2-13 lectures Flashcards
(185 cards)
1
Q
what is health?
A
a state of complete physical, mental, social well-being and not merely the absence of disease or infirmity
2
Q
what is epidemiology?
A
the study of the occurrence and distribution of health-related events, states, or processes in specified populations, including the study of the determinants influencing such processes and the application of this knowledge to control relevant health problems
3
Q
what is humanities?
A
human feelings
4
Q
how do issues arise in health?
A
when people have the incorrect perspectives with people
5
Q
is story telling active or not?
A
active
6
Q
how can we tell the difference between a good story and a bad story?
A
cultural specific
7
Q
what can stories provoke?
A
emotions in the audience by the way the story teller is being active and drawing the story
8
Q
what are narritives doing?
A
not accidental
they know how to calculate and put together a good story
9
Q
what is story telling useful for?
A
in a clinical situation such as a patient telling a story and the doctor asking questions
10
Q
what can asking questions do?
A
can be a form of story telling
11
Q
what is self talk?
A
is like telling a story to yourself and can be useful for self healing
12
Q
what can story telling identify?
A
illness from a patient to a doctor
13
Q
what are the 4 types of stories?
A
restitution
chaos
quest
testimonial
14
Q
who tell restitution stories?
A
people who are recently ill but were fine not that long ago but are fine now
15
Q
what do restitution stories do?
A
help people and tell the story
16
Q
who cant tell restitutional stories?
A
people who have not healed from an illness
17
Q
what are chaos endings like?
A
hard to bare, not great endings
18
Q
what do chaos stories tell?
A
people who cant escape their illness or a break up with a romantic partner
19
Q
what can a health care person do about a chaos story?
A
there isn’t much that they can do so all that they can do is sit and listen
20
Q
what type of story keeps people down?
A
chaos
21
Q
what do quest stories tell?
A
a departure as they go on a journey
the story teller is heroic in the story
22
Q
what does the audience behave like in a quest story?
A
see this as endurance and forbearance and can strike hope in the audience
23
Q
what are a good example of a quest story?
A
alcoholics anonymous by telling stories to help lift up people and keep each other sober
24
Q
what do testimonial stories do to the audience?
A
makes us believe
25
what does the narator do in a testimonial story do?
choose to exclude things from the story to make themselves sound better and more believable
26
what are images?
strong story tellers
27
what do most stories consist of?
a mix of all types of stories
28
what do chaos stories leave out?
the possibility of hope and acceptance
29
what do quest stories tend to diminish?
the suffering involved at least initially in a quest
30
what can journeys explain?
health, illness and disease
31
what are unexpected journeys?
not knowing what is happening throughout the journey but know that it can lead you to the destination
32
what does the reason of an unexpected journey do?
leaves you clueless but impacts the goal and ahs a deeper meaning
33
what is an illness?
how you feel when you visit the doctor
34
what is a disease?
what we have when we leave the doctors office
35
what is illness like?
a misfortune and is subjective experience of physical and emotional changes which are generally confirmed by other people
36
what can illness lead to in our well-being?
leaves us demorilised
37
what is the language of distress?
when we talk to others about our illness
38
what 2 things does the language of distress bridge between?
subjective experiences of impaired well
social acknowledgment of them
39
what causes the language of distress?
not what you do but the context of what you are doing
40
what has different languages of distress?
different cultures
41
what happens if the bridge of language distress is not working between you and others?
the bridge is contested
42
what can contest the bridge of distress?
you thinking your ill and other dont agree with you
or
when people think you have a disease but you think otherwise
43
what did canguilhem say in 1991?
diseases is a departure from a norm established by biomedical authority
44
what is pilgrimage?
the process of going to a far place to understand a familiar place better
45
what can the biomedical authority lead people to believe?
that they are ill beyond them showing a contested illness
46
what do people travel further for?
attractiveness of cultural distant with belief from different cultures and professionals
47
what can the bridge between suffering and healing do?
