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39 Cards in this Set
- Front
- Back
Activities designed to restore individuals with disabilities to their optimal level of functioning
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Tertiary Prevention
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Activities directed toward the protection from or avoidance of potential health risks
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Primary Prevention
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Activities designed for early diagnosis and treatment of disease or illness
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Secondary Prevention
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A method for delivering nursing care in which the nurse is responsible for a caseload of clients across the health care continuum
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Case Management
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An insurance plan in which the client pays a percentage of the payment and some other group (i.e., employer, government) pays the remaining percentage
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Coinsurance
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Multidisciplinary guidelines for client care based on specific medical diagnoses designed to achieve predetermined outcomes
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Critical Pathways
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A Medicare payments system to hospitals and physicians that establishes fees according to diagnosis
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Diagnosis-Related Groups (DRGs)
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A system in which the best possible use of nursing personnel is based on their educational preparation and resultant skill sets
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Differentiated Practice
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The totality of services offered by all health disciplines
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Health Care Systems
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A group health care agency that provides basic and supplemental health maintenance and treatment services to voluntary enrollees
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Health Maintenance Organizations (HMOs)
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Provide care in offices; clients pay a fixed prospective payment and IPA pays the provider; earnings or losses are assumed by the IPA
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Independent Practice Associations (IPAs)
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A system that incorporates acute care services, home health care, extended and skilled care facilities, and outpatient services
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Integrated Delivery System (IDS)
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A nurse who practices under the supervision of a registered nurse, providing basic direct technical care to clients
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Licensed Vocational (Practical) Nurse (LVN/LPN)
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A method of organizing care delivery that emphasizes communication and coordination of care among all health care team members
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Managed Care
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A U.S. federal public assistance program paid out of general taxes and administered through the individual states to provide health care for those who require financial assistance
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Medicaid
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A national and state health insurance program for U.S. residents older than 65 years of age
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Medicare
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Delivery model that brings all services and care providers to the client
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Patient-Focused Care
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Similar to PPOs, but PPAs can contract with individual health care providers; the plan can be limited or unlimited
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Preferred Provider Arrangements (PPAs)
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A group of physicians or a hospital that provides companies with health services at a discounted rate
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Preferred Provider Organization (PPO)
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Special payments for people with disabilities, those who are blind, and people who are not eligible for Social Security; these payments are not restricted to health care costs
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Supplemental Security Income (SSI)
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The delivery of individualized nursing care to clients by a team led by a professional nurse
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Team Nursing
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Typically characterized by severe symptoms of relatively short duration
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Acute Illness
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The extent to which an individual's behavior (for example, taking medications, following diets, or making lifestyle changes) coincides with medical or health advice; commitment or attachment to a regimen
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Adherence
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Illness that lasts for an extended period of time, usually greater than 6 months
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Chronic Illness
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An alteration in body function resulting in a reduction of capacities or shortening of the normal life span
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Disease
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The causal relationship between a problem and its related or risk factors
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Etiology
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The period during a chronic illness when symptoms reappear after remission
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Exacerbation
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The presence or absence of disease
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Health
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The actions a person takes to understand his or her health state, maintain an optimal state of health, prevent illness and injury, and reach his or her maximum physical and mental potential
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Health Behaviors
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Concepts about health that an individual believes are true
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Health Beliefs
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The health of a person at a given time
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Health Status
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A highly personal state in which the person feels unhealthy or ill, may or may not be related to disease
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Illness
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The course of action a person takes to define the state of his or her health and pursue a remedy
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Illness Behavior
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The values and behaviors adopted by a person in daily life
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Lifestyle
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A concept about whether clients believe their health status is under their own or others' control
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Health Locus of Control Model (LOC)
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A period during chronic illness when there is a lessening of severity or cessation of symptoms
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Remission
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Factors that cause a client to be vulnerable to developing a health problem
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Risk Factors
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A subjective perception of balance, harmony, and vitality
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Well-Being
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A state of well-being; engaging in attitudes and behaviors that enhance quality of life and maximize personal potential
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Wellness
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