D118 Flashcards Quizlet PDF
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This document appears to be a collection of flashcards, likely for use in studying medical topics such as schizophrenia and anxiety disorders, and potentially other medical topics like unipolar depression. The content includes definitions, symptom descriptions, and potential diagnostic approaches. It does not appear to be a past paper.
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2/18/24, 9:05 PM Science D118 Flashcards | Quizlet Medicine Primary Care D118 Students also viewed Exploration of India by Europeans 6 terms Ian_Hannigan Science vocab Effective Communication Skills 15 terms Preview Muscular Sy 20 terms Kaydence_Little Preview incrediblecbeard202 5 terms Preview sir...
2/18/24, 9:05 PM Science D118 Flashcards | Quizlet Medicine Primary Care D118 Students also viewed Exploration of India by Europeans 6 terms Ian_Hannigan Science vocab Effective Communication Skills 15 terms Preview Muscular Sy 20 terms Kaydence_Little Preview incrediblecbeard202 5 terms Preview sirikozy1 Terms in this set (679) Schizophrenia and psychotic disorders lack definitive diagnostic tests, necessitating the exclusion of organic causes of psychosis. Essential diagnostics encompass blood chemistries, hepatic and renal studies, thyroid function tests, complete blood count, syphilis, HIV screening, and substance testing. Imaging like CT or MRI aids in ruling out structural causes. Additional tests like EEG and heavy metal panels may be indicated. Hospitalization referral is necessary for exacerbations of negative or psychotic symptoms and increased agitation. Positive symptoms should persist for at least 1 Schizophrenia Diagnosis: month, with social and occupational dysfunction for 6 months. Psychiatric differentials include bipolar disorder and severe depression with psychotic features, distinguished by the temporal relationship between mood disturbance and delusions. Substance use disorders are common in schizophrenia. In older adults, acute illnesses like UTIs and dementia can mimic psychosis. NP nurses must understand diagnostic pathways, including medical, psychiatric, and substancerelated factors, ensuring comprehensive care for patients. Medications such as antipsychotics (e.g., risperidone, olanzapine) are fundamental in managing symptoms. Anxiety Disorders necessitate immediate referral to the emergency room for individuals posing a risk to themselves or others. These disorders, affecting a third of the population during their lifetime, manifest through excessive and persistent worry, fear, and disabling anxiety. Women are more susceptible than men, with various disorders emerging at different life stages. The DSM-5 classifies anxiety disorders into several categories including Separation Anxiety Disorder, Social Anxiety Disorder, Panic Disorder, and Generalized Anxiety Disorder (GAD). Neurobiologically, anxiety involves the amygdala, HPA axis, and neurotransmitter systems like serotonin and GABA. Gene- Anxiety Symptoms: environment interactions also contribute to vulnerability. In clinical practice, anxiety disorders present with physical symptoms alongside psychological distress, often leading individuals to seek help in primary care settings. Generalized Anxiety Disorder, marked by persistent worry and associated symptoms, typifies chronicity. Specific Phobias, Panic Disorder, and OCD entail distinct symptomatology and impairment. The DSM-5 revisions emphasize the categorization and diagnosis of anxiety-related conditions, facilitating more accurate assessment and intervention by healthcare providers, including nurse practitioners, who play a vital role in recognizing, diagnosing, and managing anxiety disorders, integrating pharmacological and non-pharmacological interventions for optimal patient outcomes. https://quizlet.com/861496859/flash-cards/ 1/20 2/18/24, 9:05 PM D118 Flashcards | Quizlet Unipolar Depression, a prevalent mental health condition, often goes undiagnosed due to patients' reluctance to report symptoms and the primary responsibility of primary care providers to identify and manage it. Left untreated, depression can lead to severe complications including coronary artery disease, diabetes mellitus, stroke, and even suicidal ideations. Recognizing its signs such as persistent sadness, disinterest, and changes in weight is crucial. Screening tools like the Patient Health