Term
| Types of violence within communities |
|
Definition
homicide
assault
suicide
abuse
economic maltreatment |
|
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Term
| recognizing actual or potential child abuse |
|
Definition
- unexplained injury
- unusual fear of the nurse and others
- injuries/wounds not mentioned in history
- fractures, including older healed fractures
- presence of injuries/wounds/fractures in various stages of healing
-subdural hematomas
- trauma to genitalia
- malnourishment or dehydration
- general poor hygiene or inappropriate dress for weather
- considered to be a "bad" child |
|
|
Term
| recognizing actual/potential abuse in older adults |
|
Definition
- unexplained or repeated physical injuries
- physical neglect and unmet basic needs
- rejection of assistance by caregiver
- withdrawal and passivity
- depression |
|
|
Term
| when caring for clients who experience violence |
|
Definition
- build trust and confidence with the client
- focus on the client rather than the situation
- assess for immediate danger
- provider emergency care as needed
- develop a plan for safety
- make needed referrals for community services and legal options
- if abuse has occurs: complete mandatory reporting by agency |
|
|
Term
| Cardinal signs of dependence are? |
|
Definition
|
|
Term
| A primary sign associated with dependence and what it may include is? |
|
Definition
Denial
- defensiveness
- lying about use
- minimizing use
- blaming or rationalizing use
- intellectualizing |
|
|
Term
| front-line assistance with substance use and addiction disorder? |
|
Definition
|
|
Term
|
Definition
- most commonly used substance in US
- depressant, dulls the senses to outside stimulation and sedated the inhibitory centers of the brain
- direct effect of alcohol is determined by the blood alcohol level |
|
|
Term
| how does the body process alcohol? |
|
Definition
- the size and weight of the drinker
- gender (metabolism)
- carbonation (increases absorption)
- time elapsed during consumption
- food in the stomach
- emotional state of drinker
- burns 0.5 oz per hour
- excess not metabolized circulated in the blood and affects the CNS and brain |
|
|
Term
|
Definition
Within 4-12 hours; Manifestations:
- irritability
- tremors
- N/V
- headaches
- diaphoresis
- anxiety
- sleep disturbances
- tachycardia
- high BP |
|
|
Term
|
Definition
alcohol withdrawal delirium
- increased BP, tachycardia and diaphoresis |
|
|
Term
|
Definition
stimulant that temporarily creates a feeling of alertness and energy
- repeated use to avoid subsequent down leads to a vicious cycle of physical use and physical dependence and withdrawal effects
- tolerance develops quickly |
|
|
Term
|
Definition
| tobacco, caffeine, amphetamines, methamphetamines, cocaine |
|
|
Term
|
Definition
| barbiturates, alcohol, benzodiazepines, chloral hydrate and GHB |
|
|
Term
|
Definition
| morphine, heroin, codeine and fentanyl |
|
|
Term
| hallucinogens (psychedelics) |
|
Definition
produce anxiety, paranoia, impaired judgment and hallucinations
lysergic acid diethlamide (LSD), phencyclidine (PCP) and Ecstasy (MDMA) |
|
|
Term
|
Definition
| volatile substances inhaled or huffed. Death may result from acute cardiac dysrhythmias or asphyxiation |
|
|
Term
| Primary prevention for substance use disorders |
|
Definition
- increase public awareness, esp among young, regarding hazards and addictive qualities
- encourage development of life skills |
|
|
Term
| Secondary Prevention for substance use disorders |
|
Definition
- ID at risk individuals and assist them to reduce sources of stress, possible referral for social/financial/other
- Screen individual for maladaptive substance use |
|
|
Term
| Tertiary prevention to reduce substance use disorders |
|
Definition
- assist client to develop plan to avoid high risk situation and enhance coping
- refer to community groups: AA, NA
- monitor pharmacological management
- provide emotional support to recovering abusers, and their families, including positive reinforcement |
|
|
Term
| primary prevention for improving mental health |
|
Definition
- educate populations regarding MH issues
- teach stress reduction techniques
- provide parenting classes
- provide bereavement support
- promote protective factors and risk factor reduction |
|
|
Term
| secondary prevention for improving MH |
|
Definition
- screen to detect MH d/o
- work directly with at risk individuals, families and groups - therapeutic relationship
- conduct crisis intervention |
|
|
Term
| tertiary prevention for improving MH |
|
Definition
- medication monitoring
- MH interventions
- referrals
- maintain level of function to prevent relapse/rehospitalization
- ID triggers
- assist in planning regular lifestyle
- educate on med side effects and interactions |
|
|
Term
| Health problems of migrant workers |
|
Definition
dental disease
TB
chronic conditions
stress, anxiety, MH concerns
leukemia
iron deficiency anemia
stomach, uterine and cervical cancers
lack of prenatal care
higher infant mortality |
|
|
Term
| primary prevention for rural and migrant health care |
|
Definition
- educate regarding measures to reduce pesticide exposure
- tach accident prevention
- provide prenatal care
- mobilize preventative services |
|
|
Term
| secondary prevention for rural and migrant health care |
|
Definition
screening
- pesticide
- skin cancer
- chronic preventable disease
- communicable disease |
|
|
Term
| tertiary prevention for rural and migrant health care |
|
Definition
- treat for symptoms of pesticide exposure
- mobilize primary care and emergency services |
|
|
Term
| Veterans Health Administration (within US dept of Vet. Affairs) |
|
Definition
responsible for purchasing covering and delivering health care to veterans and dependents
- nations largest integrated health care system
- hospical, home health, hospice/palliative, rehab, counseling, outPT, nursing home |
|
|
Term
| Strategies for Veteran Health Care |
|
Definition
- coordinate referrals to vet resources
- advocate for continued strengthening of VHA system
- assist clients to transition from active duty
- ensure continuity of care
- develop partnerships with local agencies to strengthen resources and achieve mutual goals |
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