SM01 Mini4 Flashcards

1
Q

what is the importance of improving health care systems?

A

better patient outcome

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2
Q

what are the layers of systems in health care?

A

self-care

individual caregiver & patient

microsystem

mesosystem

macro-organization system

geosociopolitical system

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3
Q

What is a microsystem

A

small group of people working together on a regular basis to provife care to a discrete subpopulation of patients

ex. private doctor’s office or small clinic

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4
Q

what is a mesosystem?

A

linked microsystems

work together for management of specific type of problem

ex. cardiac care division: CCU, cardiac units, cath lab, cardiac rehab

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5
Q

what is a macrosystem?

A

integrated health care system for large group or community of patients

links mesosystems & microsysytems

ex. hospital

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6
Q

Influencing factors beyond organizational level of health care systems

A

culture & context

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7
Q

Steps to improving healthcare

A
  1. determine if there is a problem
  2. create focused aim statement
  3. determine measures for assessment
  4. analyze current processes
  5. brainstorm list of possible changes for improvement
  6. implement PDSA cycles
    • Plan-Do-Study-Act
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8
Q

quality gap

A

difference between what we know should be done & waht is actually being done

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9
Q

focused aim statement

A

statement for improvement project

includes change, direction, quantity, time-frame, & relevance/importance

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10
Q

what is yellowing of the sclera indicative of?

A

jaundice

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11
Q

why might the conjunctival sac be pale?

A

anemia

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12
Q

what is fundoscopy?

A

evaluation of eye for papilledema (swelling of the optic disc)

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13
Q

when is a fundoscopy necessary?

A

when there is increased cranial pressure usually due to head trauma or severe headache

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14
Q

what is a common location for eczema, psoriasis, or seborrheic dermatitis?

A

behind the pinna (external ear)

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15
Q

tragus

A

cartilaginous skin flap anterior to ear canal

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16
Q

what are the major lymph nodes of the neck?

A

preauricular

post-auricular

occipital

submandibular

submental

anterior cervical

posterior cervical

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17
Q

HEENT

A

Head, ears, eyes, nose, throat

18
Q

normocephalic

A

normal size & shape of head

19
Q

alopecia

A

baldness or lack of hair

20
Q

ptosis

A

drooping of upper eyelid

21
Q

anisocoria

A

unequal size of pupils

22
Q

strabismus

A

misalignment of one or both eyes when looking straight ahead

tested via corneal light reflex

23
Q

cerumen

A

ear wax

24
Q

cone of light

A

area of tympanic membrane anteroinferior to malleus

25
Q

epitaxis

A

nose bleed

26
Q

“shotty” lymph nodes

A

normal lymph nodes: small & benign

named for thier similar size to shot used in shot gun shells

27
Q

thyrotoxicosis

A

hyperthyroidism

enlarged thyroid gland

28
Q

what information is needed to properly describe a skin lesion?

A
  • size
  • shape
  • palpability (create a shadow?)
  • color
  • texture
  • configuration
  • distribution
29
Q

macule

A

flat lesion <1cm

“spot”

30
Q

patch

A

macule (flat spot) >1cm

31
Q

papule

A

raised lesion <1cm

caused by proliferation of cells in epidermis or superficial dermis

“pimple”

ex. wart

32
Q

plaque

A

papule (raised lesion) >1cm

palpable & cast a shadow

33
Q

nodule

A

caused by proliferation of cells in middle to deep dermis

“small knot”

34
Q

vesicle & bulla

A

“little bladder”/”bubble”

vesicle= <1cm

bulla= >1cm

fluid-filled papules (raised lesions)

35
Q

pustule

A

pus-filled papule

pus is fluid & leukocytes

36
Q

furuncle

A

bacterial or fungal infected hair follicle

37
Q

erosion

A

partial or complete loss of epidermis in small location

may occur after vesicle peels off

usually heals w/o scarring

38
Q

ulcer

A

complete loss of epidermis & some dermis

usually leaves a scar

“sore”

39
Q

what is the difference between a furuncle and an abcess?

A

abcesses are usually deeper & not necessarily associated with hair follicles as furuncles are

40
Q
A