Midterm Flashcards
Levels of processing
Shallow - structural and phonemic
Deep - semantic and meaningful
Evolution of Definition of Health
- Absence of disease
- Longevity: Medical Model
- Wellness: Holistic Model
Medical Model
Oriented towards disease treatment
- people get sick and then go to doctor
Wellness Philosophy
Based on health promotion
- by adopting positive health behaviours there is a reduced chance of becoming ill and requiring treatment
WHO Definition of Health 1947
“Not merely the absence of disease or infirmity, but a state complete physical, mental and social well being.”
WHO definition
Incorporates all factors that affect health
- environmental
- living conditions
- social environment
- mental and body states
Holistic health
Recognizes the interrelatedness of physical, emotional, social, spiritual and environmental factors that affect life
Lalonde Report
Canada 1970s - New perspective on health of Canadians
- rethinking treatment-focused medicine
- saves money to focus on prevention
Health Field Concept
- Human biology
- Health care organizations
- Lifestyle
- Environment
Health in Canada 1980s
Moved towards building healthy policy through health promotion
WHO updated definition of health
1986 - “To achieve health one must be able to identify and realize aspirations, to satisfy needs, and to change or cope with the environment.”
Health Promotion Framework
National Health Challenges - reducing inequities - increasing prevention - enhancing people's ability to cope Mechanisms for Health Promotion - self care - mutual aid - healthy environments Implementation Strategies - fostering public participation - strengthening community - health services - coordinating healthy public policy
Quality of Life Model
Being, Belonging, Becoming
- emphasizes an individual’s physical, psychological, and spiritual functioning
- emphasizes the connections with his or her environment
- emphasizes the opportunities for maintaining and enhancing skills
Quality of Life definition
The degree to which a person enjoys the important possibilities of his or her life
Domain of BEING
Who one is
- physical being
- psychological being
- spiritual being
Domain of BELONGING
Connections with one’s environment
- physical
- social
- community
Domain of BECOMING
Achieving one’s personal goals, hopes, and aspirations
- practical
- leisure
- growth
What is wellness?
- purposeful, enjoyable living
- dynamic process
- lifestyle choice
Halbert Dunn’s Criteria
Wellness is a dynamic process of continually moving toward one’s optimal level of functioning
- direction and progress toward a higher potential of functioning
- total individual
- functioning and adapting for daily living and in times of crisis
Seven wellness dimensions
- Physical
- Emotional
- Intellectual
- Social
- Spiritual
- Occupational
- Environmental
Determinants of health
A number of important factors contribute to overall good health
- Living conditions
- Environment
- Genetic makeup
- Physical health
- Mental state
- Income and social status
Health dependent on income and social status
Only 47% of Canadians in the lowest bracket rate their health as very good or excellent compared with 73% of Canadians in the highest income group
Social support network
Include programs, services, and benefits that help individuals and families during various life transitions or unexpected events
Increased social support network
Increased social contacts - emotional support - social participation
Decreased social support network
Lack of support - death
People with higher levels of education have:
- better access to healthy environments
- smoke less and are more physically active
- better access to healthier foods
- better able to prepare children for school
Low literacy and education leads to:
- unemployment
- low income
- poorer health
- earlier death
Paid work provides:
- money
- sense of identity
- social contacts
- opportunities for personal growth
Unemployed people:
- have a reduced life expectancy
- suffer significantly more health problems than people who have a job
Work conditions
- have profound effect on people’s health and emotional well being
Health in Canada
Canada Health Act - requires provincial governments to support citizens through a public health-care insurance program but there is still serious issues of access to care across Canada
Health status of Canadians
Among healthiest in the world
- 4th highest life expectancy
Why are Canadians Happy and Healthy?
