Lecture 1

Question 1

BPSS Model

Answer 1

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

Question 2

physician role: medical model

Answer 2

take care of physical issues with medication and diagnosis

Question 3

physician role: public health model

Answer 3

eliminate addiction, obesity, alcoholism, smoking

Question 4

physican role: social determinants of health

Answer 4

loneliness, redistribution of wealth, meaningful work, income, safe happy children, empowering women

Question 5

disease (BPSS way)

Answer 5

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

Question 6

WHO definition of health

Answer 6

-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

Question 7

disease- definition

Answer 7

manifestation of impaired bodily functions. Type of organ damage, functional impairment, underlying etiological process

Question 8

sickness- definition

Answer 8

behaviors manifested by an individual who feels ill or believe that he or she is ill, can feel sick without a disease

Question 9

illness- definition

Answer 9

the totality of the patients experience, how they feel, behave, perceives of their condition, how others respond to them

Question 10

direct risk

Answer 10

dangerous practices (reckless driving, smoking, environmental toxins)

Question 11

indirect risk

Answer 11

lower risk practices or prevention failures (high fat, not exercising)

Question 12

Primary prevention

Answer 12

Primary prevention involves practices to protect, promote, and maintain health

Question 13

secondary prevention

Answer 13

secondary prevention involves immunization, medical surveillance, harm reduction, and health screening to buffer impact of risk factors

Question 14

integrated sciences model

Answer 14

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

Question 15

informed consent

Answer 15

Open communication process between the patient and physician that results in the patient approving or not approving a medical intervention or course of action

Question 16

transference

Answer 16

beliefs, expectations and perceptions from a previous relationships that influence current life experience

Question 17

countertransference

Answer 17

inapprop rxns the physician has to a patient. If the physician cant be objective about their patients then care is compromised

Question 18

rapport

Answer 18

State of mutual confidence and respect between two people.

Question 19

open ended qs

Answer 19

signals interest in the patient, lets the patient open up and say what is really wrong, max info in min time.

Question 20

closed ended qs

Answer 20

prompt specific responses and gets specific details

Question 21

focused qs

Answer 21

narrow area to be explored but gives patients latitude in answering, clarification

Question 22

potential errors in clinical decision making

Answer 22

1. provider’s theoretical and personal biases
2. diagnosis by formula
3. optimism/pessimism
4. too many hypotheses
5. oversimplification
6. reorganizing the abnormal
7. provider-patient interactions
8. mistaking correlation for causation