Managing Chronic Disease Exam questions and
answers
what has the focus of health move towards?
proactive health promotion, disease prevention, and chronic disease management
what are the four spheres of care that health sciences education now centers?
wellness disease prevention, chronic disease care, regenerative restorative care, hospice palliative care
what is expanded program support?
programs to support chronic disease prevention and management of chronic disease have grown
what is medical home model of care?
expanded role of advance practice nurse and PA
what are the majority of leading causes of death related to?
chronic disease
exacerbation of chronic disease
what is self management education?
self empowerment program that provide information for patients about chronic conditions and how to
maintain highest quality of life while managing disease
what does delivery of care require?
follow up visit part of standard procedure, determination of needs based on condition, centralized
current information about patient status
what are group visits?
provide opportunities for patients to meet with other patients with similar health issues
what are RNs cross trained in?
provide care via standing order
what are decision support tools?
based on explicit evidence based that are easily accessible to providers
include care team with specialty care
what is community based support?
support care for chronically ill patients and expand awareness of prevention
health care organizations should form alliances and partnerships with local agencys, schools, faith, etc
, what is COPD?
airflow limitation that is not fully reversible and usually progressive along with abnormal inflammatory
response
what does the amplified inflammatory process result in?
hypersecretion of mucus
parenchymal destruction
fibrosis
what is hypersecretion of mucus?
chronic bronchiolities
what is parenchymal destruction?
emphysema
what is fibrosis?
bronchiolitis
what are characteristic physiologic abnormalities based on changes?
mucus hyper secretion, ciliary dysfunction, airflow obstruction and hyperinflation, gas exchange
abnormalities, pulmonary hypertension
what are gas excahnge abnormalitites?
air trapping and decreased ventilation leads to hypoxemia
abnormal v/q
obstruction
unable to fully exhale
elevated co2
dead space
what is the gold diagnostic criteria for COPD?
measure symptoms, number exacerbations, severity of exacerbations, spirometry results
what do the spirometry results include?
forced vital capacity
forced expiratory volume
what is the long term management of COPD?
based on severity
surgery
pharmacology
rehab
answers
what has the focus of health move towards?
proactive health promotion, disease prevention, and chronic disease management
what are the four spheres of care that health sciences education now centers?
wellness disease prevention, chronic disease care, regenerative restorative care, hospice palliative care
what is expanded program support?
programs to support chronic disease prevention and management of chronic disease have grown
what is medical home model of care?
expanded role of advance practice nurse and PA
what are the majority of leading causes of death related to?
chronic disease
exacerbation of chronic disease
what is self management education?
self empowerment program that provide information for patients about chronic conditions and how to
maintain highest quality of life while managing disease
what does delivery of care require?
follow up visit part of standard procedure, determination of needs based on condition, centralized
current information about patient status
what are group visits?
provide opportunities for patients to meet with other patients with similar health issues
what are RNs cross trained in?
provide care via standing order
what are decision support tools?
based on explicit evidence based that are easily accessible to providers
include care team with specialty care
what is community based support?
support care for chronically ill patients and expand awareness of prevention
health care organizations should form alliances and partnerships with local agencys, schools, faith, etc
, what is COPD?
airflow limitation that is not fully reversible and usually progressive along with abnormal inflammatory
response
what does the amplified inflammatory process result in?
hypersecretion of mucus
parenchymal destruction
fibrosis
what is hypersecretion of mucus?
chronic bronchiolities
what is parenchymal destruction?
emphysema
what is fibrosis?
bronchiolitis
what are characteristic physiologic abnormalities based on changes?
mucus hyper secretion, ciliary dysfunction, airflow obstruction and hyperinflation, gas exchange
abnormalities, pulmonary hypertension
what are gas excahnge abnormalitites?
air trapping and decreased ventilation leads to hypoxemia
abnormal v/q
obstruction
unable to fully exhale
elevated co2
dead space
what is the gold diagnostic criteria for COPD?
measure symptoms, number exacerbations, severity of exacerbations, spirometry results
what do the spirometry results include?
forced vital capacity
forced expiratory volume
what is the long term management of COPD?
based on severity
surgery
pharmacology
rehab
