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Why is there an increase in using home health (name 1)
cost-effective, decreases hospital stays, increased elderly population that needs skilled care
best definition of family
Whomever the patient says they are.
What is a health disparity?
Quantifiable differences in the presence of disease, health outcomes, or access to care among different groups/populations.
Role of the faith/parish nurse
educator, advocate, health counselor, support group coordinator
Triage- do this first
Respirations/airway
Who qualifies for HH under Medicare guidelines
can't drive, skilled need- but not daily, has caregiver support
Who is at most risk for homelessness?
Someone living in poverty, lack of healthcare, SUD, living in the inner city, housing wage disparity.
Name 2 red flags for abuse
non-ambulatory infant with an injury
stocking or glove pattern
caregiver/partner being unconcerned
inconsistent reports of injury
delay in seeking care
what is the START triage system
color coded tag system to categorize clients based on severity of injury and guide transport
Example of a red tag
Immediate: needs immediate transport/interventions within 60 minutes for survival, compromise to airway, breathing, circulation.
Palliative vs Hospice
Palliative: pain & symptom management to improve quality of life. Can occur at any point in treatment.
Hospice: Comfort & quality of life, support for patient & family. Illness is terminal & prognosis is 6 months or less.
Define disparity
inequality or difference.
Give an example of a tertiary intervention for violence or substance misuse
SUD - treatment plans (goal of abstinence and prevention of death/OD), make plan to avoid high-risk situations, refer to AA, monitor pharmacologic management (Methadone tx).
Violence - establish parameters for long-term f/u and prevention, make resources in community available, refer to mental health prof. (ATI p. 65).
Major health issue in school aged kids
Obesity
Example of a yellow tag
Delayed: transport can be delayed, serious and potentially life-threatening injuries, status not expected to deteriorate significantly over next few hours
give secondary prevention example for a school nurse
Name one reason an undocumented immigrant may not seek healthcare
Afraid of deportation.
Safety, trustworthiness, peer support, collaboration, empowerment, cultural respect (slide 14, chapter 25/31).
Screenings a school nurse may perform (name 2)
BP, scoliosis, vision, hearing, height, weight
Example of a green tag
Minor: minor injuries, unlikely to deteriorate over days, may be able to walk to assist in own care
give an example of a patient that qualifies for hospice
Cancer patient not responding to chemotherapy. Death expected within 6 months.
A patient suffering from end-stage Alzheimer, refusing to eat/drink.
What is the leading cause of vulnerability
Poverty
abuse vs neglect
Abuse - physical, sexual or emotional.
Neglect - failure to meet basic emotional/physical needs
What does an occupational health nurse do?
works to promote a healthy work environment to foster the health and safety of workers. (p. 46 ATI)
Example of what should be included on a disaster plan
Specific plans for possible disasters, communication, roles, meeting place, etc