Questionnaire-9 (PHQ-9) aid in diagnosis, especially in primary care settings where depression is frequently encountered. Risk factors for depression encompass various life circumstances like chronic illness, Unipolar Depression Symptoms: stress, and substance use. Specific considerations for older adults include the use of the Geriatric Depression Scale (GDS) alongside the PHQ-2 and PHQ-9. Beyond screening, a comprehensive patient history and physical examination, coupled with a trusting patient-provider relationship, help in evaluating depressive symptoms and suicidal tendencies. Nurse practitioners must assess suicidal risk diligently, considering factors such as thoughts of suicide, plans, means, and intentions. Any recent life changes or stressors warrant heightened vigilance for depression. Effective management involves not only medication but also lifestyle modifications and psychotherapy, emphasizing the importance of holistic care in addressing this pervasive condition. - Patients pose a risk of self-harm or harm to others. - Symptom severity significantly compromises patient well-being. - Symptoms indicate serotonin syndrome, withdrawal, neuroleptic malignant syndrome, or lithium toxicity. - Uncertainty persists regarding patient risks. Urgent intervention is necessary within a week if: Referral Guidelines for Mental Health Specialists: - High suicide risk exists, but the patient is presently safe. Immediate intervention is warranted if: - Coexisting psychiatric conditions, like substance use disorders, are present. - Electroconvulsive therapy (ECT) is indicated. Follow-up with a specialist is needed within a month if: - Symptoms persist despite initial treatment. - Medication management issues require frequent monitoring. - Dementia is concurrent. - Psychotherapy, family education, or group support could benefit the patient. Substance Use Disorders require immediate attention and referral for specific conditions. Withdrawal seizures, often from benzodiazepine or alcohol cessation, necessitate urgent intervention. Delirium tremens, characterized by severe symptoms such as tachycardia, tremors, hallucinations, and seizures, emerges 72-96 hours postalcohol cessation. Overdose, especially opioids, manifests as unresponsiveness, pinpoint pupils, and respiratory depression, mandating naloxone administration and Substance Use Referral: supervised observation. Any substance ingestion leading to unstable vital signs mandates ER referral. Suicidality, homicidality, and psychosis, common in substance use disorders, demand prompt stabilization. Patients seeking treatment for moderate to severe substance use disorders warrant immediate referral for evidence-based pharmacotherapy, including medications like naloxone, and initiation without delay. Primary care providers should offer pharmacotherapy for alcohol and opioid use disorders promptly. Nurse practitioners should be vigilant for these conditions and act swiftly to ensure patient safety and treatment initiation. https://quizlet.com/861496859/flash-cards/ 2/20 2/18/24, 9:05 PM D118 Flashcards | Quizlet Chronic pancreatitis, marked by pancreatic inflammation, leads to permanent exocrine and endocrine insufficiency, contrasting with acute pancreatitis. Major causes include alcoholism, duct obstruction, genetic mutations, autoimmune factors, and idiopathic origins. Alcohol misuse triggers 50-70% of cases, with duration and volume influencing risk. Hereditary factors, including mutations in PRSS-1, SPINK, and CFTR genes, play a role. Notably, recurrent acute pancreatitis or unexplained chronic cases should prompt Chronic Pancreatitis Symptoms: genetic testing. Clinical signs include epigastric pain, nausea, vomiting, and weight loss, worsened by fatty foods and alcohol. Malabsorption symptoms like diarrhea and steatorrhea suggest advanced disease. Glucose intolerance often precedes diabetes onset. Physical exams may show little beyond abdominal tenderness or weight loss. Severe complications, including pancreatic cancer, can arise. Marseilles-Rome classification categorizes the condition by morphology, epidemiology, and molecular biology, aiding diagnosis and management. Early detection and intervention are crucial in reducing mortality rates. Interprofessional collaboration is essential in managing Bell palsy. Specialists should be consulted for cases presenting atypically, during pregnancy, or showing signs of corneal