the barrier of the language and others cultural views
within this contains the possibility of healing
48
what does art provoke?
a conversation and focuses us in a different way
49
what was frida kahlos mission in life?
to sustain the richness of difference in indigenous cultures
50
what happen to frida kahlo?
she was paralysed in an accident and now does inspiring artworks
51
what does the wounded deer tell us?
tells us about suffering as the arrows show the struggle as she has been hit repetitive and the forest shows the isolation
52
what does the memory, the heart tell us?
the husband had an afair with her sister her heart has been torn and is forever flowing into the ocean
she struggled as a kid and shows the pain that she felt when her loved ones torn her
53
what does the art work personal dimensions of suffering show us?
the alienation in 3 different
from yourself, your body and others
making strangers out of those you know well
54
what is suffering?
a state of distress that is a feeling and doesnt need to be under threat
your identity can become threatened
55
what can stop people from comunicating?
suffering
56
what is pain?
has a purpose
57
what happens if pain doesnt have a purpose?
then it becomes suffering
58
what can sadness provide us with?
composure and how someone contributed to the people as a communittee
59
what does a lotus flower mean?
it only grows in the mud but grows a beautiful flower which is a metaphor of suffering
60
how to heal from suffering?
learning how to speak and regain your voice
61
what story is promenint in suffering?
chaos
62
what is religious healing?
how healthy they are is dependant on how they face each trial and to have a good relationship
63
what is pure health in a religous sense?
holyness with jesus as its perfect manifestation and death was the ultimate healing
64
what is healing?
self confirming
65
what can healing be a resolving of?
emotional differculties such as traumas
66
what is intersectionality?
is a tool to theorize identity and is how we see ourselves and others see us from the outside perspective
67
what are our identities made of?
psycological make up with context of the atmosphere and enviroment and matured in such as familia, social and cultural elements
68
what can intersectionality either be?
enhance or diminish of our life chances according to our biographical attributes
69
what can intersectionality lead to?
entanglement of health
70
how do we think about others who come from diverse backgrounds?
we have to leave our stat of comforts
71
what is intersectional identity?
overlap with you who is on this earth together with everyone else
72
what is structural suffering?
where we see a systematic, widespread, predictable inequity of access to these processes that enhance and sustain well-being
73
what is the bhopal tradgety?
an example of structural suffering that has multiple system failure that lead to the release of toxic bhopal gas
the alarm didnt wake people up and they were all effected by the gas
74
what can degrees of ability have an impact on?
health and intersectional identity
75
what is a medicalisation?
when medicine encroaches onto aspects of life that were historically not recognised as being subject to the oversight and control of biomedical specialists
76
what can power within a health industry do?
long term effects and influences impacts on the people
77
why dont people of little power say anything to people with alot of power?
they are scared
78
what is social power?
influencing another or another social group
79
what is a negative impact of social power?
intimidation
80
what does power come with?
money, hirache, professional and fanbase
81
what can power do in relations to health?
persuade people through things like promoting good health
82
what can self monitoring be?
persuading you in a health sense like a fitbit and achieveing a step goal making you like slave to the goal
83
what does masculinity do with health?
rather undermine their health than enhance it and change who they were
84
what does feminine do with health?
would put their own issues to the side and help others first
85
what are the most people in health books based off?
fit, young, white males
86
what bad about using young fit males as images in books leads to what?
woman being underrepresnted
87
what is biopower?
the power that we cant seem to escape as its a cycle of accepting and rejecting
its pretty suttle and hard to realize its affecting us
88
what is the mind?
reader of spirtual features and emotions.
values neutrality to produce a face that is non-judgmental with zero emotion
89
what keeps professionals professional?
the mind body dualism
90
what are the 3 competing view?
health-biomedical
phenomenological
social
91
what is phenomenological?
lived experiences
92
what is a limit to biopower?
health professionals refusing to diagnose you and let you heal yourself
93
what is the narrow view of biomedicine?
