Health & Wellbeing Flashcards
What is the negative definition of health and wellbeing?
The absence of physical illness, disease and mental distress
What is the positive definition of health and wellbeing?
The achievement and maintenance of physical fitness and mental stability
What is the holistic view of health and wellbeing?
The result of a combination of physical, intellectual, emotional and social factors
What factors can affect health?
- exercise and diet
- substance misuse
- unprotected sex
- genetically inherited diseases
- preventing illness and risk management
- personal hygiene
- economic factors
- social factors
- environmental factors
How can exercise affect health?
- joints, bones and muscles
- circulatory system
- respiratory system
- weight
- wellbeing
How can exercise affect joints, muscles and bones?
- flexibility
- mobility
- strength and stamina
- bone growth
How can exercise affect the circulatory system?
- changes blood pressure, makes body need to meet demand, so can cope in the future
- hypertension due to a lack of exercise
- heart disease when there’s a buildup on artery walls
How can exercise affect the respiratory system?
- vigorous exercise improves lung function
* lack of exercise leads to loss of lung volume
How can exercise help control weight?
- exercise uses energy - otherwise the food is stored as fat
- obese - at risk of heart disease, hypertension
- diabetes - too much sugar in blood, do not produce enough insulin, can damage eyes, nerves and kidneys
How does exercise differ in the different life stages?
Infancy & Childhood - active during play
Adolescence - require stress exercise to improve bone growth
Adulthood - work and family reduce exercise
Later adulthood - reduce in strength and mobility increases risk
How can exercise affect intellectual development?
- improve concentration
* learn skills and rules of games
How can exercise affect emotional wellbeing?
- enjoyable
- improved self esteem
- feeling content
- sense of achievement
- improved body image
How can exercise affect social wellbeing?
Wider social circle
What are the two groups of chemicals found in food?
- macro - large (g)
* micro - small (mg)
What are the macronutrients?
- protein
- carbohydrates
- fat
What does protein help with?
- growth of muscle
- tissue repair
- secondary source of energy
What do carbohydrates do?
Release energy
What are the types of carbohydrates?
- starch - slow releasing energy
* sugar - fast releasing energy
What does fat help with?
- insulation
* protects body from knocks
What are high biological value proteins (HBVs)?
- from animal sources - meat, fish, dairy
- complete
- contain full dose of essential amino acids
What are low biological value proteins (LBVs)?
- from vegetable sources - beans, nuts, seeds
* incomplete, missing one or more essential amino acids
What are complimentary proteins?
When two LBV proteins are eaten together to provide better quality proteins
What are the micronutrients?
- vitamins
* minerals
Are some vitamins water soluble?
Yes - they are more sensitive to cooking so are lost more quickly, need to be eaten every day
Which vitamins are water soluble?
B and C
Which vitamins are fat soluble?
A, D, E and K - can be stored in the body
What are some minerals needed by the body?
- calcium - from dairy, strong bones
* iron - development of haemoglobin
What does vitamin B do?
Releases energy and maintains nerve endings
What does vitamin C do?
Fight disease
What can obesity lead to?
- type 2 diabetes
- heart disease
- high cholesterol
- strained joints
How does diet affect health during infancy?
- from birth - breast milk containing components needed to enable growth
- weaned off milk only to some solid foods aswell
How does diet affect health during childhood?
- only like narrow range of foods
- growing so need nutrients
- obesity in childhood means it’s harder to control weight later on
How does diet affect health during adolescence?
- continue to grow so need a protein rich diet
- need more of each component
- after puberty girls need more iron than boys
- worry about body image = inadequate diet
How does diet affect health during adulthood?
- less active so food energy requirements decrease but people eat the same so gain weight
- pregnant women need extra vitamins and minerals but not fats and carbs
- overweight adults - less mobile, require less energy
- diets are not the best way to lose weight
How does diet affect health during later adulthood?
- have smaller appetites
- less elastic stomachs mean less food intake
- become less active so do not lose a lot of weight
- mobility problems - gain weight
What are some substances that are misused?
- tobacco
- alcohol
- solvents
- illegal drugs
- legal drugs
What affect does tobacco have on health?
- illnesses like bronchitis
- cancer - mouth, throat, lung
- increase risk of stillborns
- wrinkled skin
- increase risk of hypertension
- addiction
What is binge drinking?
- when someone drinks more than recommended on a particular occasion
- after heavy drinking shouldn’t drink for 48 hours
What are the ways that alcohol can be misused?
- binge drinking
* alcoholism
What is alcoholism?
- addiction to alcohol
- typically concealed
- causes drunkenness - more likely to have an accident
- can damage liver long term
What effects can alcoholism have on health?
- cirrhosis - liver damage
- mouth and throat cancer
- damage to nerve cells
- addiction
What effects can solvent misuse have on health?