abrasion. Additionally, persistent facial weakness beyond two weeks or when surgery or botulinum toxin injections are being considered warrants specialist input. Protecting the eye is crucial to prevent blindness, with measures such as using protective eyewear, moisture chambers, and careful eyelid taping. While surgical decompression is rarely necessary due to high recovery rates with steroids, it may be Bell's Palsy Treatment: considered in specific cases. Pharmacologically, corticosteroids should be initiated within 72 hours of onset, with antivirals offering modest benefits. Lubricating eye drops help maintain eye moisture, and pain management includes acetaminophen or NSAIDs if not contraindicated. Referral criteria encompass various scenarios, including ocular symptoms, suspected CNS involvement, and persistent paralysis, ensuring appropriate management and care for patients. Education plays a vital role in informing patients about potential complications, eye protection, medication management, and rehabilitation exercises for optimal recovery. CHAPTER 178 Ce Vigilance is crucial for patients presenting with fever, headache, stiff neck, and altered mental status, warranting immediate referral to an experienced healthcare provider for suspected central nervous system (CNS) infections. These infections, encompassing meningitis and encephalitis, stem from various pathogens and exhibit significant morbidity and mortality rates, with bacterial meningitis posing particular urgency. While Infections of the central nervous system Symptoms bacterial meningitis primarily affects infants and older adults, encephalitis, commonly caused by herpesviruses, arboviruses, and enteroviruses, is increasingly observed due to immunocompromised states. Diagnosis relies on clinical suspicion, noting agespecific pathogen prevalence. Risk factors for bacterial meningitis include diverse medical conditions and recent travel. Pathophysiology involves bacterial entry into cerebrospinal fluid, triggering inflammatory responses leading to cerebral complications. Clinical presentation varies widely, emphasizing the need for a comprehensive physical exam to distinguish these serious conditions promptly. https://quizlet.com/861496859/flash-cards/ 3/20 2/18/24, 9:05 PM D118 Flashcards | Quizlet Immediate referral to the emergency department is crucial for patients with severe hypertriglyceridemia and associated complications like chest pain, respiratory distress, or rhabdomyolysis. Lipid disorders, significant risk factors for atherosclerotic cardiovascular disease (ASCVD), affect a majority of adults in the United States. Lowering LDL-C, primarily with statins, remains a primary focus for ASCVD prevention. Lifestyle changes, including diet and exercise, are pivotal in managing dyslipidemia. chronic lipid disorders Symptoms: Lipoproteins, such as LDL and HDL, play key roles in ASCVD development. Lifestyle modifications, such as increased physical activity and improved nutrition, contribute to better lipid profiles and reduced ASCVD risk. Lipid disorders arise from a complex interplay of genetic and environmental factors. A comprehensive evaluation, including medical history and physical examination, is essential for diagnosing and managing lipid disorders and ASCVD risk effectively. Detection of xanthomas or corneal arcus may indicate severe dyslipidemia and prompt further evaluation. Normocytic anemia, specifically Anemia of Chronic Disease (ACD), is typically mild to moderate and commonly arises from inflammatory conditions, infections, or malignancies. It often manifests as normocytic, normochromic RBCs with hemoglobin levels usually above 9 g/dL. ACD has a gradual onset and is prevalent among older hospitalized patients. Its pathophysiology involves low serum iron levels despite normal Normocytic Anemia Symptoms: or elevated iron stores, often due to increased hepcidin levels inhibiting iron transport. Another mechanism, ACKD, implicates relative erythropoietin deficiency, where erythropoietin response to anemia may be blunted. Symptoms of ACD are usually mild and related to underlying diseases rather than the anemia itself, including fatigue, pallor, tachycardia, and dyspnea upon exertion. Clinicians should conduct a thorough physical examination to explore underlying chronic conditions. Microcytic anemia (MCV 5.5cm usually needs surgical repair Terrell Suggs #55 Every other year 50-74. Self exam not