Health care system:
- publicly administered, non profit
- comprehensive
- universal
- portable
- accessible
Publicly administered, non-profit
Can not charge additional money for insured health expenses
Comprehensive
- All medically required services provided by licensed practitioners in hospitals, clinics, doctors offices covered
- Hospital care includes all inpatient services, a standard room
- All necessary drugs, biologic products, supplies and diagnostic tests, range of outpatient services
Universal
All legal residents are entitled in their province or territory
Accessible
- Reasonable access to insured hospitals and physicians without barriers
- No discrimination on the basis of age, income, health status or gender
Portable
- Entitled when you move to another province or travel
- If specialty care in unavailable in Canada, gov’t will cover treatment anywhere else in the world
Family Health Teams
Primary health care organizations that include a team of family physicians, nurse practitioners, registered nurses, social workers, dieticians, other professionals who work together to provide primary health care for their community
Perceived problems in Canada health care
- waiting lists
- quality of medical research
- closing of beds
- doctors leaving
- shortages of medical staff
- people going to US
- system stretched to limit
- sharing of medical info
- squabbling between provinces
- threats of privatization
Health and University students
Investing in a university or college education to prepare for a career has many benefits but not if individuals are not healthy
How healthy are university students?
- many students engage in behaviours which puts them at risk for health problems (men more than women)
- residence can be dangerous
- psychological distress, depression, anxiety
How healthy are UoG students?
55.9% report excellent or very good health
First year students
Report drops in physical and emotional wellness from the beginning to the end of first year
Education is good for body and mind
- influences lifestyle behaviours, problem solving abilities, and values
- promotes access to health resources and services
- connect with social networks and support
- develop higher self esteem and greater control over life
Predisposing factors
Encourage a behaviour change or inhibit us from changing
- knowledge
- attitudes
- beliefs
- values
- self efficacy
- behavioural intentions
- existing skills
- age/sex
- socioeconomic status
- ethnicity
- family background
Enabling factors
Make it easier for people or populations to change their behaviour
- individual physical capabilities
- mental capacities
- resources
- living conditions
- societal support
- developing skills
Reinforcing factors
Stick with it
- praise
- rewards
- encouragement and recognition
- healthy community policies
Smart decision making
- set priorities
- inform yourself
- consider all options
- tune in to your intuitive feelings
- consider a worst case scenario
Health belief model
Decision making that depends on attitude and beliefs: people will take a health related action based on
- perceived susceptibility
- perceived severity
- perceived benefits
- cues to action
- self efficacy
Stages of change
- pre contemplation
- contemplation
- preparation
- action
- maintenance
- termination
Complementary and alternative medicine
- aboriginal healing
- acupuncture (ancient chinese medicine)
- ayurveda (traditional indian medical treatment)
- biofeedback (learn to control involuntary functions)
- chiropractic
- herbs, botanical medicines, dietary supplements
- homeopathy (like cures like)
- massage therapy
- naturopathy
- physiotherapy
Epidemiology
Study of how often diseases occur in different groups of people and why
How can health promotion be defined
Process of enabling people to increase control over and to improve their health
What are federal health care responsibilities?
- setting and administering national principles or standards for health care system through Canada Health Act
- assisting in financing of provincial health care services through fiscal transfers
- delivering direct health services to specific groups
- fulfilling other health related functions
What are provincial and territorial health care responsibilities?
- managing and delivering health care services
- planning, financing, and evaluating provision of hospital care
- physician and allied health care services
- managing some aspects of prescription care and public health
Why do people use complementary and alternative therapies?
To take an active role in their own treatment
What does informed consent mean?
The physician has informed the patient about the treatment to be given and the patient has consented to the treatment
Common causes of stress in university students
- costs
- course load
- roommates
- time management
- lack of sleep
- relationships
- staying fit and healthy
- test pressures
- academic failures
- daily hassles
Technostress
Modern disease caused by people’s inability to manage new technologies in a healthy way
- struggle to embrace
- stress from over exposure
Stress interventions
- arts based
- psycho educational
- CBT
- mindfulness
Mindfulness
Being aware of what is taking place in the present moment non judgementally
Mindfulness “attitude”
- beginner’s mind
- non judging
- acceptance
- non attachment
- non striving
What is cognitive behavioural therapy?
