Session 4 Flashcards

1
Q

What are lay beliefs?

A

They are how lay people make sense of health and illness, with no specialised knowledge.
They are socially embedded and complex.

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2
Q

What are the 3 health perceptions?

A

Negative health perception - health is the absence of disease.
Positive health perception - health is a state of wellbeing and fitness.
Functional health perception - health is the ability to complete certain tasks.

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3
Q

What are lay theories of health and illness based on?

A

Their own personal experiences of illness and what they have observed.
It may lead to medical knowledge being rejected if it is incompatible with prior beliefs.

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4
Q

What are the issues with lay epidemiology?

A

It can be difficult to understand why and how illness happens.
There are almost always exceptions to certain conditions, and why something happens.

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5
Q

What is health behaviour?

A

Where somebody who does not have an illness strives to prevent illness and maintain their health.

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6
Q

What is illness behaviour?

A

The activity when somebody has an illness to define that illness and seek a solution.

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7
Q

What is sick role behaviour?

A

It is the actual response that somebody undertakes in response to becoming ill - seeking help.

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8
Q

What is the symptom/ illness iceberg?

A

The vast majority of illness and symptoms experienced by the public are never seen by doctors.

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9
Q

What are some factors that influence illness behaviour?

A

Lay referral.
Culture.
Extent to which symptoms disrupt ones life.
Tolerance threshold.
Availability of healthcare.
Time and money available.

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10
Q

What is lay referral?

A

Where a non-healthcare professional seeks the advice from another non-healthcare professional, usually a friend or family member, before/ instead of seeking professional help.

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11
Q

Why is understanding lay referral important?

A

It can help explain why a patient is there.
It can help explain why a patient did not come earlier.
It can help explain why patients may want certain medications.

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12
Q

What are the 3 groups to treatment adherence?

A

1) deniers and distancers - do not engage with recommendations and treatment.
2) accepters - fully comply with treatment and recommendations.
3) pragmatists - only comply with treatment and recommendations when they believe they require it.

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13
Q

Why are individuals from a lower socioeconomic background more likely to engage in health damaging behaviours?

A

They are less likely to have a positive health definition.
They are more likely to focus on improving the immediate environment, to use these behaviours as a coping mechanism.

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14
Q

What are long-term conditions?

A

They are conditions that can be controlled but not cure, that have a profound influence on the lives of sufferers.
They increase in frequency throughout the population as age increases.

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15
Q

What are illness narratives?

A

The way in which people with an illness describe their illness. They are often a way of making sense of their illness.

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16
Q

What is illness work?

A

The work performed to deal with receiving a diagnosis and the coping mechanisms to deal with the manifestations of illness. It is dealing with bodily changes and changes to their self identity.

17
Q

What are the 3 aspects of illness work?

A

Getting a diagnosis.
Managing the symptoms.
Self-management.

18
Q

What is the expert patient programme, and what are the benefits and drawbacks?

A

It is empowering a patient to take responsibility for managing their own illness.
Positives = reduced hospital admissions, and helps them cope and manage the condition better.
Negative = not possible for those who are critically ill, and they may not fully understand their illness.

19
Q

What is everyday life work?

A

The work performed by somebody with a long term condition to mentally deal with the condition, as well as the actions performed. It can lead to the person trying to retain their old-self or accepting the illness as their new-self.

20
Q

What is emotional work?

A

It is the work performed to preserve the emotional wellbeing of those around the patient - downplaying symptoms and maintaining normal activity.
It can lead to disruptions in friendships. It can impact the role that somebody has within their relationships.

21
Q

What is biographical work

A

It is the loss of self, where the former self-image is lost without a new one being formed. It may lead to them having a new perception on life.

22
Q

What is identity work?

A

It is how people see themselves and how others see them, based on the illness that they have. It can be a defining aspect of their identity.

23
Q

What is stigma?

A

It is a negatively defined condition attribute, trait or behaviour.

24
Q

What is discreditable stigma?

A

It is stigma based on something that cannot be seen but is experienced if somebody finds out.

25
Q

What is discredited stigma?

A

It is stigma based on something that is physically visible or well known, that sets them apart from others.

26
Q

What is enacted stigma?

A

The real experience of prejudice, discrimination and disadvantage, as a result of having a condition.

27
Q

What is felt stigma?

A

The fear of enacted stigma, which encompasses feelings of shame.