examined. Breast cancer The next step. If a woman self exams and finds a lump. If under 30 Ultrasound Under 30 If over 30 Mammogram More than 30 Screening a. Adults 40+ with risk factors Yearly b. Adults 18-39 WITHOUT risk factors Q3-5 years Clinical Scenario. A patient has a BP of 158/98 in the office, now what? High Blood Pressure Ambulatory Monitoring Goals of Treatment: a. Age 60+ 150/90 b. Age 100,000 CFU/mL of a single uropathogen or >10,000 CFU/mL if the pathogen is group B streptococcus indicates treatment. Grade B. Pregnant women, new mothers, and their children. The USPSTF recommends Describe the USPSTF recommendations for providing interventions during pregnancy and after birth to support breastfeeding. breastfeeding. Clinicians should, as with any preventive service, respect the autonomy of women and their families to make decisions that fit their specific situation, values, and preferences. Grade B: Population Adults aged ≥18 y Recommendation Screen for depression, with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. Commonly used depression screening instruments include the Describe the USPSTF recommendations for depression screening in adults. Patient Health Questionnaire in various forms and the Hospital Anxiety and Depression Scales in adults, the Geriatric Depression Scale in older adults, and the Edinburgh Postnatal Depression Scale in postpartum and pregnant women. Positive screening results should lead to additional assessment that considers severity of depression and comorbid psychological problems, alternate diagnoses, and medical conditions. The optimal timing and interval for screening for depression is not known. Describe the USPSTF recommendations for the prevention of neural tube defects. Grade A. Persons who plan to or could become pregnantThe USPSTF recommends that all persons planning to or who could become pregnant take a daily supplement containing 0.4 to 0.8 mg (400 to 800 mcg) of folic acid. Grade B. Asymptomatic pregnant persons at 24 weeks of gestation or after. The USPSTF recommends screening for gestational diabetes in asymptomatic pregnant persons at Describe the USPSTF recommendations for gestational 24 weeks of gestation or after. Asymptomatic pregnant persons before 24 weeks of diabetes screening. gestation. Grade I. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for gestational diabetes in asymptomatic pregnant persons before 24 weeks of gestation. Grade A. Pregnant womenThe USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit. A test for HBsAg should Describe the USPSTF recommendations for hepatitis B be ordered at the first prenatal visit. Women with unknown HBsAg status or with new or screening in adults and pregnant women. continuing risk factors for HBV infection (eg, injection drug use or a sexually transmitted infection) should be screened at the time of admission to a hospital or other delivery setting. https://quizlet.com/861496859/flash-cards/ 15/20 2/18/24, 9:05 PM D118 Flashcards | Quizlet Grade B: Women of reproductive ageThe USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services. See the Clinical Describe the USPSTF recommendations for intimate Considerations section for more information on effective ongoing support services for partner violence screening. IPV and for information on IPV in men. Grade I: Older or vulnerable adultsThe USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for abuse and neglect in all older or vulnerable adults. See the Clinical Considerations section for suggestions for practice regarding the I statement. Grade B. Blood pressure measurements should be obtained during each prenatal care visit throughout pregnancy. If a patient has an elevated blood pressure reading, the Describe the USPSTF recommendations for prevention in women at high risk for preeclampsia. reading should be confirmed with repeated measurements. To achieve the benefit of screening, it is important that persons who screen positive receive evidence-based management of hypertensive disorders of pregnancy. The USPSTF recommends the use of low-dose aspirin (81 mg/d) as preventive medication after 12 weeks of gestation in persons at high risk for preeclampsia. *USPSTF Recommendation:* - *Grade:* Grade B - *Screening Timeframe:* Annually with low-dose computed tomography (CT) - *Implementation:* Describe the USPSTF recommendations for lung cancer 1. Assess risk based on age (50-80 years) and 20 pack-year smoking history. screening. 