- cause dizziness when breathed in, leading to accidents
* cause death by stopping heart, liver disease and lung damage
What are some solvents that can misused?
- cigarette lighter fuel
- glues
- aerosols
What effects can illegal drugs have on health?
- cannabis - risk factor for cancers
- ecstasy - brain damage
- cocaine - depression
What illegal drugs are there?
- ecstasy
- cannabis
- heroine
- cocaine
What effects can legal drug misuse have on health?
- prescription drugs - people become addicted without realising
- long term can cause kidney failure
Substance misuse in infancy and childhood?
- rare
* effects of having parents who misuse substances can be severe - neglect and physical abuse
Substance misuse in adolescence?
- many drink alcohol
- common to try smoking and illegal drugs
- peer pressure
Substance misuse in adulthood?
- misuse from adolescence continued
- might be addicted
- some reduce their misuse
Substance misuse in later adulthood?
- more likely to become ill
- more risk of misusing substances
- feeling anxious about not having the drug
What are some STIs that can affect health?
- HIV
- gonorrhoea
- chlamydia
- herpes
- genital warts
Symptoms of HIV?
- virus
- at first fever like symptoms
- after 10 years - AIDS which damages immune system and can cause cancer, pneumonia and eventually death
Symptoms of Gonorrhoea?
- bacteria
- not present at first
- pain when urinating
- discharge from penis/vagina, pelvic inflammatory disease, infertility in women
Symptoms of herpes?
- virus
- often without symptoms
- blisters or sores in genital area
Symptoms of chlamydia?
- bacteria
- often without symptoms
- later pelvic inflammatory disease, possible infertility in women
Symptoms of genital warts?
- virus
- symptoms not present at first
- warts appear later and can itch
Treatment for HIV?
- no cure
* antiretroviral drugs control infection, preventing AIDS
Treatment for gonorrhoea?
• antibiotic drugs cure infection
Treatment for chlamydia?
• antibiotic drugs cure the infection
Treatment for herpes?
- no cure for infection
* antiviral drugs reduce symptoms
Treatment for genital warts?
- no cure
- immunisation can prevent infection
- warts can be removed
Which genetic disorders can affect health?
- Down’s syndrome
- Huntington’s disease
- PKU
- colour blindness
- haemophilia
What are the main features of Down’s syndrome?
- reduced intelligence
- small mouth with tongue that may stick out
- flat back of head
- palm may only have one crease on it
- eyes that slant upwards and outwards
What are the main features of Huntington’s disease?
- nerve cell death
- lack of emotions
- difficulty concentrating
What are the main features of PKU?
- toxin in the blood
- behavioural difficulties e.g. tantrums or self harm
- fairer skin and hair
- eczema
What are the main features of colour blindness?
- difficulty in telling colours apart
* inability to see shades of the same colour
What are the main features of haemophilia?
- failure of blood to clot
- blood in urine and stools
- deep bruises
- bleeding gums
- nosebleeds
- joint pain
What is the cause of Down’s syndrome?
One extra chromosome
What is the cause of Huntington’s disease?
One faulty dominant gene
What is the cause of PKU?
Two faulty recessive genes
What is the cause of colour blindness?
- two faulty recessive genes in females
* one faulty recessive gene in males
What is the cause of haemophilia?
One faulty recessive gene in males
Effects of Down’s syndrome on health and wellbeing?
Reduced school achievement
Effects of Huntington’s disease on health and wellbeing?
Forgetfulness, clumsiness, loss of motor control, personality change
Effects of PKU on health and wellbeing?
Damage to organs e.g. Brain
Effects of colour blindness on health and wellbeing?
Some problems with vision
Effects of haemophilia on health and wellbeing?
Loss of blood, anaemia, internal bleeding
Treatment for Down’s syndrome?
Special education
Treatment for Huntington’s disease?
Drugs to reduce symptoms
Treatment for PKU?
Low protein diet and amino acid supplement
Treatment for colour blindness?
Tinted lenses
Treatment for haemophilia?
Regular injections of clotting factor
What is health monitoring?
Checking a persons health regularly
How do screening and monitoring differ?
Monitoring has no particular target population
Who is health monitoring used for?
People already ill, at risk of illness or are recovering
Methods of health monitoring?
- temperature
- pulse rate
- blood pressure
- peak flow
- sugar levels
- weight
- height
- BMI
What is the normal human body temperature?
37*C
What happens when human body temperature drops 5 degrees?
- hypothermia - need to be warmed up
* confusion, loss of consciousness and can die
What happens when human body temperature is 1-2 degrees higher than it should be?
• fever - when the immune system is fighting infection
When is blood pressure measured?
When a person is released and at rest
What is the higher blood pressure reading?
