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91 Cards in this Set
- Front
- Back
aggregate
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polulation or defined group
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change agent
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nursing role that facilitates change in client or agency behavior to more readily achieve goals. This role stresses gathering and analyzing facts and implementing programs.
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change parter
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nursing role that facilitates change in client or agnency behavior to more readily achieve goals. This role includes the activities of serving as an enabler-catalyst, teaching prolem solving skills, and activist advocate.
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community
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people and the relationships that emerge among them as they develop and use in common some agencies and institutions and a physcial environment
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community assessment
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process of critically thinking about the community and getting to know and understand the community as a client. Assessments help identify community needs, clarify problems, and identify strengths and resources.
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community health
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meeting collective needs by identifying problems and managing interactions within the community and larger society. The goal of community-oriented practice
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community health problem
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actual or potential difficulties within a target population with identifiable causes and consequences in the environment
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community-oriented practice
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a clinical approach in which the nurse and community join in partnership and work together for healthful change
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database
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collection of gathered and generated data
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data collection
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the process of acquiring existing information or developing NEWinformation
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data gathering
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the process of obtaining existing, readily available data
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Evaluation
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provision of information through formal means, such as criteria, measurement, and statistics, for making rational judgments necessary about outocmes of care.
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implementation
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carrying out a plan that is based on careful assessment of need
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informant interviews
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directed conversations with selected members of a community; direct method of assessment
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interdependent
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involvement among different groups or organizations within the community that are mutually reliant upon each other
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objectives
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a precise behavioral statement of the achievement that will accomplish partial or total realization of a goal; includes the date by which the achievement is expected to be completed.
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participant observation
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conscious and systematic sharing in the life activities and occasionally in the interests and activities of a group of persons; observational methods of assessment;a direct method of data collection
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problem analysis
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process of identifying problem correlates and interrelationships and substantiating them with relevent data.
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problem prioritizing
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evaluating problems and establishing priorities according to predetermined criteria
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secondary analysis
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analysis using PREVIOUSLY gathered data.
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surveys
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mehtod of assessment in which data from a sample of persons are reported to the data collector.
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windshield survey
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a community assessment, the motorized equivalent of a physical assessment for an individual; looking through the car windshield as the nurse in the community health drives through the community collecting data
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advocate
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one who works to protect the rights of the clients while supporting the client's responsibility for self-determination
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assessor
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health professional who uses data in a systematic way to help identify needs, questions to be addressed, abilities, and available resources
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case manager
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a nurse who works to enhance continuity and provide appropriate fare for clients whose health problems are actually or potentially chronic and complex
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diaster responder
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a person who works as a memeber of a team in a disaster to feed back information to relief workers to facilitate raid rescue and recovery
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educator
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a nurse who provides information to clients or staff for the purpose of facilitating learning
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federal public health agencies
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federal level gov. agencies that develop regulations that implement policies formulated by congress, provide a significant amount of funding to state and territorial health agencies for public health activities, survey they nation's health status and health needs, set practices and standards, provide expertise that facilitates evidence-based practice, coordinates public health activities that cross state lines, and support health services research! WHEW
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local public health agencies
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the agencies responsible for implementing and enforcing local, state, and federal public health codes and ordinances and providing essential public health programs in a community
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outreach worker
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a health worker who makes a special, focused effort to find people wwith specific health problems for the purpose of increasing their access to health services
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primary caregiver
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the health care professional who is primarily responsible for providing for health care needs of clients
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public health
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organized efforts designated to fulfill society's interest in assuring conditions in which people can be healthy
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public health nursing
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the practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health scsiences
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public health programs
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programs designed with the goal or improving a population's health status.
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referral source
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an agency or source in the community with whom nurses communicate and to which clients are sent for assistance
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state public health agency
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each of the U.S. states has a single identified official state public health agency managed by a astate health commissioer. Responsible for monitoring health status and enforcing lawas and regulations that protect and improve public health.
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accreditation
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a credentialing process used to recognize health care agencies or educational programs for provision of quality services and programs
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benchmarking
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COMPARING national standards and guidelines with other agencies
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care planning
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home health nurse and clients working together to give adequate service at home
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certification
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a mechanism, usually by means of written examination, that provides an indication of professional competence in a specialized area of practice
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client outcome
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a change in client health status as a result of care or program implementation
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contracting
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use of any working agreement, continuously renegotiable and agreed upon by the nurse and client
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distributive care
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health care services that emphasize health promotion, maintenance, and disease prevention
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episodic care
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CURATIVE and restorative aspect of nursing practice
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fiscal intermediaries
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insurance companies under contract to the Social Security Administration to pay home care agencies for Medicare-covered services rendered to beneficiaries
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hospice
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PALLIATIVE system of health care for terminally ill people; takes place in the home with direction and supervision of a health professional.
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interdisciplinary collaboration in home health
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working agreement in which each home health care provider carefully analyzes his or her role in determining the best plan for the client's care
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Outcome and Assessment Information Set (OASIS)
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an instruemnt to collect client data for doing outcome assessments in home health
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palliative care
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alleviating symptoms of, meeting the speical needs of, and providing COMFORT for the dying clients and their famililes by a nurse
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prospective payment system (PPO) dealing with home health
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a mechanism whereby Medicare will pay home health agencies a set amount of money to care for a client who meets the criteria of 1 of 80 home health resource groups.
