likelihood of behavioral change happens when perceived benefits are greater than perceived barriers
Back
What is the medically oriented model of care?
Front
addressing medical care, diagnosis driven, usually targets a specific disease or population to provide management ans services
Back
What is collaboration?
Front
trusting interaction between providers
Back
Health literacy
Front
the degree to which individuals have the capacity to obtain, process, and understand health information
Back
cardiorespiratory endurance
Front
aerobic exercises
Back
What is a risk factor?
Front
an exposure that is associated with a disease
Back
body composition
Front
aerobic exercise, resistance training
Back
muscle strength
Front
weight lifting exercise
Back
What does physical activity do?
Front
serves both health promotion and disease prevention purposes
Back
What is transitional care?
Front
a set of actions designed to ensure the coordination and continuity of health care as patients transfer between care
Back
2nd stage of TMC
Front
contemplation
Back
6th stage of TMC
Front
termination
Back
4th stage of TMC
Front
action
Back
What is risk assessment?
Front
a systematic way of distinguishing the risks posed by potentially harmful exposures
Back
What is the transtheoretical model of change?
Front
Stages and plan of change
Back
What is the social model of care?
Front
used to manage home and community based services, supports ADLs, non medical
Back
risk factor
Front
uninsured
Back
What is risk?
Front
the probability that a specific event will occur in a given time frame
Back
What are the social determinants of health?
Front
economic stability
education
social community
health and health care
neighborhood environment
Back
What are social determinates of health shaped by?
Front
the distribution of money, power, and resources throughout local communities, nations, and the world
Back
risk factor
Front
poverty
Back
What are modifiable risks?
Front
individual has control
Back
3rd stage of TMC
Front
preparation
Back
population health
Front
the health outcomes of a group of individuals, including the distribution of such outcomes within the group
Back
What is relative risk?
Front
used to compare the risk between two groups of people; one group has a certain risk factor, and the other group does not. (ex risk of heart disease for smokers vs non smokers
Back
examples of modifiable risks
Front
smoking, activity levels, eating habits
Back
what is health?
Front
state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a development context
Back
What is the integrated model of care?
Front
combination of the two other models focuses more on holistic, patient centered, and family focused care
Back
What are the goals of stress management ?
Front
To improve the quality of life by increasing healthy, effective coping, thereby reducing unhealthy consequences of distress
Back
stress management
Front
effective intervention framework for health promotion, disease prevention, and symptom management
Back
risk factor
Front
racial/ ethical minorities
Back
1st stage of TMC
Front
precontemplation
Back
health disparities
Front
systematic, potentially avoidable health differences that adversely affect socially disadvantaged groups
Back
risk factor
Front
vulnerability
Back
muscle endurance
Front
aerobic
Back
What is absolute risk?
Front
an individual's risk of developing a given disease over a period of time. (1 in 10 chance of developing X= 10% absolute risk)
Back
What is care coordination?
Front
a set of activities purposefully organized by a team to facilitate the appropriate delivery of the necessary services and information to support optimal health and care across settings and over time
Back
risk factor
Front
lack of education
Back
What is health coaching ?
Front
partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential
Back
Flexability
Front
streaching
Back
What is the Health Belief Model ?
Front
used to describe why some people take actions to prevent a disease and others don't
Back
2nd attribute of care coordination
Front
proactive plan of care
Back
Health education
Front
any combination of learning experiences designed to help individuals and communities improve their health, by increasing their knowledge or influencing their attitudes.
Biological, social, economic, and environmental factors and their interrelationships influence the ability of individuals and communities to make progress on these indicators
Back
techniques that help shape therapeutic relationship
Front
focus on the individual
help clarify
reflection
constructive confrontation
silence
motivational interviewing
broad openings
observations
restating
offering self
focusing
Back
What patient perceptions are important before one will be willing to take action or make a change?
Front
susceptibility
severity
risk factors
benefits of action
barriers
Back
population groups most in need of care coordination
Front
children with special needs
disabled people
frail elderly
high-risk pregnancy
preterm infant
1. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death
Back
What is the clinical model of health?
Front
health is defined by the absence of signs and symptoms of disease and illness is defined by the presence of signs and symptoms of a disease
Back
How many minutes each week should an adult exercise if exercising vigorously?
Front
75 minutes
Back
What is communication?
Front
a process of interaction between people where symbols are used to create, exchange, and interpret messages about ideas, emotions, and mind states
Back
What is Healthy People 2020?
Front
a set of goals and objectives with 10-year targets designed to guide national health promotion and disease prevention efforts to improve the health of all people in the US
qualities, principles, attitudes, or beliefs about the inherent worth of an object, behavior, or idea that guide action
Back
What are some indicators we may see with patients who have low literacy skills?
Front
excuses
lots of papers
lack of follow through
failure to ask questions
difficulty voicing concerns
Back
4th attribute of care coordination
Front
proactive follow up
Back
common situations requiring care coordination
Front
catastrophic event
cancer
CVA
COPD
DM
end of life care
heart failure
mental illness
MI
substance abuse
traumatic brain injury
Back
What is upstream thinking?
Front
is about addressing the things that have the greatest influence on our health, including income, employment, education, early childhood development, housing, nutrition and the wider environment.
Back
What is advocacy?
Front
act of speaking for others to assist them to meet needs and it is an expectation to meet needs and it is an expectation for all who assume the role of the professional nurse
Back
What is a method that helps to determine whether someone understood information?
Front
the teach back method
Back
linguistic communication
Front
use of words (written or spoken)
Back
What as the greatest impact on our health?