Focuses on changing wrongful thoughts/beliefs to help individuals break out of distorted thinking
- thoughts create feelings then feelings create behaviours and behaviour reinforces thoughts
Gum study results
Chewing gum better for overall health than other activities done when individuals are stressed, anxious, or depressed
How were conclusions of gum study made?
Electroencephalography studies have provided evidence that chewing gum produces brain wave patterns very similar to the brain state of people who are relaxed
Those who chewed more than __ pieces of gum over __ day period reported what?
40; 14; lower levels of stress and more productiveness than the no gum chewers and those who chewed less
Stress
Non specific responses of the body to any demands made on it - Hans Selye
Eustress
“Salt of life”
Distress
“Kiss of death”
Impact of stress
- performance
- gene expression
- health
Poor breathing impairs:
- memory
- concentration
- cognitive tasks
- perceptual tasks
- problem solving
- judgment
- coordination, balance, dexterity
Breathe to think and learn most clearly:
SLOW - 12 to 15 breast/min LOW - from diaphragm Longer BLOW out - exhale longer than inhale
General Adaptation Syndrome
Really good at describing really intense feelings
- constantly strive to maintain homeostasis and stressors disturb this state
- trigger non specific physiological response
- body attempts to restore homeostasis by means of adaptive response
3 distinct stages of GAS
- alarm
- resistance
- exhaustion
Hans Selye
“Father of stress theory”
- defined stress as physiological responses to challenges
- Came up with GAS
- “Gratitude is possibly the most important attitude in stress management”
Richard Lazarus and Susan Folkman
Came up with Cognitive-transactional model
Cognitive-transactional model
Looks at relationship between stress and health - daily hassle response
How does cognitive transactional model work?
- primary appraisal process
- secondary appraisal process - coping responses initiated
The cognitive transactional model suggests that stress is what?
“Neither an environmental stimulus, characteristic of person, nor a response but a relationship between demands and power to deal with them without unreasonable or destructive costs.”
Effects of stress
- breathing quickens
- digestive system slows down
- muscles tense
- immune system is depressed
- reproductive complications
- adrenal glands produce stress hormone
- heart rate increases
- brain becomes more alert
Warning signals for stress overload
- physical symptoms
- frequent illness
- self medication
- concentration problems
- irritability, anxiety, apathy
- accident prone
- breaking rules
- going to extreme
- working/studying longer than usual
- exaggerating importance of what you do
- “I’ve GOT to do it ALL!”
Mother Teresa effect
- 5 minutes of caring and compassion increased immune function for 4-6 hours
- feelings of fondness, appreciation, caring and pausing to connect with the world are related to healthier heart function
If isolated and not “connected”
3 x the risk of CVD
Biofeedback
Using sensitive monitors to pick up what is going on with our body and then can we get it more under control
How does biofeedback work?
Uses instruments to make unconscious body processes perceptible to the senses, in order to bring them under conscious mental control
Stress survival strategies
- refocusing
- reality checks
- spiritual coping strategies
- journalling
- eat well
- exercise
- laughter
Edgar Wilson recommends
- having a variety of stress management techniques
- let go of anger quickly
- cultivate a healthy narcissism (pay attention to your own needs)
Resources for dealing with stress
- personal support network
- connection with meaningful things
- previous learning
- exercise
- nutrition
- sleep
- personal skills and strengths
Over time increased levels of stress hormones have been shown to increase a person’s risk for which conditions?
- diabetes
- high blood pressure
- memory loss
- skin disorders
Common defence mechanisms to alleviate anxiety and eliminate conflict
- denial
- displacement
- projection
- rationalization
- reaction formation
- repression
Denial
Refusal to accept painful reality