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Healthy People 2020
an evidence-based 10-year report card describing health-care accomplishments within the United States from the years 2000 to 2010 and a prescription for what needs to be done between now and the year 2020
[Enable the nation to achieve health equity, eliminate disparities, and create a social and physical environment] that
What are the overarching goals of the Healthy People 2020 plan?
The US Department of Health and Human Services (USDHHS) published it in 2011
Who published Healthy People 2020 and when?
Infants, Children, Teens and Young Adults, and Older Adults and the Geriatric population
What are the four major age groups in Healthy People 2020?
Leading Health Indicators
Selected high priority issues for the current 10-year period
1. Access to health services
2. Clinical preventive services
3. Environmental quality
4. Injury and violence
5. Maternal, infant, and child health
6. Mental health
7. Oral health
8. Reproductive and sexual health
9. Nutrition, physical activity, and obesity
10. Substance abuse
11. Tobacco
What are the leading health indicators for 2020?
Determinants of health
The range of social, economic, and environmental factors that influence health status
Biology
Refers to the individual's genetic makeup, family history, and the physical and mental health problems acquired during life
Behaviors
individual responses or reactions to internal stimuli and external conditions
Social environment
interactions with family, friends, coworkers, and others in the community
Physical environment
Thought of as that which can be seen, touched, heard, smelled, and tasted
Health status
Evaluating specific details of the determinants of health enables understanding of this within the population
Birth and death rates, life expectancy, morbidity from a certain disease, access to health care, and health-insurance coverage
How can health status be measured?
Life expectancy
the average number of years a person is expected to live
Rank 50 with an average life expectancy of 78.49 years
**Where does the United States rank on life expectancy?
Gender, race, and education status and income
Life expectancy can be measured in terms of what?
Infant mortality rate
The number of deaths that occur before 1 year of age per 1000 live births
World Health Organization (WHO)
Which organization developed efforts towards worldwide health improvement?
UN Millenium Declaration
What stated a series of goals, targets, and indicators relating to health and the alleviation of poverty?
1. Eradicating extreme poverty and hunger
2. Promoting gender equality and empowering women
3. Reducing child mortality
4. Improving maternal health
5. Combating HIV/AIDS, malaria, and other endemic diseases
6. Ensuring environmental sustainability
7. Establishing a global partnership to achieve the goals
What are the current Millennium Declaration goals for global health?
Standards of Practice
The foundations of laws related to consumer protection
In 1750 Philadelphia
When and where was the first hospital for the poor established?
Bellevue Hospital School of Nursing
What was the name of the first nursing school in 1873 New York?
Clara Barton
Who founded the American Red Cross in 1881?
The Mayo brothers
Who first came up with the idea of private-office healthcare practices in 1887?
American Medical Association, Rockefeller Foundation, and Carnegie Foundation
What three organizations advocated professional care and devalued self care?
Plan of care
Developed as a tool for communication among team members and patients; Can be an individual patient plan of care, family plan of care, or hospital care path that outlines the needs of the patient and planned approach to meet those needs
Nurse practice acts
Define the scope of practice for nurses within that state
scope of practice
The identification of and legal limitations to the usual and customary skills practiced by a professional
Nursing Licensure Compact (NLC)
enables traveling nurses to function in multiple states
informed consent
That a patient has received information regarding risks, advantages, and alternatives available for a planned procedure in a language that can be understood by the patient
Accreditation
the process by which an institution is recognized as meeting specific predetermined standards of care
Consumer Bill of Rights
Stresses the importance of the relationship between the health-care provider and patient
1. Have choice of providers
2. Have access to emergency services
3. Take part in treatment decisions
4. Receive respect and nondiscrimination
5. Maintain confidentiality of health-care information
6. Have resources for complaint and appeal
What are the six consumer rights of the Consumer Bill of Rights?
Medicare
A type of insurance program in which benefits are received after contributions are made through payroll deductions
Medicaid
Similar to a welfare program in which benefits are provided on a basis of need or poverty
National Institutes of Health (NIH) and Centers for Disease Control and Prevention (CDC)
Which two agencies write periodic reports concerning vital statistics, census data, and results of health surveys?
Federal Register
Federal legislation concerning health care is recorded and published in the what?
