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defined in terms of function, location, physical, or emotional commonalities |
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focuses on the acute and chronic care of individuals and families; goals are to enhance the client and family's capacity for self care and promote client autonomy in decision making |
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focuses on the health needs of the aggregate ; promotes wellness, health protection, and disease and injury prevention |
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Subspecialties in Community Health Nursing |
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public health nursing and home health nursing |
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provides care to individuals and families with a community focus; connects the work of the health departments with people who are actually at risk |
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provides skilled nursing care to ill individuals in their home |
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the study of the distribution of various states of health, the identification of deviations from health in specific populations, and the factors that determine a population's health status |
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Objectives of epidemiology |
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define the risks associated with various states of health; identify causes of disease; support the need for health care services to intervene in the case of specific conditions |
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the act of relating one event to the effect it produces |
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Direct causal relationship |
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those in which a factor causes disease with no other factor intervening |
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Indirect causal relationship |
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a third factor intervenes and occupies an intermediate stage between the cause and the effect |
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basic epidemiological concept, refers to the probablity that an unfavorable event will occur |
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the state or quality of lacking resistance to a factor and therefore being likely to develop effects if exposed |
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the likelihood that people or groups will be exposed to the factors that contribute to the condition |
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the risk of death among those exposed to a factor compared to the risk of those not exposed |
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a form of proportion that includes specification of time |
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statistical measures that describe the extent of health problems in a group; Calculated by:
number of instances of an event population at risk during that time |
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Primary indicators of the health status of a community |
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morbidity and mortality rates |
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an estimation of the proportion of the population that dies during a specified time period |
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the number of cases of a particular health condition in a group or community; described in terms of incidence and prevalence |
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the frequency of newly occuring cases of a disease in a specified population during a given time period |
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the measure of the total number of cases of a given disease in a specified population at a designated time |
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the percentage of people in the population wh have the condition under study and who die from it |
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the proportion of people with a given condition who remain alive after a specified period of time ( usually five years) |
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aversion of disease development |
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precedes disability and dysfunction |
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the art and science of moving people, groups, and communities toward a state of optimal health |
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the individual's direct involvment in an activity that will rpomote health |
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refers to the client as an inactive participant |
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Shielding or defending the body from injury |
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the early diagnosis and prompt treatment of disease |
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the restoration of health, rehabilitation, and the prevention of disease recurrence |
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disease that is spread through direct contact with an infectious agent |
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a series of events that can lead to the development of a communicable disease |
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the manner in which a communicable disease is transmitted from an infected person to an uninfected one |
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the period of time from the exposure to an infectious agent to the development of the symptoms of the disease |
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the period between the first symptom and the appearance of symptoms that typify the disease |
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located in UK, Norway, France, Germany, and Canada; emphasize equal services for all members of the society and are usually financed by some type of social insurance program |
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Located in Cuba and the republic of China; government has almost complete control of the health care system; no client copay, control is centralized, and hospitals are part of a national system |
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Transitional Health Care Systems |
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Located in Mexico, Latin and Middle Eastern countries; exist where the population is poor, there is modest government in health care, and where there is a coexisting fee for service sector used by the affluent |
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Located in Africa; government is minimally involved in health care and few services are available |
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located in the United States; care delivered through an open market; with minor government control over supply, demand, and the cost of services; operates on a fee for service basis |
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Diagnosis- related groups (DRGs) |
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health facilities are paid a flat fee for services that are set in advance by Medicare; based on client's diagnoses |
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the official public health agency at the local level; responsibilities are delegated by the state |
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State Department of Health |
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official public health agency at the state level |
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a major state managed health-care program and must provide a minimum set of federally mandated benefits |
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Department of Health and Human Services |
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official health agency at the national level |
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Health Care Financing Administration |
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major federal health insurance program for older adults and disabled individuals; for people sixty- five years of age who are eligible for social security benefits; receive partial coverage of health services |
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covers inpatient hospital services |
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covers services from physicians, nurses, or other health professionals working under the direction of a physician |
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a publication of the United States Department of health and human Services and reflects the work of a coalition of more than six hundred governmental agencies and national organizations; Goals:
1)increasing the quality and years of life 2) eliminating health disparities between ethnic groups |
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World Health Organization |
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agency that deals with international health concerns; attached to the United Nations; funded through subscription by member nations and is responsible for monitoring the incidence of disease throughout the world |
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Pan American Health Organization (PAHO) |
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deals with health-related concerns in the Americas |
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active international agency that is particularly visible in its efforts to assist individuals when natural disaster occur |
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where the rates of disease occur in clear excess of normal or expected frequency in defined areas |
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involves populations in widespreaf geographical areas of the world |
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Safe Medical Devices Act of 1990 |
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states it the nurse's responsibility to report any information about serious illness, serious injury, or death related to the use of medical equipment in the community |
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an obligation that one party owes to another party |
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