week 2 Flashcards

1
Q

define health

A

objective process (functional stability, balance, and integrity)
-relates to disease, illness and wellness

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2
Q

define disease

A

-objective
- pertains to ‘ill health’
-seen and managed by medical science

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3
Q

define illness

A

-subjective
- experiences of either loss of health
- disease or period of sickness affecting the mind and body

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4
Q

define wellness

A

-subjective experience of health

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5
Q

more in depth definition of health

A

-extent to which an individual or group is able to realize aspirations and satisfy needs and to change or cope with environment
-resource of everyday life
- positive, comprehensive, attentive to mental health, inclusive of quality of life and spirituality

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6
Q

what is illness

A

-continuum with health
-subjective experience of loss of health
-classifications of health conceptualizations-stability, actualization, as both stability and actualization, resource, unity

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7
Q

what is disease

A

-objective state of ill health
- pathological processes which can be detected by medical science
-VIP info-classification of health conceptualizations-stability, actualization, as both stability and actualization, resource, unity, discontinuity from one’s environment

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8
Q

two types of healthcare workers

A

-conventional (26)…western medicine…medical doctors, nurses and pharmacists
-complementary and alternative medicine (12)…encompass natural products, mind-body practices…acupuncture and chiropractic

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9
Q

practice settings

A

-acute care institutions-hospitals, private settings-dental clinics
-home and community- hospice, retirement homes
-clinics-urgent care/walk-ins, mental health outpatient, diabetes
- primary health care- primary care rostering, telephone helplines, community health centers

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10
Q

non regulated professions

A

PSWs, paramedics

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11
Q

regulations of healthcare professions-common elements (VIP)

A

-educational standards
- provincial or territorial standards
- scope of practice (outlines skills, acts and service practitioners can perform)
- curbing of practice if standards are not met
- formal complaints process for public with investigation and follow-up of same
- title protection
- competence and quality assurance expectations

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12
Q

what is the RHPA and what do they do

A

regulated health professionals act, 1991
-sets out the governing framework for the regulated health professions in ontario

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13
Q

what is the RHPA framework intended to do

A

-better protect and serve the public interest
- be more open and accountable system of self governance
- provide a more modern framework for the work of health professionals
- provide consumers with freedom of choice
-provide mechanisms to improve quality of care

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14
Q

key features of the RHPA

A

-scope of practice
- controlled acts
- health regulatory colleges
- health professions regulatory advisory council
- health professions appeal and review board

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15
Q

what is scope of practice

A

a statement that describes what the profession does

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16
Q

what is controlled acts

A

procedures or activities which may pose a risk to the public if not performed by a qualified practitioner

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17
Q

what is health regulatory colleges

A

corporation that governs each regulated health profession responsible for regulating the practice of the profession and governing its members according to the RHPA

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18
Q

what is health professions regulatory advisory council

A

an independent, arms length advisory body to the minister of health and long term care with a mandate to advise the minister of a number of items related to the regulation of health professions

19
Q

what is health professions appeal and review board

A

an independent third party with a mandate to review registration and complaints decisions of the health regulatory college

20
Q

healthcare models

A

-medical model
- holistic model
- indigenous wholistic theory of health
-wellness model

21
Q

what is the medical model

A

-simplistic model
- does not acknowledge role of prevention.
-emphasis is on detection, diagnosis and treatment

22
Q

what is the holistic model

A

considers all parts pf the person and focuses on positive aspects of health

23
Q

what is indigenous wholistic theory of health

A

-similar to holistic model considers mental, physical, cultural and spiritual wellbeing, of the person and community

24
Q

what is wellness model

A

-builds on medical and holistic models
- emphasizes the ability of individuals/groups to cope with health related challenge
- common thread to holistic in that broad spectrum of factors considered-physical, spiritual, social, emotional, economic and cultural

25
Q

health continuum

A

-considers all dimensions of health and wellness: physical, mental, emotional, movement is constant

26
Q

what is an ethic(what does it contain) reflects what?

A

contains one’s values
-philosophical idea of right and wrong. refers to the values and standards a profession strives to uphold. It reflects what matters most to a person or a profession

27
Q

what is a value

A
  • strong personal belief
  • an ideal that a person or group believes has merit
  • influences behaviour
  • reflects cultural and social influences, relationships and personal needs
  • varies among people, develops and changes over time
28
Q

values are formed by

A

-family experience
- moral development-what you believe to be right/wrong determines your morals
- cultural, ethnic and religious communities (cultural values)
-individual experiences, impacted and impacts morals
- can change over time

29
Q

why do we need to become familiar with values

A

-helps a person decide priorities and make decisions
- values may change, and a person may modify attitudes and behaviour
- values may conflict between peoples and between societies
- be aware of values of employers, patients, physician and other group
-relational communication

30
Q

why is relational communication important for resolving conflicts

A

-very important to identify one’s own values and beliefs
- leads to better understanding of others
- plays a key role in communication

31
Q

the most common values

A

-loyalty
- spirituality
- humility
- compassion
- honesty
- kindness
- integrity
- determination
- generosity
- courage
- tolerance
- trustworthiness
- equanimity
- altruism
- appreciation
- empathy
- toughness
- self-reliance
- attentiveness

32
Q

what is ethics

A

-the study of good conduct, character and motives
-philosophical ideals of right and wrong
- a reflection of what matters most to people or professions (community vs personal beliefs)
- nurses in canada guided by the canadian nurses associations code of ethics (2017)

33
Q

what is an ethic code

A

-statement of the ethical values of nurses and nurses’ commitments to persons with health care needs
- intended for nurses in all contexts
- provides guidance when nurses are working through an ethical challenge
- includes responsibility, accountability and advocacy

34
Q

what is the code of ethics for nurses

A

-providing safe, compassionate, competent and ethical care
- promoting health and wellbeing
- promoting and respecting informed decision making
- honouring dignity
- maintaining privacy and confidentiality
- promoting justice
- being accountable

35
Q

ethical theories

A
  • deontology
    -utilitarianism (consequentialism)
    -bioethics
36
Q

what is deontology

A

defining actions as right or wrong

37
Q

what is utilitarianism

A

the concept that the value of something is determined by its usefulness

38
Q

what is bioethics

A

the concept that actions are obligation based, outcome oriented and based on reason

39
Q

types of ethics

A

-bioethics
-feminist ethics
- relational

40
Q

what is part of bioethics 4 principles

A

4 principles: autonomy, beneficence, nonmaleficence, justice

41
Q

what is feminist ethics

A

differences between people, power dynamics, care theory

42
Q

what is relational (ethics)

A

-ethical understandings are formed in, and emerge from, a person’s relationships with others:
-4 themes…environment, embodiment, mutuality and engagement

43
Q

ethical issues

A

patient care-futile care, advance care planning, MAiD
safety in work- social networking and safety
working in a healthcare team to provide care-moral distress, moral integrity, moral residue