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maintenance or improvement of health through the prevention, diagnosis, treatment, recovery, or cure of disease, illness, or injury
health care
illness and disease were caused by supernatural spirits and demons, religious ceremonies used to heal, limited exploration of human body
primitive times
keep and maintain medical records, treatment included gods and plants, body was a system of clogged channels
ancient egyptians
first recordings of medicines, began to search for medical reasons for illness
ancient chinese
beginning of modern medical science, belief that illness was caused by Natural causes
ancient greeks
organized medical care for soldiers, hospitals and individual rooms, public sanitation efforts
ancient romans
study of medicine was prohibited, focus on saving soul
dark ages
intro of medical universities, bubonic plague,
middle ages
rebirth of science and medicine, dissection of body, first anatomy book published
renaissance
first successful blood transfusion
16,17,18 centuries
first mercury thermometer, surgical procedures identified, vaccine development
18 century
formal training of nurses, infection control, woman became active members in medical field
19 century
most rapid growth on advancements, intro of insurance, computers and tech in health care
20 century
completion of human genome project, health care became global concern
21 century
control of rising cost of healthcare while achieving the max benefit for every dollar spent
cost containment
3 factors contributing to rising healthcare costs3
technological advancements→highly technical procedures
aging population→need for more frequent healthcare services
lawsuits→expensive malpractice insurance
diagnostic related groups, combination services, mass or bulk purchasing, outpatient services, early intervention and preventative services energy conservation are all methods of
cost containment
method of classifying diagnosis into specific payment categories
diagnostic related groups (DRGs)
DRG’s
effort to reduce healthcare for government insurance plans (medicare and medicaid)
patients classified into ___
limit is placed on ___
health care agency receives set amount as payment
encourages healthcare facilities to provide care within ___
payment groups
cost of care
expense limit
healthcare agencies join together to share services to provide to a large number of people at a decreased cost
combination services
buying necessary equipment in bulk to reduce costs
mass or bulk purchasing
medical treatment without hospital admission
outpatient services
care before acute or chronic disease occurs
early intervention and preventative services disease.
overall energy efficiency maintaining systems and fixtures
energy conservation
use of genetic and biochemical process of living systems to develop or modify useful products
biotechnology
study of all the genes in the human genome
genomics
use of tests to check for the presence of specific genes known to cause disease
genomic testing
using a persons genome to choose drugs and doses likely to work for the individual
pharmacogenomics
study of the structure and function of proteins map protein regulation and function to understand disease
proteomics
study of cells capable of becoming any type of specialized cells
stem cell research
techniques to manipulate atoms and molecules to create new materials
nanotechnology
which hospital treats wide range of condition and age groups, provide diagnostic medical surgical and emergency care
general hospital
which hospital provides care for special conditions or groups
specialty hospitals
which hospital is operated by federal state and local government agencies, care for government personnel
government hospital
which hospital has hospital services research education, can be funded privately or through government resources
university or college medical centers
mainly provide assistance and care for the elderly, individuals with disabilities or long-term illnesses
long-term care facilities
3 types of LTCs
residential care, extended care or skilled care, and independent living and assisted living
LTC that has care for those who can no longer care for themselves, help with everyday activities, promote social interaction, for rest of life
Residential care
LTC that has skilled nursing and rehabilitation are, recovery from surgery, cancer treatment, etc, only for certain amount of time
extended care or skilled care
LTC that has individuals who can care for themselves purchase or rent apartments, meals housekeeping transportation and medical care provided
independent living and assisted living
privately owned or corporations, diagnostics treatment or examination basic lab testing, primary care facility or speciality
medical offices
privately owned or corporations, general care or specialized care(orthodontics, endodontics)
dental offices
privately owned or corporations, routine exams lens prescriptions, eye diseases
optical centers
specialized outpatient health care facilities
clinics
minor “one day” surgery
surgical clinics
first aid or emergency care to ill or injured individuals
urgent or emergency care clinic
offer physical, occupational, speech and other similar therapies
rehab clinic
rehab for alcohol and or drug abuse
substance abuse clinic
diabetic care, dialysis, encology, etc
specialty clinics
immediate care for accidents or sudden illness, ambulance services, medivac services, mostly operated by hospitals
emergency care services
often part of other facilities, diagnostic tests, blood tests urine tests, etc
