concept of health and disease Flashcards

(70 cards)

1
Q

a state of complete physical, mental and social well being and not merely the absence of disease or infirmity

A

health
- by WHO, 1946

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2
Q

positive, dynamic process of realizing one’s full physical, mental, emotional and spiritual potential

A

wellness

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3
Q

true or false:
health and wellness is often used interchangeably

A

true
(both mean a state of being free from disease and body malfunction)

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4
Q

briefly explain health and wellness

A

wellness - ongoing practices
health - overall condition

Health = Your overall condition
— if your body and mind are working well, you’re healthy.

Wellness = Your daily habits
— the things you do regularly to stay healthy (like eating well, exercising, sleeping enough).

[Health is the goal
(being free from illness).
Wellness is the journey
(the choices you make to reach and keep that goal).]

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5
Q

briefly explain the social model of health

A

(bottom to top)

individual
- fixed factors like age, genetic, sex

individual lifestyle factors
- smoking
- poor diet
- inactivity

social and community networks
- small networks

living and working conditions
- stressful job
- poor housing
- low healthcare

general socioeconomic, cultural and environmental conditions
- pollution
- weak support
- smoking norm

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6
Q

who made the Social Model of Health

A

Dahlgren & Whitehead, 1991

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7
Q

briefly explain the dimensions of good health

A

Intellectual
- Ability to solve problems, think critically, and handle stress
- Example: Practicing meditation helps lessen exam anxiety

Environmental
- Reducing risks and coexisting peacefully with nature
- Example: Taking part in neighborhood cleanup campaigns

Financial
- Managing resources for financial stability
- Example: Setting aside money for unforeseen medical emergencies

Physical
- Diet, exercise, and abstaining from bad behaviors
- Example: Jogging for 30 minutes every day

Emotional
- Emotional awareness and control
- Example: Going to treatment to deal with bereavement

Spiritual
- Connectivity to meaning, purpose, and values
- Example: Partaking in spiritual activities such as meditation or prayer

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8
Q

Personal experience of feeling unwell (mental, physical, or spiritual
discomfort)

A

illness

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8
Q

A biological problem in the body, diagnosed based on medical theory.

A

disease

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9
Q

The social role and response society gives to someone who is ill.

A

sickness
[Sickness is how society sees and reacts to a person being ill.
It’s about the social role a sick person takes — like staying home, resting, or going to the doctor — and how others treat them differently because they are sick.

illness is what you feel
disease is what the doctor finds
sickness is how others respond to your condition]

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10
Q

briefly explain the concepts of illness and disease

A

(diagram -transes)

illness
- individual
- “i feel ill”

sickness
- community
- “you look sick”

disease
- doctor
- “u have a disease”

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11
Q

it happens when the body’s normal function is distributed due to an interaction between the host (person), agent (like bacteria or virus) and environment (surrounding)

A

disease

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12
Q

how is disease prevention possible

A

by identifyinng and managing these factors

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13
Q

Disease means discomfort or difficulty in moving freely, often caused by environmental, internal, or external agents.

A

Dictionary Definition

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14
Q

A pathological condition when the body deviates from its normal functions. Illness is the personal feeling of being unwell; sickness is the public/social recognition of that condition.

A

Medical Definition

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15
Q

Disease is caused by poor adjustment between humans and the environment, emphasizing the need for clean air, safe water, and a healthy ecosystem.

A

Ecological Definition

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16
Q

briefly explain the historical theories of disease causation

A

Supernatural and Karma
- illness was once believed to be punishment for bad deeds or caused by supernatural forces

Theory of Humors
- health depends on the balance of 4 body fluids (blood, phlegm, black bile, yellow bile); imbalance leads to disease

Miasmatic Theory
- diseases like malaria were thought to be caused by bad air (miasma) from decaying matter

Germ Theory
- diseases are caused by microorganisms
- proven by scientists like Louis Pasteur and
Robert Koch

Theory of Contagion
- spread through direct or indirect contact with infected people or objects

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17
Q

briefly explain the epidemiological triad

A

host
agent
environment

  • disease occurs due to interaction
    between the agent, host, and environment, often needing a vector (like mosquitoes in malaria).

