Questions and Answers | A+ Score
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what are some clinical exemplars of health disparities? - 🧠 ANSWER
✔✔unequal receipt of early and inadequate prenatal care
unequal receipt of recommended immunizations
unequal pain mgmt
unequal breast cancer screening
unequal palliative care
health disparities...
,context into nursing care...4 types? - 🧠 ANSWER ✔✔1. unavoidable and
acceptable- health disparities that are unavoidable and acceptable shouldnt
be a concern for nurses (ie aging causes more health concerns)
2. unavoidable and unacceptable- should be concern for nurses (ie high
diabetes prevelance among Hispanics- can be avoided by defeating health
disparities due to access healthcare)
3. avoidable and acceptable- rare in healthcare (ie natural disasters and
unequal health outcomes among residents in affected areas may be
acceptable eventhough disaster and resultant health disparity could be
avoidable)
4. avoidable and unacceptable- target for intervention (ie therapy in pain
mgmt bw asians and whites- cultural diff in pain mgmt- educate if needed)
5. lack of insurance and high healthcare costs
6. language barriers
7. lack of transportation
8. patient- provider communication
9. biased clinical decision making
10. pt mistrust and refusal
,what is the definition of health disparities? - 🧠 ANSWER ✔✔diff in
incidence, prevalence, mortality and burden of diseases and other adverse
health conditions that exist among specific populations in US
Racial or ethnic diff. in the quality of healthcare that arent due to access
related factors or clinical needs, preferences and appropriateness of
intervention
what are the theoretical links with healthcare disparities? - 🧠 ANSWER
✔✔1. social- ecological model- explains dynamic interrelations among
various personal and environmental factors- five socially organized
subsystems (microsystem, mecosystem, exosystem, macrosystem,
chronosystem)
2. structural- constructivist model- based on an assumption of dual nature
of human existence- reality of life is based on mental representation
constructed by a combo of socially shared understandings within a society
3. social culture construction of race/ethnicity that freq results in health
disparities
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, 4. culture competence model- grew out of effort to bridge divide bw largely
biomedical, white middle class american culture perspective of clinicians
and perspectives of patients (mainly immigrants) whose experience and
language put them at a substantial cultural distance from american
healthcare.
what does the scope of health disparities entail? - 🧠 ANSWER
✔✔acceptable, unavoidable, unacceptable
health disparities
acceptable, unavoidable, unacceptable
(ie unavoidable- age; avoidable- health outcomes due to unsafe living
conditions)
attributes and criteria for health disparities? - 🧠 ANSWER ✔✔if diff are
observed in environment, access to utilization of and quality of care, health
status or a particular healthcare outcome, then its a health disparity: 1.
natural or biological variation, 2. health damaging behavior that is freely
chosen 3. transient health advantage of one group over another when one
group is first to adopt a health promotion behavior 4. health damaging