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Module 5- PEDI > UNIT 2 IMPLICIT BIAS/POVERTY/PUBLIC HEALTH & COMMUNITY NURSING/ACE > Flashcards

UNIT 2 IMPLICIT BIAS/POVERTY/PUBLIC HEALTH & COMMUNITY NURSING/ACE Flashcards

1
Q

What implicit bias?

A

If it reflective of our attitudes (postive and/or negative) or sterotypes towards people, things, or groups that can affect our understanding, actions, and decision in an unconscious manner and can affect patient relationships and care decisions

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2
Q

What are things that may trigger implicit bias?

A
  1. Substance abuse/addiction
  2. Sexuality
  3. age
  4. Race
  5. Ethnicity
  6. Culture
  7. Weight
  8. Gender
  9. religion
  10. mental illness
  11. physical disability
  12. lifestyle choices
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3
Q

What is self-awareness?

A
  1. The ability to recognize oneself as an individual separate from everything else
  2. The ability to focus on our actions, thoughts and emotions
  3. The difference between how we see ourselves and how other see us
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4
Q

Five ways of developing self-awareness…

A
  1. Observe yourself
  2. Be open to change
  3. Identify blind spots
  4. Own bad habits
  5. Aspire to know yourself
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5
Q

True or false: Relection allows nurses to explore clinical experiences and thoughts and feelings associated with the experience, allowing for change in beliefs and assumptions which can change our clinical practice

A

True

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6
Q

Self-reflection allows us to do what?

A

Allows us to understand our own belief systems, the assumptions that ground those beliefs, and how those assumptions and belief system impact interactions with our patient/clients.

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7
Q

CDC foundation states that public health is….

A

Public health is the science of protecting and improving the health of families and communities through promotion of healthy lifestyles, researching disease and injury prevention and detection and control of infectious diseases.

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8
Q

The CDC foundation states that the overall, public health is concerend with…

A

Protecting the health of entire populations. These populations can be as small as a local neighborhood, or a big as an entire country or region of the world

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9
Q

True of false: One of the most important differences between the world today and 150 years ago is what?

A

Lifespan… we used to live 35 or 40 years on average in the United States, but now we live almost 80 or longer

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10
Q

Public Health trys to impact as many people as possible through

A
  1. Research
  2. Advocacy
  3. Education
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11
Q

What are different settings within public health?

A
  1. Government agencies/organizations- country, state or federal
    • Health departments
    • prisons
    • worksites
  2. Community clinic/health centers
  3. Non-Profit organizations
  4. School System
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12
Q

What are some standard programs & Services provided by the texas department of state health services?

A
  1. Case management for children with special health care needs and pregnant women and children on mediciad with a health risk
  2. Chronic disease prevention
  3. Epidemiology (infectious and chronic disease)
  4. Health emergecny preparedness and repsonse
  5. HIV/STD
  6. Immunization
  7. Community health improvement
  8. Oral Health Improvement program
  9. Public health sanitation & retail foods safety
  10. Spinal/vision/hearing screening
  11. Texas health steps
  12. Tobacco Prevention & control
  13. Tuberculosis control
  14. Zoonosis Control
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13
Q

What are specific programs for pediatrics provided by the texas department state health services?

A
  1. Child injury and fatality prevention
  2. Infant mortality prevention
    • Safe Sleep
    • First year of life
  3. Child passenger safety
  4. Child injury prevention
  5. Child abuse prevention
  6. Bullying
  7. Suicide prevention
  8. Domestic minor sex trafficking
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14
Q

What should we know about community health nursing?

A
  1. Focus is on the promotion and maintenance of health in individuals, families and groups in the community through direct interaction with them.
  2. It is population focused (focuses on smaller communities that share location, demographic and socioeconmic traits)
  3. Emphasizes personal responsiblity for health and self care.
  4. Help to reduce health gabs by focusing of patients/clients who may not have access to, or cannot afford health services
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15
Q

What are potential barriers to health and wellness?

A
  1. Income
  2. insurance coverage
  3. education
  4. culture (influences diet, activity level, and risk exposure)
  5. Location (inter-city vs. rural communities)
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16
Q

A community health nurse’s scope of practice includes?

A
  1. Illness
  2. disease prevention, including immunization
  3. safe health practices
  4. nutrition
  5. wellness
  6. education- they design health education programs to encourage healthy behaviors, called community health initiatives
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17
Q

Community health initative examples?

A
  1. The importance of immunizing your child
  2. Safety for different developmental stages
  3. Healthy eating & the importance of exercise
  4. Postivie ways to deal with stress & anxiety
  5. SIDs prevention
  6. Ways to disipline your child
  7. Stages of growth and development
  8. Understanding temperamental styles
18
Q

What work does a community health nurse in the community?

A
  1. School distracts
  2. Community clinics/health centers
  3. health department
  4. church organizations
  5. Primary care offices
  6. Home Health
  7. Government/Health agencies
  8. Shelters
19
Q

What are some differences between public health nurses and community health nurses?

