Context of Health Flashcards

Wk Learning Outcomes

1
Q

What is Hippocrates Logical framework?

A

Natural causes of death that could be treated naturally. The disease had to be caused by an imbalance of the 4 humours and could be treated. Experimental methods could be employed to treat it.

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2
Q

When did Hippocrates exist?

A

5th Centuray BCE (460-377BCE)

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3
Q

What is the significance of Hippocrates?

A

Philosophy resulted in a major change in human thought as it transitioned from supernatural to natural thinking. Promoted ethical practice (oath) and created medical education through teaching and clinical schools.

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4
Q

who practised medicine in Ancient Greece?

A

The Priests

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5
Q

What was used as hospitals in Ancient Greece?

A

The Temple of Asklepios

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6
Q

What is an important symbol from medicine?

A

Staff of askelopis

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7
Q

What was Galen’s beleift?

A

Body is a vehicle for the soul.

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8
Q

How did Galen contribute to the history of medicine?

A

highly influential on the Islamic and Christian parts of the world as he taught and translated Hippocrates’ work.

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9
Q

when is the middle ages?

A

5th - 6th century

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10
Q

What did the Black Death do for the development of medicine?

A

favoured clinical method
contagian disocery
evolution of public health

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11
Q

Who were the physicians in the medieval middle ages and what is the impact of this?

A

Clergy - were the educated population and seen as all-knowing.

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12
Q

What happened in the 18th and 19th centuries?

A

Needed to have both surgical and apothecary qualifications to be a doctor. Apothecary separated into GP and pharmacy.

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13
Q

Who were the surgeons in the Middle Ages and why?

A

Barbers- had the skills and the clergy were prohibited from touching blood by the catholic church.

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14
Q

What is the WHO definition of Health?

A

Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.

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15
Q

What is the role of the doctor?

A

To be respectful, practice patient-centred care, promote social accountability and consider the patient’s agenda.

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16
Q

What is evidence-based medicine?

A

Interaction of best research evidence, clinical expertise and patient values.

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17
Q

What does evidence-based medicine rely on?

A

experienced clinicians integrating patient centredness with research and evidence.

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18
Q

What must evidence-based medcine inlcude

A

patient values and agenda

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19
Q

what is the patient’s agenda

A

Ideas, Concerns and Expecations

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20
Q

What can you ask when thinking about a patient’s ideas?

A

How are they feeling, what do they think is happening and do they have any preferences.

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21
Q

What can you ask when thinking about a patient’s concerns?

A

What worries them most and are they worried about the impact on their lives?

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22
Q

What can you ask when thinking about a patient’s expectations?

A

What do they want to achieve?

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23
Q

What must be considered in Patient Agenda?

A

Discrimination, stereotyping and context.

24
Q

What is meant by the word disease?

A

Clinical symptoms from the underlying biological pathway.

25
Q

What is meant by the word illness?

A

Individual experience is not linked to biological pathways and is highly subjective.

26
Q

what is meant by sickness?

A

Is a social category that defines the expectations, rights and responsibilities of when somebody is sick. Refers to the functioning of the individual when the are sick.

27
Q

what influences sickness?

A

Policy, personal circumstances and the attitudes and beliefs of society.

28
Q

what is an example of an asymptomatic disease?

A

hypertension

29
Q

what is the biopsychosocial approach to understanding health?

A

Intergartion of biology, psychology and social context in the consideration of health.

30
Q

What is encompassed by ‘Biology’ in the Biopsychosocial approach?

A

gender, physical illness, immune function, genetic vulnerability, disability

31
Q

What is encompassed by ‘Psychology’ in the Biopsychosocial approach?

A

learning, attitudes, beliefs, personality, behaviours, emotions and coping skills.

32
Q

What is encompassed by ‘Social Context’ in the Biopsychosocial approach?

A

Social supports, background, traditions, socioeconomic status and education

33
Q

What is the Biomedical model?

A

based on germ theory and says that ill health is only relate to biological pathology.

34
Q

what are the negative issues of the Biomedical Model?

A

implies that health is independent of the person suffering from it. No consideration of the social determinants.

35
Q

What is the social method of health?

A

illness is a social construct and impacted by the e social determinants of health.

36
Q

what are the indicators of the Social Method?

A

Social inequity (gender, race, ethnicity, location, political environment)

37
Q

what are the indicators of the Biomedical method?

A

pathology, heredarty and risk factors.

38
Q

what are the causes in the social methods?

A

politics, environment, economics, quality of life, culture

39
Q

what are the causes in the biomedical method?

A

genetics, microorganisms and trauma.

40
Q

what are the benefits of the Biomedical model?

A

addresses the disease and disability with a downstream approach.

41
Q

What are the benefits of the Social model?

A

Addresses social determinants, holistic and had an up stream approach.

42
Q

What is the impact of different world views on the experience of health and illness?

A

significant impact both positively and negatively as it shapes the attitudes and behaviours that individuals show toward their health.

43
Q

what is the positive impact of world views on health and illness?

A

A sense of community, enocurag people within the community to seek help can make them feel safe if their world views are acknowledged.

44
Q

What is the negative impact f word views on health and illness?

A

prevent access, feel misheard, misrepresented and disrespected if their views are overlooked, underappreciated or dismissed.

45
Q

What are three general examples of the impact of world views on health and illness?

A

Mental Health stigma in some cultures, NACCHO acknowledges culture in health and the need for translators in consultation.

46
Q

What are two important aspects to be considered in world views?

A

Cultural safety and spirituality.

47
Q

What is cultural safety and why is it important?

A

An environment with no assault, challenge, denial of identity and dismissal of needs. Creates respectful environments and allows the patient to be acknowledged.

48
Q

what is spirituality and why is it important?

A

Individuals attempt to find meaning in life. Important to wonder about the impact can have on health (punishment for sin, fate, drinking etc)

49
Q

What is paternalism?

A

Doctor Knows Best

50
Q

Critique Paternalism.

A

Disem[wers the patient and takes away their chance for autonomy. can result in a poor experience which may lead to hesitancy in accessing health in the future.

51
Q

what is an example of paternalism?

A

Not revealing the side effects of a drug when prescribing it.

52
Q

what are the different types of contexts for a patient?

A

Proximal (social) and Distal (geopolitical)

53
Q

what is the importance of considering a patient in context?

A

Vital as acknowledges background and allows addressing underlying factors.

54
Q

What is the patient-centred clinical interview?

A

integration of the disease and illness framework.

55
Q

In general terms, describe the Patient-centered Clinical method

A

explore disease, whole patient, common ground, prevention and promotion, doctor-patient relationship and being realistic.