Lecture 8

Question 1

what is the main focus of doctors?

Answer 1

repairing/curing disease-induced damage to the body (rather than preventing)

Question 2

primary prevention

Answer 2

services the doctor can provide or prescriber to provide confirmation of a problem (like a mammogram for breast cancer or pap tests)

Question 3

secondary prevention

Answer 3

cognitive and behavioural strategies like stress counselling or PA counselling

Question 4

sick role

Answer 4

temporary social role designed to return sick people to a state of health as quickly as possible (ex. staying at home from work when sick)

Question 5

at-risk role

Answer 5

social role where an individual is aware that they are at risk and want to do something to reduce the possibility

• patient is actively engaged and helps identify the amount and type of info that is beneficial
• takes more time but better understanding the part of the patient and the doctor

Question 6

doctor centred

Answer 6

• supplies knowledge and skills for benefit of patient
• objective and emotionally detached
• physician is the heart of the health care system

Question 7

biomedical solutions

Answer 7

in the sick role

- focus on curing or managing through biological/physical treatments

Question 8

lifestyle solutions

Answer 8

• the at-risk role

- focus on lifestyle/behavioural changes in order to prevent/reduce the possibility of acquiring a disease

Question 9

one-way information flow

Answer 9

• sick role with doctor centered
• physician to patient
• passively receive info from doctor
• must interview each patient to reach the diagnosis and prescribe a solution as quickly as possible

Question 10

two way information flow

Answer 10

• partnership between physician and patient
• less authoritarian
• both actively engaged
• patients provide input
• treatment adapted to individuals wishes

Question 11

sick role emphasis on individual change

Answer 11

• physician expects full cooperation from patient
• sickness can be cured/managed
• patient is exempt from normal responsibilities in order to concentrate on returning to good health
• sickness is not desirable

Question 12

at-risk role emphasis on changing the social environment

Answer 12

• recognizes illness can be due to social and environment conditions
• targets change in the social environment/institutions such as family

Question 13

what types of people do physicians most likely counsel about PA?

Answer 13

• overweight/obese
• chronic disease such as hypertension, CV disease, cancer, diabetes
• upper class people

Question 14

lack of counseling

Answer 14

because some physicians fail to recognize its importance and some are not active themselves