Week 6 - 8 Flashcards

1
Q

Early 20th Century Healthcare

A
  • Nursing role started in homecare department
  • People of lower class used hospitals
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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
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3
Q

Post World War 2 Healthcare

A
  • Largely institution based
  • Beginning of medicare
  • Focused on hospital & position services
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4
Q

Healthcare Insurance System

A
  • Government pays beforehand to guarantee certain level of care
  • 1947 first hospital insurance plan
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5
Q

Medicare

A
  • Canada health act
  • 1984
  • All residents have access to medically necessary services on prepaid basis
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6
Q

Canada Health Act

A
  • Established in 1984
  • Public admission
  • Comprehensiveness
  • Universality
  • Portability
  • Accessibility
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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
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8
Q

Pillars of Healthcare

A
  • Teams
  • Healthy living
  • Barriers
  • Information
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9
Q

Teams Pillar

A
  • Interdisciplinary (different providers)
  • Intersectoral (different professions)
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10
Q

Heath Living Pillar

A
  • Environmental factors
  • Upstream healthcare (prevention, wellness & promotion levels)
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11
Q

Barrier Pillar

A
  • SDoH
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12
Q

Information Pillar

A
  • Changes perspectives
  • Uses resources (articles & media)
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13
Q

Levels of Care

A
  • Health promotion
  • Disease & injury prevention
  • Diagnosis & treatment
  • Rehabilitation
  • Supportive care
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14
Q

Clients

A
  • Individual, families & community
  • Needs & contributions
  • Focuses on relationship & processes of all
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15
Q

Family Centred Care

A
  • Family-nurse relationship is essential
  • Individual within context of family (vice versa)
  • Provide information
  • Maintain & manage health
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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