Occupational Safety and Health Administration (OSHA)
Requires standards of safety be maintained by employers to protect the health and safety of employees and mandates the reporting of injuries sustained by workers
Managed Care Organization (MCO)
Attempt to standardize and control costs of healthcare
Health maintenance organizations
Provide care for prepaid members
Preferred Provider Organization (PPO)
Contract with professionals to provide care to a specific group of patients at an agreed-on fee-for-service rate
homeopathy
the use of minute portions of chemicals for their healing power
Political Action Committee (PAC)
influence legislation by offering monetary contributions to legislators who support their needs and by providing lobbying efforts to create an awareness of needed legislation
Culture
A set of learned values, beliefs, customs, and behaviors that is shared by a common social group and is passed down through generations of family
Cultural Sensitivity
Being aware that cultural differences exist and have an effect on values, learning, and behavior
cultural competence
The acceptance of, awareness of, and respect for beliefs, values, traditions, and practice that are different from one's own
cultural stereotyping
assumption that all the people in one culture behave the same way and believe the same thing
Beliefs
cultural teachings of practices and values that are handed down for generations and determines how one behaves and responds to daily life and healthcare practices
Values
deep feelings about what is right or wrong, good or bad
Ethnicity
a cultural pattern shared by people with the same cultural heritage
cultural awareness
recognizing the history of patients' ancestry or culture and how their customs influence the handling of problems, issues, or teachings
Ethnocentric
believing in the superiority of one's own ethnic and cultural group, and having a corresponding disdain for all other groups
Stereotyping
Assuming that everyone in a particular group is the same.
Acculturation
the adjustment to a new culture
cultural care
professional health care that is culturally sensitive, appropriate, and competent
cultural interventions
achieved when health-care info is presented in a way that includes specific cultural styles, colors, pictures, symbol, and so forth, that add credibility to the content by reflecting cultural values
Communication and personal space
What two factors should you consider when providing culturally competent care?
Humoral theory
The idea that balances between hot and cold affect health and illness; Prevalent in many non-Western cultures (hot vs cold is determined by the food's effect on the body)
Self-Determination Act of 1991
This granted patients in the US the legal right to full disclosure of medical information to allow individuals to participate in their own care
alternative medicine
health care practices and products used in place of conventional medicine
complementary medicine
health care practices and products used together with conventional medicine
family
a basic human social system that involves commitment and interaction among members
nuclear family
Mother, father and children living as a unit
extended family
household made up of several generations of family members
single-parent family
a family in which only one parent is present to care for the children
Foster parent family
Parents who care for children requiring parenting because of a dysfunctional family, no family, or individual problems
alternative family
communal family
dual-career family
A family in which both spouses have careers outside the home.
blended family
consists of a biological parent, a stepparent, and the children of one or both parents
polygamous family
a family consisting of one man, several wives, and their children
Homosexual family
Family group made up of same-sex adults who share bonds of emotional commitment and roles of childrearing.
Cohabitation family
a living situation in which a man and woman live together but are not legally married
sibling rivalry
competition between siblings, often for parental attention
Theory
a group of concepts that forms the basis for understanding observations
Family Systems Theory
a theory that views the family as a system of interacting parts whose interactions exhibit consistent patterns and unstated rules
family dynamics
the natural tendency in families to seek a stable state
Family APGAR
assesses family function and their ability to adapt, grow, develop and resolve issues
developmental stage
period in life characterized by the mastery of specific skills or behaviors
developmental task
a competency or skill that helps a person cope with the environment or advance personal development
physical competencies
Include functional abilities that result from motor and neurological development
emotional competencies
self-awareness, self-management, social awareness, relationship management
social competencies
Include the ability to form positive interpersonal relationships
dysfunctional family
A family that provides a negative environment that discourages the growth and development of family members.
cultural assimilation
the process by which racial or ethnic groups are absorbed into the dominant group by adopting the dominant group's culture
cultural relativism
The concept that normality comes from the standard social practices of a specific culture
culture shock
personal disorientation when experiencing an unfamiliar way of life
Children's Television Act of 1990
This defined family viewing time for programs and placed controls on programs aired during hours when children are likely to be watching
Facebook depression
common term used for the teen who overuses social networking to the point of altering sleep and eating habits and isolating himself from peers and family, eventually succumbing general depression
Cyberbullying
the use of electronic communication to bully a person, typically by sending messages of an intimidating or threatening nature.
Sexting
Sending or posting sexually suggestive content with images or text messages
post-traumatic stress disorder (PTSD)
an anxiety disorder characterized by haunting memories, nightmares, social withdrawal, jumpy anxiety, and/or insomnia that lingers for four weeks or more after a traumatic experience
Behavioral Theories
explain the development of specific behaviors and suggest their relationships to other developing social skills
psychodynamic theories
Focus on personality trait development and psychological challenges at different ages
cognitive theories
focus on advancement of the development of thinking
Humanist Theories
describe the influence of human experiences such as love and attachment on behavior and personality development
sociocultural theories
Describe how culture influences behavior
Developmental Theories
focus on changes in physiology, psychology, and behavior that occur normally at different stages in the lifespan
Sigmund Freud
Austrian physician whose work focused on the unconscious causes of behavior and personality formation; founded psychoanalysis.
Id
a reservoir of unconscious psychic energy that, according to Freud, strives to satisfy basic sexual and aggressive drives; Operates on the pleasure principle, demanding immediate gratification.