2. Engage in shared decision making about screening. 3. If decision is to screen, refer for low-dose CT, preferably to an experienced center. 4. Provide smoking cessation interventions for current smokers. 5. Discontinue screening if the person hasn't smoked for 15 years or has a health problem limiting life expectancy or the ability for lung surgery. Describe the USPSTF recommendations for syphilis Grade A. Pregnant women. The USPSTF recommends early screening for syphilis screening in pregnant women. infection in all pregnant women. Grade A. Pregnant women, during the first pregnancy-related care visit. The USPSTF strongly recommends Rh(D) blood typing and antibody testing for all pregnant women Describe the USPSTF recommendations for Rh(D) during their first visit for pregnancy-related care. Grade B: Unsensitized Rh(D)-negative incompatibility screening in pregnant women. pregnant women. The USPSTF recommends repeated Rh(D) antibody testing for all unsensitized Rh(D)-negative women at 24 to 28 weeks' gestation, unless the biological father is known to be Rh(D)-negative. Grade B: Adults aged 40 to 75 years who have 1 or more cardiovascular risk factors and an estimated 10-year cardiovascular disease (CVD) risk of 10% or greater. The USPSTF recommends that clinicians prescribe a statin for the primary prevention of CVD for adults aged 40 to 75 years who have 1 or more CVD risk factors (i.e. dyslipidemia, diabetes, hypertension, or smoking) and an estimated 10-year risk of a cardiovascular event of 10% or greater. Grade C: Adults aged 40 to 75 years who have 1 or more Describe the USPSTF recommendations for statin use for the primary prevention of CVD. cardiovascular risk factors and an estimated 10-year CVD risk of 7.5% to less than 10%The USPSTF recommends that clinicians selectively offer a statin for the primary prevention of CVD for adults aged 40 to 75 years who have 1 or more CVD risk factors (i.e dyslipidemia, diabetes, hypertension, or smoking) and an estimated 10-year risk of a cardiovascular event of 7.5% to less than 10%. The likelihood of benefit is smaller in this group than in persons with a 10-year risk of 10% or greater. Grade I: Adults 76 years or older. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of initiating a statin for the primary prevention of CVD events and mortality in adults 76 years or older. https://quizlet.com/861496859/flash-cards/ 16/20 2/18/24, 9:05 PM D118 Flashcards | Quizlet *Dietary Guidelines for Americans:* 1. *Eating Pattern:* - Include fruits, vegetables, whole grains, lean proteins, and low-fat dairy. 2. *Limit Sugars:* - Reduce added sugars; prefer natural sugars in fruits and dairy. 3. *Manage Sodium:* - Choose lower-sodium foods; use herbs and spices for flavor. 4. *Healthy Fats:* - Replace saturated fats with healthier fats from oils, nuts, and fish. Describe the dietary guidelines for Americans. 5. *Portion Control:* - Be mindful of portion sizes for a balanced calorie intake. 6. *Hydration:* - Opt for water over sugary and alcoholic beverages. 7. *Individual Needs:* - Customize based on health, preferences, and culture. 8. *Food Safety:* - Follow safe food handling practices. 9. *Physical Activity:* - Combine a healthy diet with regular exercise for overall well-being. Recommended Dietary Allowance (RDA) for protein intake in adults (ages 19 years and How much food from protein is needed daily in adults up) is generally set at 0.8 grams of protein per kilogram of body weight per day. It's by age group (ages 19 years and up)? important to note that individual protein needs may vary based on factors such as age, sex, activity level, and health status. How much food from dairy is needed daily in adults by 3 cups equivalent daily age group (ages 19 years and up)? Dairy products are rich in essential nutrients, including calcium, vitamin D, protein, What nutrients does the dairy food group provide? potassium, and other vitamins and minerals. These nutrients play crucial roles in bone health, maintaining a healthy immune system, and overall well-being. Consuming dairy as part of a balanced diet can contribute to meeting these nutritional needs. How much food from grains is needed daily in adults by Daily intake of grains is typically around 6 ounce-equivalents per day, according to age group (ages 19 years and up)? dietary guidelines. This includes a balance of whole grains and refined grains. Grains are a good source of essential nutrients, including: 1. *Dietary Fiber:* Important for digestive health and helps regulate blood sugar levels. 