HCS Flashcards

1
Q

Compliance Def.

A

Extent to which a person’s behaviours matches prescribers recommendations

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2
Q

Adherence Def.

A

Extent to which a person behaviour matches AGREED recommendations

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3
Q

Concordance Def

A

Doctor and patient agree on therapeutic decisions

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4
Q

Race Def.

A

Contested category rather than biological difference

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5
Q

Ethnicity Def.

A

Group of people that share ancestry, language, or culture.

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6
Q

Culture Def.

A

Set of guidelines that people inherit as part of a particular society.

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7
Q

Fatalism Def.

A

Low control over their life
- Not optimistic about future
- Low control over health improvement

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8
Q

Short-termism Def.

A

Favouring short term projects for immediate profits.

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9
Q

Illness Beliefs

A

Belief an individual has about their illness.
- Symptoms can be perceived differently

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10
Q

Illness Behaviour

A

How people interpret and define their symptoms and their actions in coping w/ illness.

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11
Q

Health-related behaviour.

A

Lifestyle choices made when you have an increase in mortality rate.

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12
Q

Cognitive Health Model of Anxiety

A
  1. Previoosu experience forms bad memory
  2. Create a pocket of info about memory
  3. New symptom = overthinking
  4. -ve automatic thoughts
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13
Q

Zola’s 5 Triggers

A
  1. Interpersonal Crisis
  2. Perceived interference w/ physical activity
  3. Perceived interference with social relations
  4. Sanctioning - peer pressure
  5. Temporalising symptoms
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14
Q

Mechanic & Volkart

A
  • Familiarity of symptoms
  • Amount of loss that may come from illness
  • Predictability of outcome of illness.
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15
Q

Illness Belief Models (2)

A
  • Zola’s 5 Triggers
  • Mechanic & Volkart
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16
Q

Health Belief Model

A
  1. Perceived Threats
  2. Perceived benefits
  3. Perceived barriers
  4. Cues to action
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17
Q

Theories of addiction

A
  • Genetic
  • Exposure
  • Experimental
  • Disease
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18
Q

Breaking bad news

A

SPIKES

Set up consultation
Perception
Invitation
Knowledge & info
Emotion
Summarise

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19
Q

Discreditable stigma

A

Not known and can be hidden

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20
Q

Discredited stigma

A

Can’t be hidden

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21
Q

Felt stigma

A

Feeling of shame w/ fear of enacted - fearing discrimination

22
Q

Enacted stigma

A

Experience of prejudice & discrimination

23
Q

Transactional Model of Stress and Coping
(Lazarus and Folkman)

A
  1. Primary appraisal
    - Is anything at risk?
    - How bad is it?
  2. Secondary appraisal
    - Internal coping options and external coping.
  3. Coping
    - Problem-focused
    - Emotion-focused
24
Q

Theory of Planned Behaviour

A
  1. Intentions are the strongest determinants of behaviour
  2. Intentions affected by:
    - Attitudes
    - Subjective norm
    - Perceived behavioural control
25
Q

Transtheoretical Model of Change

A

Pre-contemplation
Contemplation
Preparation
Action
Maintenance
Relapse

26
Q

Social Cognitive Theory

A

Determines human behaviour
- Personal factors
- Behavioural factors
- Environmental factors

27
Q

Kubler-Ross

A

Grief
DABDA

Denial
Anger
Bargaining
Depression
Acceptance

28
Q

Model for Coping

A

DNARA

Denial
Normalising
Avoidance
Resignation
Accommodation

29
Q

Freudian Theory

A

Mourners withdraw from the world so detachment can be a gradual process.

30
Q

Behavioural responses to health anxiety

A
  • Avoidance of things that could cause worry
  • Repeated sel checking
  • Safety - sometimes pre-medicate
  • Reassurance sought from family/friends.
31
Q

Non-aherence impacts

A

Expensive to NHS
Not receiving best treatment

32
Q

Influence to adherence

A
  • Increase likelihood of adherence if paying for meds themselves
  • Pt. beliefs
33
Q

Unintentional non-adherence

A

Capacity limitations that prevents pt. following treatment.

e.g.
memory loss
cost
dexterity

34
Q

Causes of hyperchondriasis

A

Illness experience
Media
Illness in social circle
Unsatisfactory medical Mgx in Pt. or family.

35
Q

Hyperchondriasis Def.

A

Manifestation of severe & constant anxiety focusing on health.

  • Tend to misinterpret symptoms as severe illness
36
Q

Effects of “risk” label

A
  • Lifestyle diseases incur blame
  • Risk of overdiagnosis
  • Little understanding of social determinants of health
37
Q

Risk Identity

A

Risk - component to how people manage their health and lives

At risk - viewed and experienced as illness

38
Q

+ves of risk identity

A

Knowledge of risk factors
Person empowered to make lifestyle changes

39
Q

-ves of risk identity

A

Some risk factors can’t be changed e.g. age, sex
Health inequalities can impact +ve effects
Uncertainty for Pt.

40
Q

Risk reminders

A

Meds
Screening tests
Test results
Meal times

41
Q

Surveillance Medicine

A

(Health Promotion)

Surveys, screening, and health campaigns

Monitor, regulate, and induce good health habits.

  • Targets everyone
  • Looks at risk factors, not symptoms
42
Q

Surveillance Medicine +ves

A

Identify problems early
Predict disease and death
Saves money

43
Q

Risk and medicalisation

A
  • Increased medical contact
  • Treated through meds, behaviour modification & surgical intervention
44
Q

Anxiety Def.

A

Reaction to perceived threat

45
Q

Doctor rights in sick role

A

Access to taboo areas
Respected by society

46
Q

Pt. rights in sick role

A

Exemption from normal responsibilties
Not held responsible for illness

47
Q

Doctor obligations in sick role

A

Clinically competent
Affectively neutral

48
Q

Pt. obligations in sick role

A

Motivation to get better
Seek out medical help & cooperate

49
Q

-ves of sick role

A

Does not account for chronic illnesses

50
Q
A