public health Flashcards
4 public health domains
improve services
improve health
health protection
address wider determinants of health
biomedical model
mind and body separate.
body = fixable
neglects social and psychological determinants
health belief model
individuals need to believe:
they are susceptible
the disease is serious
the actions will reduce risk of disease
benefits outweigh costs
transtheoretical model
pre contemplation contemplation preparation action maintenance relapse
GMC duties
respect patient, treat as individuals work within limitations of abilities work well with colleagues as a team protect and promote health of individuals and public good standard of care
mini mental state exam
short term memory
immediate memory- orientation
language function
breaking chain of infection= hand washing.
three types of handwashing
two types of soap?
routine
hygienic
surgical
alcohol (kills most, not norovirus or clostidumdifficile )
antibacterial (kills all)
nicotine pleasure mechanism
ach at nicotinic receptors. dopamine release
child mortality causes
diarrhoea
pneumonia
malaria
selection bias=
people who choose/ accept to participate
lead time bias=
screening finds disease earlier and this gives appearance of extending life longer
length time bias=
diseases with longer presentation are more likely to be detected (disproportionate)
when reporting a case (4)
SBAR situation background assessment recommendation
energy compensation=
—liquids?
adjustment of energy intake after ingestion
lower for liquids- this is bad as causes excess intake
positives of alternative medicine
- there can be treatment delays
- avoids drugs (cost, interactions)
- improvement in pain/quality of life
- no positive effect from conventional treatment
- autonomy, active role in healthcare