2. *B Vitamins:* Including B vitamins like thiamin, niacin, and folate, which are vital for energy metabolism. 3. *Iron:* Essential for transporting oxygen in the blood. Which nutrients are provided in the grain food group? 4. *Magnesium:* Important for muscle and nerve function, blood glucose control, and bone health. 5. *Phosphorus:* Critical for bone and teeth formation. 6. *Selenium:* Acts as an antioxidant and supports the immune system. Choosing whole grains over refined grains is encouraged as they retain more of their natural nutrients and fiber. How much fruit is needed in the daily adult diet by age The recommended daily intake of fruits for adults can vary, but a general guideline is group? around 2 cup-equivalents per day for adults https://quizlet.com/861496859/flash-cards/ 17/20 2/18/24, 9:05 PM D118 Flashcards | Quizlet Fruits are rich in various essential nutrients, including: 1. *Vitamin C:* Important for the immune system and skin health. 2. *Potassium:* Helps regulate blood pressure and fluid balance. 3. *Dietary Fiber:* Aids in digestion and helps maintain a healthy weight. Which nutrients are provided from the fruit food group? 4. *Folate (B9):* Important for cell division and DNA synthesis. 5. *Antioxidants:* Such as flavonoids and carotenoids, which help protect cells from damage. 6. *Vitamins A and K:* Contribute to vision health and blood clotting, respectively. 7. *Natural Sugars:* Provide a quick source of energy. Incorporating a variety of fruits into the diet ensures a diverse range of these essential nutrients. The recommended daily intake of vegetables for adults can vary, but a general guideline is around 2.5 cup-equivalents per day for adults aged 19 years and up, How many vegetables are needed in the daily adult diet according to dietary guidelines. This includes a variety of vegetables, whether raw, by age group? cooked, fresh, frozen, or canned. Individual needs may differ based on factors like age, gender, and health conditions, so it's advisable to consult with a healthcare professional or a registered dietitian for personalized recommendations. Vegetables are rich in a variety of essential nutrients, including: 1. *Dietary Fiber:* Supports digestive health and helps maintain a healthy weight. 2. *Vitamins:* Vegetables are excellent sources of various vitamins such as vitamin A, vitamin C, vitamin K, and several B vitamins, which play crucial roles in overall health. 3. *Minerals:* Important minerals found in vegetables include potassium, magnesium, and folate, which contribute to various bodily functions. Which nutrients are provided from the vegetable food 4. *Antioxidants:* Vegetables contain a wide range of antioxidants, such as flavonoids group? and carotenoids, which help protect cells from damage. 5. *Phytonutrients:* Natural compounds that contribute to the color and flavor of vegetables and may have health benefits. 6. *Low-Calorie Source:* Vegetables are generally low in calories but high in nutrients, making them a healthy choice for weight management. Consuming a diverse range of vegetables ensures a broad spectrum of these nutrients in your diet. *Physical Activity Guidelines for Americans:* *For Adults (18-64):* - Aim for at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity aerobic activity per week. - Include muscle-strengthening activities on 2 or more days. *For Older Adults (65+):* - Follow adult guidelines with an emphasis on activities to enhance balance. Describe the physical activity guidelines for Americans. *For Children and Adolescents (6-17):* - Engage in at least 60 minutes of moderate-to-vigorous aerobic activity daily. - Include muscle-strengthening and bone-strengthening activities on at least 3 days per week. *Additional Tips:* - Minimize sedentary behavior. - Choose activities you enjoy and can sustain. These time recommendations provide a simple overview of the guidelines for different age groups. Always consider individual health conditions and consult with healthcare professionals for personalized advice. Meningococcal Vaccine https://quizlet.com/861496859/flash-cards/ 2 Dose series 8 weeks apart with certain conditions. First year college and military recruits get one dose 18/20 2/18/24, 9:05 PM D118 Flashcards | Quizlet HPV Vaccine Adults through age 26 years. Start at 15 years. 