Life course approach to health Flashcards

1
Q

Life-course approach to health

A

A life-course approach emphasizes a temporal or social perspective looking back across an individual’s life experiences or across Generations for clues to current patterns of health and disease whilst recognizing that both past and present experiences are shaped by the wider social Economic and cultural context

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2
Q

What is life-course approach to health?

A

A life-course approach is being used to study the physical and social hazards during gestation childhood adolescence young adult midlife that affect chronic disease risk and health outcomes and later life

it aims to identify the underlying biological behavioral and psychosocial processes that operate across the lifespan

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3
Q

External factors - social determinants

A
Physical environment 
social political context
 family income 
water and sanitation
 access to Quality Healthcare 
parental education
Peer behavior
Access to Quality food
Family and community practices
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4
Q

Main risks of pregnancy

A
  1. Unsafe abortion, malnutrition and anaemia congenital abnormalities and infections
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5
Q

Neonatal period

A

This is the first 28 days of Life called the neonatal period is very critical and is also during this time that the child is at the highest risk of death approximately 7 million infants who die die during this time of neonatal. improving newborn survival will dramatically reduce infant mortality worldwide

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6
Q

The main risks of the neonatal period

A

Low birth weight asphyxia hypothermia infection failure to initiate early breastfeeding and full breastfeeding

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7
Q

Early childhood

A

Each year more than 10 million children in low- and middle-income countries die before they reach their 5th birthday

7 out of 10 of these deaths due to just 5 preventable conditions pneumonia and diarrhoea malaria measles and malnutrition and often to a combination of these conditions

lack of clean water and sanitation as well as environmental related diseases such as malaria and dengue fever

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8
Q

The main risks of early childhood

A

are poor nutrition, growth and development

frequent illnesses and injury abuse and neglect

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9
Q

School age

A

Globally, most deaths among older children are due to diseases that can be prevented as well but can also be treated easily.

Vaccines protect a child against diseases. other diseases such as diarrhea hepatitis A can be prevented by good hygiene and sanitary practices.

childhood cancers are a major concern in developed countries

the most common type of cancer found in children is acute leukemia

helminth diseases caused by intestinal worms found in soils and vegetables

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10
Q

Adolescence age

A

One in five people in the world is an adolescent defined by the WHO as a person between 10 to 19 years of AGE.

There are relatively few deaths among Adolescents due to illnesses many adolescence die prematurely due to other causes like Accidents and risky behaviour

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11
Q

Main risks of adolescence

A

Poor nutrition, injury chronic conditions, drug abuse, unwanted pregnancy, mental disorders and violence

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12
Q

Young adults 20 to 40

A

Health and physical fitness during young adults are excellent.

People in their 20s and 30s perform extremely high levels on test of Endurance and stamina the closer they get to 40 the more physical limitations they begin to notice

the physical problems that they begin to notice are arthritis asthma diabetes depression and other mental problems hypertension high blood pressure multiple sclerosis and ulcers

Other conditions like atherosclerosis, cirrhosis of the liver or heart lung problems kidney problems and a variety of other diseases

may not exhibit symptoms at this stage but may already be causing internal damage

2 additional categories of health concerns during young Adulthood are disabilities and sexually transmitted diseases.

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13
Q

Middle Aged 46 to 65 - physical development

A

There is what we call inter-individual variability which means no two people age in the same way or at the same rate

and there is what we call physiological ageing which involves the changes in the body’s integumentary system, senses and reaction time and lung capacity. (decrease or decline)

Changes in metabolism changes in muscle mass strength bone density aerobic capacity blood sugar tolerance ability to regulate body temperature may be moderated or reversed through exercise and diet

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14
Q

Leading causes of death in middle aged people

A

They are cancer heart disease and accidents

screening for prostate cancer, breast cancer and cancer of the colon and rectum is necessary during middle age.

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15
Q

Definition of menopause

A

It is the cessation of menstruation
It is a normal process occurring between the ages of 46 and 50
Lasts for about 2 years
It can begin anytime between 35 and 60

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16
Q

Definition of perimenopause

A

This is the beginning of menopause characterized by 3 to 11 months of amenorrhea which is a lack of menstruation
Deficit in oestrogen may result in Hot Flashes alternating with cold sweats.

17
Q

Climacteric (critical period)

A

Refers to gradual decline in the reproductive activity of the ovaries menstrual Cycles become more erratic

18
Q

The elderly aged more than 65 years

A

Problems of isolation and lack of physical support of the old parents

psycho-emotional aspects include one of the spouses passing away
friend circle get restricted
retirement worsens isolation
negligence by younger generation the old person finds it difficult to keep themselves occupied

this complex interplay increase the risk of mental stress and also a great impact of stress related diseases

19
Q

Problems which mainly affect the elderly male

A
Benign prostatic hypertrophy
prostatic cancer
 male sexual dysfunction
 libido,
 erection and ejaculation problems
20
Q

Problems mainly concerning elderly females

A

Menopausal problems
urinary inconsistence
cancers and other diseases of female genital tract
e.g. breast, uterine and ovarian cervical cancers
prolapsed uterus
osteoporosis

21
Q

Why do we need a dedicated Healthcare program for the elderly

A
They are experiencing:
decrease in physical ability
inadequacy 
increased vulnerability to disease 
chronic disabling and multiple health problems
different approach in management 
degradation in Family Values 
rising population
22
Q

Health problems important for both elderly genders

A
Ocular diseases
reduced muscular strength and coordination
 Accidents and injuries 
cardiovascular diseases
 chronic respiratory illness 
mental problems 
complications of disease diabetes 
cancers : 
 nutritional deficiencies
 dental problems 
hearing defects 
increase susceptibility to infections : urinary tract infection
degenerative neurological disease : Alzheimer's disease and Parkinson's