Term
| Why are the homeless difficult to define and count? |
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Definition
1. They are hard to locate
2. They often refuse to be interviewed
3. They are not eager to identify themselves as homeless
4. They are with/without living arrangements for short periods of time. |
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Term
| How many millions of americans is it estimated have been homeless at some time during their lives? |
|
Definition
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Term
| What does recent research regarding homelessness reveal? |
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Definition
| That the magnitude of the problem is greater than believed in the past. |
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Term
| Has the rate of unemployment increased or decreased over recent years related to welfare reform? |
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Definition
|
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Term
| What are some issues that overshadow the recent decrease in unemployment related to welfare reform? |
|
Definition
-There has been in increase in extreme childhood poverty
-A proliferation of inadequately paid employment
-increased hardship for families living on welfare
-Not as many benefits from employers |
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Term
| What was the trend in regards to affordable housing between 1995 and 1998? |
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Definition
-No increase in the supply of federally subsidized housing for low income families
-The number of families recieving these subsidies declined for the first time in history
-There are more people living in gov't subsidized housing, and more on waiting lists. |
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Term
| What was the trend in regards to affordable housing b/w 1998 and 1999? |
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Definition
-The number of families on waiting lists to obtain public housing increased up to 25%.
-The waiting time for public housing increased from 11 months to 28 months. |
|
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Term
| What is the result of labor markets demanding a highly educated workforce? |
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Definition
-Insufficient income and lack of employment are listed as major issues causing homelessness.
-Technical colleges have alot to offer those who aren't 4 year college material.
-There is a push to beef up the community colleges in Louisiana. |
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Term
| A serious illness can lead to a downward spiral. Discuss some possibilities resulting from this. |
|
Definition
-Homelessness as a result of job loss
-Use of savings to pay for care
-Inability to pay rent |
|
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Term
| What is one result of welfare reform related to Medicaid? |
|
Definition
| Fewer are eligible for the medicaid coverage that accompanies welfare. |
|
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Term
| Who is mostly affected by homelessness resulting from domestic violence? |
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Definition
| Usually women who leave abusive relationships without alternatives other than shelters. |
|
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Term
| What has been the recent trend regarding homeless and mental illness? |
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Definition
| There has been a marked increase in the amount of homeless with serious mental health issues. |
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Term
| What is the increase in the number of homeless with mental health issues attributed to? |
|
Definition
-Denial of services.
-Premature and unplanned discharge because services are poorly funded.
-There are now very few community partnerships that care for the mentally ill. |
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Term
| How would you sum up factors that cause people to become homeless. |
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Definition
| It is a combination of personal vulnerability and political indifference that has left people in the streets. |
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Term
| What is the single most prevalent health problem among homeless men? |
|
Definition
|
|
Term
| What are some other serious health problems for homeless men? |
|
Definition
-Severe mental illness
-Chronic illnesses such as HIV, TB and STDs
-Hypertension, COPD, seizures, dental problems, peripheral vascular diseases. |
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Term
| What are some health limiting factors that homeless women experience. |
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Definition
| Generally have limited education, earning power, and fragmented support network. |
|
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Term
| What are the results of homeless women having a lack of general health maintenance? |
|
Definition
Increased incidence of:
-STDs, UTIs
-Psychological sequence of violence
-Anxiety, panic disorders, depression, substance abuse, eating disorders, self mutilation and suicidal behaviors
-Alcohol and drug problems |
|
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Term
| What are the characteristics of "homeless child syndrome"? |
|
Definition
-Poverty related health problems
-Immunization delays
-Untreated or under-treated acute and chronic illnesses
-School, behavioral and psych problems, don't fit in.
-Child abuse and neglect
-otitis media, chronic resp damage, etc |
|
|
Term
| What are two major poverty related health problems that directly affect children? |
|
Definition
Low birth weight related to:
-Poor prenatal care
-Poor maternal nutrition |
|
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Term
| What are some major factors contributing to high infant mortality rates in the homeless? |
|
Definition
-Lack of sufficient nutrition
-Lack of shelter from environmental elements
-No address to qualify for wic.
-more acute than chronic illnesses
(if they have a chronic illness, most die). |
|
|
Term
| Why do homeless children have more mental health problems and developmental delays? |
|
Definition
-Experience stressful life events at a very young age.
-Placement in foster care
-Tend to experience more depression and anxiety
-Lack personal and social skills, language skills and gross fine motor skills.
-Score lower on standardized tests in reading, math, and vocab.
-Miss more school days
-Repeat more days |
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Term
| Why do homeless adolescents engage in "survival sex" and what are the results? |
|
Definition
-For money to meet subsistence needs
-Resulting in
-unintended pregnancies with poor outcomes.