*Multi-factorial Causation
- some diseases, like heart disease, are caused by multiple factors (lifestyle, environment, genetics).

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18
Q

diseases often develop through a complex series of causes, not
just one simple factor

A

web of causation
(image)
[illnesses come from a mix of causes, can be internal or external.
the term “web” shows how all these causes are connected :

example:
Internal:
Genes – inherited traits that may increase risk for certain diseases
Immune response – how well your body fights off illness
Lifestyle – eating, sleeping, and exercise habits
Psychological factors – stress, anxiety, or mental health issues |

External:
Trauma and accidents – injuries that lead to health problems
Noise pollution – constant loud sounds that affect mental or physical health
Toxins in air, food, water – exposure to harmful chemicals
UV rays, weather, climate – can affect skin and overall health
Urban designs – crowded or unsafe environments
Workplace hazards – dangerous conditions in jobs
Pathogens – viruses, bacteria that cause infections
Interactions with humans – social contact or isolation
Healthcare interventions – treatments can help or cause side effects |

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19
Q

briefly explain the 2 categories of diseases

A

infectious disease:
- caused by pathogens
- spread through air, food, water or direct contact
- ex: Influenza, Malaria, AIDS

chronic disease:
- long term
- caused by multiple factors like genes, lifestyle, environment
- ex: Diabetes, Asthma, Heart Disease

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20
Q

briefly explain the concept of disease prevention

A

Primordial Prevention:
- prevent the development of risk factors early through
health education
lifestyle changes,
nutrition

Specific Prevention:
- immunizations
- nutritional supplements
- environmental pollution control
- product safety standards

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21
Q

what are the components of the healthcare system

A

(image)

by WHO:
system building blocks
- service delivery
- health workforce
- health information systems
- access to essential medicines
- financing
- leadership and governance

(access coverage and quality safety) =
- improved health (level and equity)
- responsiveness
- social and financial risk protection
- improved efficiency

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22
Q

An individual or organization licensed to provide health care services.

A

healthcare provider
- according to National Cancer Institute (n.d.)
- they are public servants who attend to the needs of the people and the community