health professionals having a higher power and everything that happens to you is under their control
94
what do people do when they are trying to comunicate with someone that cant comunicate well?
take time and develop to the way that they are comunicating
95
what is the basic meaning of whakapapa?
reffered to as layers and papa means flat
it can also relate to genalogy
96
what has a whakapapa?
everything
97
what are groups of people called?
a whanau/family
98
what are a group of whanaus called?
hapu/subtribe
99
what is a group of hapu called?
iwi/tribe
100
what is the word given to bring groups together?
waka
101
what is matauranga maori?
the knowledge, comprehension, or understanding of everything visable or invisible that exist across the universe according to maori
102
what does each generation of the maori adds?
they add to the body of maori
103
what does the body of knowledge encompass?
all branches of maori knowledge, past, present and is still developing
104
what does both holistic and pluralistic systems value about the matauranga maori?
the process of coming to know
105
what are purakou?
observations of the world and theories that is used as a means to pass information onto the next generation
106
why do maori use purakou?
because they are oral people so they pass knowledge by telling stories
107
what is te kore?
nothing existing except potential
108
what is te po?
where the gods ranginui and papatuanuku began to rasie there kids
109
what is te ao marama?
when the world of light came knowledge and understanding
110
where was the first women sculpted from for maoris?
the earth of papatuanuku and then she breathed life into her
111
what is hine-ahu-one?
the first of the waka as the first woman being made
112
what is the maori worldveiw?
holistic and collectivist
113
how much of the world does the pacific ocean cover?
1/3
114
what does the term pacific mean?
a continent made up of numerous cultures with alot of common aspects yet some different
115
what is polyneisia feench for?
many islands
116
what are atolls?
flooded volcanoes that have disappeared and left just the coral reef such as kiribati
117
what are indigenous people?
the first people that migrated from south-east asia in multiple ways
118
what was the first wave of migration?
when the sea levels were low and people travelled to settlement places in new guinea, Austrailia and some parts of melanesia on foot and make shaft rafts
119
what was the second wave of migration?
the islands were colonized by seafares called the atronesias
120
what was the third wave of migration?
the polynesian migration which went from one point and colonized all polynesia islands
121
what is the most liguistically diverse place on earth?
the pacific regions
122
what are maps?
the way we visualize the world and has changed our view of the world changes
123
what did colonization do to the pacific islanders?
impacted their such as taking their land and building westernised civilisation aswell as establishing contracts
124
what are the 3 political status outcomes of the pacific islands?
dependant territory
international agreement
self governing
125
what can the many different cukltures withing the pacific islands lead to?
different beleifs upon the different islands
126
what are some values that the pacific people have in common?
respect, service, collectivism, family and spiritually
127
what does hauora mean?
to breathe in good heath
128
what do maoris view as illness?
breatches of tapu or tikanga
129
what did the europeans bring to NZ?
infectous diseases
130
what did infectous diseases do to the indiginous population?
killed half of them because they didn't have a immune system developed to help protect them
131
what did the bringing of white supremacy and beleifs to new zealand?
destroyed the indigenous culture of the maori people
132
what happened if maori kids spoke tounge in their westernised school?
they were punished
133
what did westernisation affecting maori?
affects the maori health which in turn leads to a higher heath need
134
what is the te whare tapa wha?
the four sided house of maori well-being
135
what are the 4 sides of the te whare tapa wha?
wairua
tinana
hinengaro
whanau
136
what is wairua?
spiritual health
137
what is tinana?
physical health
138
what is hinenegaro?
mental and emotional well-being
139
what is whanau?
social well-being
140
what is the purpose of the te whare tapa wha?
we need all the walls for the house to stand strong
141
what is te pae mahutonga?
the southern cross
142
what does the southern cross consist of?
maurioa
te oranga
waiora
toiora
te mana whakahaere
nga manukura
143
what was the southern cross used for?
to navigate the native maori
144
what is the metaphor for the stars of the southern cross?
the main 4 are mean health and the other 2 are ways to achieve health
145
what are the goal of the 4 main stars?
mauriora - access to the te ao maori
waiora - environmental protection
toiora - healthy lifestyle
te oranga - participation in society
146
what are the perequisites of the other 2 stars?
nga manukura - leadership
te mana whakahaere - autonomy
147
what is the meihana model?
patient and whanau on the 2 hulls and the cross beams are holding the waka together
148
was the first migration to nz fast or slow?
slow
149
what was the first migration to nz?
the first pacific islanders from samoa to get the NZ
150
how long did the first migration happen?
