Lecture 1 Flashcards
BPSS Model
Much disease is somaticized symptoms coming from a mental distress, influenced by biological, psychological, social, and spiritual issues, should treat patients to address those issues
physician role: medical model
take care of physical issues with medication and diagnosis
physician role: public health model
eliminate addiction, obesity, alcoholism, smoking
physican role: social determinants of health
loneliness, redistribution of wealth, meaningful work, income, safe happy children, empowering women
disease (BPSS way)
Diseases are experienced not just physically but mentally and emotionally on a personal and social level. People need to have a meaning or explanation as to why they are sick in all parts of BPSS
WHO definition of health
-a state of physical, social, and mental well-being, measured by their ability to cope with everyday activities, fully function in society emotionally and socially
disease- definition
manifestation of impaired bodily functions. Type of organ damage, functional impairment, underlying etiological process
sickness- definition
behaviors manifested by an individual who feels ill or believe that he or she is ill, can feel sick without a disease
illness- definition
the totality of the patients experience, how they feel, behave, perceives of their condition, how others respond to them
direct risk
dangerous practices (reckless driving, smoking, environmental toxins)
indirect risk
lower risk practices or prevention failures (high fat, not exercising)
Primary prevention
Primary prevention involves practices to protect, promote, and maintain health
secondary prevention
secondary prevention involves immunization, medical surveillance, harm reduction, and health screening to buffer impact of risk factors
integrated sciences model
All psychological and biological phenomenal are viewed as interdependent and functionally interactive. Individual viewed as a complex integrated system of many interacting variables under biological, behavioral, sociocultural, and environmental factors. Any challenge to the homeostasis between those five things is stress
informed consent
Open communication process between the patient and physician that results in the patient approving or not approving a medical intervention or course of action
transference
beliefs, expectations and perceptions from a previous relationships that influence current life experience
countertransference
inapprop rxns the physician has to a patient. If the physician cant be objective about their patients then care is compromised
rapport
State of mutual confidence and respect between two people.
open ended qs
signals interest in the patient, lets the patient open up and say what is really wrong, max info in min time.
closed ended qs
prompt specific responses and gets specific details
focused qs
narrow area to be explored but gives patients latitude in answering, clarification
potential errors in clinical decision making
- provider’s theoretical and personal biases
- diagnosis by formula
- optimism/pessimism
- too many hypotheses
- oversimplification
- reorganizing the abnormal
- provider-patient interactions
- mistaking correlation for causation
