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N3 Providor Exam 3 > Rural Health > Flashcards

Rural Health Flashcards

1
Q

Why are differences in rural and urban areas less significant now?

A
  • transportation

- technology

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2
Q

*The rural-urban continum

A

Remote farm -> Village -> small town -> larger town/city -> large metropolitain area with a care inner city

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3
Q

*Define Metropolitan are

A

Has a core urban area of 50,000 or more

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4
Q

*Define Micropolitan area

A

Has an urban core between 10,000-50,000

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5
Q

Define non-core area

A

No urban core, but has 14,000 residents on average

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6
Q

Define subrbs

A

“doughnut effect”

Areas surrounding an core/inner city

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7
Q

what is the doughnut effect

A

The occurrence of rich suburbs around collapsed inner city

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8
Q

*Define Rural

A
  • Multiple definitions
  • continuum
  • from farm residency to non farm residency and small tows away from others

7-98 people per square mile

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9
Q

*Define Frontier

A

<6 people per square mile

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10
Q

*Population Characteristic of Rural Areas: race

A

More caucasions

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11
Q

*Population Characteristic of Rural Areas: Age

A

Higher portions of younger (<18) and older (>65)

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12
Q

*Population Characteristic of Rural Areas: marrage/

A

More likely married

More likely to be widowed

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13
Q

*Population Characteristic of Rural Areas: socioeconomic

A

more likely to be poor

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14
Q

*Population Characteristic of Rural Areas: Education

A

Fewer years of formal education

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15
Q

*Population Characteristic of Rural Areas: Insurance

A

At risk for being under and un-insured

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16
Q

*Health Status of Rural Residence: Access/Use

A
  • Health professional shortage area
  • Poor access
  • Wait to use a health care service due to distance
17
Q

*Health Status of Rural Residence: Chronic illness

A

higher rates

-more likely to commodities

18
Q

*Health Status of Rural Residence: At risk population

A
  • Children
  • Minorities
  • Migrant workers
  • Pregnant women
19
Q

*Health Status of Rural Residence: Physical

A
  • Elderly, physical limitation
  • Injury, physical limitation
  • Environmental and occupational risk
20
Q

*Barriers to care for rural residence

A
  • Distance
  • Lack of providers
  • Lack or transportation~personal or public
  • Weather
  • Outreach services unavailable
21
Q

*What is telemedicine/telehealth

A

-giving care or tracking status from a different location then the individual

22
Q

*Examples of telehealth

A
  • Video conference
  • phone call
  • fit bit
  • heart monitors
23
Q

*Define migrant farmworker

A

Travels to do farm work

Unable to return to permanent resident within the same day

24
Q

*Define Seasonal farmworker

A

Returns to seasonal resident each day
Does not work year round in agriculture
Works in farming at least 25 days or part-day per year

25
Q

*Migrant workers are at high risk for what conditions?

A
  • Chronic disease
  • Poor dental health
  • Mental Health problems
  • TB
  • Anemia
  • Diabetes
  • HTN
  • Work injury
  • Chemical exposure
  • HIV/AIDS
26
Q

*Things helping migrant workers in access to health care

A

-Migrant Health Act (1962)
~vital in the creation of migrant health care centers
-Migrant health centers

27
Q

*limitations to health care access for migrants

A
  • Lack of knowledge
  • lack of affordability
  • Availability of serveses
  • Transportation
  • Hours of services
  • Discrimination
  • Documentation
  • Language
28
Q

Occupational health risks for migrant worers

A
  • injuries
  • chemicals
  • inadequate surveillance
  • physical demands
29
Q

Housing issues for migrant workers

A
  • -crowded
  • lack of showers and laundry
  • hard to locate and get affordable housing
30
Q

Risk to children and youth of migrant workers

A
  • Malnutrition
  • infectious disease
  • Dental
  • Poor immunization
  • Pesticides
  • injuries
  • social and school life disruptions
  • obesity
  • stunting
  • HTN
  • anemia
31
Q

Cultural considerations for Mexican migrant workers

A
  • likely to turn to family before health care workers

- listent o folk healers

32
Q

Health values of Mexican communities

A
  • Females are caretakers, males are decision-maers
  • family has a significant influences
  • may listen to freind with a similar health problem over the health proffessional
  • Health may be considered a gift from god
33
Q

*Primary prevention/role r/t migrant workers

A
  • commmunity educator

- signs of pesticide poisoning

34
Q

*secondary prevention/role r/t migrant workers

A
  • Screening and monitoring

- depression, diabetes

35
Q

*Tertiary prevention/role

r/t migrant workers no

A

n

36
Q

*Vulnerability model related to migrant workers: Behavioral domain

A
  • poor diet and nutrition
  • high stress and poor coping
  • Alcohol and drug abuse
  • activity and rest imbalance
37
Q

*Vulnerability model related to migrant workers: Environmental domain

A
  • Pesticides
  • Crowded housing
  • climate/sun
38
Q

*Vulnerability model related to migrant workers: Sociocultural domain

A
  • Underimployment
  • Poor education
  • Poor economic status
  • Uninsured
  • Poor access to health care
39
Q

*Vulnerability model related to migrant workers: Biological domain

A
  • All ages and genders
  • Children work
  • Race and ethnicity; mexican

N3 Providor Exam 3 (7 decks)

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