week 7: social determinants of health Flashcards
17 social determinants of health
- disability
- early child development
- education
- employment and working conditions
- food insecurity
- gender
- geography
- globalization
- health services
- housing
- income and income distribution
- immigration
- race
- social exclusion
- social safety net
- unemployment and job security
what is resiliency
process of adapting well in face of adversity, trauma, tragedy, threats, or even significant sources of stress - such as family, relationship problems, serious health problems, or workplace and financial stressors. means “bouncing back” from diff experiences.
what is the changes to resilience that have been added
- recent conceptualization of resiliency have moved beyond the notion of just bouncing back
- includes idea of emerging even stronger than before and experiencing personal growth
what is the primary factor in the development of resiliency
includes having caring and supportive relationships within and outside the family
what are additional protective factors for developing reliency
- having the capacity to make realistic plans and carry them out
- positive self-regard and confidence in personal abilities
- good communication and problem-solving skills
- ability to effectively manage strong feelings and emotions
what is the illness belief model
where beliefs and suffering intersect
“is not necessarily the illness or clinical problem: that serve as the greatest source of family suffering; furthermore, beliefs also lie at the heart of family healing.”
4 interventions of illness belief model
- creating a context for changing beliefs
- distinguishing illness beliefs
- challenging constraining beliefs
- strengthening facilitating beliefs
what are beliefs determined by
- biopsychosocial-spiritual makeup
- unique genetic make-up
- history of interactions
describe core belief
- fundamental to how we approach the world - dictate how we live
- form our identity*
- very personal and often invisible
- truth and certainty are hallmark of a core belief
- such beliefs result in the development of rules that dictate behaviour
- have profound influence on the family system and its functioning
- influence on the family system and its functioning
- influential to how family members cope and/or suffer with illness
describe constraining vs facilitating beliefs
- beliefs are at the heart of healing
- constraining beliefs decrease the possibility for discovery of solutions or resolutions to challenges
- constraining beliefs increase illness suffering
- facility beliefs increase solution possiblities
- facilitating beliefs decrease illness suffering and invite healing
what usually causes intersection of beliefs (3)
beliefs of family members
beliefs of pt
beliefs of HCP
what are the ways to explore beliefs (topics)
- illness suffering
- diagnosis, etiology, prognosis
- healing and treatment
- mastery, control, influence
- religion/spirituality
- place of illness in lives and relationships
how do you create change in belief and/or perspectives
- recognize that multiple truths and multiple realities exist
(objectivity-in-parentheses) - diverse lenses = diverse perspectives and therefore multiple possibilities
