foundations Flashcards
Leading causes of death
- Heart Disease
- Cancer
- Chronic lower respiratory dz’s
- Unintentional injuries
- Stroke
- Alzheimers dz
- Diabetes
- Influenza and pneumonia
- Kidney dz
- Suicide
Leading cause of death in infants (2014)
- Congenital malformations, deformations, and chromosomal abnormalities
- Disorders related to short gestation and low birth weight
- Newborn affected by maternal complications of pregnancy
Leading cause of death in 1-4 y.o.
- Accidents (unintentional)
- Congenital Malformations, deformations, and chromosomal abnormalities
- Assault (homicide)
Leading cause of death in 5-14 y.o.
- Accidents (unintentional injuries)
- Cancer
- Intentional self-harm (suicide)
Leading causes of death in adolescents, 15-19 y.o.
- Accidents (unintentional injuries)
- Suicide
- Homicide
Leading causes of death, age 65+
- Heart dz
- Cancer
- Chronic lower respiratory dz
Leading causes of death in American Indian or Alaska Native
- Heart dz
- Cancer
- Accidents (unintentional injuries)
Leading causes of death in Asian or Pacific Islander
- Cancer
- Heart dz
- Stroke
Leading causes of death in African American non- Hispanic
- Heart dz
- Cancer
- Stroke
Leading causes of death in Hispanic or Latino
- Cancer
- Heart dz
- Accidents
Leading causes of death in White
- Heart dz
- Cancer
- Chronic lower respiratory dz’s
Death rates highest in what population?
African Americans
Leading causes of death in men
- Heart disease
- Cancer
- Accidents (unintentional injuries)
Leading causes of death in females
- Heart disease
- Cancer
- Chronic lower respiratory dz
Goals of Preventive Medicine:
PPM + 3Prevents & 3D’s
- Protect health and well-being
- Promote health and well-being
- Maintain health and well-being
*Prevent: disease, disability, death
What is health?
- Physical, mental and social well-being
- NOT just absence of dz
What impacts health?
- Lifestyle/behavior!
- Biological factors
- Medical care
- Social/Economic environment
Biologic Factors
- Genetics/heredity
- Likelihood of developing certain illnesses - Sex/gender
- Types of dz’s and ages affected - Immunologic factors
- Use of services that prevent and treat diseases
Differences in social determinants of health
- Length of life
- Quality of life
- Rates of dz, disability, and death
- Severity of dz
- Access to tx
Barriers
- Financial burdens
- Cost sharing–>deductibles, co-insurance, copayments - Lack of access to quality HC
- Unaware of or doubt benefits
- Discomfort
- May not want to change
- Social or cultural factors
Overcoming Barriers
- Prioritizing Prevention
- Critically evaluate effectiveness of services
- Learn how to do. motivational interviewing or behavioral counseling
- Specific visits for preventive services
Wellness Exam-Immunizations
- Td/Tdap boosters
- Influenza
- Pneumonia
- Herpes zoster (shingles)
- Other considerations
- ->meningococcal, Hep A/B, varicella (chicken pox), HPV, MMR
Wellness Exam- Behavioral Counseling
- Motivate lifestyle changes in the areas of:
- ->smoking, diet, alcohol, physical activity, high risk sexual behavior
Wellness exam-Chemoprevention
- Aspirin prophylaxis
- Vitamins
- Statins