Week 1 Human Behavior Flashcards
Chapter 1: Evolving Models of Health Care
Summarize the WHO’s definition of health
A state of physical, social, and mental well-being
Chapter 1: Evolving Models of Health Care
Explain how disease, sickness, and illness differ
disease – is the manifestation of impaired bodily functions
sickness - refers to those behaviors manifested by an individuals who feels ill or believes that he or she is
illness – the totality of the patient’s experience, how that patient feels behaves, and perceives his or her condition
Chapter 1: Evolving Models of Health Care
Define and provide examples of direct and indirect health risks
direct risks (reckless driving, smoking)
indirect risks (high fat diet, not exercising)
Chapter 1: Evolving Models of Health Care
Summarize the extensions of the modern health care model and thus, the broadened role of physicians
Biopsychosocial model recognizes that (1) multiple determinants in the development of disease and the resultant illness process and (2) that there is a hierarchical organization of biological and social systems
Health is determined by multiple etiological variables, continuously interacting via complex mechanisms, and interdependent process.
Chapter 1: Evolving Models of Health Care
Describe how primary prevention differs from secondary prevention
primary – practices to protect, promote, and maintain health
secondary – immunizations and medical surveillance
Chapter 1: Evolving Models of Health Care
Explain why the biomedical model is too specific
Post-Flexnerian (focused on bio) medical education and practice became heavily biomedical and partly lost sight of the broader human and social context of disease and health care.
Chapter 1: Evolving Models of Health Care
Summarize the BPS(S) model
Biological, Psychological, Social, and Spiritual Science
Chapter 1: Evolving Models of Health Care
Summarize qualities of the Integrated Sciences Model
Psychosocial and biological phenomena are viewed as interdependent and functionally interactive
Stress is challenge to homeostasis
Disease is a byproduct of the failure of the stress response system
Chapter 1: Evolving Models of Health Care
Describe the importance of integrated assessment and multimodal treatment
Assessment should involve a detailed exploration of the differential and interactive contributions of biological, behavioral, cognitive, cultural, and environmental risk factors
Multimodal treatment plan addresses multiples variables in a treatment plan such as biological, behavioral, cognitive, cultural, and environmental.
Chapter 34: The Physician-Patient Relationship
Summarize the responsibilities and rights of physicians, including situations in which physicians can refuse to perform certain procedures
Physician has a responsibility to inform the patient, to the best of this or her ability, regarding the nature of the disorder, probably course if untreated, and available and recommended treatments.
Listen to patient’s concerns, address them sensitively, and respect the patient’s decisions even though the physician may disagree
Use the authority in the best interest
Chapter 34: The Physician-Patient Relationship
Defin: informed consent
Informed consent in an open communication process between the patient and physician that results in the patient approving or not approving a medical intervention or course of action
Chapter 34: The Physician-Patient Relationship
List the limits of confidentiality when working with patients
HIPAA
Patient’s info cannot be shared with anyone, except those who are directly involved in patient’s care.
Chapter 34: The Physician-Patient Relationship
Describe the difference between transference and countertransference
Transference refers to the beliefs, expectations, and perceptions from previous relationships that influence current life experience.
Countertransference refers to inappropriate reactions the physician has to a patient.
Chapter 34: The Physician-Patient Relationship
Factors that influence patients’ adherence to treatment recommendations
Language and Cultural Differences
Age Effects
Gender Effects
Other Factors
Physician-Patient Relationships Factors the illness warrants treatment the treatment is effective the cost of treatment is reasonable given the benefits the treatment is feasible
Factors
The complexity of the regimen
The persistence of symptoms
The frequency and quality of contact with the physician
Chapter 35: The Medical Encounter
Define rapport and ways to maximize rapport between a physician and patient
State of mutual confidence and respect between two people
