NS2216 Rural and Remote Nursing – Flashcards
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remote community
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a community in a remote location
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rural area
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is a geographic area that is located outside cities and towns.
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Issues with Accessing Healthcare in remote and rural areas
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- limited by distance, cost, fewer services (smaller work force) - Geographic location, particularly in climate of financial constraint - Reduction in funding, health services, medical, dental & specialists - lack of education/information - Access to Medicare
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1994 National Rural Health strategy
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- Provision of appropriate health services - Promotion measures improve RR Status - Reduction of barriers that impede the delivery of health care
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What is the RRMA and when was it developed?
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Remote, rural and metropolitan area classification developed in 1994. Measuring remoteness in a straight-line distance between goods and services to the nearest urban centre. It then combines with measures of personal distance resulting from population density
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What are the 3 zones of the RRA
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Remote, rural and metropolitan RRMA 1 & 2 are metropolitan classifications RRMA 3 - 7 are rural and remote
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What is ARIA and when was it developed
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The Accessibility Remoteness Index of Australia classification developed in 1999 based on geographical remoteness of location measured by distance traveled by road to access goods and services
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What are the 5 categories of the ARIA classification
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1. Highly accessible 2. Accessible 3. Moderately accessible 4. Remote 5. Very remote
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Rural perspective on Health
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They often view their health based on the absence of disease; they link their well-being to productivity and being able to carry on their daily task
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Indigenous perspective on health
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Health is not just the physical well-being of an individual, but refers to the social, emotional and cultural well-being of the whole community.
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What affects 100% of our Health
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90% social determinants and 10% workforce and services
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What are the social determinants that affect health
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1. Income and social status 2. Stress 3. Early childhood development 4. education 5. Employment and work conditions 6. Social support 7. Addictions 8. Physical environment, ie shelter, water 9. exercise and transport 10. diet plus culture, gender and geographical location
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What are the workforce and services issues that affect health
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1. Nurses, doctors, allied health professionals 2. Providing health services 3. Prescription drugs 4. Laboratory test 5. Hospital care 6.Health infrastructure = 90% of the health budget
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What are the 3 indicators of health
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1. Life expectancy and mortality rates (death) 2. Causes of death 3. Morbidity (disease and impairment rates)