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23
Q

what is the primary role of healthcare providers

A

rendering healthcare services

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24
what are the functions and role of a healthcare providers
1. Provide culturally appropriate and accessible health education and related information using up-to-date gadgets and technology [Teach people about health in a way that fits their culture and is easy to understand — often using modern technology.] 2. Ensure people have access to needed health services [ex: clinics, check ups or treatments] 3. Offer informal counseling and support with emphasis on preventive medicine [emotional support and advice, especially for preventing illness and staying healthy] 4. Collectively advocate for people and the community within health and social services [Speak up for the needs of patients and the community, especially in health and social services.] 5. Deliver direct, basic, or screening healthcare services 6. Establish health services individual and community levels
25
what are the responsibilities of a healthcare provider
1. Respect the rights of the patients 2. Solicit informed consent from the patients before treatment and examination 3. Attend to patient needs based on authority given 4. Deliver services effectively and efficiently without compromising quality 5. Provide a clear policy about healthcare professionals reporting concerns about risks for patients 6. Provide a safe working environment 7. Respect healthcare personnel 8. Ensure that continuous care is available 9. Be within reach, or on stand-by in a specific place 10. Provide on duty services 11. Render services within the required number of hours
26
what are the rights of a healthcare provider
1. Basic individual rights 2. Be treated with respect as a person 3. Have a written agreement covering the services the healthcare providers have agreed upon 4. Have privacy and confidentiality of personal information 5. Have a compensation that is just and fair, transparent, and accessible 6. Have sufficient personal time in work to practice selfcare 7. Have access to all needed tools to perform their duties 8. To not be required to put their lives, physical health, and the health of their families at risk 9. Are allowed to protect themselves from harm and its related acts
27
it describes principles that govern what is right or wrong in the practice of medicine
Morality
28
It is essential to professionalism, trust, and moral judgment.
virtue *healthcare is about respecting human life and providing dignified care; not about providing treatment.
29
what are the 4 cardinal rules in healthcare
Prudence: Practical wisdom in decision making Justice: Equal treatment of everyone, including all patients Temperance: Self-control and restrain under pressure Fortitude: Courage to endure hardships and uncertainties
30
briefly explain the professional commitment virtues
Fidelity to Trust - Respect patient confidentiality and their health first. Intellectual Honesty - Admit when you don’t know or have no experience. Courage - DO the right thing, even if it is hard. Benevelonce - Always act in the best interest of the patient to avoid causing harm and provide maximum benefit. “First do no harm” (primum non nocere) Compassion - Being empathetic and understanding towards patients’ emotional and physical pain. Truthfulness - Be honest and open with patients about their illness and choices of treatment.
31
What are the patients’ duties and responsibilities?
Patients should communicate openly to healthcare providers Patients should provide their complete medical history Patients and physicians should mutually agree on the treatment and goals of therapy Patients should pay the physicians and healthcare providers with just compensation for services rendered Patients should be committed to health maintenance by demonstrating health enhancing behavior Patients should show concern for other people Patients should participate in medical education
32
What are the patients’ rights?
As mandated in the Philippine Bill of Righ)s such as the Administrative Order No. 2008-0001, series of 2008 (Implementing Rules and Regulations of Republic Act 9439) The right to: - information - choose medical care providers - religious belief - medical records - leave the hospital premises - express grievances
33
it is a human behavior
helping - formally known as prosocial behavior
34
what is the main focus of study in psychology
the bystander intervention in emergency situation [ is to understand human behavior and mental processes. includes how people think, feel, and act in different situations.] [Psychology's main focus is the study of human behavior, but bystander intervention is a specific topic within social psychology.]
35
what is one critical factor in helping
no. of others present (More people present in situation, the less an individual feels responsible therefore less help is provided)
36
tendency y for people to feel that the responsibility to help is shared; present when more than one person witnesses an emergency.
Diffusion of responsibility
37
4 basic steps in helping
1. Noticing a person, event or situation that may require help 2. Interpreting the event as one that requires help 3. Assuming responsibility for helping 4. Deciding on and implementing the form of helping
38
briefly explain the Helping Process Model
it expresses knowing, doing, and helping as interrelated processes - Understand the patient’s situation. - Observe carefully to find out what the patient needs. - Use knowledge (what you've learned) to figure out how to help. - Take action based on that knowledge to care for the patient.
