SAC 2 Flashcards

0
Q

Why is obesity an NHPA?

A

There is potential for prevention through lifestyle changes and health promotion.
The costs of obesity to the healthcare system are high.
Obesity is a risk factor for any other chronic diseases which contribute to our burden of disease (type 2 diabetes, CVD).

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1
Q

Define Obesity:

A

Obesity relates to carrying excess body weight in the form of fat.

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2
Q

Obesity direct, indirect and intangible costs:

A
Direct = weight management plans for the individual and health promotion programs for the community.
Indirect = Loss of income from inability to work for the individual and welfare and government payments for the community.
Intangible = The effects on mental health, self-conscious and low self-esteem and lack of energy to complete daily tasks.
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3
Q

Biological, behavioural, social and physical determinants obesity:

A

Biological: Age. Metabolism slows with age and it becomes more difficult to maintain weight.
Behavioural: Lack of physical activity. Less energy is expended or burned, which increases the risk of weight gain.
Physical Environment: Work environment. A work environment that does not facilitate incidental physical activity such as walking up or down stairs or walking around the office can increase the risk of obesity.
Social: Low socioeconomic status. People of lower socioeconomic status are more likely to be obese. This could be a result of lower levels of physical activity and a more energy dense diet.

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4
Q

Health promotion program obesity:

A

Swap it, don’t stop it. A federal government imitative that aims to address obesity by encouraging Australians to make small swaps in their life, which would make big differences for their health and reduce the risk of disease. The swaps can be nigh dietary swaps and physical activity swaps. For example, swapping a big meal for a smaller portion. Swapping frequently consumed foods to only occasional consumption.

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5
Q

Define cardiovascular health:

A

Cardiovascular health refers to the health of the heart and blood vessels. Examples include coronary heart disease, hypertension, stroke and peripheral vascular disease.

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6
Q

Why is cardiovascular health an NHPA?

A

Coronary heart disease is the number 1 contributor to the burden of disease in Austrlia, for both makes and females.
High healthcare costs are associated with the diagnosis and treatments of CVDs.

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7
Q

Cardiovascular health indirect, direct and intangible costs:

A
Direct = Ambulance transport in case of a heart attack (individual) and health promotion programs (community).
Indirect = Changes to living conditions. A person suffering a stroke may experience limited mobility. (Individual) and Cost of carers. Carers may be required in periods of rehabilitation, especially for the elderly. (Community).
Intangible = Pain and suffering associated with the reoccurring symptoms (individual) and Anxiety and stress for family, friends and associates (community).
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8
Q

Biological, behavioural, physical environment and social determinant of cardiovascular health:

A

Biological: Body weight. Being overweight or obese usually places greater strain on the heart and increases the risk of hypertension.
Behavioural: Tobacco smoking. This increases blood pressure and contributes to plaque build up on artery walls.
Physical environment: Environmental tobacco smoke. Exposure to environmental tobacco smoke can increase the risk of cardiovascular disease by contributing to atherosclerosis.
Social: Socioeconomic status. People in lower socioeconomic groups are more likely to be obese and are therefore more likely to suffer from cardiovascular disease.

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9
Q

Health promotion program cardiovascular health:

A

The heart foundation tick. A program implemented by the national heart foundation that aims to allow Australians to make healthier choices when buying foods. In particular, the heart foundation tick represents a mark of approval by the heart foundation; in that certain food has lower levels of saturated fat, trans fat, sodium and kilojoules and had high levels of five compare with other foods in the same category.

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10
Q

Define Arthritis and musculoskeletal conditions:

A

Refers to a disease causing painful inflammation and stiffness of the joints. Includes juvenile arthritis, osteoporosis, osteoarthritis, back problems and rheumatoid arthritis.

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11
Q

Why is arthritis an NHPA?

A

Cause disruptions and loss of productivity in work and daily life.
Leads to high rates of morbidity.
Significant costs to individual and community.

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12
Q

Arthritis direct, indirect and intangible costs:

A

Direct: patient co payments for doctors services (individuals) and Medicare contributions for health services (community).
Indirect: Loss of income (individual) and welfare payments (community).
Intangible: Anxiety over the prospect of falls (individuals) and anxiety from friends and relatives about the occurrence of falls (community).

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13
Q

Biological, behavioural, physical environment and social determinant arthritis:

A

Biological: Age. More wear and tear on the bones increases the risk of osteoarthritis. Bone mass decreases with age.
Behavioural: Tobacco smoking. Chemicals in tobacco smoke, can directly harm bone cells, especially nicotine.
Physical environment: Access to recreation facilities. Lack of access to parks and gardens can decrease physical activity and contribute to obesity and arthritis.
Social determinants: Occupation. Occupations involving heavy lifting can increase the risk of back problems.

