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Final Exam Unit 1

Terms

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What are the 6 levels of care?
1.Preventative
2.Primary
3.Secondary
4.Tertiary
5.Restorative
6.Continuing
What type of care includes education and prevention?
Preventative
What type of care includes early detection and routine care?
Primary
What type of care includes ER and critical care (extensive dx and tx)?
Secondary
What type of care includes special care (highly techincal care)?
Tertiary
What type of care includes intermediate follow up care (rehab and home health)?
Restorative
What type of care includes long term care, chronic care, and hospice care?
Continuing
List some examples of Preventative and Primary Health Care Services:
School Health Services
Occupational Health Services
Physicians Offices
Clinics
Nursing Centers
Block and Parish nursing
List some examples of Secondary and Tertiary Care:
Hospitals
Intensive Care Units
Psychiatric Facilities
Rural Hospitals
List some examples of Restorative Care:
Home Health
Rehabilitation
Extended Care Facilities
List some examples of Continuing Care:
Area Agencies on Aging
Nursing Centers or Facilities
Assisted Living
Respite Care
Adult Day Care Centers
Hospice
Assists and individual in regaining maximal functional status, therby enhancing the individual's quality of life while promoting client independence and self-care.
Restorative Care
Is the provision of medically related professionals and paraprofessional services and equipment to clients and families in their homes for health maintenance, education, illness, prevention, diagnosis and treatment of disease, palliation, and rehabilitat
Home Care
Is the restoration of a person to the fullest physical, mental, social, vocational, and economic usefulness possible.
Rehabilitation
Provides intermediate medical, nursing, or custodial care for clients recovering from acute or chronic illnesses or diabilities.
Extended care facility
Offers skilled care from a licensed nursing staff, may include administration of IV fluids, wound care,long-term ventilator mgmt. and physical rehabilitation.
Skilled Nursing Facility
A collection of health, personal, and social services provided over a prolonged period to persons who are disabled, who never were functionally independent, or who suffer a terminal disease.
Continuing Care
Typically provides 24 hour intermediate and custodial care such as nursing, rehab, dietary, recreational, social, and religious services for residents of any age with chronic or debilitating illnesses.
Nursing Center
Is a service that provides short term relief or time off for persons providing home care to the ill or disabled.
Respite Care
Provide a variety of health and social services to specific client populations who live alone or with family in the community.
Adult Day Care Centers
A system of family centered care designed to allow clients to live and remain at home with comfort, independence, and dignity while alleviating the strains caused by terminal illness with focus on palliative care.
Hospice
Actualization of inherent and acquired human potential thourgh goal directed behavior, competent self care, and satisfying relationships with others, while adjustments are made as needed to maintain structural integrity and harmony with the environment.
Health
True prevention, it precedes disease or dysfuntion and is applied to clients considered physically and emotionally healthy.
Primary Prevention
List some examples of primary prevention:
Health education programs, immunizations, and physical/nutritional fitness activities.
Focuses on individuals who are experiencing health problems or illnesses and who are at risk for developing complications or worsening conditions.
Secondary Prevention
List some examples of Secondary Prevention:
Care delivered in homes, hospitals or skilled nursing facilities.
Occurs when a defect for disability is permanent and irreversible.
Tertiary Prevention
Any situation, habit, social or environmental condition, physiological or psychological condition, developmental or intellectual condition, or spiritual or other variable that increases the VULNERABILITY of an individual or group to an illness or acciden
Risk Factors
Involve the physical functioning of the body. Heredity or genetic predisposition to specific illness.
Genetic and Physiological Risk Factor
Increases of decreases susceptibility to certain illnesses.
Age Risk Factor
Where we live and the condition of that area (air, water,soil) determine how we live, what we eat, the disease agents to which we are exposed, and our state of health and our ability to adapt.
Environmental Risk Factors
Practices and behaviors that have a positive or negatice effect on our health.
Lifestyle Risk Factors
Describes a competent level of behavior in the professional role, including activities related to quality of care, performance appraisal, education, collegiality, ethics, collaboration, research, and resource utilization. Also serves as objective guideli
The ANA's Standard of Nursing Practice
Describes a competent level of nursing care, that includes the nursing process which is important if a ligal dispute arises over whether a nurse practiced appropriatley in the particular case.
Standard of Care
Regulated the licensure and practice of nursing.
Nurse Practice Act
Defines the principals by which nurses provide care to their patients.
Code of Ethics
National council licensure examination for RN.
NCLEX-RN
Provide support to RN's and LPN's in the health care setting, includes certified nurse assistants, trained techinicians, or staff who transfer from non-client areas to clinical areas.
Assistive Personnel
Latest document and is designed to serve as a road map for improving the health of all people in the U.S. for the first decade of the twenty-first century.
Healthy People 2010
Elements that are necessary for human survival and health.
Basic Human Needs
A person's thought and behavior patterns change throughout life, the nurse must consider the clients level of growth and development when using his or health beliefs and practices as a basis for planning care.
Developmental Stage
(Internal Variable influencing health and health belief practices)
A person's beliefs about health are shaped in part by the person's knowledge, lack of knowledge, or incorrect information about body functions and illnesses, education background, and past experiences.
Intellectual Background
(Internal Variable incluencing health and belief practices)
When nurses assess a client's level ofhealth, they gather subjective data about the way the client perceives physical functioning, such as level of fatigue, shortness of breath, or pain.
Perception of Functioning
(Internal Variable influencing health and belief practices)
The manner in which a person handles stress throughout each phase of life will influence the way the person reacts to illness.
Emotional Factors
(Internal Variable influencing health and belief practices)
Spirituality is reflected in how a person lives his or her life, including the values and beliefs exercised, the relationships established with family and friends,a nd the ability to find hope and meaning in life.
Spiritual Factors
(Internal Varialbe Influencing health and belief practices)
Perceptions of the seriousness of diseases and their history of preventive care behavior can influence how clients will think.
Family Practices
(External Variable)
Social and psychosocial factors can increase the risk for illness and influence the wat that a preson defines and reacts to illness.
Socioeconomic Factors
(External Variable)
Influences beliefs, values, and customs.
Cultural Background
(External Variable)
Activities such as routine exercise and good nutrition, help clients maintain or enhance their present level of health.
Health Promotion
(External Variable)
Education that teaches people how to care for themselves in a healthy way and includes topics such as physical awareness, stress mgmt. and self responsibility.
Wellness
(External Variable)
Activities such as immunization program protect clients from actual or potential threats to health.
Illness Prevention
(External Variable)
Individuals gain from the activities of others without acting themselves, like fluoridation of water.
Passive Strategies of Health Promotion
(External Variable)
Weight reduction and stopping smoking programs require clients to be actively involved in measures to improve their present and future levels of wellness while decreasing the risk for disease.
Active Strategies for Health Promotion
(External Variable)
Negligence committed by a professional such as a nurse or physician, that oftens requires professional to carry insurance.
Malpractice
A person's agreement to allow something to happen such as surgery or an invasive diagnostic procedure based on a full disclosure of risks, benefits, alternatives, and consequences.
Informed Consent

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