-Alcohol and drug abuse
-Depression
-Suicide |
|
|
Term
| Where do most homeless adolescents stem from? |
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Definition
| They are usually runaways who couldn't take the home environment anymore and would finally leave. |
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Term
| What is a good way for the nurse to create a trusting environment with homeless adolescents? |
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Definition
| Don't make promises to keep secrets that you cannot keep. |
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Term
| What are some other roles of the nurse besides creating a trusting environment? |
|
Definition
-Show respect, compassion, and concern
-Do not make assumptions
-Coordinate a network of services and providers. Don't send them someplace where they cannot get the help they need. |
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|
Term
| In what terms are rural populations defined? |
|
Definition
-Geographic location
-population density
-distance from or the time needed to commute to an urban center |
|
|
Term
| What are the race characteristics of rural populations? |
|
Definition
| More whites than blacks, bu changes from community to community. |
|
|
Term
| What are the population characteristics of rural populations in regards to age? |
|
Definition
| Usually young people from 6-17 years of age, or very old. Very few young adults. |
|
|
Term
| What are the characteristics of rural populations in regards to marriage? |
|
Definition
| Most are married or have been married. |
|
|
Term
| What are the population characteristics of rural populations in regards to education? |
|
Definition
| Most don't have formal education past high school. |
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|
Term
| What is the health status of rural residents in relation to those in the city? |
|
Definition
| Health is overall poorer. |
|
|
Term
| What is the trend regarding tobacco use in rural populations? |
|
Definition
| They tend to begin smoking younger. They also have more problems with COPD. |
|
|
Term
| What are some physical limitations on rural populations? |
|
Definition
| They have more problems with ADLs, walking upstairs, stooping, lifting, and bending. |
|
|
Term
| What are some common chronic illnesses in rural populations? |
|
Definition
| Heart disease, COPD, HTN, Arthritis, diabetes, cancer |
|
|
Term
| What is the usual frequency with which most rural residents visit healthcare providers? |
|
Definition
|
|
Term
| What is the main limitation that rural populations have in regards to healthcare access? |
|
Definition
| Many must travel 30 or more minutes to the nearest healthcare facility. |
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|
Term
| What is the deal with physicians in rural areas in relation to practice specialties? |
|
Definition
| They normally have to treat everyone. They can't just specialize in child health because they people don't have many options to see other docs. |
|
|
Term
| What is the role of school nurses in rural populations? |
|
Definition
| They do a great deal of healthcare, make home visits, get doctors to write scripts. |
|
|
Term
| What are some of the major barriers to health in rural areas? |
|
Definition
-Available professionals
-Available services (don't have PET scans or operating rooms)
-Affordable services
-Acceptance of healtcare providers by the community that they are in. |
|
|
Term
| What percentage of all deaths nationally can be attributed to drugs? |
|
Definition
|
|
Term
| What is the problem with making illicit drugs in America legal? |
|
Definition
| We need ways to test these drugs to make sure there aren't things in them that we don't want in them. |
|
|
Term
|
Definition
| Any drug use that threatens a person's health, social performance and economic functioning. |
|
|
Term
|
Definition
| An overwhelming preoccupation with the use of the drug and securing the supply of the drug characterized by a high tendency to deteriorate if the drug is removed. |
|
|
Term
|
Definition
| When continued use of the drug is needed to prevent withdrawal symptoms. |
|
|
Term
| True or false: High doses of depressants reduce sleep? |
|
Definition
|
|
Term
| What is the oldest and most widely used psychoactive drug in the world? |
|
Definition
|
|
Term
| What types of deaths does alcohol contribute to? |
|
Definition
| Heart disease, cancer and stroke |
|
|
Term
| What is the most preventable form of mental retardation in the US? |
|
Definition
|
|
Term
| Which drug has the street names dope. smack and tar? |
|
Definition
|
|
Term
| Opiods are _______ and less ______ today. |
|
Definition
|
|
Term
| Stimulants have ________ negative health effects. |
|
Definition
|
|
Term
| What percentage of deaths can nicotine be attributed to? |
|
Definition
|
|
Term
| What can be said about smokeless tobacco in relation to smoked tobacco? |
|
Definition
| It's less addictive, but delivers more nicotine. |
|
|
Term
| What does high doses of nicotine cause? |
|
Definition
-Extreme agitation
-Paranoid delusions
-hyperthermia
-Hallucinations
-cardiac dysrhythmias
-Pulmonary complications
-Convulsions
-possibly death |
|
|
Term
| What is the most widely used illicit drug in the united states? |
|
Definition
|
|
Term
| How long does it take mary j. to work? |
|
Definition
| 30-60 seconds after you inhale for the 1st time. |
|
|
Term
| What are the 4 categories of inhalants? |
|
Definition
Volatile organic solvents
Aerosols
volatile nitrates
gases |
|
|
Term
| What is primary prevention as it relates to drug use? |
|
Definition
The promotion of health lifestyles and resiliency factors.
-Teaching assertiveness and decision-making skills
-stress reduction
-relaxation techniques
-education about drugs and prevention |
|
|
Term
| What is secondary prevention of drug abuse? |
|
Definition
-Drug testing, blood, breath and saliva testing
-Detoxification
-Addiction treatment
-Support groups |
|
|
Term
| What is the definition of vulnerable populations? |
|
Definition
| Social groups at increased probability of illness or adverse health outcomes |
|
|
Term
| What are priority population groups? |
|
Definition
| Those people targeted by governments for special emphasis in health care goals because their health status is particularly poor. |
|
|
Term
| What are health disparities? |
|
Definition
| Differences in the incidence, prevalence, morality, and burden of diseases and other adverse health conditions that exist among specific population groups in the US. |
|
|
Term
| What are differences in health usually related to when talking about health disparities? |
|
Definition
| Access, such as people that live in rural areas. Could also be quality of care. Could just be outcomes. |
|
|
Term
| What are some trends related to vulnerable populations? |
|
Definition
-Growth disparity b/w poor and rich
-Community-based care and interorganizational partnerships increasing
-Increasing importance of "safety net" providers.
-Outreach and case finding
-Comprehensive health care and social services in work-places, schools, faith-based organizations
-Social justice activism and advocacy
-Culturally and linguistically appropriate care
-Partnerships b/w public and private payers |
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