End of life
Care is for patients with less than 6 months life expectancy, includes interdisciplinary/team based care, may be home or institution based
What is hospice?
Plane crash, oil spill, chemical spill, nuclear plant malfunction
What are accidental/man-made disasters?
Most common mental health disorder in refugees
What is PTSD?
How confident a patient is in their ability to take action
What is the confidence ruler?
Poverty, Lack of affordable health care, Employment, Domestic violence, Mental illness, 1960's, deinstitutionalization of mental health into society, Lack of community resources, addictions disorders
What are contributing factors for becoming homeless?
This care is focused on symptom management and can be initiated any time in illness - it is not restricted to end of life.
What is palliative care?
This phase during the disaster response includes the repair, rebuild, or relocate damaged homes and businesses, and restore health and social and economic vitality to the community
What is the recovery phase?
Investments in personal capabilities and skills, including income, jobs, income, housing, education
What is human capital?
In this stage of the transtheoretical model of change, the patient is beginning to make a change in their health
What is the preparation stage?
This phase of prevention includes health promotion/education (coping skills, nutrition, exercise, wellness, stress reduction), and health protection (social determinants of health)
What is primary prevention (for mental health and substance use)?
These are conversations between individuals, family members, and health care providers to ensure that care and treatment provided reflects individual preferences and values for those with serious, progressive chronic or life-limiting illness
What is advance care planning?
This type of prevention includes Preparing for disasters (Disaster planning; personal preparation; Assessment for risk factors and disaster history, Establishing authority, communication, and transportation; Mobilizing, warning, and evacuating)
What is primary prevention?
Poverty that persists across multiple generations
What is generational poverty?
Physical and emotional neglect in childhood would be considered what type of trauma
What are adverse childhood events?
Transfer of care between two members of the health care team, where the handoff occurs in front of the patient and family. This transparent handoff of care allows patients and families to hear what is said and engages patients and families in communication, giving them the opportunity to clarify or correct information or ask questions about their care.
What is warm handoff?
This allows mentally competent adult state residents who have a terminal illness with a confirmed prognosis of having 6 or fewer months to live to voluntarily request and receive a prescription medication to hasten their inevitable, imminent death
What is death with dignity or medical aid in dying?
In the triage tagging system, this patient is stable but could deteriorate without attention
What is a yellow tag?
These health disparities include: minority stress (Lower life satisfaction, self-esteem, Depression, suicidality), Substance abuse, Cardiovascular disease, Cancers, Sexually transmitted infections, HIV management and medications
What are health disparities in older adults?
These three components influence whether an experience will be considered “trauma”
What are event, experience, and effect?
Mental Health Act of 1976 indicated that people with mental illness should remain in the community. What is the term for this?
What is deinstitutionalization?
Death in the family, Divorce, Decade, Decline, Diagnosis of serious illness
What are triggers for conversations about end of life?
Results of this type of disaster may not be immediately apparent. Early changes include skin redness of varying severity and long term effects can include cancer
What is radiation exposure?
Socioeconomic status/poverty; Insurance coverage: uninsured and underinsured; Race and ethnicity
What are root cause of vulnerability?
This type of interviewing addresses ambivalence to changing unhealthy behaviors
What is motivational interviewing?
This can improve patient outcomes, increase continuity of care, and reduce healthcare utilization. Vulnerable and marginalized populations with complex needs have social, economic, geographic, and/or clinical characteristics that put them at risk for inadequate healthcare access and outcomes
What is care coordination?