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recertification in home helath
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in home health care, the review and certification performed at least every 62 days by the health care team; it demonstrates that the client continues to need a specified plan of care
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regulation
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specific statement of law that relates to and clarifies individual pieces of legislation.
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reimbursement system for home health
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the process by wwhich home health care agencies receive payment, either by the cleient or three major funding sources: Medicare, medicaid, and third-party funding sources. (ex: BCBS)
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skilled care
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care provided to a client that requries theknowledge and skill of a registered nurse
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telehealth
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health information sent form one site to another by electronic communication.
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agent
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causative factor invading a susceptible host through an envioronmental favorable to produce disease
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environment
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all of those actors internal and external to the client that constitute the context in which the client lives and that influce and are influenced by the host.
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environmental epidemiology
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the study of the effect on human health of physical, chemical, and biological factors in the external environment
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environmental justice
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equal protection from environmental hazards for individuals or goups regardless of race or economic status. This applies to the development, implementation, and enformcement of environmental laws, regulations, and policies that implies that no population of people should be forced to shoulder a disproportionate share of negagive environmental effects of pollution or environmental hazard because of a lack of political or economic strength level
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environmental standards
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norms that impose limits on the amount of pollutants or emissions produced. The Environmental Protection Agency establishes minimum standards, but states are allowed to be stricter.
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Epidemiologic Triangle
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infectious agent, host, and environment
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Epidemiology
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the science that explains the strength of association between exposures and health effects in human populations
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host
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a living organism which infectious agents can exist
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monitoring pollutant levels
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periodic or continous surveillance or testing to determine the level of compliance with statutory requirements and/or pollutant levels in various media or in humans, plants, and animals
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permitting
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the first step in the process of controlling pollution. A process by which the gov. places limits on the amount of pollution emitted into the air or water.
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point sources
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stationary locations or fixed facilities from which pollutants are discharged; any single identifiable source of polution (pipe, ditch, ship, factory smokestack)
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non-point sources
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diffuse pollution sources (without a single point of origin ). ex: traffic, fertilizer or pesticide runoff, animal waste
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right to know
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the right of citizens to have direct access to information about issues of the environmental concern such as information on driking water quality, the use of food additives, and chemical use in the workplace and community
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risk assessment
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qualitative and quantitative evaluation of the risk posed to human health and/or environment by the actual or potential presence and/or use of specific pollutant.
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toxicology
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the basic science that studies the health effects associated with chemical exposures
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delayed stress reaction
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occurs after a distaster and can include exhaustion and inability to adjust to post-disaster routines
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disaster
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human-caused or natural event that causes destruction and devastation that cannot be alleviated without assistance.
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disaster medical assistance teams
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teams of specially trained civilian health care providers who are sent to a disaster
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emergency support functions
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the 15 functions used in a federally declared disaster; each function is headed by a primary agency
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mitigation
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actions or measures to prevent a disaster from occuring or to reduce the severity of its effects
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national response plan (NRP)
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used in major disasters; has 15 emergency support functions, each headed by a primary agency
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recovery
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the last stage in a distaseter; when agencies join to restore the economic and civic life of the community
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triage
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the process of separating causalties and allocating treatment based on the victim's potential for survival.
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family health
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a dynamic, changing, relative state of well-being that includes the biological, psychological, sociological, cultural, and spiritual factors of the family system
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family nursing
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a specialty area that has a strong theory base and constists of nurses and famililes working together to ensure the success of the family and its members in adapting to responses to health and illness
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empowerment
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helping peopel acquire the skills and information necessary for informed dicision making and ensuring that they have the authority to make decisions that affect them
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family crisis
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a situation whereby the demands of the situation exceed the resources and coping capacity of the family
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in-home phase
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the actual nurse visit to the home that gives the nurse the opportunity to assess the family's neighborhood and community resources , as wewll as the home and family interaction
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initiaion phase
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the first contact btw the nurse and family. it provides the foundation for an effective therapeutic relationship
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post-visit phase
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after a home visit is concluded, the nurse documents the visit and services provided
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pre-visit phase
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contact btw nurse and family before an acutal home visit is made
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termination phase
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when the purpose of a home visit has been accomplished, the nurse REVIEWS with the family what has occurred and what has been accomplished. This provides the basis for planning further home visits.
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advance directives
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written or oral statements by which a competent person makes known his or her treatment preferences and/or designates a surrogate decision maker
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caregiver burden
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the physical, psychological or emotional, social, and financial prolems that can be experienced by those who provide care for impaired others
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five I's
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five conditions believed to adversely affect the aging experience:
Intellectual imapirment Immobility Instability Incontinence Iatrogenic drug reactions |
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Patient Self-Determination Act
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a law that requires providors who receive Medicare and Medicaid payments to give their clients written in formation regarding their legal options for treatment choices if they become incapacitated.
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