week 9 - refugee

Question 1

what is the definition of a migrant?

Answer 1

a person who has chosesen to imigrate to australia and has obtained a visa prior to arival

Question 2

what is the definition of a refugee?

Answer 2

a person who is outsde their own country and is unable or unwilling to return due to a well-founded fear of persuicution due to race, religion, nationality, political stance or social group

Question 3

what is the definition of an asylum seeker?

Answer 3

a person who has applied for a refugee protection visa and is awaiting decision

Question 4

what are some of the barriers to re-settling in Australia?

Answer 4

speretion from family, survivours guilt, laungage/cultrual barriers, homlessness, lact of food and medical acess, low/no income, long processing times, stimitisation and discrimination

Question 5

what are some common medical issues that refugees may arrive with?

Answer 5

nutrient deficencies- iron vitamin D, vitamin B12, folate, vitamin C
infections: parasites, hepatitis B/C, malaria, tuburculosis
skin infections
hearing, vison and oral health problems
poor/no immunisations

Question 6

what are female refugees particularly vulnrable to?

Answer 6

sexual touture/assult, STDs, limited acess to contraception and prenatal care

Question 7

what is trauma?

Answer 7

one or more deeply distrssinf experences

Question 8

what may cause trauma in refugees/asylum seekers?

Answer 8

forced speration
torture, abuse
sexual assult, mock exicutions, imprisomnet, ilnees, death

lack of food and water security, lack of legal compensation, loss of household, education
years in detention centres/transit

Question 9

what effects on children can being a refugee/ asy;um seeker have?

Answer 9

dependant on developmental stage
learning/behavioural problems
pooor appetite
psychosomatic symptoms
low self esteem, guilt

Question 10

what is trauma infromaed care?

Answer 10

approach that is grounded in an understanding of and responsivness to the impact of trauma, that emphisises physucla, psychological and emontinal saftey of providers and surviors

Question 11

what is the presentation of tuberulosis?

Answer 11

Active TB
cough, chest pain, waekness, weightloss, fever, night sweats

Question 12

what is the treatment for TB?

Answer 12

6 month course of 4 antibiotics

Question 13

what are the symptoms of Hepatitis B?

Answer 13

acute phase - fever, jaundice, dark urine, fatigue, abdominal pain, malaise, liver failure

Chronic - actue followed by prolonged covalecent phase: high risk of liver cirrhosis and cancer

Question 14

what are the symptoms of hepatitis C?

Answer 14

often asymptomatic or mild- present similarly to hep B

Question 15

what are the symptoms of HIV?

Answer 15

opportunistic infections
swallon lymph nodes
skin rashes/lesions
unitentional weightloss

Question 16

what are the diffenrent types of FGM?

Answer 16

1- excision of all or part of clitoris
2 exciseron of the perpuace and cliterious with partial/toal labia minora
3- excision of part or all of the external gentiatlia and stiching/narrowing of vagina
4 - pericing, cutting, cauterisation of clitoris and surrounding tissue and cutting of vagina with iintroduction of substances to tighten or narrow the vagina

Question 17

what are the complications of female genital mutalaiton

Answer 17

recurrent UTIs
gnerrlaized tenderness, increased snesitivity
cycys
scarring
vaginal stenosis
anxiety/depression

Question 18

what are the impacts of poor communication?

Answer 18

health outcomes compromised
healthcare costs increased

Question 19

how is TB transmitted?

Answer 19

human to huma spread - resp droplets

Question 20

how is hep B transmitted and who is at the highest risk?

Answer 20

blood, semen or body fluids
ATSI, MSM, sex workers
people from asia, africa, middle east and pacific islads
houshold wih diagnosed chronic hep B

Question 21

what is the clinical prognosis for hep C?

Answer 21

now curable with sevral different meds -
45% no liver damge
45% moderated damge
5 cirrosis
1% liver failure

Question 22

how is HIV spread and what does the acute onest look like?

Answer 22

fluids
incubation window of seroconversion 3/12 and will present as flue like ilnees in 40-90% but can be asymptomatic for up to 10 years

Question 23

how is HIV treated?

Answer 23

Anti 0retroviiral treatment
supresses repilcations
undetectable viral load - untransmittbale

Question 24

what are some symtpms present with internal parasites?

Answer 24

asymptomatic
death
GI bleeds, loss appitie, diarrha, reduced absorption

Question 25

what care are medicare inelegable asylum seekers entitled to?

Answer 25

recives public health services usch as dental, ambulance, pathology, hospitle and pharmacuticle