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1180 Holistic Health Assessment > Week 10-12 > Flashcards

Week 10-12 Flashcards

1
Q

Setting the Stage Sexual Health

A
  • Part of overall history
  • Explain you will ask 3 questions
  • Ensure confidentiality
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2
Q

Screening Questions Sexual Health

A
  • Have you been sexual active in the past year
  • Do you have sex with men, women, or both
  • How many sexual partners in the past year
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3
Q

Multiple Partners

A
  • STD/HIV Protection
  • Substance use
  • History of STDs
  • Trauma/violence
  • Pregnancy/protection
  • Sexual function & satisfaction
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4
Q

Long-Term Monogamous Partners

A
  • Pregnancy/protection
  • Trauma/violence
  • Sexual function & satisfaction
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5
Q

Non-Sexually Active

A
  • Past Partners
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6
Q

Sexual Risk Assessment

A
  • Partners
  • Practices
  • Past history of STDs
  • Protection against STDs
  • Pregnancy plans
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7
Q

Orientation & Gender Identity Considerations

A
  • Client self-identification
  • Preferred pronouns
  • Changes overtime
  • Use same verbiage as client
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8
Q

Children & Adolescent Considerations

A
  • Tanner staging
  • Puberty
  • Menarche
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9
Q

Tanner Staging

A
  • Sexual maturity stages
  • Secondary sex characteristics
  • Pubic hair
  • Breast development
  • External genitalia
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10
Q

Menarche

A
  • First menstrual cycle
  • Ages 10-16
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11
Q

Physical Assessment Considerations

A
  • Intimate nature
  • Maximize privacy
  • Right to a chaperone
  • Matter of fact approach
  • Be aware of language ‘relax’
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12
Q

Abuse Screening Considerations

A
  • Question specific behaviours
  • Allow sharing
  • Past is as important as present
  • Easily misunderstood
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13
Q

Health Promotion Sexual Health

A
  • Safer sex guidelines
  • Immunizations (HPV)
  • Breast self examination
  • Testicular self examination
  • Pap smears
  • PSA testing (prostate)
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14
Q

Fear & Stress Origin

A
  • Amygdala
  • Hippocampus
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15
Q

Neurological Effects of Trauma & Violence

A
  • High stress levels effect brain development
  • Difficulty identifying, expressing, managing emotions
  • Mistrust in healthcare professionals
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16
Q

Delayed Trauma Response Signs

A
  • Persistent fatigue
  • Sleep disorders
  • Nightmares
  • Fear of recurrence
  • Anxiety (flashbacks)
  • Depression
  • Avoidance of emotions, sensations, activities
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17
Q

Impact of Violence

A
  • Death
  • Severe injuries
  • Brain/nervous system development
  • Negative coping & health risk behaviors
  • Unintended pregnancies
  • Non-communicable disease
  • Impact opportunities & future generations
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18
Q

Impairment of Brain & NS

A
  • Exposure at early age
  • Impair brain & damage NS components
  • Affect cognitive development
  • Educational & vocational under-achievement
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19
Q

NS Damage Effects

A
  • Endocrine
  • Circulatory
  • Musculoskeletal
  • Reproductive
  • Respiratory
  • Immune
20
Q

Negative Coping/High Risk Behaviours

A
  • More likely to smoke, misuse alcohol, drugs
  • High-risk sexual behaviors
  • Higher rates of anxiety, depression, suicide
21
Q

Unintended Pregnancy Risks

A
  • Induced abortions
  • Gynaecological problems
  • STIs
22
Q

Non-Communicable Disease

A
  • Risk of CV disease, cancer, diabetes
  • Due to negative coping & health risk behaviors
23
Q

Impact on Opportunities

A
  • More likely to drop out of school
  • Difficulty finding & maintaining employment
  • Risk for later victimization
  • Perpetration of interpersonal & self-direct violence
  • Affects on next generation
24
Q