Systolic pressure - the moment the heart pumps blood out as a pulse
What is the lower blood pressure reading?
Diastolic pressure - pressure between pulses
What is the average systolic pressure?
120mmHg
What is the average diastolic pressure?
80mmHg
How is blood pressure taken?
- inflated cuff wraps around a person’s arm at rest
- cuff stops blood flow to arm
- air pressure inside cuff is measured by a column of mercury - air is gradually let out the cuff until pressure is low enough to allow a pulse
- listen to pulse with stethoscope and read of systolic pressure in mmHg
- let more air out of cuff until there’s no sound of a pulse in the arm
- read off diastolic pressure in mmHg
What is a pulse?
Every time the heart pumps out blood there’s a brief increase in pressure
How is pulse rate measured?
- resting pulse rate - place 2 fingers on skin above artery in neck or wrist
- count number of pulses over 30 seconds and double it
OR
• stress test - exercises that encourage heart to work faster
OR
• recovery pulse rate
What is a normal pulse rate for a healthy adult?
60-80bpm
What does it mean if someone has a high pulse rate for their age?
- unfit
* may have heart disease
What is resting heart rate?
When pulse rate is measured at rest
What does peak flow measure?
How well the respiratory system is working - the maximum rate which a person can blow air out of their lungs
What is peak flow measured using?
A peak flow meter
What are the average peak flow rates for adults?
- 630dm3 in men
* 470dm3 in women
How is peak flow measured?
- meter is set to zero
- person takes a deep breath and blows into cardboard tube as hard as they can
- reader gives a reading in litres per minute
- do it 3 times
- highest score is the peak flow
What can a blood sugar test show?
Whether a person has diabetes or not
How are blood sugar tests taken?
- a blood sample is taken and sent to a lab for analysis
* small electronic blood sugar monitors are available which give an instant result by pricking a finger
What does BMI indicate?
How healthy a person might be
What does it mean if someone has a high BMI?
They are overweight at greater risk of disease
How is BMI calculated?
Weight divided by the square of their height
How is a digital blood pressure monitor used?
- put the cuff on her upper arm or wrist whilst at rest
- press start button
- cuff inflates which will stop blood flow
- record systolic pressure
- cuff will deflate to release pressure
- record diastolic pressure
What can blood pressure readings indicate?
- normal range - healthy
- high - risk of heart attack, may have circulatory disease
- low - faint or dizzy but not life threatening
How are blood samples taken?
- vein is on inside of elbow or wrist
- tight band placed around upper arm so vein fills with blood
- skin cleaned and needle inserted into vein
- needle connected to syringe
- band undone, blood is taken and needle removed
How are self samples of blood taken?
small electronic blood monitors are available which give an instant result by pricking a finger
What is risk management?
Reducing danger to workers and public
What do risk assessments include?
Identifying hazards, who may be harmed, how much risk is present, and how they can be prevented
How does risk management affect health and wellbeing? (PIES)
P - enables people to take part in activities that may improve health
I - people think more deeply about what they want to achieve
E - people can go out and do adventurous things
S - requires people to work together and protect each other
What is health promotion?
Educating people about risks to health and how to live a healthy lifestyle
How is health promotion achieved?
Education in schools about diet and health and campaigns using posters, websites and TV adverts
Why is health promotion ineffective at illness prevention?
- people with risky lifestyles may ignore health promotion
- people may not believe the information
- people think it interferes with their freedom
What are the most effective forms of illness prevention?
Taxation and legislation e.g. increased taxes on alcohol and tobacco
What can personal hygiene reduce?
Spread of infection
How can poor personal hygiene affect health and wellbeing? (PIES)
P - lead to risk of infection
I - no effects
E - lack confidence and low self esteem
S - socially isolated if people are repelled by smell
Personal hygiene during infancy?
- cannot control excretion - nappy changes
* kept away from dirt to reduce risk of infection but not too clean, of they will have a weaker immune system
Personal hygiene during childhood?
- only have poor hygiene if neglected by parents
* can go to toilet by themselves
Personal hygiene during adolescence?
- armpit leads to increased BO
* hygiene practices are more important as they want to be physically attractive
Personal hygiene during adulthood?
• continue hygiene practices established in adolescence
Personal hygiene during later adulthood?
- become more difficult with decreased mobility
* memory loss - forget to wash
What do economic factors include?
- financial resources
- work
- poverty
- unemployment
Why do adequate financial resources help people to stay healthy?
- pay for food - enough to eat, balanced diet
- maintain good hygiene
- housing is safe
- leisure activities provide exercise
What are the effects of poverty on health and wellbeing? (PIES)
P - poor diet and lack of exercise
I - poor children won’t afford educational aids like books
E - money worry causes stress and anxiety, low self esteem
S - can’t afford social events
Are there links between poverty and ill health?