3 Dose series similar to Hep V schedule Pneumococcal Vaccine Give at 65. If given before 65 then they will receive a dose 5 years later. Influenza Vaccine Zoster Vaccine Annual shot given. Egg allergy ok. Can be given in clinic with allergy emergency relief supplies ready. Do not give to immune compromised patients or history of anaphylaxis. Age 50+ Receive 2 dose 2-6 months apart (wait at least 4 weeks between). If too soon, give another. Tdap Vaccine If no Tdap received 11 years and older, start a dose and then every 10 years after. Why is knowledge of international travel important for So you can help prepare the patient appropriately for travel. health and wellness and where can the practitioner find resources for patients who are planning international travel? Discuss the role of vaccines in disease prevention. They prep the body in fighting off viral infections Flu 1 dose 19+ Which vaccines are recommended for adults ages 19 Flu live 19-50 years and older? Tetanus MMR Describe the vaccines that are recommended for First dose MenACWY (Menactra, Menveo) college students. cultural competence Understanding practices can help direct care without being assumptive in your assessment Explain how health literacy influences health care The patients ability to understand what is being presented will affect their compliance outcomes. to treatment. Certainly, here's a concise version suitable for Quizlet: *Healthcare Disparities Impact on Populations:* 1. *Access to Healthcare:* - Financial Barriers: Limited access due to affordability issues. - Geographic Barriers: Challenges for those in underserved or rural areas. 2. *Quality of Care:* - Cultural and Language Barriers: Miscommunication affecting care. - Implicit Bias: Biases influencing provider decisions. 3. *Preventive Care and Screening:* Explain how health care disparities impact certain - Unequal Utilization: Disparities in accessing preventive services. populations. 4. *Chronic Disease Management:* - Unequal Treatment: Varied care quality for chronic conditions. 5. *Maternal and Child Health:* - Disparities in Mortality: Higher rates in certain racial/ethnic groups. 6. *Mental Health:* - Stigma and Access Issues: Limited mental health access due to stigma. 7. *Health Disparities among Minorities:* - Racial and Ethnic Disparities: Higher rates in minority communities. Addressing disparities requires policy changes, improved access, cultural competency training, and tackling social determinants of health for health equity. https://quizlet.com/861496859/flash-cards/ 19/20 2/18/24, 9:05 PM D118 Flashcards | Quizlet Culturally Responsive Care: Definition: Tailoring healthcare to respect and meet the cultural needs of diverse individuals. Key Components: Cultural Awareness: Understanding diverse cultural backgrounds and their impact on health. Communication: Using culturally appropriate language and addressing language barriers. Respect for Diversity: Recognizing differences in race, ethnicity, religion, etc. Cultural Sensitivity: Being attuned to cultural norms and practices. What is culturally responsive care? Inclusivity: Creating a welcoming environment for all patients. Patient-Centered Care: Customizing care plans based on cultural preferences. Training and Education: Continuous learning for cultural competence. Collaboration: Working with interpreters and community resources. Importance: Enhances patient-provider communication. Promotes health equity and better health outcomes. Fosters a welcoming and inclusive healthcare environment. Implementation: Ongoing provider training. Collaboration with interpreters and cultural resources. Patient-centered care planning based on cultural understanding. Four Phases of Emergency Management: Phases of emergency management [LOCATED in the Unit 3 Cohorts and Other Resources folder in the Course Tips Mitigation: Actions to prevent or reduce the impact of disasters. Preparedness: Planning, training, and educational activities for unpreventable events. Response: Immediate actions taken during and after a disaster. Recovery: Restoration efforts concurrent with regular activities, aiming to reduce vulnerabilities. Identify the most commonly encountered office Anaphylaxis, epinephrine emergencies. Identify the recommended emergency supplies (equipment and medications) for family practice offices. https://quizlet.com/861496859/flash-cards/ 20/20