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14
Q

Health promotion program arthritis:

A

WAVES: Is a program introduced by Arthritis Victoria which involves exercising in warm water. This program involves gentle exercise which can help to keep arthritis sufferers physically active and promotes joint mobility. The warm temperature of the water can also help to relieve the pain in joints, as warm water has been found to relieve joint stiffness. It is hoped that the WAVES program will reduce morbidity for patients who have arthritis and other musculoskeletal conditons.

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15
Q

Define injury prevention and control:

A

The term injury relates to the adverse effects on the human body that may result from a range of different events. Accidental or intentional.

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16
Q

Why is injury prevention an NHPA?

A

Injuries burden the healthcare system and contribute to high healthcare costs.
There is potential for prevention through clearing hazards and educating people of risks.

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17
Q

Injuries direct, indirect and intangible costs:

A

Direct costs: Patient copayments for medical treatment (individual) and health promotion programs (community).
Indirect costs: Long-term care (individual) and lost productivity (community).
Intangible costs: Frustration to relearn tasks (individual) and significant shock amongst family members and friends (community).

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18
Q

Biological, behavioural, physical and social determinants injuries:

A

Biological: body shape and size can influence the type of injury people are likely to sustain.
Behavioural: Alcohol use. People affected by alcohol often take unnecessary risks that can result in higher rates of injury.
Physical environment: Housing. Unsafe housing can increase the risks of falls and injuries.
Social determinants: Socioeconomic Status. Those of lower socioeconomic status are more likely to be injured. This may be a result of lower levels of education and the types of occupations carried out.

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19
Q

Health promotion programs injuries:

A

Arrive Alive. The victorian governments road safety strategy to address road accidents and trauma and to better improve road conditions and transport safety for all road users. Arrive alive involves improving conditions of roads, adding more safety features in cars, creating safer road users by tackling drink driving and drug driving and by creating policies for danger age groups.

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20
Q

Define Mental Health:

A

Mental health is defined as a state of wellbeing in which the individual realises his or her own potential can cope with the normal stresses of life
,can work productivity and fruitfully, and is able to make a contribution to his or her community.

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21
Q

Why is mental health an NHPA?

A

Mental health problems are one of the leading causes of the non-fatal burden of disease (YLD) mainly due to mental disorders, intentional self-har, and failed suicide attempts.
Mental health problems also contribute highly to mortality and overall burden of disease.

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22
Q

Mental health direct, indirect and intangible costs:

A

Direct costs: medication and counselling do payments (individual) and Medicare contributions (community).
Indirect costs: inability to work (individual) and lost productivity if the individual is unable to work (community).
Intangible: unable to participate in everyday activities (individual) and family members may have to take time out from their normal activities to care for the sufferer (community).

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23
Q

Biological, behaivoural, physical environment and social determinants of mental health:

A

Biological: Genetic predisposition. Those with mental illness in the family are more likely to develop a mental illness at some stage in their lives.
Behaivoural: Substance abuse. People abusing substances have higher rates of mental illness.
Social: Socioeconomic status. People in lower socioeconomic status groups have higher rates of mental illness. Could be because of higher rates of obesity and poorer quality housing.
Physical environment: Housing. Living in overcrowded housing conditions can increase the risk of psychological stress.

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24
Q

Health promotion programs mental health:

A

Headspace- Is an organisation where young people aged 12-24 can have someone else to go to. Headspace aims to create an atmosphere that is well suited to the emotional needs of young people, who often find it difficult to share their emotional experiences with parents, siblings or peers. Headspace have 30 headspace centres across Australia and help young people with mental health issues, helping to

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25
Q

Define cancer control:

A

Cancer is a general term for a number of different conditions where uncontrolled mutation and growth of cells threaten to damage other parts of the body.

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26
Q

Why is cancer control an NHPA?

A

To reduce the incidence of cancers.

Cancers contribute significantly to the burden of disease (especially fatal burden - deaths)

27
Q

Cancel control direct, indirect and intangible costs:

A
Direct = Medical Co payments (individual) and numerous health promotion programs (community).
Indirect = Lost income (individual) and Lost taxation revenue (community).
Intangible = pain and suffering (individual) and contributing feelings of sadness for family members (community).
28
Q

Biological, behavioural, physical environment and social cancer control:

A

Biological: Body weight. There is a relationship between obesity and higher rates of some cancers, including breast cancer and colorectal cancer.
Behaivoural: Tobacco smoking. Tobacco smoking can contribute to cancers In almost all parts of the body, especially the lungs.
Physical environment: Climate. UV levels are often high in many parts of Austrlia, increases the risk of skin cancer.
Social: Socioeconomic status. People of low socioeconomic status are more likely to develop lung cancer because they have higher rates of smoking and alcohol consumption.

