Week 6 - 8 Flashcards
1
Q
Early 20th Century Healthcare
A
- Nursing role started in homecare department
- People of lower class used hospitals
2
Q
Early 1900’s Healthcare
A
- Distrust of experimenting physicians
- Hospital fee for services
- Criteria for admission, advanced tuberculosis
- Poor people had to consent for autopsy post death
3
Q
Post World War 2 Healthcare
A
- Largely institution based
- Beginning of medicare
- Focused on hospital & position services
4
Q
Healthcare Insurance System
A
- Government pays beforehand to guarantee certain level of care
- 1947 first hospital insurance plan
5
Q
Medicare
A
- Canada health act
- 1984
- All residents have access to medically necessary services on prepaid basis
6
Q
Canada Health Act
A
- Established in 1984
- Public admission
- Comprehensiveness
- Universality
- Portability
- Accessibility
7
Q
Government Role in Healthcare
A
- Organization of health care
- Federal & provincial funding spilt when Medicare started quickly diminished
- Limited public policies
- Licensing body CNO & CNA
8
Q
Pillars of Healthcare
A
- Teams
- Healthy living
- Barriers
- Information
9
Q
Teams Pillar
A
- Interdisciplinary (different providers)
- Intersectoral (different professions)
10
Q
Heath Living Pillar
A
- Environmental factors
- Upstream healthcare (prevention, wellness & promotion levels)
11
Q
Barrier Pillar
A
- SDoH
12
Q
Information Pillar
A
- Changes perspectives
- Uses resources (articles & media)
13
Q
Levels of Care
A
- Health promotion
- Disease & injury prevention
- Diagnosis & treatment
- Rehabilitation
- Supportive care
14
Q
Clients
A
- Individual, families & community
- Needs & contributions
- Focuses on relationship & processes of all
15
Q
Family Centred Care
A
- Family-nurse relationship is essential
- Individual within context of family (vice versa)
- Provide information
- Maintain & manage health
16
Q
Concept of Health
A
- State of complete physical, mental & social wellbeing
17
Q
Approaches to Health
A
- Biomedical
- Behavioral
- Socioenvironmental
18
Q
Biomedical Approach
A
- Focus on treatment
- Absence of disease
- Dominant approach
19
Q
Behavioural Approach
A
- Product of making healthy life choices
20
Q
Socioenvironmental Approach
A
- Product of individual, social, economic & environmental determinants
- Addresses barriers
- Promotes conditions of better health of individuals & communities
21
Q
Levels of Profession
A
- Primary healthcare approach
- Primary
- Secondary
- Tertiary
22
Q
Primary Prevention
A
- Reduces impact of risk factors to reduce occurrence of disease
23
Q
Secondary Prevention
A
- Provides screening, detection & early treatment
24
Q
Tertiary Prevention
A
- Reduces impacts of long-term disease & disability
25
Q
Ottawa Charter
A
- Health promotion strategies
- Build health public policy
- Create supportive environments
- Strengthen community action
- Develop personal skills
- Reorient healthcare
26
Q
Strengths Based Nursing Care
A
- View individuals as unique & holistic
- Recognize how strengths guide & promote health, recovery & healing
- Patient/family/community as collaborator
27
Q
Healthcare Delivery
A
- Relationship centred care
- Patient empowered movement
- Health promotion, illness prevention & self-care
- Collaborative partnership
28
Q
Domains of Wellbeing
A
- Community vitality
- Leisure
- Culture
- Democratic engagement
- Education
- Environment
- Living standards
- Time use
- Healthy population
29
Q
Deficit Care
A
- Patient isolation
- Missing/wrong/fixed
- Fear based
- Objective
- Paternalistic/hierarchal
30
Q
Healing
A
- Nursing is healing profession
- Key tool in holistic & caring for self
- Transformations & experiences
31
Q
Self-Care
A
- Ability to recover from personal trauma & strive for wholeness
- Coping with suffering encountered & absorbed
- Holistic practice for self
- Burnout environment effects coworkers
32
Q
Compassion Fatigue Components
A
- Mind
- Body
- Spirit
- Emotion
- Overall burnout in all aspects
33
Q
Themes of Healing
A
- Multidimensional
- Caring connections & relationships
- Involves nurse presence
- Spirituality
- Use of complimentary & alternative healing modalities
34
Q
Contemplative Practices
A
- Develops capacity for deep connection & mind quieting
- Aids exploration of meanings, purpose, values
- Way of knowing
- Complements rational & sensory
35
Q
Benefits to Contemplative Practice
A
- Development of greater empathy & communication skills
- Enhances creativity, focus & attention
- Supports loving, compassionate life approach
- Reduces stress
- State of calm centeredness
36
Q
Types of Contemplative Practice
A
- Stillness
- Generative
- Creative
- Activist
- Relational
- Movement
- Ritual
37
Q
Obstacles to Contemplative Practice
A
- Perfectionism
- Boredom
- Busyness
- Change
- Impatience
- Arrogance
- Self-doubt
