Term
| what are the 8 key issues in the millennium |
|
Definition
education
gender equality
environmental sustainability
development of policy and financial services
poverty and hunber
HIV/AIDS
child mortality
maternal health |
|
|
Term
| poverty and hunger: most vulnerable, how many of the most vulnerable suffer, connection to medicine, regions with rising and decline |
|
Definition
children most vulnerable
poor nutrition causes suffering 160d/y
under nutrition magnifies effects of every disease
latin america and caribbean hunger dropped
development regions and sub-saharan africa had 25% rise |
|
|
Term
| HIV/AIDS: how many have it, where is it most at, how many children |
|
Definition
35.5 million peole have it
95% in low/middle income countries (esp sub-saharan africa)
3.34 million children world wide |
|
|
Term
| what areas have highest life expectancy, why |
|
Definition
| americas, europe, pacific (fuji, new zeland, tonga) due to clean water and good diet |
|
|
Term
| if you get to this age your likley to liver longer |
|
Definition
|
|
Term
| what countries have current male life expectancy i the 70s |
|
Definition
|
|
Term
| what countries have make life expectancy in the 60s |
|
Definition
|
|
Term
| what countries have male life expectancy in the 60s and 50s |
|
Definition
africa 55
SE sais
mediterranian |
|
|
Term
| what countries have female life expectancy in the 70s |
|
Definition
america
europe
mediterranian
pacific |
|
|
Term
| what countries have female life expectancy in the 60s and 50s |
|
Definition
|
|
Term
| which is higher neonatal or 1-50mo death |
|
Definition
|
|
Term
| what are the 2 most common causes of neonatal death |
|
Definition
| birth asphyxia and prematurity |
|
|
Term
| what are the second 2 most common causes of neonatal death |
|
Definition
|
|
Term
| what are the 5 common causes of 1-59mo death in order greatest to least |
|
Definition
pnemonia
diarrhea
malaria
prematurity
birth asphyxia |
|
|
Term
| overall what are the two most common causes of death in children <5yo, what is the runner up |
|
Definition
pneumonia and prematurity
3. birth asphyxia |
|
|
Term
|
Definition
| health of women during pregnancy, childbirth, and post partum |
|
|
Term
| what are the causes of maternal morbidity and mortality in order of most to least common |
|
Definition
hemorrhage
indirect; anemia, malaria, heart disease
infection
unsafe abortion
preeclampsia/eclampsia/BO
obstructed labor
ectopic pregnancy
embolism
anasthesia complications
HIV/AIDS |
|
|
Term
| when do most post partum deaths occur |
|
Definition
66% in first week
45% in first 24h |
|
|
Term
| what are 3 ways to move forward in the key issues of the melinnium |
|
Definition
use developing countries instead of third world
be comfourtable with being uncomfourtable
heal differences |
|
|
Term
| what are the general rules of physician patient relationship |
|
Definition
interest of pt first
answer even emotional questions best you can
tell them if you dont have time to adress all their questions but make sure to ensure them they will get answered and follow through
tell pt everything even if not inquisitive
if they dont want to hear bad news tell them asap
make eye contact
accept health beliefs of patient and participate if possible
always tell pt what you are doing and why
negotiate with pt rather than order |
|
|
Term
| what situations decline physician patient relationship |
|
Definition
demands by patient malke optimal performance a challenge
when assigned a family member of partner or spouse
when you have knowledge of indiscretion or failure to disclose info can be impediment to tx |
|
|
Term
|
Definition
derived from latin word for confidence or trust
relationship between physician and patient should be fiduciary |
|
|
Term
| 4 ways to handle pt that disagrees with you |
|
Definition
stay outside of paternalism by not labeling as noncompliant or difficult
negotiate
choices of competent pt needs to be respected
clarity: we have a short time which concern is the most urgent |
|
|
Term
| when can you override pt preferences 5 |
|
Definition
high risk of harm without recommended therapy ot tx exists
court order can be invoked
for minors
harm is threatened to self or others
sole surviving parents of dependent children
during pregnancy |
|
|
Term
|
Definition
dr does not have to provide medical services in opposition to beliefs
in is never appropirate to preech to pt or use other way to impose beliefs
it is always important to let patients know you respect their beliefs or traditions
pt should be informed where they can obtain desired services |
|
|
Term
| what are pt delemas that get in the way of a feduciary relationship 6 |
|
Definition
treatment of pre-existing conditions
lay offs
benifit design and managed care
interviews by Dr who fail to honor disclosure about difference regarding sexual orientation
disruptive behacior by physician (joking, not following protocol, yelling, refusing to cooperate) |
|
|
Term
| what are the 7 essentials of pt communication |
|
Definition
sit down
attend to discomfort
eye contact
allow silence while pt searches for words
acknowldge and legitimize feelings
explain and reassure during exams |
|
|
Term
|
Definition
| using the same ethical professional principals when sharing information about a persons gender identity unless you have expressed permission to share or it is medically needed |
|
|
Term
| 13 types of transgender identities |
|
Definition
transsexual
MTF
FTM
cross dresser
transvestite
gender queer
intersex
two-spirited
berdache
drag queen
drag king
multi-gendered
non-gendered |
|
|
Term
|
Definition
| variety of conditions in which a person is born with a reproductive or sexual anatomy that doesnt seem to fit typical definitions of male or female |
|
|
Term
|
Definition
| person who has or is in process of having sex change |
|
|
Term
|
Definition
|
|
Term
| define agender, neutrois, non-gendered |
|
Definition
|
|
Term
|
Definition
| moving between two or more genders |
|
|
Term
|
Definition
| non-defined or other gender |
|
|
Term
|
Definition
| having overlap or blur of gender and orientation and or sex |
|
|
Term
|
Definition
define themselves as not having a gender that is queer
politically or radical in the understanding of being role assigned |
|
|
Term
| what are 2 examples of gender neutral pronouns and their translation |
|
Definition
|
|
Term
| what are 4 gender related issues to patient care |
|
Definition
discrimination by medical providers
violence and harrassment
provider lack of knowledge
postponement of preventive care |
|
|
Term
| 5 opportunities to demonstrate sensitivity to patients |
|
Definition
inquire about vaginal or anal penetration
interview using partner rather than spouce
take care of labeling with born a boy and became a girl
admit that you are in a learning process
keep in mind medical atrocities |
|
|
Term
| what are medical atrocities |
|
Definition
| certian populations are suspicious of western medicine and physicians that practice it |
|
|
Term
| what are the 3 desired outcomes in patient communication |
|
Definition
dialouge is in way that establishes of builds trust in you as physician
open dialouge: more disclousure and better tx
pt walks away feeling you have respect for them even though your life is different |
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