Nursing 124 Midterm exam 2024 latest update fully solved(with expert solutions)download to pass

Medical Approach health problems are viewed as physiological risk factors Behavioural Approach Places responsibility of health on the individual Socio-environmental Approach Health ties closely to social structures. Need to look at context when looking at health Which Charter played a big role in the shift to a socio-environmental approach? The Ottawa Charter. What does a framework to guide nursing practice involve? A.Person, nursing, medicine, pharmacy B.Person, family, community, government C.Person, community, province, country D.Person, environment, nursing, health D.Person, environment, nursing, health Examples of Determinants on Health Gender, Culture, Income and Social supports 5 health promotion strategies 1.Building healthy public policy 2.Create supportive environments 3.Strengthen community action 4.Develop personal skills 5.Reorient health services Jakarta Document Affirmed the ottawa charter's prerequisites for health (and added 4 more) AND declared poverty the biggest threat to health. Bangkok Charter Looked at inequities and highlighted the role climate change would play oh health populations. Ottawa Charter Identified certain prerequisites for health. Placed health as a responsibility on society rather than just the person. Health Promotion Directed towards increasing the level of well being and self actualization. Disease Prevention Action to avoid illness. There are 3 levels (primary, secondary, tertiary) Why was the ottawa charter important? A.It identified prerequisites for health B.It identified recommendations for federal funding C.It identified nursing standards of practice D.It identifies the need for inter professional education. A. Prerequisites for health Primary level of disease prevention All about trying to prevent disease before it happens (before signs and symptoms occur) ex.Immunization Secondary level of disease prevention Disease process has started but were trying to detect it early on so treatments are more effective. Tertiary level of disease prevention Person already has full blown disease. Want to promote rehabilitation OR to prevent more negative consequences of that disease. Promoting comfort and a peaceful death in palliative care is..? Health promotion What is Medicare? Medicare is a social safety net. It is funded by the federal government BUT it doesn't decide how the money is spent. Provincial and territorial governments decide BUT needs to uphold the Canadian health care act. Who qualifies for Medicare? Citizens of the country, permanent residence, and new immigrants. When did Medicare first come into place? 1972 What are the 5 attributes of the Canada Health Act? Public administration: non profit Comprehensive: covers all medically necessary hospital and physician visits. Universality: no discrimination Portability: residence can access health care in another province or territory Accessibility: reasonable access to facilities and providers. What is the role of the federal government? -sets and administers national principles -assit in transferring payements to the provincial and territorial governments -directly delivers health care services to certain populations -some national policy and programming to promote health and prevent disease. What is the role of provincial and territorial governments? -administer and develop their own health care insurance plans -manage money the federal government gives them -- must align with the CHA -reimburse physician and hospital costs, as well as some long term care facilities. -determine where places go and how much money goes where. Romanow Commission (2002) Believed Medicare is sustainable and must be preserved because it represents core values of Canadians. Kirby Report (2002) Believed Medicare was NOT sustainable. Wanted stronger private sector involvement and a shift to a service based model. Primary Care Focuses on personal health services. Refers to point of contact within the health care system y physician Primary Health Care Looking at what are essential health care service