Living with a cardiac disease Flashcards
what is the number 1 cause of death globally
CVD
what ethnic group are most at risk if CVD
south asian residents have increased risk of angina , myocardial infarction , coronary heart disease but lower risk of heart failure
what is intersectionality
Intersectionality is an analytical framework for understanding how aspects of a person’s social and political identities combine to create different modes of discrimination and privilege. Examples of these aspects include gender, caste, sex, race, class, sexuality, religion, disability, physical appearance, and height.
interventions that can be done for CVD
BP - high AF detect and anticoagulation risk assessment Type 2 D prevention detecting and treaemtn CKD detection and management
lay epidemiology
term used to describe the way in which people may use a combination of personal, familial and social sources of knowledge, alongside professionally delivered information, to try and make sense of an event or problem. i.e. fat people no exercise red faced smoker drinkers under stresss etc
prevention paradox
a measure that brings large benefits to the community offers little to each participating individual
persisting debates in prevention strategies
Should PH initiatives concerning chronic disorders be focused on high risk , or general
Should prevention effort aimed at specific behaviors deemed to be voluntary control on improving general social conditions
candidacy
describes the ways in which peoples eligibility for medical attention n intervention is jointly negotiated between individuals and health service
Candidacy’ can be a useful concept in understanding response to engagement with prevention, response to symptoms and health care seeking
identification of candidacy
People in more deprived circumstances do show a readiness to consult, but more likely to manage health as series of minor and major crises
Probably linked to normalisation of health problems, rather than treating diseases as requiring maintenance and prevention.
habitus
connection between class culture and lifestyles Habitus is shaped by an individuals living conscious and engenders practices adapte to these conditions
reasons for a no show
Lack of knowledge Misunderstanding of purpose Aversion to prevent medicine Time constraints Difficulties with access to GP Doubt regarding pharmacies as appropriate setting
Aversion to preventive medicine
Difficulties access to GP
What does this mean as us for a Doctor
Awareness that socio-cultural context shapes understanding behaviour
Lack of knowledge and awareness may not be issue
Practically you may have to think about how to engage with this, what this menas for consultants
Cardiovascular disease is a major cause of premature mortality and ill health in the UK and globally
People in more deprived areas are more likely to suffer from CVD and die prematurely
Understanding that people interpret symptoms and need to seek help within notions of ‘candidacy’ is important
This may impact on readiness to seek care and engage with preventative and rehabilitation services
Health services and healthcare professionals are part of a negotiated candidacy and can adapt
