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Chapter 8 Fundamentals of Nursing Taylor Lillis Lynn
Terms in this set (25)
Multi payer system
The United States is an example of a multipage your system since it's payers includes both private insurance companies and the government.
This is when one entity such as the government. Collects all healthcare face and pays out our health care cost.
What is primary healthcare
Goal: common health problems such as sore throat's diabetes arthritis depression or hypertension and preventative measures like vaccines and mammograms they account for 80 to 90% of visits to clinicians
Practitioner: family practice physicians, nurse practitioners, midwives
Practice site: family planning center's primary care centers urgent care centers employment health centers
Activities: family planning, preneed doing well baby care, immunization against the civic disease, health risk screenings, diagnostic test, health education, medications
What is secondary health care
Goal: Problems that require more specialized clinical expertise, such as hospital care for a patient with a Myocardial infarction or stroke
Practitioner: physicians in specialties such as internal medicine and pediatrics neurology psychiatry advance practice nurses
Active site: hospital based clinics, emergency departments, hospitals, psychiatric institutions, same day surgery units
Activities: disease identification and management
What is Tertiary Health care?
Goal: management of rare and complex disorders such as pituitary tumor's and congenital malformations
Practitioner: subspecialist position such as cardiovascular surgeons, pediatric hematologist, advanced practice nurses
Activities: rare and complex disease management
What is a Health maintenance organization's (HMO)
Prepaid group managed care plan set about subscribers to receive all the medical services they require through affiliated providers
The patient does not have a choice about healthcare providers that receives all services from clinicians were associated with our part of the HMO
What is a preferred provider organization (PPO)
Patients are encouraged to use specific providers but they may also secure outside the panel without referral by paying additional out-of-pocket expenses
Medicare is for almost all citizens over the age of 65 years, includes permanently disabled workers and their dependents if they also qualify for Social Security benefits
Diagnosis related groups (DRGs)
In relation with Medicare---
An effort to control rising healthcare cost --pays the hospital a fixed amount that was predetermined by medical diagnosis or specific procedure rather than buy the actual cost of hospitalization and care
Federally funded public assistance program for the people of any age who have low incomes; for the blind, older adults, and disabled who are covered by supplemental security benefits
Fee for service
a system under which doctors and hospitals receive a payment for each service they provide
Financial incentives we were doing more care, not necessarily better care👎
Primary care centers/clinic
Services provided include a diagnosis and treatment from minor illnesses; performing minor surgical procedure; and providing obstetric care, well child care, counseling, and referrals
Ambulatory care centers
Many offer walking services and are open at times other than traditional office hours
Can't be found in convenience areas such as shopping malls or other community agency
Cute little population that needs skilled care at home more older people are living longer and have multiple chronic diseases and with sophisticated technology people can live relatively comfortably in their own homes
Versus: make assessments provide physical care, administer medications, teach and support other family members
Hospital at home
Rather than being admitted to a hospital, person who qualify are treated in their own homes by appropriate healthcare professionals
Length of stay was shorter, overall cost for a third lower, lower chance of developing delirium requiring sedatives or needing chemical restraints, regained their ability to do usual tasks more quickly
Extended care services
includes residential care and intermediate or skilled long-term care facility
Provide medical and nonmedical care for people with chronic illnesses or disability
Mental health centers
Patients receive outpatient care through Friday of interventions, including individual and group counseling, medications, and assistance with independent living.
nurses provide many different services including maintaining immunization records providing emergency care for physical and mental illnesses, administering prescribed to medications, conducting routine health screenings, and providing health information and education.
Services for patients requiring physical or emotional rehabilitation and for treatment of chemical dependency.
Type of care provided for caregivers of homebound ill, disabled, or older patients.
Manages patient's pain and symptoms
Assist with emotional, psychosocial, and spiritual aspects of dying
provide needed drugs medical supplies, and equipment
instructs the family how to care for the patients
deliver special services like speech and physical therapy when needed
make short term and patient care available when pain or symptoms become too difficult to treat at home or the caregiver needs respite
provides bereavement and counseling to surviving family and friends
Evolved from hospice but also exist outside of hospice programs
Focuses on the relief of physical, mental, and spiritual distress. Goal is to prevent and relieve suffering by early assessment and treatment of pain and other physical problems
Collaborative roles of members of the healthcare team--physicians
Positions are granted the authority to admit patients to a healthcare agency by the healthcare agency or institution itself and to practice care within the setting through such actions as prescribing medications interpreting the results of laboratory and diagnostic tests and performing procedures and surgery
Collaborative roles of members of the healthcare team --speech therapist
Trained to help hearing impaired patients speak more clearly, to assist patients who had a stroke to Relearn how to speak, and to correct or modify or variety of speech disturbance in children and adults. Speech therapist also diagnose and treat swallowing problems and patients who have had a head injury or a stroke.
Inpatient vs outpatient services
Impatient --a person who enters the hospital and stays overnight for an indeterminate time from days- months
outpatient--those who are not hospilized overnight but who require diagnosis or treatment
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