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- The study of human gene activity changes not involving alterations in DNA that can be passed from one generation to the next. - explains why environmental factors can affect genes |
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Avoid the disease altogether BEFORE the disease ever happens. Examples: Education, vaccination, lifestyle |
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Name some primary interventions |
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Education of risk factors -healthy eating seminars, community gardens, walking groups |
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Method to detect and address existing disease before symptoms appear |
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Secondary Prevention interventions |
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-Screening of diseases -Bp screens, cholesterol screens - Health risk assessments |
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Methods to decrease negative impact of disease (prevent death from disease or complications through rehabilitation or treatment) |
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Tertiary Prevention interventions |
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Med management Med teaching |
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State and federal funded health insurance for people who meet poverty guidelines FREE insurance |
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Federally funded health care for adults over the age of 65 or disabled persons |
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Obama care- Affordable Care Act |
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Federally mandate that everyone must have health insurance Created a health insurance market place Tightened laws and regulations around private health insurance |
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Focus of Early home care nursing (before 1800's) |
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Reduce suffering and promote healing for sick/poor. -Emphasis: curative -little education and poor hygiene |
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A standard for proper education and supervision of nurses. - Concern for environment and for whole of patient |
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1800-1900 Organization of visiting nursing- visiting the poor and teaching them proper hygiene |
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What was the focus of public health nursing 1900-1970? |
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Broadened to include the health and welfare of general public not just poor. Emphases on prevention |
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Availability of necessary service throughout the community |
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Prospective health care payment systems |
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-Fixed payment rate to specific treatments -payment method based on rates derived from predictions of annual service cost -impatient |
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Retrospective health care payment |
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Reimbursement for a service after it has been rendered |
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Susceptible human or animal who harbors and nourishes a disese |
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What are some factors that affect the host? |
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Age, Gender, genetics, and lifestyle |
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A factor that causes or contributes to a health problem or condition |
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Chemical - pesticides Biological- bacteria, virus Nutrient- Vitamins Physical- cuts, cars Psychological- stress |
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1. Identify reservoir -(where agent lives) 2. Agent portal of exit- (leave reservoir) 3. Mode of transmission 4. The agent itself 5. Portal of entry Host |
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Short term: acquired naturally or passively |
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example of passive immunity |
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Long term- acquired naturally or artifically |
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Childhood chicken pox- lifetime immunity |
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immunity to one agent provides immunity to another related agent |
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immune to cow pox if immune to small pox |
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immunity level present in a population growth- protects people who aren't vaccinated |
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Disease is not present and individual is not exposed. But host/environment risk factors increase risk of developing disease |
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Subclinical Disease stage |
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individuals have been exposed to a disease but are asymptomatic. Incubation period where it is multiplying. |
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Early in this stage disease only detectable through screenings or test |
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Recognizable sx. Not in acute stage anymore |
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investigations that seek to observe and describe patterns of health related conditions that occur naturally in a population |
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Descriptive Epidemiology example |
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A community health nurse seeking to learn how many children in a school district are immunized for measles |
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Refers to all NEW cases for a disease appearing during a given time |
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Number of persons developing a disease -------------------------------------- Total number at risk per unit of time |
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All of the people with a particular disease existing in a given population at a point in time |
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Number of persons with a characteristic --------------------------------------- Total number in population |
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Community health nurses role in communicable disease? |
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-Review info - Clarify the disease- lab confirm -Review the case definition -Review the disease information |
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occurs by immediate transfer of infectious agent from reservoir to new host |
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Direct transmission example |
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Occurs when the infectious agent is transported within contaminated inantimage materials such as water, or food (Vehicle born) |
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Indirect transmission example |
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Contaminated meat or water |
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Occurs when the infectious agent is carried by a vector |
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Vector transmission example |
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nonhuman carries infectious agent |
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Occurs through droplet- the small residues that result from evaporation of fluid from droplets emitted by an infected host - Need to know how to use standard precautions for HIV |
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TB skin test reaction: 5 or more millimeters positive for |
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-Positive for HIV -Recent contact with person w/ TB -people who have fibrotic changes on a chest radiograph -patients with organ transplants and other immunosuppressed patients |
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TB skin test reaction: 10 or more millimeters positive for: |
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- people who have come to US within the last 5 yrs from the areas of the world where TB is common -Injection drug users |
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TB skin test reaction: 15 or more millimeters positive for: |
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People with no known risk factors for TB |
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Nursing process of communicable disease control |
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1. Assessment: case finding 2. Planning: 3. Implementation: Take action 4. Evaluation: Have the actions been achieved? |
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the degree to which individuals have the capacity to obtain, learn and understand basic health info and services needed to make an appropriate decision |
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What are some factors that effect health literacy? |
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-Knowledge/skill -Past experience -culture -environment -demographics |
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How should public health develop health messages? |
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1. identify audience health 2. Specifics about audience (gender, age, behaviors) 3. Determine key messages 4. Determine best ways to communicate( written, visuals, or audio 5. Decide how to distribute |
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Barriers to health literacy |
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Use of medical terms reliance on print communication Focus on information rather than actions Limited awareness of cultural differences |
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Strategies to improve health literacy |
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-use appropriate language -Use culturally and linguistically appropriate messages - messages that are user centered - effectiveness of communication |
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Concept of Community as a client |
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Refers to a group or population of people as the focus of nursing service |
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All people occupying an area or people that share on or more characteristic. Don't necessarily interact with each other or coexist |
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A collection of people who interact with one another and whose common interests or characteristics form the basis for a sense of unity or belonging. |
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identification and plotting of human genes and the study of the interaction of genes with each other and the environment |
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