Unhoused, Hospice/Palliative, Violence Flashcards
What defines chronically unhoused?
unhoused for at least a year or has been unhoused 4+ episodes
What defines intermittently unhoused?
multiple, short, limited episodes of being unhoused
What defines in-criss unhoused and unaccompanied youth unhoused?
1episode of being unhoused brought on by a major crisis such as natural disaster or health related issues
Examples of unhoused include…
- sleeping outside
- living in a supervised shelter (temporary)
Risk factors for unhoused populations include…
- low socioeconomic status
- abuse
- chronic illness
- mental health
- substance abuse
Why is TB a concern for unhoused people?
increased risk of developing TB from shelters (bc of overcrowding)
Why are unhoused people typically anemic?
poor diet
What part of the body is important to assess for unhoused patients?
their feet; they could have peripheral neuropathy without knowing it (typically a sign of diabetes), could have fungal growth from moist shoes, or have overly dry feet where the skin can crack
When is a patient eligible for hospice?
prognosis of 6 months or less
Which excludes curative treatment: hospice or palliative?
hospice
Palliative care typically happens where?
in the hospital
What are the Kubler-Ross Stages of Grief?
- denial
- anger
- bargaining
- depression
- acceptance
Hospice care typically happens where?
at the comfort of the patient’s home
Who introduces the idea of hospice to a patient?
hospice nurse
Describe the care of a deceased patient
- care of body
- care of spirit
- care of family
- care of self (as provider)
What is algor mortis?
temperature drops in a deceased patient
What is rigor mortis?
muscle of the deceased patient stiffens
Describe what “care of spirit” means?
- joining in a prayer
- playing certain music
- any form of comfort care to heal the “soul” of the patient and their family
IPV can include…
- injury
- fear
- anxiety
- PTSD
- STD/STI
- increased risk for depression, suicide, substance abuse
Define Family Violence
controlling, coercive behaviors seen through the intentional acts of violence inflicted on those in familial or intimate relationships; can include IPV, child abuse
What are the types and theories of violence?
- psychological/emotional
- economic
- psychopathology
- social learning/family systems
- biological
What are the types of abuse?
- bullying
- hate crimes
- sex trafficking
- war crimes
- gaslighting
What is the definition of a vulnerable population?
people who are under the care of other people
- children
- elders
- disabled
What are the screening tools for violence?
- Abuse Assessment Screen
- Danger assessment
- HITS (hit, insult, threaten, scream; >10 is positive score)