29
Q

Health promotion programs cancer control:

A

Quit. A joint initiative between the victorian government, the heart foundation and the cancer council that aims to reduce the burden of cancer caused by tobacco smoking.

30
Q

Define diabetes mellitus:

A

Diabetes mellitus is a chronic condition in which the sufferer is unable to utilise blood glucose correctly.

31
Q

Why is diabetes an NHPA?

A

Leading contributor to the burden of disease.
A growing health problem.
Is an underlying cause of death or associated cause of death.

32
Q

Diabetes direct, indirect and intangible costs:

A
Direct = Doctors consultations (individual) and Medicare contributions and private health insurance (community).
Indirect = Dietician or personal trainer costs (individual) and payment for carers (community).
Intangible = Frustration over having to make changes to diet and exercise routines (individual) and frustration experienced by the family from also having to make lifestyle changes.
33
Q

Biological, behaivoural, physical environment and social diabetes:

A

Biological: Body weight. Being overweight or obese are risk factors for type 2 diabetes.
Behivoural: excessive alcohol consumption. Many forms of alcohol contain large amounts of energy, which can contribute to obesity.
Physical environment: Work environment. A work environment that does not promote incidental physical activity an increase the risk of type 2 diabetes.
Social: Socioeconomic status. People with low socioeconomic status have higher rates of obesity and higher rates of type 2 and gestational diabetes.

34
Q

Health promotion program diabetes:

A

The life! Program: Created by diabetes Austtalia (Victoria) and it is funded by the victorian government. It’s focus is to assist individuals with diabetes to gain control of their lives by educating them about healthy behaviours and promoting an active lifestyle to reduce chronic disease such as diabetes. Their aim is to achieve this by providing services such as expert health coaching where people are put into groups and are taught by trained facilitators as well as dietician son how to change ones diet and nutritional intake to curb the risk of diabetes.

35
Q

Define Asthma NHPA:

A

Asthma is a condition characterised by inflammation of the airways, which causes them to narrow and leads to difficulty in breathing.

36
Q

Why is asthma an NHPA?

A

Is one of the most frequent reasons for hospitalisation among children aged 0-9.
Has significant treatment costs.
Contributes significantly to the overall burden of disease.

37
Q

Asthma direct, indirect and intangible costs:

A
Direct = Patient co payments (individual) and health promotion programs (community).
Indirect = Coat of carers (individual) and lost productivity (community).
Intangible = Missing school (individual) and anxiety experienced by parents of young children (community).
38
Q

Biological, behaivoural, physical environment and social asthma:

A

Biological: Genetic predisposition. People who have a family history of asthma are more likely to develop the condition themselves.
Behavioural: Tobacco smoking. Smoking increases the risk of asthma. Exposure in the uterus and during infancy to tobacco smoke may lead to an increased asthma risk.
Physical environment: Air quality. Air pollution is a risk for asthma. People living in major cities or industrial areas may be at risk.
Social: Low socioeconomic status. Low socioeconomic status groups are more likely to have asthma. Due to higher smoking rates and increased exposure to environmental tobacco smoke.

39
Q

Health promotion program asthma:

A

The asthma friendly school program. A joint initiative of the Australian asthma foundations, this program aims to reduce exposure to potato iota triggers in the school environment and to provide education regarding asthma management.

40
Q

Define dementia NHPA:

A

Dementia is not a specific disease, but a term used to describe over 100 consists that are characterised by progressive and irreversible loss of brain function.

41
Q

Why is dementia an NHPA?

A

Contributes significantly to morbidity rates. Predicted to increase as the population ages. Requires constant care, placing a large strain on the government in terms of providing formal care.

42
Q

Dementia direct, indirect and intangible costs:

A
Direct = Patient co payments (individual) and health promotion programs (community).
Indirect = formal assistance (individual) and cost of carers (government).
Intangible =  no longer to participate in everyday activities (individual) and sense of loss (community).
43
Q

Biological, behaivoural, physical environment and social dementia

A

Biological: Age. Advancing age is the greatest risk factor for most forms of dementia.
Behaivoural: Lack of mental stimulation. Those who do not regularly utilise their memory attention and problem solving abilities may experience and increased rate of dementia.
Physical environment: Transport systems. Not having access can decrease the opportunities to socialise with friends and family and can increase the risk of dementia.
Social: Level of education. Those with lower levels of education may be at higher risk of dementia.

