Health And Society 💘 Flashcards

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1
Q

The sick role patient

A

Must want to get well as quickly as possible
Should seek professional medical advice and co operate with the doctor
Allowed to shed some normal activities and responsibilities
Regarded as being in need of care when unable to get better by his or her own decisions and will

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2
Q

The sick role doctor

A

Apply a high level of skill and knowledge
Act for welfare of patient and community rather than own self interest
Be objective and emotionally detached
Be guided by rules of professional practice

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3
Q

Criticisms of sick role

A

Ignores potential conflicts between
Patient and doctor values (eg homosexuality , abortion)
Best interests of patient as individual and the state
Best interest to individual and cost to society in allocation of resources eg smokers getting operations

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4
Q

Meta ethics

A

Study of the meaning of moral concepts eg what is right and what is wrong

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5
Q

Normative ethics (moral theory)

A

The study of the means of deciding what’s the right action

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6
Q

Applied ethics

A

Application of moral theory and principles to actual cases

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7
Q

Consequentialism

A

Moral based on consequences of action

Maximizes overall happiness or whether what you do is worthwhile

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8
Q

Duty based (deontology)

A

The morality of an action based on the actions adherence to rules or
Act may be right even if consequence is bad

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9
Q

Virtue ethics

A

Acting according to what the most virtuous person would do

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10
Q

Legal aspects of consent

A

Battery if a person touches another person without consent
Negligence the concept of failure to exercise charge
It’s the law

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11
Q

Stigma

A

Something which exists through social relations. The behavior and responses to specific characteristics
Labeling leads to stigma

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12
Q

Labeling theory

A

Process which describes labeling of people to control and identify deviant behavior

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13
Q

Enacted stigma

A

Discrimination by others

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14
Q

Felt stigma

A

The shame you feel as a result of stigma

Sense of shame and fear due to ones condition

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15
Q

Courtesy stigma

A

Felt by someone with someone who is stigmatized eg parent of autistic child

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16
Q

Cultural stereotyping

A

Impairment and learned helplessness

Mental illness and violence

17
Q

Discreditable vs discrediting

A

Visible or hidden

Eg aids vs being in a wheelchair

18
Q

Ascribes vs achieved

A

Based on traits beyond their control eg sex and race vs achieved (in control) deviance such as joining a gang

19
Q

Results of stigma on individual

A

Passing eg alcoholic concealing drinking behavior at work can still experience felt stigma
Covering is reducing visibility and not disclosing- finding a solution eg wearing small hearing aid or using foundation to cover eczema
Withdrawal from social interactions

20
Q

7 categories of dependence syndromes

A

Salience- substance takes priority over other behavior
Compulsion- sustained compulsion despite negative consequences
Tolerance
Withdrawal symptoms upon abstinence
Relief after abstinence
Narrowing or repertoire- neglect of other interests
Reinstatement upon abstinence- eg only takes one or two drinks to get addicted again

21
Q

Issues with addiction other than dependence

A
Acute intoxication 
Harmful use 
Withdrawal state with or without delirium
Psychotic disorder 
Amnesic syndrome
22
Q

Factors that make a drug addictive

A

Pleasure producing potency
Rapid onset of action
Short duration of action
Tolerance and withdrawal

23
Q

Paradigm shift

A

Thinking more about what might be the situation in the future based on genetics
Desire for mastectomies increase

24
Q

Individual vs opportunity cost

A

Individual is the Hippocratic tradition on treating the patient and treating them as an individual
Opportunity cost is looking at entire budget constraint

25
Q

Aspects of opportunity cost

A

Time
Overspending
Good medical practice (ensuring the treatments work)

26
Q

6 difficulties when assessing best interest

A

Predicting future outcomes
Patients unable to communicate info relevant to them
Conflict between benefits of treatment and patients own ideas
Conflict between doctors viewed and patients views on best interest
Doctors views not reflected same way as patient
Emotional attachment may distort doctors views

27
Q

Black report findings

A

Showed that overall health has improved since introduced welfare state but there is still widespread health in qualities
Main cause of these inequalities is economic inequality

28
Q

Stepped wedge design

A

All groups receive an intervention but at different times

Eg immediately vs day after

29
Q

Ecological study

A

Analyze populations and groups of people rather than individuals

30
Q

Generalizability

A

Degree of which findings of a study can be applied to another external population

31
Q

For market for blood

A

Blood no different from any other tradable product
Increase supply by removing obstacles from donors
Can offer financial rewards to improve donation

32
Q

Against market for blood

A

Represses altruism
Lose sense of community
Subjects medicine to marketplace rules
Increased supply from poor and homeless if commercialized do may increase infection risk