HEP Flashcards
ESSENCE model
Education Stress Management Spirituality Exercise Nutrition Connectedness Environment
SMART goals
Specific Measurable Attractive Realistic Timely
ADEPT
(model of changing habits) Awareness Decision Effort Perseverence Tolerance (of discomfort)
BASK
What health interventions revolve around Behaviour = what they do Attitudes = what they believe Skills = what they can do Knowledge = what they can understand
The Prochaska - di Clemente model of behaviour change
Allostatic load
- Seen in chronic depression and anxiety
- Prolonged stress (activation of SNS) leads to wear-and-tear on the body
- Immune dysregulation
- Poor immune defence
- Increased inflammation - e.g. Inflammatory bowel disease
- Increased activity of allergic reaction
- Atherosclerosis
- Metabolic syndrome
- Central obesity, high blood pressure, high glucose and high lipids)
- Bone demineralization - osteoporosis
- Atrophy of brain neurons in the hippocampus and prefrontal cortex
What percentage of the australian population use CAMs?
65%
what percentage of the australian population did not inform their doctor about their use of cams?
72%
Benefits of cams
- Patients like holistic care
- Can improve rapport if practitioners show interest in patients regime
- Patient may feela s though they have a more active role in treatment
Harms of Cams
- Rejection of conventional therapies
- Lack of regulation
- Misinformation
- Poor training and regulation of alternative practitioners
- False hope
- Potential for exploitation
- Side effects
- Monetary strain
What are the 4 types of CAMS?
(and am example)
- Mind body
- Meditation and mindfulness
- Biological based
- Vitamin supplements
- Diet
- Manipulative / body based
- Acupuncture
- Osteotherapy
- Energy therapies
- Electromagnetic forces
- Biofield therapies like Reiki
Describe difference between CAMS and AMS
Complementary medicines: denotes therapies which are used to complement in conjunction with conventional treatments by:
- Enhancing outcomes
- Minimising side effects and symptoms
- Reducing costs
Alternative medicine: therapies which are used as an alternative or instead of to conventional treatments
- can be unreasonable when traditional medicaiton is rejected
What is the attentive mind
- The brain is efficient and quiet
- Tasks where you must pay attention
WHat is the default mind
- Inattentive, distracted, recalling past, daydreaming, worrying
- Is when the brain is on “autopilot”
- We can’t distinguish between fantasy and reality
- Areas are similar to those affected by Alzheimer’s
- The more time in default brain, the more likely we will have Alzheimer’s
- It is a waste of time.
- Associated with
- Stress, autism, anxiety, depression, ADHD, Schizophrenia, criminal recidivism
What are the 3 regions of the brain associated with compromised default mind ?
- Frontal lobe
- Attention regulation
- Self awareness
- Interoception
- Proprioception
- Metacognition
- Working memory
- Reasoning / decision making
- Emotional regulation
- Appetite regulation
- Impulse control
- Directs immune system
- Limbic systems
- Mesolimbic reward system - appetites
