SDH, Resiliency and the Illness Belief Model Flashcards
social determinants of health
LIVING and WORKING conditions are primary factors that shape the health of Canadians
T or F: We have some control over the SDOH
FALSE
they are imposed on us by the quality of the communities, housing, work settings, health and educational institutions in which we interact.
SDOH of health (17)
disability
early childhood development
education
employment & working conditions
food insecurity
gender
geography
globalization
health services
housing
immigration
income & income distribution
Indigenous ancestry
race
social exlusion
social safety net
unemployment & job security
SDOH related to peds that is super important
early childhood development
resiliency
ability to bounce back from difficult experiences
to baseline OR stronger than before
personal growth
Primary factor in the development of resiliency
caring and supportive relationships WITHIN and OUTSIDE of the family
e.g. friends, church, community, school, support groups, counsellors, health care team (think of the ecomap)
Additional protective factors for resiliency (4)
1) capacity to make realistic plans and carry them out
2) positive self-regard, confidence in abilities
3) good communication & problem-solving
4) ability to effectively manage strong feelings and emotions
Protective factors for resiliency in children and youth (9)
1) close and sustained relationship with at least 1 adult
2) warm parenting with structure
3) parents that monitor peer contacts
4) high expectations from parents
5) low discord between parents and between parents and child
6) organized home environment with rituals (e.g. family dinners)
7) sense of belonging and security
8) access to consistent, warm, involved caregiving
9) socioeconomic resources
Illness belief model
the way people perceive their health/illness impacts their suffering and ability to recover
What is one of the biggest sources of suffering for the family in terms of illness?
BELIEFS about the illness
Illness belief model - 4 interventions
1) creating a context for changing beliefs
2) distinguishing illness beliefs
3) challenging constraining beliefs
4) strengthening facilitating beliefs
Beliefs determined by…
bio-psychosocial-spiritual make-up
unique genetic make-up
history of interactions, experiences
upbringing
Core beliefs
fundamental to how we approach the world – they dictate how we live
form our identity
very personal
highly emotionally charged
often invisible
truth and certainty
T or F: Core beliefs have profound effect on behaviour, family system and functioning, and coping with illness.
TRUE
Core beliefs examples
e.g. sunglasses - everyone viewing through a different lens
e.g. mirror - how we view ourselves
Main types of beliefs in the model (2)
1) constraining
2) facilitating
Constraining belief
decrease the possibility for discovery of solutions or resolutions to challenges
increase illness suffering
Facilitating belief
increase solution possibilities
decrease illness suffering and invite healing
Intersection of beliefs between….
patient
family members
HCP - be aware of your beliefs and biases, promote a therapeutic relationship
How to distinguish illness beliefs
let the family tell their story and share their experiences
Best way to help someone in grief
ACKNOWLEDGE the pain
let pain exist