1926 - 1950s
151
what happened in the second migration to NZ?
pacific population increases rapidly because of attraction of employmment promises
152
how long did the second migration happen?
160s - 1973
153
what is the pacific perspective definition of health?
has links and relationships between nature, people, nonliving and living things
154
what do pacific people see as illness?
a imbalance in there relationships
155
what does ola manuia mean?
living well or wellness
its a collective approach and requires more effective collaboration within the health and disability system
156
what leads to the major health issues in the pacific population?
cultural misunderstandings and unconcious bias
157
what is kakala model?
from tonga and means to research purpose and concept, data collection, data analysis, research benefitting the patient, evaluating
158
what is tivaevae?
from the cook islands
means patches which patches the story of lives together
159
what are the 5 values of tivaevae?
collaboration
respect
reciprocity
relationships
shared vision
160
what is fa'afaletui?
from somoa and is the process of weaving together deliberations of different houses
161
what is fonua?
model from tonga whichg comprises five dimensions of health to maintain a health life these dimensions need to live in harmony
162
what is te vaka atafaga?
is a model from toklau and has 6 aspects of enviroment, family,spiritually, mental, social systems and physical body
163
what does tino rangatiratanga mean?
important authority of a cheif
164
what is tino rangatiratanga?
the ability to make decisions about the important things and is by maori for maori
165
when was the united nation declaration of rights of indigenous people first adapted?
2007
166
when was the treaty of waitangi signed?
the 6th of february 1840
167
what was differnt in the 2 versions of the treaty of waitangi?
they were in different languages and wasnt translated properly
168
what are adaptations to maoris during covid to covid practices?
learning te reo online
care packages
169
what are the 3 central entities and localities?
ministry of health
te aka whai ora
ta aka whatu ora
170
what is te aka whatu ora?
to leave the wolrd in a better plavce than we found it to leave it for our grand children
171
what does the iwi maori partnership boards do?
represent local maori perspectives
172
what is kete?
at the heart of the pacific health models
173
what were 2 issues of people dying to diseases in the pacific islands?
we had no cencus so all we had was estimates of the population
people didnt always report deaths
174
whos life expectancy is lower in nz?
maori and pacifica people
175
what are the 9 areas to achieve equity in health outcomes?
-culture
-community and health literacy
-service properties
-leadership
-workforce
-mental well-being
-health and disability system
-enviroments and the social determinants of health
-evidence and insights
176
what is epidemiology?
the study of the occurance and distribution of health related events, states or processes in specific populations
177
what is population health?
health outcomes of a group of individuals including the distribution of such outcomes within the group
it looks at the big picture and the pattern of health impacts on a population
178
what are 2 factors that determine the patterns of health distributions in nz?
ethnicity and socioeconomic statis
179
what can measure socioeconomic statis?
occupation, education or what your income is
180
what is the most reliable source for socioeconomic statis?
education as it doesnt change that much and everyone can accurately remember it
181
what is NZDep?
an area level of nz deprivation so the whole nz is divided into areas and each area has a different decile area and it inclues everyone in nz
182
what determines NZDep?
questions that are asked in the NZ cencus
183
what is absolute poverty?
income level below which a minimum nutritionally adequate diet plus essential non-food requirements is not affordable
184
what is relative poverty?
the amount of income a person, family, or group needs to puchase a relative amount of basic necessities of life
185
what are the social determinants of health?
the conditions in whjich people are born, grow, live, work and age in
