Intro Nursing Ch 6

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Author:
cswett
ID:
89386
Filename:
Intro Nursing Ch 6
Updated:
2011-06-05 23:16:01
Tags:
Fundamentals Nursing
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Description:
Health Care Delivery Systems
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  1. Primary prevention
    • - prevent/ slow onset of disease -
    • 1. Health promotion - healthy diet & exercise, stress reduction
    • 2. Illness prevention - immunizations, well child care
  2. Secondary prevention
    • detect & treat illnesses in early stages
    • 1. Diagnosis
    • 2. Early detection -mamagram, blood screening
    • 3. Treatment
  3. Tertiary prevention
    • - stopping disease progression & return to pre-illness state
    • 1. rehabilitation
    • 2. health restoration
    • 3. palliative care - terminal stage patients - keep them comfortable & attempt to give good quality of life
  4. Health Care Agencies
    • 1. Government agencies - public health
    • 2. Physicians' offices
    • 3. Ambulatory care center - diagnostic and treatment facilities - relaced the trem clinic in many places
    • 4. Occupational health clinics - employee health care
    • 5. Hospitals - for acute illness
    • 6. Sub-acute care - inpatient care for person with acute ilness, injury, or exacerbation of a disease process
    • 7. Extended care facilities (nursing homes) - different levels of care for chronically ill patients or those who are unable to care for themselves
    • 8. Retirement and assisted-living centers
    • 9. Rehabilitation centers - help restore health
    • 10. Home health care agencies
    • 11. Rural care hospitals
    • 12. Day care centers - for infants or elderly
    • 13. Hospice services
    • 14. Crisis centers
    • 15. Mutual support or self-help groups
  5. Health Care Professionals
    • 1. Nurses
    • 2. Alternative care providers - clergy, message therapy, chiropractor
    • 3. Case manager
    • 4. Dentists
    • 5. Dietitians
    • 6. Nutritionists
    • 7. OT Occupational therapists
    • 8. EMT
    • 9. Pharmacists
    • 10. PT - physical therapists
    • 11. Physicians
    • 12. Podiatrists
    • 13. Respiratory therapists
    • 14. Social workers
    • 15 Spiritual support
    • 16. UAP -Unlicensed assistive personnel - orderlies
  6. Factors that affect health care delivery
    • 1. Increasing # of elderly
    • 2. Advances in technology - people live longer- can be kept alive but what is their quality of life?
    • 3. Economics
    • 4. Women's health issues
    • 5. Uneven distribution of services
    • 6. Access to heath insurance - 46 million in US w/o insurance
    • 7. Homeless and the poor
    • 8. HIPAA - privacy act
    • 9. Demographic changes
  7. Medicare
    • -adults over 65
    • Part A - provides hospitalization, home care, hospice
    • Part B - partial outpatient and physician services (voluntary - pay a premium)
    • Part D - prescription plan (voluntary)
    • Does not cover dental, eyeglasses, hearing aids
  8. Medicaid
    • -financial assistance
    • - each state is distinct

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