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Shortage of primary care providers due to rapid influx of patients
Affordable Care Act
Described why Pacific Islanders have a higher rate of cancer; possibility due to lack of technology
Health disparity
In this model the patient has readiness to change — which cycle does the individual finally announce their intention to change
Preparation cycle of Prochaska's Transtheoretical Model
One student from the PA program and one student from the counseling program talk together to learn each other's role to prepare for collaborative practice in the workplace
Interprofessional/interpersonal education
In regard to population health and approach to disease: tooth brushing, adding fluoride to water, and PT post CVA
Primary preventative health
Patient presents to ED unconscious and no POA is provided — this person would be the default decision-maker
Spouse
Every vegan patient has a friend who was a vegan and she knows there is no way to get enough vitamin K…
Provider stereotyping
This model method is listen to patient perspective; explain and share one’s perspective; acknowledge differences between perspectives
LEARN model
Denial, anger, bargaining, depression, acceptance
Stages of grief
Heart attack, cancer, and Alzheimer’s disease
Examples of chronic diseases in the top 10 causes of death
You are thinking about cultural competency practice and ask your patient, “What do you fear about your sickness?”
Kleinman’s Explanatory Model
Vegan patient, ketogenic patient, carnivore patient
Special population
Emergency care, pregnancy, and sexually transmitted diseases
Exceptions to the Mature Minor Doctrine
Patient comes in and you are concerned with their understanding of illness and management. You ask, “What does this sickness do to you? What treatment do you think you should receive?”
Evaluating the interaction between person and culture
Reason for referral, history and physical, insurance card
Important elements sent for specialty referral
Emphasize preventative medicine, identify health disparities, and address community health
Ways to benefit population health
Getting too close to a person face to face
Invasion of the personal bubble
Lasts longer than 3 months, usually not vaccine-preventable, genetics may contribute to this
Chronic illness
Treatment in an emergency situation
Event that does not require consent
In regard to culture, the Deaf and Death communities would be considered
Cultural variation
Respond to rapidly changing demographics, eliminate long-standing disparities, and improve quality of health services
Goal of the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care
Stands for Physician Orders for Life-Sustaining Treatment and designed to honor patient’s end-of-life wishes
POLST
Nutrition and exercise in advancing health are emphasized to all
Surgeon General’s report regarding Healthy People
Nonmedical conditions that directly affect health such as school, work, and religion
Social determinants of health
Picture yourself in the patient’s shoes
How to avoid stereotyping
You are working in the ED and EMS brings a man smelling of alcohol brought to the ED unconscious
Ascertainment bias
Air and water quality, tobacco use, employment and education status
Health factors that affect population health
Your PCP to specialty specialist to PCP specialist to specialty
Consult