HEP lesson 1.2 Flashcards
Biomedical approach
chinese era
hippocrates
500 bc - pindar
chinese era
people disturb natural order
hippocrates
health = equilibrium
help nature with medications to re establish equilibirum
500 BC - pindar
harmonic organ functioning
eliminate harmful agent
philosophical and mental hygienic approach
plato
democritus
industrial revolution
philosophical
andrija stampar 1948
1984
PLATO
health as internal harmony
highest moral behavior and philosophical meaning of life
democritus
health = human behavior
PRAY TO GOD we become healthier
divine intervention
industrial revolution
health = ability of a person to adjust to the requirements & environmental influences that he/she could bear
philosophical approach
health as an individual’s maximal capacity for self realization and self achievement
internal strength and capacities sense of satisfaction or dissatisfaction
andrija stampar 1948
complete physical, mental, and social well being
not merely absence of diseases or infirmity
1984
it is a right of a person to have the ability to lead a socially & economically productive life
health is influenced by factors outside the domain of the health sector: social, economic, political
aaron antonovsky
critiqued earlier WHO definition
miller’s theory of life systems hierarchy
individual is a complex system composed of a higher system such as family, local community, global social, and ecological system
internal smaller subcomponents like molecules, cells –> more complex systems like cv and reproductive
health requires processes that maintain dynamic equilibrium
exogenous determinants of health
physical/social envi, lifestyle
endogenous determinants of health
hereditary and acquired
health promotion
enabling people to take control over their health and its determinants
wellness
active process where people become aware of a more successful existence
sense of living that permits experience of consistent balanced growth
reach max potential
8 dimensions of wellness
environmental
emotional
financial
social
spiritual
occupational
physical
intellectual
health-illness continuum
left side: pre mature death, disability,symptoms, signs
right side: awareness, education, growth, high level wellness
john travis 1972
demonic/punitive theory
disease = femons
miasma
product of environmental factors
everything comes from envi in form of miasma whichis a poisonous vapor or mist
germy theory
every disease cased by identifiable agent
multicausality theory
complex development
disease agent, human host, environment
epidemic
more cases of a particular disease than expected in a given area
epidemiologic triangle
agent, envi, host
natural history of disease timeline
susceptibility: exposure to accumulation of factors
subclinical disease: asymptomatic
clinical disease: once person gets diagnosed
recovery, disability or death
infectivity
proportion of exposed persons who become infected
pathogenicity
proportion of infected individuals who develop clinically apparent disease
virulence
proportion of clinically apparent cases that are severe or fatal
virulence
proportion of clinically apparent cases that are severe or fatal
reservoir
habitat in which agent normally lives, grows
direct portal of entry
direct contact
droplet spread
indirect portal of entry
airborne
vehicles
vectors (mosquitos, fleas, ticks)
stages of illness
symptom experience
assumption of sick role
medical care contact
dependent patient role
recovery/rehab
non communicable disease
not passed from person to person
communicable
direct or indirect transmission
kubler-ross grief cycle
denial
anger
bargaining
depression
acceptance
sf-36
36 qs, 8 dmoains of health
physical functioning
role physical
bodily pain
general health
vitality
social functioning
role emotional
mental health
whoqol
domains: physical, psychological, social, enviornment
sickness impact
136 yes/no qs (12 general categories)
