evaluation documentation
essential to providing quality care, should indicate progress of
patient [improvement or deterioration], should be shared with
patient, family, and caregivers
health disparities
- Racial or ethnic difference in the quality of healthcare that are
not due to access related factors or clinical needs, preferences, or
appropriateness of interventions
- differences that occur by gender, race or ethnicity, education or
income, disability, living in rural areas, or sexual orientation
- HEALTH DIFFERENCES CLOSELY LINKED WITH
SOCIAL, ECONOMIC, AND ENVIRONMENTAL
DISADVANTAGE
social determinations of health
the conditions in which people are born, grow, live, work, and
age
socioeconomic factors
gender/sexual identity
ethnicity
culture
spiritual values
education
,Community environment
crime/violence, social disorder
culture
a learned process through generations, changes and adaptations
occur within families, includes shared beliefs, values, behaviors,
celebrations, communication
top of iceberg
what you see [behavior]
middle of iceberg
learned behavior
bottom of iceberg
what you don't see [subconscious]
plain language
try not to use too much medical language, make it simple and
plain language so the patient understands
teach back
educate patient then either have patient explain it back or
physically show them how to perform the task
illness
a state in which a person's physical, emotional, intellectual,
social, developmental, or spiritual functioning is diminished or
impaired
acute illness
, short duration and severe
chronic illness
persists longer than 6 months
chronic disease
a pathophysiologic condition that lasts more than a year,
requires ongoing medical care, and often limits a person's usual
activities of daily living due to symptoms of disease or self care
activities required to manage the disease
variables influencing illness and illness behavior
internal and external variables
internal variables
perception of illness and nature of illness [how the patient feels]
external variables
visibility of symptoms, social group, cultural background,
economics, and accessibility to health care [how outsiders see
the patient]
modifiable lifestyle and risk factors
lifestyle choices and risk behaviors [DIET, EXERCISE,
NICOTINE]
non modifiable lifestyle and risk factors
age, gender, genetics, family history
health