A
  1. Public health nurses review historical records, scientific studies and population data to determine how to prevent injuies or illnesses and promote health across populations
  2. In contrast, community health nurses nurse focus more on the resources that community members have access to that support health and well-being
20
Q

What is poverty?

A
  1. The extent to which an individual does without resources.
  2. The purpose of knowing the resrouces of a person is to know which interventions will work and which ones will not
  3. **Interventions will work only when the needed resources for that interventionare available. **
21
Q

What is generational poverty?

A
  1. Has its own** culture, hidden rules and belief systems**
  2. The culture tends to be self-reinforcing and includes a set of valures **transmitted from parent to child **
  3. The attitude is that **society owes me a living **
22
Q

What is situational poverty?

A
  1. A lack of resources due to a particular event (death, chornic illness, divorce)
  2. Unlike generational poverty, it is focused largely on monetary resources and can be a temporary situation
  3. The attitude is often one of pride and **great reluctance to accept charity **
23
Q

What do we need to know about financials in terms of poverty

A
  1. Having the money to purchase good and services
  2. Sometiems thought of as the sole contributor
  3. In nursing,
    - resources that will will help with the cost of docotr clinic appointments, prescriptions, and medical equipment.
24
Q

What should we know about the emotional aspect of poverty?

A
  1. Being able to choose and control emotional repsonses, particularly to negative situations, without engating in self destructive behavior.
  2. This is an internal resources and shows itself through stamina, perseverance and choices
  3. It is one of the most importat
  4. Referred to as cognitive restucting or reframing
  5. In nursing,
    • Resources on mindfulness, mediation, and relaxation techingiques (for stress reduction)
25
Q

What should we know about mental/cognitive aspect of poverty?

A

Having the mental abilities and acquired skills (reading, writing, computer skills) to deal effectively with daily life.

In nursing,
1. resources on GED classess, computer classess, and ESL classess

26
Q

What should we know about the spirtual aspect of poverty?

A

Believing in divine purpose and guidance. POWERFUL
1. In nursing, asking if they would like a chaplain to visit with them

27
Q

What should we know about the physical aspect of poverty?

A
  1. Haing physical health and mobility
  2. In nursing, Classes on healthy eating & excercise and free monitoring of blood pressure & blood glucose
28
Q

What should we know about support systems in terms of poverty?

A
  1. Having friends, family and back up resources available to access in time of need
  2. In nursing, referral to summer camps, support groups and counseling resources
29
Q

What should we know about relationships/role model in terms of poverty?

A
  1. Having frequent access to individuals who are appropritate, who are nuturing, and do not engage in self-destructive behavior
  2. In nursing, Pediatric community health nurses and school nurses
30
Q

What are the hidden rules when it comes to money in terms of society classes?

A

Poverty: To be used, spent
Middle class: To be managed
Wealth: To be conserved, Invested

31
Q

What are the hidden rules when it comes to food in the different society classes?

A

Poverty: Key question is did you have enough? Quanitity important
Middle Class: Key question is did you like it? Quality important
Wealth: Key question is was it presented well? **Presentation **important

32
Q

What are ACE’s

A

Adverse childhood experiences

33
Q

What are different types of abuse?

A

Physical
Emotional
Sexual

34
Q

What are different types of neglect?

A
  1. Physical
  2. Emotional
35
Q

What are different types of household dysfunction?

A
  1. Mental illness
  2. Incarcerated relative
  3. Mother treated violently
  4. substance abuse
  5. divorce
36
Q

What are different types of behavior ace’s

A
  1. Lack of physical activity
  2. Smoking
  3. Alcoholism
  4. Drug use
  5. Missed work
37
Q

What are different types of physical & mental health ace’s

A
  1. Severe obesity
  2. Diabetes
  3. Depression
  4. Suicide attmepts
  5. STD’s
  6. Heart disease
  7. Cancer
  8. Stroke
  9. COPD
  10. Broken Bones
38
Q

ACES can have lasting effects on….

A
  1. health (obesity, diabetes, depression, suscide attempts, STD’s, heart disease, cancer, stroke, COPD, broken bones
  2. Behaviors (smoking, alcoholism and drug use)
  3. Life poteintal (graduation rates, academic achievement, lost time from work)
39
Q

What can be done about ACE’s

A
  1. The single most common factor for children who devlope resilience is at least one stable and commited relationship with a supportive parent or grandparent, caregiver, or other adult or close friend
40
Q

Postivie childhood experiences…

A

1.Ease toxic stress.
2. Help kids grow into more resillent, healthier adults
3. HOPE helps buffer against the negative lifelong health effects caused by ACE’s

41
Q

What can be done about ACE’s

A
  1. Recent research suggests “Trauma informed therapy” Such as art, yoga or mindfulness training also be helpful
  2. Trauma informed cognitive behavior therapy?
    • Education about childhood trauma
    • Parenting skills
    • Relaxation skills
    • Coping– Connectng thoughts, feelings, and behaviors
    • Trauma narritive

Module 5- PEDI (25 decks)

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