39
briefly explain the difference between occupation and profession
OCCUPATION A job or way to earn a living Can be any type of work (manual or office work) Doesn’t always need special training Can be blue-collar (manual) or white-collar (office) Example: cashier, factory worker, office assistant PROFESSION A special type of occupation Needs special training, skills, and higher education Based on deep knowledge learned through formal education Requires continued practice to master skills Example: doctor, teacher, lawyer, medical technologist
40
Series of social and technical activities resulting to production of goods or establishment of services
occupation - "an activity that serves as one’s regular source of livelihood; a vocation” [work or job a person does regularly to earn a living — like being a teacher, nurse, driver, or baker. involves skills and activities to make things or provide services.]
41
a type of job that needs special training or skill, especially one that needs a high level of education
profession
42
a job that needs advanced, specialized, and organized study and training in healthcare that intends to provide services to society
healthcare profession
43
One who has obtained an advanced, specialized, and systematic training and experience in healthcare along w/ its various specific scientific specializations
healthcare professional or practitioner
44
briefly explain the basic qualities of a healthcare practitioner
* Self-knowledge and self-acceptance * Pure and clear motivations * Strong will and determinations * Virtues: humanity, obedience, patience, courage, self-mastery * Service-oriented * Intellectual, moral and clinical wisdom * Propensity for continuous learning * Empathic presence
45
duties of a patient
participate in "healthcare jursidiction" uphold his own health protect the health of others seek and access healthcare responsibly of truthfulness of compliance of inpatient conduct of recovery or maintenance of research participation of citizenship
46
Refers to the moral power incumbent upon the dignity of the patient as a human person which is enjoined by both natural law and positive law requiring that what is due must be rendered to the patient as justice demands.
patient's rights
47
what are the patient's bill of rights
* Right to considerate and respectful care * Right to obtain from his physician complete current information concerning his diagnosis, treatment and prognosis in terms the patient can reasonably be expected to understand * Right to receive from his physician information necessary to give informed consent prior to the start of any procedure and/or treatment * Right to refuse treatment * Right to every consideration of his privacy concerning his own medical care program * Right to expect that all communications and records pertaining to his care should be treated as confidential * Right that w/in its capacity, a hospital must make reasonable response to the request of patient for services * Right to obtain information as to any relationship of the hospital to other health care and educational institutions in so far as his care is concerned. * Right to be advised if the hospital proposes to engage in or perform human experimentation affecting his care or treatment. The patient has the right to refuse or participate in such research project. * Right to expect reasonable continuity of care * Right to examine and receive an explanation of his bill regardless of source of payment * Right to know what hospital rules and regulation apply to his conduct as a patient
48
it is a bond of trust between the patient and the medical professional who is performing treatment.
Professional-patient relationship - Interpersonal communication patterns and the resultant development of interpersonal relations between providers and consumers w/in a health-care delivery system.
49
The professional do not keep any necessary information or lie to the patient w/ regards to his condition
honesty
50
Professional uses his or her knowledge and skills for the benefit of the patient.
beneficence (doing good)
51
The professional should not be bias on his service in the basis of a patient’s race, religion, nationality, or other personal characteristic.
justice
52
The professional should not only think what could benefit him but instead the goodness of the patient.
avoiding conflicts of interest [conflict of interest happens when a professional might be tempted to make decisions that benefit themselves instead of what's best for the patient.]
53
The professional must avoid all the actions that could give bad effects to the patient.
pledging to do no harm
54
briefly explain the therapeutic interactions
HEALTHCARE PRACTITIONERS - the one giving the therapy - basic attitudes of the healthcare practitioner THE CLIENT/PATIENT - receiving the therapy - patient's needs and problems - participate actively in the process HEALTHCARE AND THE CONTENTS OF THE INTERACTION - methods to address the identified health problems - administered in variety - diagnosis and treatment - prevention of illness and promotion of health - maintenance of healthy status - health teaching - vaccination and immunization - environmental sanitation programs ENVIRONMENT - Non-therapeutic or deleterious - Home or hospital environment - Weather and atmosphere - Other people than the client and health practitioner
55
briefly explain the therapeutic interactions in healthcare practitioners
1. Caring and warm Emotional closeness Caring – deep genuine concern Warmth – friendliness consideration 2. Comforting Relief from discomfort 3. Courteous Recognition and acknowledgement of worth to a dignified person Propriety and consideration 4. Affirming, accepting and loving Receiving and welcoming atmosphere Patient will ventilate his biases and prejudices, needs and problems
