Intro to Behavioral Medicine Flashcards
(39 cards)
Accountable Care Model
- Pay healthcare providers to work together
2. Reduce unnecessary illnesses and costs
What are the five diagnoses Carilion is focusing on to help reduce admissions?
Diabetes, asthma, chronic obstructive pulmonary disease, mild congestive heart failure, and hypertension.
Carilion is
How is Carilion working to reduce unnecessary hospital admissions?
- Providing better outpatient care to pt with chronic conditions
- Focusing on education and prevention through pt lifestyle changes
What percent of the adult population has diabetes?
As of 2014, 12% of the population has diabetes. This number is on the rise.
What percentage of adults and children have asthma?
Adults: 7%
Children: 8%
What population is most affected by COPD?
- Adults in nursing homes (11%)
2. Noninstitutionalized adults with chronic bronchitis (4%)
What percentage of adults 18 and older have heart disease?
11%
What percentage of adults 65 and older have heart disease?
30%
What percentage of the population has hypertension?
32% of adults 20 and over
Is cigarette smoking on the rise?
Cigarette smoking is declining, while e-cigeratte smoking is on the rise. The highest usage of e-cigarette smoking is high school aged children.
What percentage of the population exercises regularly?
20%
What is considered an obese BMI? What percentage of the adult and youth population is obese?
Greater than or = to 30. 35% of adults and 17% of youth are considered obese. These numbers are on the rise.
What percentage of the population is considered overweight and obese?
68%, this number is on the rise.
What is considered an overweight BMI?
Greater than or equal to 25, less than 30.
What is the definition of behavioral medicine?
A field concerned with the development of behavioral science knowledge and techniques relevant to the understanding of physical health and illness, and the APPLICATION of this knowledge and techniques to prevent illness, diagnose, treat, and rehabilitate patients.
What two fields combined to create behavioral medicine?
Psychology and medicine
Describe how shamans in the “distant past” approached medicine?
- No distinction between mind and body or enviornment
- Tx: behavioral changes, diet changed, altered states, herbs, surgeries, manipulation of physical and social environments
Describe how medicine was approached during the 15th-12th centuries BC?
- Belief that everyone is entitled to health if they live moderately
- Illness treated by praying at temple
When was medical knowledge first formalized?
During the development of western civilization.
Describe how medicine was approached during the 12th-5th centuries BC.
- Physicians are educated males (priests, philosophers, scholars, physicians)
- Science plays a small role
- Illness treated with surgery, medication, rest, music, massage, and interpretation of dreams.
Name two important man involved in the development of medicine during the 5th century BC to 5th century AD. Describe how they influenced their time.
- Hippocrates:
- Eliminates reliance on supernatural
- Promotes environmental, psychological and biological understanding of Dx and Tx
- Creates systematic/scientific methods to approach clinical care - Aristotle:
- Study of psychology grows from his advancements
- Believes body and soul are connected through temperament and influence each other
- Studies animals and applies concepts to humans
Who is the first “physician” in the modern sense of the word?
Hippocrates
Describe medicine in the dark ages.
The Catholic Church is a major political force; creates idea that body and behavior are not connected.
Research/medicine limited to treating illnesses of the body ONLY.
How did Decartes influence the 17th century AD?
He believed that soul and behavior were domains of God; that medical matters of illness were scientific and contained in the body. The view as a body being a “machine” is created. Large separation between mind and body.