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genomics
the study of DNA sequencing to analyze the function and structure of complete sets of DNA in a cell of an organism
what does HPSA stand for
Health Professional Shortage Area
HPSA
geographic area, population, or medical facility with shortages of healthcare professionals that may not allow a full complement of healthcare services
human trafficking
the trade of humans for the purpose of forced labour, sexual slavery, or commercial sexual exploitation for the trafficker or others
inmate
a person who is held in a jail or prison to protect the public
What does "MUA" stand for?
Medically Underserved Area
MUA
area that is determined through calculation of a ratio of primary medical care physicians per 1,000 population, infant mortality rate,percentage of population with incomes below the poverty level and percentage of the population aged 65 or older
What does MUP stand for?
medically underserved population
MUP
A US federal designation for those populations that face economic barriers or cultural and or linguistics access barriers to primary medical care services
Trimorbidity
Three common chronic illnesses of homeless people (i.e., mental illness, chronic physical illness, and substance addiction).
underserved population
A subgroup of the population that has a higher risk of developing health problems because of a greater exposure to health risk because of marginalization in sociocultural status, access to economic resources, age, or gender.
veterans health
Care or service that will promote, preserve, and restore health of those who have served in the military.
what is the difference between genomics and genetics
genetics scrutinizes the functioning and composition of the single gene, whereas genomics addresses all genes and their interrelationships in order to identify their combined influence on the growth and development of the organism
Vulnerable populations
Populations that are at greater risk for poor health status and HC access
health disparities
preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations
impairments
problem of body structure or function, an anatomical, mental or psychological loss or abnormality
what are examples of impariments?
spina bifida
spinal cord injury
amputation
detached retina
activity limitations
difficulty in activating a task or an activity restriction
participation restrictions
problem one experiences in involvement of life situations
What is diasbility?
What their impairments prevents them from doing
what are examples of disability?
cannot walk unassisted
uses crutches and/or a manual or power wheelchair
blindness
what is handicap?
Actual disadvantage that the person has; what is happening to that pt and how they're living and interacting w/ others in the world
what is an example of a handicap?
reflects physical and psychological characteristics of person, culture, and specific circumstances
societal
pathology
changes occur at cellular or tissue level
functional limitation
changes create the inability or change the level of ability to perform an action within the normal range
medical model
disability is a defect in need of a cure through a medical intervention
rehabilitation model
a defect treated by a rehab professional
moral model
framed around cause and behaviors leading to disabilities; connected with shame and sin
disability model
socially constructed
what are examples of measurements of diability?
functional activities
ADL's
Instrumental activities of daily living
what are functional activities?
seeing, hearing, speaking, walking, using stairs, lifting, carrying
what are ADL's?
bathing , dressing, getting around in home, toileting, eating
what are instrumental ADL's?
housekeeping, shopping, cooking, taking meds, communication, money management
what is the individuals with disabilities education act?
Ensures free public education to children with disabilities based on needs and in least restrictive environment
what is the ADA?
Landmark case prevents discrimination w/ persons w/ disabilities
what are the factors that contribute to homelessness?
Shortage of affordable housing
Income insufficient to meet basic needs
Inadequate and scarce support services
what are the 4 categories of HUD
Cat 1 → literally homeless
Cat 2 → imminent risk of homelessness
Cat 3 → homeless under other federal statutes
Cat 4 → fleeing/attempting to flee DV
what is a cat 1 example?
lack physical fixed, regular, and adequate nighttime residence. Includes sheltered individuals or places not meant for human habitation and those who are exiting are leaving a temporary residence
what is a cat 2 example?
individuals and families with who will imminently loose their primary nighttime residence, doesn't have a place to go and no resources to get another residence
what is a cat 3 example?
unaccompanied youth and families with children who are defined under federal statutes and who do not otherwise fit a definition of homeless and have not had permanent housing in last 2 months and have no resources
what is considered chronically homeless?
Unaccompanied adults who are homeless for extended or numerous periods and have one or more disabling conditions
what negative health behaviors contribute to death and chronic disease and disability rates?
Untreated mental illness
Obesity
EtOH
Tobacco
Drugs
What are the 5 stages of grief?
denial, anger, bargaining, depression, acceptance
What does denial look like?
looks like avoidance, procrastination saying "I'm fine"
what does denial feel like?
shock, numbness, confusion, shutting down
what does anger look like?
cynicism, increase use of drugs/alcohol, being aggressive, sarcasm
what does anger feel like?
frustration, resentment, rage, out of control, resentment
what does bargaining look like?
looks like overthinking, perfectionism, "I should have", judgement
what does bargaining feel like?
feels like guilt, shame, blame, fear, insecurity
what does depression look like?
sleep and appetite changes, reduced energy, social disengagement, crying
what does depression feel like?
sadness, despair, disappointment overwhelmed, helpless
what does acceptance look like?
being present in moment, adapting, coping, assertive, mindful behaviors
what does acceptance feel like?
pride, courageous, validation, wisdom