BSS Flashcards
What are the four components of the health belief model?
Perceived benefits vs barriers
Perceived threat
Self efficacy
Cues to action
Explain ‘perceived threat’ in the context of the HBM…
Severity- the consequences of non-engagement
Susceptibility- the perceived risk of a health problem
What is self efficacy?
An individuals perception of their competency to successfully perform a health promoting behaviour
What is esteem/emotional support?
Support that increases ones own belief or confidence
What is tangible/instrumental support?
Physical help involving the provision of finance or services
What is companionship support?
The provision of a sense of belonging
What is appraisal support?
The provision of information useful for self analysis
Name to two theories relating social support to health outcomes…
Main effect hypothesis
Stress buffering theory
Define maturation…
the changes associated with normal growth (ie. cognitive development directly associated with biological processes)
What is learning?
A change in the individual that is based upon the environment and not upon account of genetic inheritance
Schema
Describes the categories of knowledge that help us interpret the world. They describe the mental and physical actions involved in understanding
Assimilation
The extension of schema
The ability to take in new information and apply this to existing knowledge to achieve an outcome
Accomodation
The modification of schema
According to Piagets theory of cognitive development, what is the 1st stage of development? What milestones become apparent here?
Sensory motor (0-2) Object permenance, facial recognition, first words and short sentences
According to Piagets theory of cognitive development, what is the 2nd stage of development? What milestones become apparent here?
Pre-operational (2-7)
Consequence prediction, egocentrism, sophisticated mimicry, theory of mind
According to Piagets theory of cognitive development, what is the 3rd stage of development? What milestones become apparent here?
Concrete operational (7-11) Recognition of alternate points of view, undertaking of adult style operations
According to Piagets theory of cognitive development, what is the 4th stage of development? What milestones become apparent here?
Formal operational (11+) Abstract thoughts, use of logic, embarrassment levels rise
How do children explain illness in relation to Piagets theory?
Pre-operational- Punishment
Concrete operational- Germs and contamination
Formal operational- Phycological
Describe the concepts related to Eriksens theory of physcosocial development…
Each stage relies on a physcosocial crisis where individual needs oppose that of society
Crisis resolution results in acquisition of virtues
Virtues used to solve subsequent crises
When can doctor patient confidentiality be broken?
Serious communicable diseases
Benefit to society outweighs that of patient
Not fit to drive
Unfit for work
MUST BE LAST RESORT- EXHAUST ALL OTHER AVENUES FIRST
What is the protocol for dealing with a break in confidentiality due to serious infection?
Patient advised about risk of infection
Persuaded to abstain in all sexual activity without disclosing HIV status first
Advised to inform all previous partners
State that if they don’t then you have an obligation to do so on their behalf
Document everything
Always inform pt of what you are doing
Define the term compliance…
The degree to which a patient follows the advice of a doctor
Define the term concordance…
The act of shared decision making
Define the term adherence…
The extent to which the patients behaviours are aligned with the treatment/management plans of the doctor
