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PPS 920 > Final > Flashcards

Final Flashcards

1
Q

health

A

state of complete physical, mental, social well-being not merely the absence of disease or illness

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2
Q

disease

A

medical term used to describe pathological change in structure or function

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3
Q

illness

A

subjective sense of feeling unwell

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4
Q

sickness

A

health state that deviates from what is considered normal in a given community

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5
Q

wellness

A

a state of dynamic well-being that enables a person to achieve full potential and lead an enjoyable life

wellness-illness continuum

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6
Q

sick role

A

behavior deemed appropriate by society for those with given illness

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7
Q

illness behavior / special position of sick

A

sickness viewed as response to social pressure that permits avoidance of social responsibilities

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8
Q

5 stages of illness behavior

A

SAIAR

1) symptom experience
2) assumption of sick role
3) initiation of medical care
4) assumption of dependent patient role
5) recovery/rehab

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9
Q

What factors affect individual responses to illness?

A

1) symptom assessment
2) symptom response
3) cost-vs-benefit

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10
Q

Determinants of health

A

1) policymaking
2) social
3) health services
4) individual behavior
5) biology and genetics

PBS BS

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11
Q

unique aspects of the health sector

A

1) government involvement
2) uncertainty
3) asymmetry
4) externalities

U-AGE

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12
Q

what is utility?

A

healthy days to use for stuff

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13
Q

What are the types of framing?

A

1) risky choice
2) attribute
3) goal

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14
Q

What is nudging

A

using choice architecture to impact policy

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15
Q

Characteristics of system 1

A

automatic, fast, non-conscious

status quo bias

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16
Q

compliance

A

extent to which patient’s behavior coincide with providers

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17
Q

adherence

A

following a medicine tx plan developed and agreed on

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18
Q

persistence

A

following through with tx plan

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19
Q

concordance

A

active partnership b/w patient and provider (European)

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20
Q

strategies to promote adherence

A

1) eliminate barriers
2) traditional counseling
3) active follow-up
4) decrease cost/ease
5) MI

21
Q

PRO

A

any endpoint directly derived from patients perception

22
Q

2 types of pros

A

quality of life, satisfaction

23
Q

HRQoL

A

physical mental and social well-being, not just absence of illness or disease

24
Q

health-state utility

A

measure of patient’s preference for health state/outcome

25
Q

What are qualys

A

type of health state utility; measure patients preference for tx outcomes

26
Q

components of OBRA 90 related to RPhs

A

1) prospective DUR
2) maintenance of profile
3) patient counseling standards

27
Q

How to improve communication skills

A

New-LIVER

non-verbal, listen, involve, verbal, empathy, rapport

28
Q

What are the categories of communication barriers

A

Effective Passing of info – PFT!

environment, pharmacist, patient, financial/admin, time

29
Q

5 components to responding to med errors

A

acknowledge, ask, appreciate, act, appropriately document

CSPCPD

30
Q

What % of pharma marketing $ spent on DTC

A

15%

31
Q

% of pharma marketing $ spent on DTP

A

80%

32
Q

addiction

A

primary chronic neurobiologic disease

chronicity, impaired control, compulsivity, continued use, craving

33
Q

misuse

A

wrong admin, other purposes, with other meds/EtOH

34
Q

short term EtOH intx

A

increase drug effect; increase effect of psychoactives

35
Q

long term EtOH intx

A

decrease drug effect

36
Q

what is prescriber misuse

A

inappropriate indication, high dose, failure to monitor

37
Q

abuse

A

decreased functioning, use in risky situations, continued use despite consequences

38
Q

dependence

A

tolerance/withdrawal, unsuccessful attempts to quit

39
Q

what plant is marijuana from

A

cannabis sativa

40
Q

what is the psychoactive agent in marijuana

A

delta9-Tetrahydrocannibinol (THC)

41
Q

what is the other non-psychoactive therapeutic component of marijuana

A

cannabidiol

42
Q

what marijuana component is in marinol

A

THC

43
Q

DARN-C

A

desire, ability, reason, need, commitment

44
Q

4 steps in MI

A

the REDS need change

1) express empathy
2) develop change talk
3) roll with resistance
4) support self-confidence

45
Q

stages of TTMC

A 
-- precontemplation
contemplation
prep
action
maintenance
relapse
-- termination
46
Q

precontemplation phase

A

not intending

47
Q

contemplation phase

A

intending to change w/in 6 mos; ambivalent

48
Q

action phase

A

past 6 months

49
Q

3 criticial motivation determinants

A

readiness
willingness
ability

PPS 920 (2 decks)

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