Front
Healthy habits
Back
factors of effective communication
Front
listening
flexibility
silence
humor
touch
space
Back
Maximum heart rate (MHR)
Front
220 - age = maximum heart rate (BPM)
Back
Healthy people 2020 goal 3
Front
3. Create social and physical environments that promote good health for all.
Back
What level should all patient education be geared to ?
Front
5th grade level or below
Back
Upstream thinking ex1
Front
safe sleep habits education 1
Back
What does the US spend most of its health care dollars?
Front
Medical services
Back
what are the characteristics of therapeutic relationship?
Front
purposeful communication
rapport
trust
empathy
goal direction
patient centered
Back
Healthy people 2020 goal 2
Front
2. Achieve health equity, eliminate disparities & improve the health of all groups
Back
Modifiable risks of heart disease
Front
physical activity
tobacco use
diet
obesity
diabetes
Back
5th attribute of care coordination
Front
communication
Back
vigorous range heart rate
Front
MHR x .85
Back
How can upstream thinking make a difference for patients?
Front
It can help prevent or lessen the effects of the disease they are presenting with and create a healthier community.
Back
Upstream thinking ex 3
Front
AHA cooking classes 3
Back
What is therapeutic relationship?
Front
purposeful encounters characterized by effective communication
Back
Why is sleep good for your health?
Front
essential component of chronic disease prevention and health promotion
Back
Approaches to care coordination
Front
case and care management
discharge planning
integrated care
managed care
medical home
transitional care
Back
Is there evidence to support care coordination has a positive affect on health outcomes?
Front
yes
Back
What are the negative impacts of having low literacy skills?
Front
prevents people from gaining full healthcare benefits
self care abilities diminish
poor health
Back
Healthy people 2020 goal 4
Front
4. Promote quality of life, healthy development & healthy behaviors across all life stages
Back
metacommunication
Front
factors that compose the context of the message "reading between the lines"
Back
What are the major effects of exercise on aging and various chronic conditions mentioned in your book?
Front
help maintain functional independence and improve quality of life
Back
Macronutrients
Front
sources of energy
ex fat, protein, carbs
Back
How many minutes each week should an adult exercise if exercising moderately?
Front
150 minutes
Back
Section 3
(34 cards)
IOM recommended water intake for men
Front
3.7 liters (125 ounces)
Back
What four major causes of deaths in the US that can be attributed to poor diets?
Front
CHD coronary heart disease
cancer
stroke
DM diabetes mellitus
Back
What is WIC ?
Front
A food and nutrition services program for pregnant women, children, and infants provide lower medicaid costs which help improve mortality rates.
Back
malnutrition
Front
severe lack or excess of essential nutrition leading to poor health or death
Back
Osteoporosis prevention diet
Front
high calcium intake in childhood
avoid smoking
Calcium and vit D
Back
Calories per gram of protein
Front
4 calories per gram
Back
Hypoalbuminemia
Front
low blood protein
Back
What amount of folic acid should women who are pregnant or could become pregnant, have daily?
Front
600mcg
Back
Overweight BMI range
Front
25-29.9 kg/m^2
Back
What are food safety guidelines?
Front
Handwashing
prevent cross contamination
store food properly
serve food at safe temps
chill and defrost properly
avoid raw or undercooked foods
Back
How is our country doing in dealing with childhood obesity?
Front
poorly there was an increase in childhood obesity
Back
Cancer prevention diet
Front
5 or more servings of fruit and veggies
bread and grains
limit meat, dairy, fats
balance caloric intake and physical activity
limit alcohol
Back
How is BMI calculated in an adult?
Front
weight in pounds divided by height squared times 703
Back
kilocalorie
Front
measurement of energy commonly called calorie
Back
What is a food desert?
Front
an urban area in which it is difficult to buy affordable or good-quality fresh food.
Back
Nutrients
Front
substances needed for energy, growth, metabolism, and other body functions
Back
What is Meals on Wheels?
Front
Meals delivered to elderly people who are unable to prepare meals or have them provided
Back
Cardiovascular disease prevention diet
Front
>4.5 cups fruits and veggies a day
> 2 3.5oz servings of fish weekly
3 servings of fiber rich whole grains daily
<1500mg salt daily
limit sugary beverages to <36oz per week
Back
What are the key recommendations of the governments Dietary Guidelines?
Front
consume healthy eating patterns
variety of vegetable
whole grains
fat free dairy
limit added sugars and saturated fats
alcohol in moderation
Back
What is the recommended portion size for fruits and veggies?
Front
Half of your plate
Back
Micronutrients
Front
vitamins and minerals
Back
Underweight BMI range
Front
less then 18.5 kg/m2
Back
Healthy weight BMI range
Front
18.5- 24.9 kg/m2
Back
Obese BMI range
Front
over 30 kg/m2
Back
What is the recommended portion for protein?
Front
a deck of cards
Back
What is food insecurity?
Front
the state of being without reliable access to a sufficient quantity of affordable, nutritious food
Back
what is the recommended portion of fats?
Front
20%-35%
Back
Calories per gram of fat
Front
9 calories per gram
Back
What is SNAP ?
Front
Supplemental Nutrition Assistance Program monthly allotment to help low-income families buy nutritious food
Back
phytochemicals
Front
plant compounds with health benefits
Back
calories per gram of carbs
Front
4 calories per gram
Back
Which vitamins are more likely to cause harm in taken in excess?
Front
Fat soluble vitamins D, E, A,K
Back
What is basal metabolic rate (BMR)?
Front
the rate at which the body uses energy while at rest to keep vital functions going, such as breathing and keeping warm. 75% of calorie intake