56
goal of therapeutic interactions
successful outcome, Restoration of health and well-being
57
what are the basic unethical and unprofessional practices
Sizing up one’s professional capacity before others. Maligning the credibility and reputation of a member of the team or of the same professional group to clients or others. Performing action beyond one’s professional functions and capacity. Having illicit and sexual relationship w/ a client. Embarrassing a colleague or subordinate before a patient. Breaking the rules on confidentiality and seal of secrecy. Transgressing professional code of ethics governing conduct of health care practitioners. Denying delivery of health care services on the basis of patient’s inability to pay even in matter of life and death. Engaging in fraudulent acts unbecoming of a professional. Fabricating patient’s record and medical certificates for any purposes.
58
it refers to injuries or unprofessional treatment of a patient by a physician; the wrong execution of duties and responsibilities of a health care institution
malpractice [type of negligence]
59
failure to use a reasonable amount of care when such failure results in injury.
negligence
60
blatantly wrong conduct involving intense evincible ignorance, insufficient or misappropriate skills and wrong judgement in practice of a profession resulting great damage.
gross negligence [worse than regular negligence]
61
uttering or publishing of slanderous words to injure another’s reputation; under libel
defamation (2 types: slander and libel) [Slander: Spoken defamation Example: A nurse falsely says a doctor is addicted to drugs. Libel: Written defamation Example: Writing a false report that a patient has a disease they don’t have.]
62
utterance in the presence of another person w/ false statement damaging to a third person’s reputation
slander
63
malicious writing bringing contempt or public derision.
libel
64
pointers for a healthcare practitioner
* To live up, all times, to the commitment of serving the sick and the dying, the healthy and the unhealthy, and those who need a complete sense of well-being. * Empathy enables a health care provider to activate genuine therapeutic touch so essential to the therapeutic relationship w/ the patient. * Should exhibit exemplary degree of ethical and professional conduct in practicing the profession and avoid unprofessional practices deleterious to one’s relationship and profession.
65
in medical malpractice - valid claim needs
1. Existing health care practitioner-patient relationship - There is a real doctor-patient relationship. 2. Conduct of negligence - The health care worker was careless or neglected their duty. 3. Negligent conduct causes harm to the patient - That carelessness caused harm to the patient. [You must prove: You were really the doctor’s patient. The doctor (or nurse) made a mistake or didn’t do their job properly. That mistake actually made you worse or caused harm.]
66
Non-therapeutic interactions
environment
67
components of the healthcare system
Main Components of the Healthcare System: 1. Organization This includes official groups or associations like PAMET (Philippine Association of Medical Technologists) and WHO (World Health Organization). They help manage and set rules or guidelines for healthcare. 2. Internal System These are the structures inside the healthcare system, like how clinics, hospitals, or health centers are organized. Think of it as the "behind-the-scenes" work that helps everything run smoothly. 3. Healthcare Professionals Doctors, nurses, med techs, etc. “each profession is important equally,” = all healthcare workers are valuable—no one is more important than the other. 4. Individuals These are the patients or people who use healthcare services. They’re part of the system because their choices, needs, and actions affect their health. 5. Community This refers to the larger group or society. The health of a person is influenced by the community they live in, like the availability of clean water, education, or support systems. Focuses: 1. Task Focus: Points to what the system does, like providing care and health services. 2. Interrelationship Focus: Shows how all parts are connected and need to work together to function properly. 3. Bioethics and Philosophy Doing what’s right and fair in healthcare—treating everyone with respect and making ethical decisions.
68
differences between health ethics and professional ethics
Health Ethics - Focuses on what’s right or wrong when giving healthcare to patients. - It asks: “Is this action good or bad for the patient’s health and dignity?” - Example: Respecting a patient’s decision to refuse treatment. Professional Ethics - Focuses on how healthcare workers should behave as professionals. - It includes responsibilities to the public, their profession, and their patients. - Example: A medical technologist keeping patient results confidential [Health Ethics = Right and wrong in healthcare decisions. Professional Ethics = Right and wrong in professional behavior.]
69
differences between bioethics, morality and ethics
Bioethics - Study of morality in health and life-related issues - covers issues like abortion, euthanasia, genetic testing, organ donation Morality - Refers to whether a human act is good or bad - means the goodness or badness of a human act. Ethics - The science/philosophy that studies morality - “why” behind right and wrong actions - uses reasoning and philosophy to judge human behavior