Health, Illness and Disease Flashcards

1
Q

Definition of health

A

State of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity

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2
Q

Definition of chronic illness

A

Long/lifetime duration that needs long term care

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3
Q

What is the WHO definition of health

What are the current criticisms of this definition

A

State of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity

Is complete wellbeing possible?
-demographic shifts and increase in chronic illnesses

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4
Q

What 5 factors can be involved in health

A

Definitions vary by nationality, culture, social class, age

  • absence of illness
  • whether it disrupts our ability to function day to day
  • fitness, wellbeing
  • willpower, self discipline, self control
  • moral duty
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5
Q

What is the difference between disease and illness

A

Disease
-Alteration in biological functioning

Illness
-Innately human experiences of symptoms and suffering

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6
Q

Can you have disease without illness?

Give and example

A

Early stage cancer

  • asymptomatic
  • normal symptoms/ordinary

Symptoms not perceived as illness/serious

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7
Q

Can you have illness without disease

A

Medically unexplained symptoms
-CFS, myalgic encephalopathy

Distress experienced but biological origin is unknown

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8
Q

What is chronic illness and why is it a concern

Describe the current prevalence of chronic illness

A

Long/lifetime duration that needs long term care

Major cause of mortality in high income states, increasing in middle and low income states

Changing demographics => increase in elderly => increase in prevalence

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9
Q

What is the role of the doctor in chronic illness if it can’t be cured

A

Help people manage their chronic illness

Help people prevent chronic illness from getting worse

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10
Q

How would you help stop chronic illnesses from developing/getting worse

A

Address individual behaviours
Address environment, make it conducive for preventing chronic illness
Address population level behaviours

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11
Q

What are the effects of living with a chronic condition

A

Managing symptoms, medical treatment

Daily practicalities

Work and finances

Social relationships

Psychological consequences

Existential

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12
Q

What are some common perceptions of chronic conditions and treatments
-why are some people non adherent to treatment

A

Not seen as an illness so doesnt need to be treated

Affordability of treatment

Dislike of side effects

Aim to treat underlying causes instead (stress)

Asymptomatic

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13
Q

Describe the medical model of impairment and disability

A

Impairment
-loss/abnormality of psychological, physiological, anatomical function

Disability
-any restriction/lack of ability to peform an activity in the manner/within the range of activity considered normal for a human

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14
Q

Describe the social model of impairment and disability

What are the solutions to the problems raised in the social model’s definition

A

Impairment and disability
-disabled by environment and negative attitudes in society

AIMS TO PROMOTE EQUALITY WHEN BARRIERS ARE REMOVED

Change laws, policies and attitudes

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15
Q

What is health related quality of life

A

Considers the impact of disease and the impact of treating the disease on social, physical, mental and emotional functioning

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16
Q

How would you measure a health related quality of life

A

Effects of disease observed/measured

Measures patient’s subjective experience of illness

  • before and after treatment
  • over course of chronic condition

Assessed with questionnaire

17
Q

How would you use the data gained from health related quality of life measures

  • investigations
  • population level
  • economic level
A

RCTs
-subjective assessment of if treatment affects outcomes important to the patient

Population surveillance
-does QOL change over time

Health economic analysis
-costs and benefits from patient and societal perspective