Types of Violence

A
  • Sexual
  • Physical
  • Verbal
  • Psychosocial
25
Q

Child Violence

A
  • Physical/emotional abuse
  • Neglect
  • Maltreatment (younger ages)
  • Sexual abuse (girls higher risk)
  • Peer violence & intimate partner violence (adolescence)
26
Q

Signs of Child Abuse

A
  • Low self-worth
  • Antisocial
  • Injuries/marks on posterior side
  • Bullying
  • Self-isolating by choice
  • Sexualized behaviors
27
Q

Parent Factors of Child Abuse

A
  • Low socio-economic status
  • < 19 years old
  • Single parent
  • Non-biological parents
  • Abuse as child
  • Substance abuse
  • Lack of social support
  • Unplanned pregnancy
  • Negative parental attitude
28
Q

Family Factors of Child Abuse

A
  • Spousal violence
  • Poor martial relations
  • Poor child-parent relationship
  • Unhappy family life
29
Q

Child Factors Contributing to Abuse

A
  • Behavioral problems
  • Disability
30
Q

Legal Obligations of Child Abuse

A
  • Law to report suspected child abuse/neglect
  • Reasonable grounds
  • Report to CAS/CFS
31
Q

LIVES Screening

A
  • Listen closely, no judgement
  • Inquire about needs/concerns
  • Validate experiences
  • Enhance safety
  • Support connection with additional services
32
Q

Intimate Partner Violence

A
  • Use screening tool (LIVES)
  • No obligation to report
33
Q

Elder Abuse

A
  • Neglect
  • Financial
  • Physical
  • Emotional
  • Sexual
34
Q

Reporting Elder Abuse

A
  • Improper/incompetent treatment
  • Abuse
  • Neglect
  • Illegal conduct
  • Misuse/fraud involving money or public funding
  • Only mandatory to report LTC
35
Q

Abuse Prevention

A
  • Public & professional awareness campaigns
  • Screening
  • School-based intergenerational programs
  • Caregiver support interventions
  • Residential care policies
  • Caregiver training on dementia
36
Q

Responding to Abuse

A
  • Mandatory reporting to authorities
  • Self-help groups
  • Safe-houses & emergency shelters
  • Psychological programmes for abusers
  • Helplines (information & referrals)
  • Caregiver support interventions
37
Q

Health Equity

A
  • User accessibility
38
Q

Marginalized by Inequity

A
  • Likelihood of developing health problems as a result of excessive risk
39
Q

Vulnerability

A
  • Dependant on others for care/safety
40
Q

Barriers to Health Care

A
  • Location
  • Language
  • Transport
  • Discrimination (race, sexuality)
  • Health card
  • Time off work
  • Financial
  • Low health literacy
41
Q

Marginalized People

A
  • Poverty/homelessness
  • Chronic conditions
  • Disability
  • Stigmatized risk behaviours
  • Indigenous
  • Rural
  • Elderly (LTC)
  • Children
42
Q

Poverty

A
  • Inquire about income, employment
  • Most people 3 problematic paychecks from poverty
  • Shelters potentially unsafe (unmanaged mental illness, violence)
43
Q

Health Risks of Poverty

A
  • Poorer health outcomes
  • Incidence of acute & chronic disease conditions mental illness
  • Higher morbidity & mortality rates
  • Cumulative risk factors, adverse events
  • Less access to preventive screening
  • Violence exposure
  • Stigma
44
Q

Stigma Result

A
  • Restricting factor to access services
45
Q

Inequity Screening

A
  • Making ends meet?
  • Needs to get by?
  • Difficulty stretching paycheck?
46
Q

Harm Reduction

A
  • Practical strategies
  • Lessen negative consequences
47
Q

Caring for Marginalized Populations

A
  • Impact on brain of violence/trauma
  • Impact of multigenerational trauma/violence
  • Principles of TVIC
  • Truth & reconciliation commission
  • Equity oriented health acre
  • Reflect on personal views & biases
  • Show leadership

1180 Holistic Health Assessment (9 decks)

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