- people in poverty have much worse health and short life expectancy
- babies born to poor families have lower birth weights
- people with poor health - too ill to work, less income
- people with less education - don’t know about balanced diet or health risks
- so poor turn to risk behaviour e.g. drugs
What social factors can affect health?
- education
- leisure
- relationships
- social isolation
- stress
How can education affect health and wellbeing? (PIES)
P - learn ways to improve health e.g. learn about a balanced diet
I - can be stimulating and benefiting, or boring
E - improve self esteem and sense of achievement - finding out you’re good at something improves self concept
S - brings people in contact with peers
How can leisure activity affect health and wellbeing? (PIES)
P - provides time for people to exercise
I - follow interests that are intellectually demanding
E - break from stress
S - spend time with family and friends
How can supportive relationships affect health and wellbeing?
- physical contact is pleasurable for people of any age
- self esteem increases when people like you
- being with others is stimulating
- relationships give a feeling of security
What are the negative effects of social isolation?
- lack of support from others
- lack of protection
- decline in hygiene, diet and self care
- loneliness
What are some ways that social isolation can occur?
- mental disorders
- hospitalisation
- imprisonment
- loss of family member
How can stress affect health and wellbeing? (PIES)
P - raise blood pressure in the long term, disturbed sleep, tiredness, headaches, loss of appetite
I - reduce concentration
E - irritable, anxiety and depression
S - strain on relationships, people are less able to treat others well
What environmental factors can affect health?
- housing
* pollution
When is housing inadequate?
If it is:
- dirty
- damp
- unsafe power supply
- no heating or hot water
- overcrowded
- infested with vermin
- not fitted with safety equipment e.g. fire alarms
What are some negative effects of inadequate housing on health and wellbeing? (PIES)
P - risk of fire, electrocution, carbon monoxide poisoning and falls
I - not enough space for children to study or play
E - lack of privacy, stress = low self esteem
S - people may not want to invite friends round
What does environmental pollution include?
- poor air quality
- water pollution
- noise pollution
- radioactivity
- vermin
What is the main source of radioactivity?
Rocks
What are some negative effects of environmental pollution on health and wellbeing? (PIES)
P - lack of sleep due to noise, respiratory illness due to pollution, disease spread by vermin
I - worry and lack of sleep reduce concentration
E - noise and vermin can cause anxiety and irritability
S - disputes with noisy neighbours reduces social contact
What are the ways of preventing illness?
- immunisation
- screening
- health monitoring
- safety and risk management
- health promotion
What is screening?
Where all the members of an at-risk population are checked to see whether they have a disease
Examples of health screening?
- heel-prick test for PKU
- breast cancer screening
- cervical cancer screening - smear test
Preventing illness and managing risk in infancy?
- 2 weeks - heel prick test for PKU
- 2-4 months - DTP-Polio-Hib vaccine given
- MMR at 9, 12 and 15 months
Preventing illness and managing risk in childhood?
- booster MMR vaccination
- children with asthma monitor own health using a peak flow monitor
- schools assess risk for activities
Preventing illness and managing risk in adolescence?
- at 12 girls are vaccinated against HPV (an STI)
- schools and sports clubs have to assess and manage risks
- receive education about lifestyle and health
Preventing illness and managing risk in adulthood?
- women screened for cervical cancer
- pregnant women have blood pressure checked
- people travelling to foreign countries are vaccinated
- workplaces have to assess and manage risks for employees
Preventing illness and managing risk in later adulthood?
- screening for bowel cancer
- some GP practices offer regular health checks
- residential homes have to assess and manage risks
Positive effects of work on health and well being?
P - requires physical activities which helps to maintain fitness. requires a good standard of hygiene
I - stimulating
E - doing a worthwhile job increases self-esteem
S - involve social contact (customers, colleagues) and so increases social circe
Negative effects of unemployment on health and well being?
P - less active, less motivated to maintain personal hygiene
I - unstimulating, boredom
E - lower self-esteem
S - social isolation
How can supportive relationships increase well being?
- physical contact (cuddling) is pleasurable
- self-esteem increased knowing people like you
- being with others is interesting and stimulating
- relationships provide security
Relationships in infancy?
- parents feed, clean and protect infant
- attachment - feeling of safety
- neglect
Relationships in childhood?
- self-esteem affected by attention and approval from parents
- parents have troubled relationship = reduce child’s self-esteem and feeling of safety
Relationships in adolescence?
- rely on parents for food, clothes and protection
- peers become more important
- peer pressure
Relationships in adulthood?
- long-lasting romantic relationships and employment give sources for social support
- bad romantic relationships lead to anxiety, depression, stress
- not in a relationship, employed - social isolation
Relationships in later adulthood?
- fewer relationships - social isolation
- death of partner
- lose mobility