44
Q

Health promotion program dementia:

A

The living with memory loss program. This program provides support to dementia patients and removes isolation by putting people with early signs of dementia together in a group. It supplies them with information and a place where they can share personal experiences with each other.

45
Q

What are the macro nutrients and what does it mean:

A

They are required in large amounts. They include Carbohydrates (including fibre), protein, fats and water.

46
Q

What are the micro nutrients and what does it mean:

A

That they are required in small amounts.Calcium, phosphorous, sodium and vitamin D.

47
Q

Function of Carbohydrates and food sources:

A

To provide fuel for energy. Sources include pasta, rice and starchy vegetables.

48
Q

Function of fibre and food sources:

A

To regulate the functioning of the digestive system. Food sources include wholegrain bread and bran flake cereal.

49
Q

Function of protein and food sources:

A

The growth, maintenance and repair of body cells. It is also used as a fuel for nay production. Food sources include beef, chicken, fish and seafood.

50
Q

Function of fats and food sources:

A

As fuel for energy.
Monounsaturated (Good): Avocado and olive oil.
Polyunsaturated (Good): Fish, particularly oily fish, and canola oil.
Saturated (Bad): Fatty cuts of meat and most fried takeaway food.
Trans (Bad): Pies, pastries and cakes.

51
Q

Function of water and food sources:

A

Assist with weight management. Plays a role in digestive health and the prevention of colorectal cancer. Food sources include water in its pure form, watermelons and cordial.

52
Q

Function of calcium and food sources:

A

Acts as a hardening or ossifying agent for hard tissues such as teeth, bones and cartridge. Food sources include sardines and salmons and broccoli and spinach.

53
Q

Function of phosphorus and food sources:

A

Works with calcium to harden or ossify bones and teeth. Food sources include legumes, nuts and eggs.

54
Q

Function of sodium and food sources:

A

The regulation of fluids in the body, including water and blood. Food sources include table salt, cheese and pizza.

55
Q

Function of vitamin D and food sources:

A

The absorption of calcium and phosphorus from the intestine into the blood stream. Fish is the best source of vitamin d, can also be found in egg yolks, and beef liver.

56
Q

Risk nutrients for cardiovascular health:

A

Saturated and trans fats.
Carbohydrates, protein and fats.
Sodium: Can increase blood volume and contribute to hypertension as a result. Hypertension increases the risk of heart attack and stroke.

57
Q

Risk nutrients for diabetes mellitus:

A

Carbohydrates, proteins and fats.
Trans fats: Can interfere with cell membranes and contribute to high blood glucose levels. Can contribute to impaired glucose regulation and diabetes.

58
Q

Risk nutrients for colorectal cancer:

A

Carbohydrates, protein and fats. Can lead to weight gain and obesity, increasing the risk of colorectal cancer.

59
Q

Risk nutrients for obesity:

A

Carbohydrates, protein and fats: Can lead to weight gain and obesity if not used for energy

60
Q

Risk nutrients for osteoporosis:

A

Sodium.

Protein. Excess protein intake can increase the loss of calcium from bones, which increases the risk of osteoporosis.

61
Q

Protective nutrients for cardiovascular health:

A

Fibre.
Polyunsaturated fats.
Water.
Monounsaturated fats. Reduces LDL cholesterol, which reduces the rate of atherosclerosis and cardiovascular disease. It also increases HDL cholesterol.

62
Q

Protective nutrients for diabetes mellitus:

A

Fibre.
Water.
Polyunsaturated fats. May decrease the impact of impaired glucose regulation and reduce the risk of diabetes mellitus.

63
Q

Protective nutrients for colorectal cancer:

A

Water.
Fibre. Fibre assists in moving digested food matter through the digestive tract and absorbs water, which adds bulk to faeces, making them easier to pass.

64
Q

Protective nutrients for obesity:

A

Fibre.
Water. Contributes no kilojoules to energy intake, so can reduce the risk of obesity and associated conditions, including cardiovascular disease.

65
Q

Protective nutrients osteoporosis:

A

Phosphorous.
Vitamin D.
Calcium. Acts as a hardening agent for the mineralisation of bones, which increases bone mass and reduces the risk of osteoporosis.

66
Q

Costs of NHPA:

A

Direct: costs of medication, ambulance services, costs of rehabilitation and counselling, cost of non-Medicare covered allied health services, due to the NHPA
Indirect costs: Lost productivity in work, lost income through missed work, travel costs to receive treatment
Intangible: The patients pain, anxiety and suffering, loss of time, lost quality of life