Lecture 2 Flashcards
Which is better, boomed or alternative med?
As a healthcare professional, neither is better, need to use both to help your client at the end of the day
Other cultures have been using traditional meds for thousands of years so need to be mindful of that
What I biomed based on?
Based on principles of natural sciences:
Biochemistry
Biology
Physiology
Scientific findings through research (e.g., nutrition, exercise, smoking, mental health)
How is biomed diseases treated?
Disease treated through latest technology and medicine
Where is biomed commonly practiced?
In North America/Europe
What is CAM?
Complementary Alternative Medicine
Practices that may go against current research
May be difficult to prove efficacy
“Pseudomedicine”
What are examples of CAM?
Chiropractic Osteopath Massage Meditation Acupuncture Natural health products (NHPs) -Some of these are more common for other people
What do we have to be mindful of as HCPs in terms of CAM?
Some HC people are incorporating these into their care plans
Just because it isnt proven doesn’t mean it doesn’t work
If someone if finind relif and causing no harm can be use along side biomed
Has there been an increase in CAM?
Significant increase over recent decade
What is integrative medicine?
Combination of conventional medicine and CAM
Large trend towards this
“Holistic” approaches becoming extremely popular
In the eyes of some doctors, nutrition may be considered alternative medicine
What does holistic mean?
Holistic: embracing multiple aspects of health
Need to take back the meaning of the word and not disown it
Controversy If scientifically sound
How do cultures interpret health?
Each culture can define health differently
Treatment and definition of illness vary based on:
- Etiology of Illness, how it came about (personal, natural, social, or supernatural)
- Cures that are employed (therapeutic substances, physical forces, or magico-religious interventions)
What is the cultural worldview?
Cultural groups have unique outlooks on life
Vary based on ranking of values
Individuals may have their own spectrum of beliefs congruent or different from their culture’s beliefs
Westernized countries tend to have individualistic worldview
In Western cultures, what does the society value?
Personal control over the environment
Human equality
Youth
Directness/openness
In other cultures, what does the society value?
Fate
Hierarch/rank/status
Elders
Indirectness/ritual ‘face’
What do many cultures /religions belive is the root of illness?
Fate is the primary influence in health and illness
-“Will of God”
Interference not intended by God
What are the 2 main options for intervention when a culture/religion believe sit is fate or god for this illness?
Limited interventions for certain cultural groups
- Belief in reincarnation, afterlife
- Allow natural progression of death
Other cultures may belief in aggressive approach
- DNR viewed as murder
- Death is in God’s hands, therefore there is always hope
What is cultural imposition?
Tendency for health care practitioners to enforce personal beliefs, practices, and values upon clients
Ethnocentric viewpoint
Where biomed and CAM debate starts
What is the main goal of the biomed world view?
Mastery over nature
“Defeat” natural illnesses
Health by numbers
E.g., BMI, blood values, diagnostic tests
What happens when there are symptoms that cannot be linked to diagnosis in the biomes world view?
Symptoms that cannot be linked to diagnosis tend to be dismissed as psychosomatic
Belief in biomedical cause for every condition
-Fate rarely considered
What are the 3 main aspects of the biomed world view?
State of being
- Clients are expected to comply
- Change in lifestyle
- Biomedical emphasis of doing, not being
Role of the individual
- Confidentiality is essential – even from family
- Treatment rarely involves other members
Human Equality
-All patients deserve equal access to care
-Other societies may decide care based on rationality (i.e., chances of survival, age, SES)
Exception: Medical hierarchy
What is the biomed world view on aging?
Value of youthfulness
Goal to post-pone aging through natural and medical interventions (e.g., plastic surgery, Botox)
Other societies value honour and wisdom associated with aging
What is the biomed world view on time?
“What can be done today so the client will be better tomorrow”
Lateness is frowned upon – unless it’s from the healthcare professional
What is the biomed world view on formality/directness?
Limited small talk, to the point
Expectation of honestly, open communication to increase ability to diagnose and treat
What is the biomed world view on materialism?
Clinical significance dominates - social or emotional issues addressed by other professionals
-refer to different areas
Mind-body duality, rather than the whole (both separated vs connected)
What is the WHO definition of health?
“A state of complete physical, mental, and social well-being, not merely an absence of disease or infirmity”
Ignores natural, spiritual, and supernatural dimensions of health
How can ones health have an impact on others?
One’s health and its impact on others
- Fear of burdening children
- Pain is not masculine or for the weak
May change based on SES
-Low SES may “deal with it” in order to make ends meet
What are the characteristics associated with being healthy?
Weight maintenance Hair sheen Skin colour (i.e., pallor) Menstruation (pre-menopause) Regular BM Normotensive Motor skills Energized/Good sleep habits Infrequent colds/illness
How does health attributes vary form culture to culture?
In North American societies, “healthy” hair is clean, free of dandruff, and soft
In other societies, oily hair and dandruff are normal and not an indication of poor health
North American societies view pregnancy as a medical condition, warranting regular doctors appointments and exams
Other societies have limited prenatal care
What is the thin ideal?
Westernized countries prefer thinness, although this is changing
Other cultures believe thinness is an indication of sickness/disease
Views may change based on geographical relocation