Exam 3 Chapter 4

Question 1

MUTLIFACTORIAL NATURE OF CHRONIC DISEASE
-What are the 6 components of this?

Answer 1

1. Genetic Factors
2. Environmental Factors
3. Lifestyle & Risk Factors
4. Physical Effects of Chronic Illness
5. Psychosocial Needs of Patients With Chronic Illness
6. Growth & Development Considerations

Question 2

MUTLIFACTORIAL NATURE OF CHRONIC DISEASE: Genetic Factors
-What are the 3 genetic factors?

Answer 2

1. Influence of genetics
2. Family History –> pedigree
3. Genetic Screening

Question 3

MUTLIFACTORIAL NATURE OF CHRONIC DISEASE: Genetic Factors
-Women with a strong family history of breast, ovarian, tubal, or peritoneal cancer may benefit from what?

Answer 3

Genetic testing for BRCA1 or BRCA 2 mutation

Question 4

MUTLIFACTORIAL NATURE OF CHRONIC DISEASE: Environmental Factors
-What is this?
-Examples?

Answer 4

-Ongoing exposure/long-term health effect
-Lead, pesticides, mold

Question 5

MUTLIFACTORIAL NATURE OF CHRONIC DISEASE: Lifestyle & Risk Factors
-What are examples of this?

Answer 5

Tobacco use, effects of alcohol, & nutrition

Question 6

MUTLIFACTORIAL NATURE OF CHRONIC DISEASE: Physical Effects of Chronic Illness
-What varies?
-What occurs from chemotherapy & radiation treatments?
-What do you need to do?

Answer 6

-Physical effects & limitations
-Residual side effects
-Determine patient’s physical needs & provide patient-centered care

Question 7

MUTLIFACTORIAL NATURE OF CHRONIC DISEASE: Psychosocial Needs of Patients With Chronic Illness
-What can these patients experience? (4)

Answer 7

1. Depression
2. Social isolation
3. Loneliness
4. Fear or frustration about the future & loss of control over one’s life

Question 8

MUTLIFACTORIAL NATURE OF CHRONIC DISEASE: Growth & Developmental Considerations
-What do you consider with children?

Answer 8

Interactions with peers & siblings

Question 9

MUTLIFACTORIAL NATURE OF CHRONIC DISEASE: Growth & Developmental Considerations
-What do you consider with older adults?

Answer 9

More functional limitations & more depressive symptoms

Question 10

CAREGIVER BURDEN
-Family caregivers are at risk for what?

Answer 10

Caregiver burden & poor health

Question 11

CAREGIVER BURDEN
-What are the 5 risk factors?

Answer 11

1. Providing care for more than one year
2. Being 65 yrs or older
3. Providing care for a family member with significant needs
4. Caring for someone with Alzheimer disease or dementia
5. Living with the care recipient

Question 12

CHRONIC CARE MODEL
-What does this provide a framework to guide what?

Answer 12

health care delivery for patients living with chronic illnesses

Question 13

CHRONIC CARE MODEL
-What does this emphasizes?

Answer 13

Evidence-based chronic illness management & paitent’s role as self-manager

Question 14

CHRONIC CARE MODEL
-This helps develop ____ to enhance effectiveness of what?

Answer 14

-partnerships
-chronic disease management programs

Question 15

CHRONIC CARE MODEL
-Who is put at the center of disease management?
-What does this support?

Answer 15

-The patient
-Self-management

Question 16

CHRONIC CARE MODEL
-It uses what kind of care?
-In what settings?

Answer 16

-Evidence-based, patient-centered care
-acute, outpatient, & community settings

Question 17

CHRONIC CARE MODEL
-What do healthcare providers implement?
-What do they guide?
-What do they encourage patients to do?

Answer 17

-Evidence-based guidelines
-Patient education
-Participate in their care

Question 18

CHRONIC CARE MODEL
-What is done to ensure communication & quality patient care?

Answer 18

-Maintain & share patient health information among providers

Question 19

GLOBAL HEALTH MAJOR HEALTH CONCERNS
-What are 5 major health concerns?

Answer 19

1. Communicable diseases
2. Diarrheal disease
3. Maternal & Women’s health
4. Nutrition & world health
5. Natural & manmade disasters

Question 20

COMMUNICABLE DISEASES
-These can be prevented through what?

Answer 20

Immunization, environmental sanitation, & virtual eradication of smallpox

Question 21

COMMUNICABLE DISEASES
-What are evironmental threats?

Answer 21

1. Industrial water contamination
2. Medical waste dumps
3. Airborne chemicals

Question 22

COMMUNICABLE DISEASES
-Who is at highest risk of environmental threats?

Answer 22

children

Question 23

COMMUNICABLE DISEASES
-Describe TB

Answer 23

It is the largest cause of death from one infectious agent AND leading killer of people with HIV

Question 24

COMMUNICABLE DISEASES
-What are the threats of TB?

Answer 24

HIV & multidrug resistance

Question 25

**COMMUNICABLE DISEASES** -HIV/AIDS is showing a (rise/decline) in children, young adults, & heterosexuals

Answer 25

rise

Question 26

**COMMUNICABLE DISEASES** -Malaria affects more than ____% of the world -It is an advent of ____-resistant ____ -Prevention for travelers ___ weeks before and ___ weeks after

Answer 26

-50 -DDT; mosquitoes -4-6; 4

Question 27

What is the leading cause of death in children under 5 yrs

Answer 27

Diarrheal disease

Question 28

**DIARRHEAL DISEASE** -It is rampant among who? -What are the 3 MAJOR SYNDROMES? -What are control programs?

Answer 28

-impoverished -Acute watery, persistent, and bloody -improve childhood nutrition & living conditions

Question 29

**MATERNAL & WOMEN'S HEALTH** -What is this associated with? -What are 4 risk factors?

Answer 29

-most female deaths worldwide -poor nutrition, disease, high parity, & age

Question 30

**NUTRITION & WORLD HEALTH** -This is correlated with ___ nutrition -It is improved by: 1. Stronger ___ 2. Decreased ___ 3. Improved ___ & ____ health 4. Longer ____ ____ 5. Improved ____ outcomes for children

Answer 30

1. Immunity 2. Illness 3. maternal & child 4. life spans 5. learning

Question 31

**NATURAL DISASTERS** -What are they? (6)

Answer 31

1. Earthquakes 2. Tsunamis 3. Floods 4. Hurricanes 5. Cyclones 6. Droughts

Question 32

**MANMADE DISASTERS** -What are they? (5)

Answer 32

1. Bioterrorism 2. Chemical emergency 3. Pandemics & epidemics 4. Radiation poisoning 5. Terrorism & genocide