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Community Nutrition Final Exam
Dietetics
45
Other
Undergraduate 3
05/13/2014

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Term
Medicare
Definition
Federal health insurance - entitlement program for age 65 or older, end-stage renal, OR eligible for SS/ retirement boards, some gov't employees
Term
aMedicaid
Definition
State-administered health insurance - entitlement program for low income, aged, blind, disabled, dependent children of one-parent families (50-80% fed-funded)
Term
State Children's Health Insurance Plan (CHIP)
Definition
Badgercare Plus in WI - for <19 y/o pregnant women at or below 300% poverty line OR adults at or below 100% poverty line
Term
Traditional (indemnity) insurance
Definition
Fee-for-service AKA group contract - provider charges a fee for each service rendered
Term
Managed-care insurance
Definition
includes HMOs, PPOs, and POSs - all prepaid practice plans that offer health services through groups of medical practitioners.
Term
HMO
Definition
A health maintenance organization - provides or arranges managed care and acts as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis. Must choose a PCP within HMO.
Term
PPO
Definition
similar to HMO except that member is not required to select a PCP or in network providers. Less restrictive --> greater out-of-pocket expense.
Term
POS
Definition
Point of service - like a combination of the HMO and PPO. Member is required to designate an in-network primary care provider (PCP). May go out-of-network, but in doing so, will have to pay most of the cost, unless a primary care physician refers member to that specific doctor.
Term
Consumer-directed health plans
Definition
Combination of high-deductible health plan with an HRA (health reimbursement arrangement) or HSA (health savings account). High deductible/low premium.
Term
PPS - Prospective payment system
Definition
hospitals are paid a fixed sum of $ per case according to schedule of DRGs
Term
DRG - Diagnosis related group
Definition
method of classifying patients illnesses according to principal diagnosis and treatment requirements, for purpose of establishing payment rates. (23 categories and 490 DRGs)
Term
percent of insured American on Medicare in 2010
Definition
17%
Term
percent of insured American on Medicaid in 2010
Definition
17%
Term
percent of insured American on Employer-sponsored programs in 2010
Definition
49%
Term
percent of insured American on private non-group plans in 2010
Definition
5%
Term
Baby boomers percent of US population current
Definition
25%
Term
Why is health promotion an important component of health care reform?
Definition
Poor nutrition contributes substantially to increased health care costs.
Term
US spends significantly (more/less) on healthcare than most other industrialized nations
Definition
more
Term
5 components of food security
Definition
Quantity, Quality, Suitability, Psychological, Social
Term
Food SECURITY categories
Definition
High & Marginal
Term
Food INSECURITY categories
Definition
Low & Very low
Term
Paradox of hunger
Definition
need to maximize caloric intake --> lower cost food with high calories, fat, sugar --> overeating when food is available --> physiological changes leading to weight gain
Term
Entitlement program
Definition
gov't program that provides cash, commodities or services to all qualifying low-income individuals. Anyone who meets standard is entitled to receive benefits. E.g. SNAP, Medicare, School lunch (NOT WIC)
Term
Food you cannot buy with SNAP
Definition
Hot, ready-prepared food items
Term
Food bank
Definition
organization that collects food and distributes it to food pantries, etc.
Term
Food pantry
Definition
organization or agency that distributes food to individuals or families.
Term
TEFAP
Definition
The emergency food assistance program e.g. food banks
Term
Marasmus
Definition
"dying away" - slowly developing, chronic PEM occurs at age <2 years
Term
Marasmus cause:
Definition
severe food deprivation
Term
Kwashiorker
Definition
"illness that develops when the second child is born" - rapidly developed, acute PEM in infants/young children
Term
Kwashiorker cause
Definition
inadequate protein often coupled with infections
Term
Re-feeding syndrome
Definition
metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved or severely malnourished. Includes: electrolyte shifts of Na, Mg, and P that can be fatal.
Term
GOBI - what it stands for
Definition
growth monitoring, oral rehydration therapy, breastfeeding, immunizations
Term
Culture
Definition
Knowledge, beliefs, customs, laws, morals,etc. acquired by human members of society. OR shared history defined as thoughts, communication, actions, customs, beliefs, values, and institution of racial, ethnic, religious or societal groups. WHEW-WEE!
Term
Cultural values
Definition
principles or standards that members of a cultural group share - provide a set of rules by which to govern lives
Term
Cultural competence continuum model
Definition
gaining cultural competence as a succession of stages
Term
Campinha-Bacote cultural competence model
Definition
cultural competence is a continuous process rather than end result; an encounter starts off the process
Term
the four P's of marketing
Definition
Product, place, price, promotion
Term
social marketing
Definition
a strategy for changing consumer behavior
Term
cognitive change
Definition
change in knowledge; easiest to market but little connection to behavior change
Term
action change
Definition
individual does something, but must understand the reason for doing so e.g. screening for breast cancer
Term
behavior change
Definition
change that involves costs of personal involvement / change on a continuing basis e.g. exercising 5x per week
Term
value change
Definition
most difficult type of change to market; involve persuasion to change one's beliefs and how one acts because of them e.g. changing the size of ecological footprint
Term
The letter of ASKBOB that EBMM pre and post fitness tests evaluate
Definition
O - outcome
Term
ASKBOB
Definition
Attendance/awareness, satisfaction, knowledge, behavior, outcome, benefit
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