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Related Flashcards
Cards In This Set
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Four Environmental principles
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1. Everything is connected to everything else (exposure pathways)
2. Everything has to go somewhere (Incineration--burn, water discharge, and landfill--burial) 3. The solution to pollution is dilution (industrial dumping and human waster) 4. Today's solution may be tomorrow's problem |
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Environmental Health Assessment
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IPREPARE
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IPREPARE
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Investigate potential exposure
Present work Residence Activities Referral & resources Educate |
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I: Investigate potential exposure
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Ask patient if they've ever felt sick coming in contact with a chemical, substance, or pesticide?
Do you have any symptoms that improve when you are away from your home or work? |
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P: Present work
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At your present work:
Are you exposed to solvents, dusts, fumes, radiation, loud noise? Do you know where to find MDSD pm chemicals where you work? Do you wear PPE? Do co-workers have similar problems? |
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R: Residence
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At your place of residence:
When was your residence built? What type of heating do you have? Have you recently remodeled your home? What chemicals are stored on your property? Where does your drinking water come from? |
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E: Environmental concerns
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In your living environment:
Are there environmental concerns in your neighborhood (i.e. air, water, soil) What types of industries or farms are near your home? Do you live near a hazardous waste site or landfill? |
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P: Past work
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At your past work:
What are your past work experiences? What is the longest job you held? Have you ever been in the military, worked on a farm, or done volunteer or seasonal work? |
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A: Activities
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About your activities:
What activities and hobbies do you and your family engage in? Do you burn, solder, or melt any products? Do you garden, fish, or hunt? Do you ear what you catch or grow? Do you use pesticides? Do you engage in any alternative healing or cultural practices? |
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R: Referrals and Resources
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Use these key referrals and resources:
Environmental protection agency Material Safety Data Sheets Occupational Safety and Health Administration Local health department |
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E: Educate
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Use this checklist of educational materials:
Are materials available to educate the client? Are alternatives available to minimize the risk of exposure? Have prevention strategies been discussed? What is the plan for follow-up? |
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What is essential for making ethical decisions regarding environmental health?
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Ethics
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Evidenced based medicine
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Being aware of the evidence on which one's practice is based, the soundness of the evidence, and the strength of inference the evidence permits
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Evidence-based public health
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A public health endeavor in which there is an informed, explicit, and judicious use of evidence that has been derived from any of a variety of science and social science research and evaluation methods
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Evidence-based nursing
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An integration of the best evidence available, nursing expertise, and the values and preferences of the individuals, families, and communities that are served
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