Lecture 17

Question 1

What is health

Answer 1

the state of complete physical, mental and social well-being

Question 2

What is illness

Answer 2

subjective phenomenon
includes both physical and social state
it is the response of the person to a disease; an abnormal process in which the person’s level of functioning is change

Question 3

What is disease

Answer 3

the altered or abnormal functioning of the body
medical term for pathological change in the structure or function of the body or mind

Question 4

What is sickness or the sick role

Answer 4

excused from social/ normal responsibilities
result o f disease of illness
seeks advice and permission from a ‘scientific’ source

Question 5

What are the different illness phases a patient experiences

Answer 5

suchmans’ model
1. symptom experience
2. assumption of sick role
3. medical care contact
4. dependent patient
5. recovery/rehab

Question 6

What happens during the symptoms experience phase

Answer 6

initial stage of illness
something is wrong or not normal
physical experience, cognitive aspects, emotional response
varies from person to person

Question 7

What occurs during the assumption of the sick role

Answer 7

individual makes decision
seek information, advice and relief
sick individual follows advice of lay referral system

Question 8

What occurs during the medical care contact phase

Answer 8

professional within the healthcare system with make an authoritative definition or diagnosis of condition and propose treatment
*may continue with dissatisfaction

Question 9

What happens during the dependent patient phase

Answer 9

decision to transfer control and accept the prescribed treatment
sick individual now becomes patient

Question 10

What occurs during the recovery and rehab phase

Answer 10

decision to relinquish patient role
easier in comparison to decisions at other stage
healthcare provider and lay caregivers withdraw legitimization
acceptance of condition

Question 11

What cultural factors influence health and illness

Answer 11

what qualifies as an illness to that culture

Question 12

What contextual factors influence health

Answer 12

economic factors such as health insurance
social factors
pharmaceutical companies role in direct-to-consumer advertising

Question 13

What influences symptom interpretations

Answer 13

awareness of health literature
personal health experiences
religious beliefs
family and social contacts
cultural expectations
self-learning efforts

Question 14

How does a patient think of illness

Answer 14

identity: label patient places on the disease
cause: perception of how they got disease
timeline: sense of how long it will last
consequences: expectation of outcome
cure/control: how can it be controlled or cured

Question 15

What are the different models of care in the patient-provider relationship

Answer 15

Szasz and hollender’s model of care
the consumer model of care
patient-centered model of care
biopsychosocial model of care

Question 16

What are the parts of the szasz and hollender model of care

Answer 16

Activity and passivity model
Guidance-cooperation model
Mutual participation model

Question 17

What is the activity-passivity model

Answer 17

active practitioner and passive patient
little to none interpersonal communication is used
used in emergency situations
similar to a parent and infant relationship

Question 18

What is the guidance-cooperation model

Answer 18

patient is capable of interpersonal communication
patient can perform independent action but still requires professional attention
like a parent and adolescent relationship

Question 19

What is the mutual participation model

Answer 19

patient and practitioner are both powerful and interdependent
practitioner has medical expertise and patient has personal experience
patients with chronic diseases
like a adult to adult relationship

Question 20

What is the consumer model of care

Answer 20

patient autonomy in decision making
emphasizes patients’ right
patient is informed and skeptical buyer of medical care
providers are sellers who respond to the needs of patient

Question 21

What is the patient-centered model of care

Answer 21

focus on the whole person versus the body
practitioner views illness through the patient’s ideas, feelings, expectations and how it is effecting their daily life

Question 22

What is the biopsychosocial model of care

Answer 22

focus on chronic diseases being the major killer
considers psychosocial issues such as poverty, environment, stress, diet, etc

Question 23

What is the pharmacist’s role in patient treatment decisions

Answer 23

the use of self-care
help decide what is “doctorable”
role to initiate consultations

Question 24

What are the 4 types of medication taking bahaviors

Answer 24

passive acceptors
active acceptors
active modifiers
rejectors

Question 25

What are passive acceptors

Answer 25

take the medication without questions

Question 26

what are active acceptors

Answer 26

evaluates medications to address their specific worries and concerns

Question 27

what are active modifiers

Answer 27

actively modify their regimen

Question 28

what are rejectors

Answer 28

do not accept the medication in the first place or stop taking med all together