Health Care Participant Exam 1: Midterm Exam with Complete Solutions
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Module
Health Care Participant
Institution
Health Care Participant
Health Care Participant Exam 1: Midterm Exam with Complete Solutions
1. Disease centered care - Defines patients by their disease
-Sorts patients into rigid treatment pathways
-Takes a one size fits all approach based on the
lowest cost care
2. Patient centered care -Treats patients as individ...
Health Care Participant Exam 1: Midterm Exam with Complete Solutions 1. Disease centered care - Defines patients by their disease -Sorts patients into rigid treatment pathways -Takes a one size fits all approach based on the lowest cost care 2. Patient centered care -Treats patients as individuals -Relies on a strong clinician, patient relation - ship built on trust and shared decision making -Gives patients in healthcare providers of course in treatment decisions 3. Principles of a patient centered medical home (PCMH) 1. Patient & primary care physician (PCP) 2. Physician -led, team -based care 3. Patient as a "whole person" who requires comprehensive care at various stages of life 4. Integration and coordination of care 5. Quality and safety 6. Improved access to care 7. A payment system that accurately reflects the efforts and care provided by the team 4. Culture -A pattern of shared attitudes, beliefs, self-defi- nitions, norms, roles, and values that can occur among those who speak a particular language, or live in a defined geographical region.3• Gid - dens, J. Concepts for Nursing Practice;Con - cept: Culture (2013). Elsevier 5. Ethnicity -A common ancestry transmitted over genera - tions by the family and community 6. Race -A social construct 7. Western biomedical view -Disease is a response to physiological causes explained by pathophysiology and manifested by symptoms and signs 8. Traditional health beliefs -Illness is defined in terms of mind, body, and spiritual and social connections. All illnesses re- Health Care Participant Exam 1: Midterm Exam with Complete Solutions flect the influence of the environment, including an individual's cultural experiences. 9. Kleinman's 8 Questions 1) What do you call your problem? What name does it have? 2) What do you think caused your problem? 3) Why do you think it started when it did? 4) What does your sickness do to you? How does it work? 5) How severe is your sickness? How long do you expect it to last? 6) What do you fear most about your illness? 7) What are the biggest problems your illness has caused for you? 8) What kind of treatment do you think you should receive? What are the most important results you hope to receive from this treatment? 10. Challenges and barriers related to culture -Stereotyping -Prejudice -Racism -Ethnocentrism -Culturalimposition -Culturalconflict -Culture shock 11. Healthy People 2030 seeks -disparities to close the gaps in healthcare by eliminating . 12. Definition of spirituality -A way of bringing meaning to life and experi - ences -Individual, self-determined, life long• -Faith & Beliefs• Connectedness (self, others, higher power) -Transcendence (reaching higher levels of un- derstanding) -Personal energy -Religion: a particular system of attitudes, be- Health Care Participant Exam 1: Midterm Exam with Complete Solutions 13. Regarding culture and spirituality, nurses need to (knowledge) 14. Regarding culture and spirituality, nurses need to (skills) lief, and practices, -usually including worship of superhuman power(s) -Define spirituality using current, accepted re - sources. -Assess the healthcare participant's spiritu - al well -being using a comprehensive tool (e.g.HOPE Questionnaire, FICA Spiritual His- tory Tool, and the SPIRITual history.) -Identify factors affecting the healthcare partic - ipant's spiritual well -being. -Identify additional resources necessary to meet the spiritual needs of the care recipi - ent(e.g. clergy, indigenous healing ceremonies and rituals, important artifacts, written re- sources, social services) -Develop plans of care that are care participant centered and focused on their spiritual well-be- ing. -Identify and understand their own personal spiritual beliefs, values, and goals. -Engage with the care participant and develop a trusting relationship. -Perform a comprehensive spiritual assess - ment -Use open -ended questions. -Recognize and respond to the individual needs. -Use intentional, active listening and focused presence. (Burkhardt& Nagai -Jacobson, 2016) -Be comfortable with silence and recognize those times when silence is appropriate. -Be comfortable with therapeutic touch and rec- ognize those times when it touch is appropriate to use and when it is inappropriate to use. -Foster connectedness. (Burkhardt & Nagai -Ja- cobson, 2016) -Make a referral to a chaplain
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