week 6/7: Understanding Canada's Health Care System and Approaches to Health, Illness, and Wellness Flashcards

1
Q

What was the role of nurses in the early 20th century?

A

role was focused on at home care

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2
Q

what was the role of hospitals in the early 20th century?

A

hospitals in the early 20th century were mainly used by the lower class

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3
Q

what were the 3 criteria for hospital admission in the early 1900’s?

A
  1. advanced stage of tuberculosis
  2. poor
  3. relative had to consent to an autopsy
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4
Q

what century did the hospital use the fee-for-service model?

A

early 1900’s

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5
Q

describe the hospital fee-for-service model used in the early 1900’s?

A

paying customers did not have to promise to give bodies for science

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6
Q

How was health and medicare affected post WW2?

A

-health care was largely institution based
-it focused on hospitals and position services
-beginning of medicare

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7
Q

when was canada’s first public hospital insurance plan developed?

A

1947

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8
Q

when was canadas health act or medicare implimented?

A

1984

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9
Q

what is medicare?

A

it was designed to ensure all residents have reasonable access to medically necessary hospital and physician services, on a prepaid basis

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10
Q

what are the principals of the canada health act of 1984?

A

-public administration
-comprehensiveness
-universality
-portability
-accessibility

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11
Q

Describe Public administration in regards to the health act of 1984

A

an example of public administration would be that provincial and territorial places operate via a public authority on a non-profit basis

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12
Q

describe comprehensiveness in regards to the health act of 1984

A

the health act demonstrates comprehensiveness by covering all medically necessary services (hospital and physician) are covered

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13
Q

describe universality in regards to the health act of 1984

A

the health act demonstrates universality by providing care free of discrimination based on race, income, gender, religion, or ethnicity

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14
Q

describe portability in regards to the health act of 1984

A

the health act demonstrates portability by providing access to healthcare in other provinces and territories without cost or penalty

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15
Q

what are the 3 levels of organization and governance of health care?

A

-federal jurisdiction (limited in public policies)
-provincial and territorial jurisdiction (licensing body, CNA, CNO, etc)
-professional jurisdiction

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16
Q

what are the 4 pillars of primary health care?

A

-teams
-healthy living
-access
-information

17
Q

what are the 5 levels of care?

A

-Level 1: health promotion
-Level 2: disease and injury prevention
-Level 3: diagnosis and treatment
-Level 4: rehabilitation
-Level 5: supportive care

18
Q

who is considered the “client”?

A

-individual
-family
-community

19
Q

why are families important to nursing?

A

families needs and contributions are increasingly important to the health of Canadians
-families are a support system
-families are caregivers

20
Q

what is the family system in nursing?

A

-family as a client
-you focus on the entire family: it’s processes and relationships
-family can be the client at many moments during care

21
Q

What is the family-centered approach?

A

-the family-nurse relationship is essential
-2 approaches
~individual within the context of the family
~the family with the individual as context
-provides valuable info when client can’t
-how family members maintain health and manage health problems

22
Q

what are the 3 approaches to health?

A

-biomedical approach
-behavioural approach
-socioenvironmental approach

23
Q

what is the biomedical approach to health
?

A

-dominant perspective for many years
-definition of “health” is the absence of disease
-focus is treatment of disease

24
Q

what is the behavioural approach?

A

this approach views health as the product of making healthy lifestyle choices

25
Q

what is the socioenvironmental approach?

A

this approach views health as the product of both individual and social, economic and environmental determinants that provide incentives and barriers to the health of individuals and communities

26
Q

what are the primary health care levels of prevention?

A
  1. primary prevention
  2. secondary prevention
  3. tertiary prevention
27
Q

what is primary prevention?

A

it reduces the impact of existing risk factors for a potential problem and thus reduces the occurrence of disease

28
Q

what is secondary prevention?

A

it provides screening, detection, and early treatment

29
Q

what is tertiary prevention?

A

it reduces the impact of long-term disease and disability

30
Q

what are the 5 health promotion strategies?

A
  1. build healthy public policy
  2. create supportive environments
  3. strengthen community action
  4. develop personal skills
  5. reorient health care
31
Q

strengths-based nursing care is about…

A

-understanding individuals as unique, holistic organisms
-finding strengths, recognizing they coexist with weaknesses and striking a balance between the 2
-understanding how strengths and weaknesses interact to promote health, recovery and healing

32
Q

what are the 4 key approaches to re-orient health care service delivery?

A
  1. patient/person/family/relationship- centered care
  2. the patient/person empowerment movement
  3. health promotion, illness prevention, and self-care
  4. collaborative partnership care
33
Q

what are the 8 domains of well-being?

A
  1. community vitality
  2. democratic engagement
  3. education
  4. environment
  5. healthy population
  6. leisure and culture
  7. living standards
  8. time use
34
Q

what are examples of education in the domains of well-being?

A

-available childcare spaces
-student-to-teacher ratio
-youth basic knowledge/skills index
-high school completion rates
-population with university degree

35
Q

what are examples of environment in the domains of well-being?

A

-freshwater supply
-ground level ozone
-greenhouse gas emissions
-primary energy production
-ecological footprint
-reserves of viable metals

36
Q

what are examples of living standards in the domains of well-being?

A

-housing affordability
-gap between lowest/highest income group
-persons in low income
-long-term unemployment rate
-employed labour force

37
Q

what are examples of time use in the domains of well-being?

A

-children read to daily by parents
-people working more than 50 hours/week
-seniors volunteering/participating in daily active leisure
-commute time/workers with flexible work hours