PH Flashcards

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1
Q

9 Healthy living services

A

Smoking Obesity Alcohol
Physical activity Sexual health Men’s health
Substance misuse Minor ailments Long-term conditions

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2
Q

The three levels that comprise the

tiered framework are

A

promotion (Level 1), prevention (Level 2) and protection (Level 3)

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3
Q

Healthy Living Champion

A

1trained
and accredited to provide customers with health and wellbeing advice
2must be appointed to support the important health and wellbeing role of the HLP - does training course

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4
Q

Medical approach to health primary secondary and tertiary

A

Primary (prevent onset of disease) – e.g. immunisation
Secondary (identifying disease at an early stage to prevent disease progression) – e.g. cervical screening
Tertiary (reducing further disability and suffering in those already ill) – e.g. rehabilitation

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5
Q

Behavior change approach is…

2 problems…

A

Tells people to change

Blame? Assumes people can change?

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6
Q

Education approach… eg…

A

Doesn’t try to persuade. Increases knowledge

eg. smoking kills

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7
Q

2 disadvantages of education (such as smoking kills)?

A

Convinces those who are already aligned with those beliefs

Unmotivated MAY become interested through a peripheral route

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8
Q

Empowerment approach

A

People identify their own concerns and gain skills to act upon them.
Individual/community level with health promoter to catalyst

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9
Q

2 eg. of social change approach

A

smoking ban in pubs

vending machines band in schools

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10
Q

problems with the empowerment approach

A

vague positive benifits

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11
Q

Social change approach

A

social, policy & environment change. Focuses on the causes of ill health

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12
Q

5 Change approaches

A
Social
Behaviour
Enpowerment
Education
Medical
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13
Q

Health is

A

Health is a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity

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14
Q

Standardised Mortality Ratio (SMR)

A

= death rate taking into account differences in age structure compared to what would be expected in this group if national averages applied
Overall average for England = 100
SMR < 100 implies lower mortality

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15
Q

Infant Mortality Rate (IMR)

A

= number of deaths in the first year of life per 1000 live births

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16
Q

Objective measures of health

A

-Health indicators
Height
Weight
Dental health (decayed teeth)

-Behaviour indicators:
No. smoking/drinking/exercising/druging
-Environmental: air/water/housing quality/density
-Socio-economic factors: wealth

17
Q

Subjective measures of heath

A
  • Funcitonal ability
  • Health status
  • Psycological wellbeing
  • Social networks & support
18
Q

Functional ability

A

is the ability to perform everyday tasks

19
Q

How to measure health status

A

-Short form 36 Health Survey (SF-36)
QALY
Quality of life

20
Q

What is QUALY?

A

life expectancy with adjustment for the quality of the remaining life years

21
Q

PROM

A

patient record outcome measures - Standardised, validated questionnaires that are completed by patients to measure their perceptions of their own functional status and well-being’

22
Q

When is PROM used

A

before and after elective surgery

23
Q

There is good evidence for pharmacy PH improvement in what areas

A
CV
BP
heart failure (reduce hospitalization)
diabetes
asthma
smoking
24
Q

EHC - are we helping?

A

Women like it. But does it change our behaviour? Does it decrease pregnancy?

25
Q

Substance misuse - are we helping?

A

No evidence

26
Q

Alcohol/chamydia/immunisation/obesity are we helping?

A

no evidcence

27
Q

Minor aliments are we helping?

A

Relieves the GP burden but dont know if it improve health