Factors influencing reproductive health include: - ANSWER- Mother and infant mortality
is high in the US due to the age women conveive, spacing of pregnancies, having too
many children. Provide women with contraception and access to safe abortions. ACA
will provide greater access to preventative care including GYN care.
Health policy directed at women's health: - ANSWER- Issues surrounding who has
control over a pregnant women's body. Sexual health a sensitive subject. Religion. ACA
has mandated preventative health care for women including contraceptives svcs without
copays and access to contraception.
Dimensions of patient-centered care:(8) - ANSWER- Comprehensive patient-centered
care is the focus of the profession or nursing.
1. Respect for patients values, preferences, and expressed needs.
2. Information and education
3. Access to care
4. Emotional support to relive fear and anxiety
5. Involvement of family and friends.
6. Continuity and secure transition between health care settings
7. Physicals comfort
8. Coordination of care.
Patient-centered care is an orientation to the whole person, consideration of emotional,
social, and educational needs, and coordination of care.
Nurse-managed health clinics: - ANSWER- Managed by advanced practice nurses
* provides primary care or wellness svcs to underserved or vulnerable populations that
is associated with a school, college university, or department of nursing, federally
qualified health center, or independent nonprofit health or social services agency.
*regardless of ability to pay
What factors influence nursing home care? - ANSWER- 1. Poor quality of care
2. Weak enforcement of fed regulations
3. Inadequate staffing
4. Corporate ownership
5. Financial accountability
Veterans Health Admin policy issues : - ANSWER- Policy issues:
PTSD-timely assessment, tx, F/U in dod & VNA
2. Sexual assault- investigation all occurrences
, 3. Suicide- double the general population
4. Access to care
NMHC, nurse managed health clinics, are all managed by - ANSWER- nurse
practitioners
NMHC- how many operating in the US? - ANSWER- 250
Rural, urban, and suburban communities
Are NMCH confined to retail settings? - ANSWER- No.
They can be found in
Schools
Senior settings
Housing developments
Other easily accessible locations
What percentage of nmhcs are affiliated with a school of nursing? - ANSWER- 60%
The rest operate as independent nonprofit organizations.
Explain nmhcs are considered safety-net providers. - ANSWER- True
Catering almost exclusively to low-income, uninsured individuals and those on
Medicaid.
NMHC patients tend to be : - ANSWER- sicker and disproportionally experiencing
health disparities.
NMCH patients most common diagnosis include: - ANSWER- chronic diseases such as
HTN,
DM
Hypercholesterolemia
Obesity
Depression
Upper res infection
Asthma
Nmchs services include: - ANSWER- basic PMC, diagnostic testing, wellness care
designed to promote chronic disease management and prevention through pt edu,
lifestyle change, and counseling.
NMHC models of focus include - ANSWER- *primary or wellness care