Week 1 Flashcards
What does rural mean
Defined as communities outside of more urban centres with populations of at least 10,000
What does remote mean
More difficult to define, related to the community itself, location, resources/services available and the characteristics and practice
Themes identified in rural nursing
Community characteristics
- amenities
- population size
Nursing practice
- full scope of practice
- generalist practice
Geographical locations
- distance from healthcare facilities
Human Resources/ technical resources & supports
Challenges for rural nursing
- confidentiality
- continuing education
- professional boundaries
- autonomous practice
- evidence supporting role and practice
- protecting condifentiality
- recruitment and retention
What is primary care
- where we go to seek out care or an acute medical problem such as a broken bone or bad cough
- care usually takes place in the community. Primary care providers may be doctors or nurse practitioners
What is secondary care
- referral by a primary care providers to a specialist who has more specific expertise in the area requiring treatment
What is tertiary care
A specialized, highly technical level of health care require ins specialized care units, such as intensive care units and advanced treatment services
- care usually takes place in large research and teaching hospitals
What is RhPAP
Rural health professions act
What does the rural health professions act (RhPAP) do
-Established in 1991 to support rural physicians
Objectives
- identify and understand the needs of these communities
- develop and implement a plan to meet their community health workforce requirements
- right care by the HCP on time
- support rural physicians, medical students, allied health and nursing
What is chronic illness
- health problems that persist over extended periods of time
- are often associated with with limitations and disability
- may have uncertain etiology
- prolonged duration
- typically from a non-infectious origin
- can be associated with impairments or functional disability
- multiple risk factors
Non- communicable disease (NCDs)
- aka chronic illnesses
- NCDs comprise 52% of causes of global death
- malignant neoplasm (cancer) is the highest rate of death in Canada
What is acute illness
Typically characterized by a sudden onset with signs and symptoms related to the disease process itself
- signs: objective manifestations of a condition
Symptoms: subjective reports of the client
What is self management
- better overall physical and psychological health outcomes
- self management are daily activities that individuals undertake to keep the illness under control
- minimizes its impact on physical health status and functioning
- cope with the psychosocial sequalae of the illness
4 tasks to self management
- Processing emotions
- Adjusting to changes to self and in life
- Integrating one’s illness into daily life
- Determining the meaning of illness to base decisions
Self management includes
- empowering the client
- ensuring some autonomy with respect to adjusting the regimen as necessary
- compliance, adherence and self care
