Questions and CORRECT Answers
Primary Health Care (PCH) - CORRECT ANSWER - focus on health rather than disease,
health promotion and disease prevention as well as social determinants of health
Four pillars of primary health care - CORRECT ANSWER - Teams
Access
Information
Healthy living
Primary Care - CORRECT ANSWER - the first person who allows you access into the
healthcare system (GP, NP, etc)
Definition of an RN - CORRECT ANSWER - self regulated, work alone and in teams,
work with others to promote health, and treat all people no matter who they are.
Health - CORRECT ANSWER - a positive state, more than just an absence of disease
a person can have a disease but have healthy characteristics as well
source of living not the objective
Illness - CORRECT ANSWER - loss of health
approaches to health care in canada - CORRECT ANSWER - 1. medical approach
2. behavioural approach
3. socioenvironmental
components Labonte's chart on health - CORRECT ANSWER - physiological risk factors,
behavioural risk factor, psychosocial risk factors all relating to health status and risk conditions
,The Ottawa charter 1986 - CORRECT ANSWER - HEALTH FOR ALL social justice and
WHO definition of health
Prerequisites:
Peace
Shelter
Education
Food
Income
Stable ecosystem
Sustainable resources
Social justice and equity
Lalonde Report (1974) - CORRECT ANSWER - A new perspective on the health of
Canadians. It proposed the concept of the "health field", identifying two main health-related
objectives: the health care system; and prevention of health problems and promotion of good
health.
Epp Report (1986) - CORRECT ANSWER - Identified 3 major health challenges:
- reaching inequities
- increasing prvention
- enhancing coping mechanisms
The need for preventing illness was emphasized
Toronto charter (1990) - CORRECT ANSWER - Identified certain determinants of health
to be important for health
- indigenous status
- early life
- education
,- employment
- working conditions
- food security
- gender
- health care
- housing
- income
Jakarta Declaration (1997) - CORRECT ANSWER - confirmed the Ottawa charters
prerequesits for health and added four more
- women
- human rights
- social relations
Bangkok Charter (2005) - CORRECT ANSWER - Affirmed health as a human right and
emphasized mental and spiritual well being as important elements
Evolution of health over the years - CORRECT ANSWER - 70s: behavioural
80s: multiple determinants of health
90s: many conferences to raise awareness around health
Public health - CORRECT ANSWER - Preventative measures to avoid health problems
(advocacy, etc)
Social Justice - CORRECT ANSWER - 1. health disparities (unequal disbursement):
differences in health status among different populations
2. health inequities (not equal across all places): insurance, some need more than others but aren't
covered
3. health inequalities (interventions for those who need more than others): placements of
hospitals ex. remote areas etc
, Health promotion - CORRECT ANSWER - the process of enabling people to increase
control over, and to improve, their health
Disease Prevention - CORRECT ANSWER - action to avoid illness/disease
Primary, secondary and tertiary
Primary disease prevention - CORRECT ANSWER - focus on prevention of the initial
occurence of disease or injury before signs and symptoms.
Includes nutrition counseling, family planning, smoking cessation, safety education (seat belt
helmet use), prenatal classes, immunizations.
Secondary disease prevention - CORRECT ANSWER - Early treatment by early detection
of the disease.
Screening early for disease (e.g., Pap smear)
Tertiary disease prevention - CORRECT ANSWER - Minimize the damage from the
disease.
Treatment to reduce disability from disease (e.g.,
chemotherapy)
Medicare - CORRECT ANSWER - A federal program of health insurance funded by taxes
5 principles of the health care act - CORRECT ANSWER - accessability
portability
universality