labs
care for terminally ill, in home or hospice facility, palliative care
hospice
treat patients with mental disorders, guidance and counseling centers, psych clinics
mental health facilities
preparation and dispensing medication
pharmaceutical services
amount of money you or your employer pays per month for the insurance plan
premiums
amounts that must be paid by the patient for medical services before the policy begins
deductible
requires that a specific percentage of expenses are shared by the patient and the insurance company
co-insurance
a predetermined amount of money a patient pays at the time of service regardless of the amount of the service
co-pay
limit of what a patient pay in one year
out of pocket max
manged care for health services for a monthly fee
lower premiums
required to use only HMO affiliated healthcare providers
low or no deductible, lower co-pay
Health maintenance organization (HMO)
provides contract with certain health care agencies or doctors to provide health care at reduced rates
higher premiums
more freedom to choose doctors
higher deductibles and copays
preferred provider organization (PPO)
health care for individuals over 65 years old or individuals with a disability who have received social security payments
medicare
private insurance policy that covers what medicare does not
medigap
operated by state governments, pays for healthcare of individual with low incomes, children who qualify for public assistance, and individuals who are legally disabled
medicaid
plan providing treatment for workers injured on the job
administered by state
workers compensation
department of defense healthcare program for military personnel
tricare
treatment of disease of the nerves, tissue, blood vessels, and roots of teeth
endodontics
treatment and prevention of disease of gums, bone, and structures of teeth
periodontics
difference between EMT and EMT-P
EMT-P can perform life saving duties like intubation
treats diseases/disorders pertaining to the nervous, muscular, and skeletal systems, focus on whole body healing, more holistic approach to medicine
Doctor of Osteopathic Medicine
difference between psychiatrist and psychologist
psychiatrist can give meds but psychologist can’t give meds
work under supervision of psychiatrist, psychologists, help patients follow treatment plans, assist with physical care, observe and report behavior
psychiatric/mental health tech
Provide Total Care to patients under supervision of physician, administers medication and treatments, documents patient progress, assess patient needs
registered nurse
take histories, basic physical exams, order lab tests, refer patients to physicians, help establish treatment plans, treat common illnesses
nurse practitioner
Advanced degree require specialized in specific nursing areas
clinical nurse specialists
work under supervision of RNs and physicians, patient care required technical knowledge
licenses practical nurse
work under RN's or LPNs, basic patient care
nurse assistant
manage Food Service systems, assess patient nutritional needs, evaluate Health conditions, diagnose eating disorders, plan menus, teach proper nutrition and special diets
dietitian
teach clients about General nutrition and health properties of foods, can't diagnose disease
nutritionist
medical doctors specializing in diseases, injuries, and disorders of the eyes, can perform surgery
ophthalmologist
examine eyes for vision problems, prescribe lenses, diagnose eye disorders,
optometrist
assist with physical, mental, developmental, or emotional disabilities to overcome, correct, or adjust to particular problems
occupational therapist
operates EKG machines, used to diagnose conditions of the heart
electrocardiograph tech
assist with catheterization , angioplasty procedures, minor open heart surgery, and pacemaker implants, perform tests to check for circulation
cardiovascular tech
operates machines that record electrical activity of the brain, used to evaluate brain functions and diagnose disorders
EEG tech
perform nerve conduction tests, measure sensory responses, measure brain response
electroneurodiagnostic tech
work under supervision of doctors, study tissues, fluids, and cells of human body to determine presence or cause of disease
medical lab tech
Develop and manage systems for storing and obtaining records, prepare information for legal actions and insurance claims, compile stats, ensure confidentiality
health information administrator
study living organisms, assist in the development of vaccines, machines
biological or medical scientist
studies chemical composition of living things
biochemist
studies growth and characteristics of microscopic organisms
microbiologist
studies functions of organs, tissues, Etc of living things
physiologist
studies cells and evidence from crime scenes
forensic scientist
Studies relationship between living things and physics
biophysicist
develop solutions to complex medical problems, develop devices, research, design, and construct
bioengineers
barriers to communication
hearing loss
blindness
eye contact
cultural diversity
physiological barriers are caused by____
issues____
solution____
prejudice, attitudes, emotions, and personality differences
decrease in quality of care and trust
patience, be positive, avoid criticism and arguing, allow patient to express feelings
what to report about patient with sight
color of skin, swelling, rash, amount of food eaten
what to report about patient with smell
body odor, wounds, urine, infection
what to report about patients with touch
pulse, temp of skin, swelling