Lecture 17 Flashcards
Health, illness and rick role behaviors
What is health
the state of complete physical, mental and social well-being
What is illness
subjective phenomenon
includes both physical and social state
it is the response of the person to a disease; an abnormal process in which the person’s level of functioning is change
What is disease
the altered or abnormal functioning of the body
medical term for pathological change in the structure or function of the body or mind
What is sickness or the sick role
excused from social/ normal responsibilities
result o f disease of illness
seeks advice and permission from a ‘scientific’ source
What are the different illness phases a patient experiences
suchmans’ model
1. symptom experience
2. assumption of sick role
3. medical care contact
4. dependent patient
5. recovery/rehab
What happens during the symptoms experience phase
initial stage of illness
something is wrong or not normal
physical experience, cognitive aspects, emotional response
varies from person to person
What occurs during the assumption of the sick role
individual makes decision
seek information, advice and relief
sick individual follows advice of lay referral system
What occurs during the medical care contact phase
professional within the healthcare system with make an authoritative definition or diagnosis of condition and propose treatment
*may continue with dissatisfaction
What happens during the dependent patient phase
decision to transfer control and accept the prescribed treatment
sick individual now becomes patient
What occurs during the recovery and rehab phase
decision to relinquish patient role
easier in comparison to decisions at other stage
healthcare provider and lay caregivers withdraw legitimization
acceptance of condition
What cultural factors influence health and illness
what qualifies as an illness to that culture
What contextual factors influence health
economic factors such as health insurance
social factors
pharmaceutical companies role in direct-to-consumer advertising
What influences symptom interpretations
awareness of health literature
personal health experiences
religious beliefs
family and social contacts
cultural expectations
self-learning efforts
How does a patient think of illness
identity: label patient places on the disease
cause: perception of how they got disease
timeline: sense of how long it will last
consequences: expectation of outcome
cure/control: how can it be controlled or cured
What are the different models of care in the patient-provider relationship
Szasz and hollender’s model of care
the consumer model of care
patient-centered model of care
biopsychosocial model of care
What are the parts of the szasz and hollender model of care
Activity and passivity model
Guidance-cooperation model
Mutual participation model
What is the activity-passivity model
active practitioner and passive patient
little to none interpersonal communication is used
used in emergency situations
similar to a parent and infant relationship
What is the guidance-cooperation model
patient is capable of interpersonal communication
patient can perform independent action but still requires professional attention
like a parent and adolescent relationship
What is the mutual participation model
patient and practitioner are both powerful and interdependent
practitioner has medical expertise and patient has personal experience
patients with chronic diseases
like a adult to adult relationship
What is the consumer model of care
patient autonomy in decision making
emphasizes patients’ right
patient is informed and skeptical buyer of medical care
providers are sellers who respond to the needs of patient
What is the patient-centered model of care
focus on the whole person versus the body
practitioner views illness through the patient’s ideas, feelings, expectations and how it is effecting their daily life
What is the biopsychosocial model of care
focus on chronic diseases being the major killer
considers psychosocial issues such as poverty, environment, stress, diet, etc
What is the pharmacist’s role in patient treatment decisions
the use of self-care
help decide what is “doctorable”
role to initiate consultations
What are the 4 types of medication taking bahaviors
passive acceptors
active acceptors
active modifiers
rejectors
