Quiz 2 Flashcards
What are the 3 formal assessments of health literacy?
The Rapid Estimate of Adult Literacy in Medicine (REALM)
The Test of Functional Health Literacy in Adults (TOFHLA)
The Newest Vital Sign (NVS)
What are the 3 indicators of readability?
The Flesh-Kincaid Readability Test (FK)
The Fry Readability Formula (Fry)
The Simplified Measure of Gobbledygook (SMOG)
What should the reading level be for consumer information/patient medication information?
5th grade
Which populations are at risk for limited health literacy?
Elderly
Ethnic and racial minorities
those with limited education
low socioeconomic status
chronic disease
What are some strategies to improve health literacy?
Slow down
use plain, non-medical language
use analogies and pictures
limit to 1-3 key messages
repetition
Empower patients
use the teach-back method
use patient-friendly materials and forms
What does health literacy impact?
Access
Safety
Quality
Outcomes
TOFHLA is a health literacy test used in health care research. What does it measure?
reading comprehension and numeracy
How would you describe Native American’s knowledge and attitudes towards cancer?
low knowledge and more negative attitudes
What is the first step in achieving cultural competence?
Being aware and accepting of cultural differences; developing a value for diversity
What are the CDC’s 10 great public health achievements
Vaccine-preventable disease
tobacco control
prevention and control of infectious diseases
maternal and infant health
motor vehicle safety
cardiovascular disease prevention
occupational safety
cancer prevention
childhood lead poisoning prevention
public health preparedness and response
Vaccines for Children (VFC)
program provides vaccines at no cost to kids who might not otherwise be vaccinated
medicaid eligible, american indian or alaska native, not insured, underinsured, through federally qualified health centers, or rural health clinics
What is the purpose of a Vaccine Information Statement (VIS)?
to inform the patient regarding benefits/risks
should be given BEFORE administration
Live Attenuated Vaccine
weakened form of the virus/bacteria
must replicate to get immune response
immunity in less doses
caution/contraindication in immunocompromised
MMR, varicella, rotavirus
How does REALM test for health literacy?
patient pronounces 66 medical terms ordered in increasing difficulty and number of syllables
most commonly used
How does NVS test for health literacy?
patient looks at an ice cream nutrition label and answer 6 questions about it
Native American patients with cancer presented with higher rates of ?
advanced-stage disease
National Childhood Vaccine Injury Act (NCVIA)
ensures adequate supply of vaccines, stabilizes vaccine costs, and established a forum for injury
National Vaccine Injury Compensation Program (NVICP)
no-fault alternative for resolving vaccine injury claims
funded by a tax on each dose of vaccine
use of vaccine injury table and FAQs
Vaccine Adverse Event Reporting System (VAERS)
Joint program of the CDC and FDA
post-marketing safety surveillance program for adverse events that occur after administrations of vaccines
healthcare professionals are REQUIRED to report
What should a healthcare professional record when it comes to the VIS
VIS edition date
date VIS was provided to patient
name, address, and title of person administering
date the vaccine is administered
vaccine manufacturer and lot number
Inactivated Vaccine
killed virus/bacteria
cannot replicate/cause disease
requires booster doses
Hep A, influenza, polio
Subunit, recombinant, polysaccharide, and conjugate vaccines
specific parts of targeted viruses/bacteria
requires booster doses
pertussis - subunit
Hep B/HPV/zoster - recombinant
meningococcal - conjugate/recombinant
pneumococcal - polysaccharide/conjugate
Toxoid vaccine
produced from proteins that cause symptoms
diphtheria, tetanus
mRNA Vaccine
teach cells to make proteins to trigger immune response
COVID-19 (pfizer/moderna)
HIV in future possibly
Viral Vector Vaccine
genetic material placed in a modified virus
COVID-19 (J&J)
ebola in possible future
