Lecture 2 Flashcards

(74 cards)

1
Q

Which is better, boomed or alternative med?

A

As a healthcare professional, neither is better, need to use both to help your client at the end of the day

Other cultures have been using traditional meds for thousands of years so need to be mindful of that

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What I biomed based on?

A

Based on principles of natural sciences:
Biochemistry
Biology
Physiology

Scientific findings through research (e.g., nutrition, exercise, smoking, mental health)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is biomed diseases treated?

A

Disease treated through latest technology and medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where is biomed commonly practiced?

A

In North America/Europe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is CAM?

A

Complementary Alternative Medicine

Practices that may go against current research

May be difficult to prove efficacy
“Pseudomedicine”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are examples of CAM?

A
Chiropractic
Osteopath
Massage
Meditation
Acupuncture
Natural health products (NHPs)
-Some of these are more common for other people
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do we have to be mindful of as HCPs in terms of CAM?

A

Some HC people are incorporating these into their care plans

Just because it isnt proven doesn’t mean it doesn’t work

If someone if finind relif and causing no harm can be use along side biomed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Has there been an increase in CAM?

A

Significant increase over recent decade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is integrative medicine?

A

Combination of conventional medicine and CAM

Large trend towards this

“Holistic” approaches becoming extremely popular

In the eyes of some doctors, nutrition may be considered alternative medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does holistic mean?

A

Holistic: embracing multiple aspects of health

Need to take back the meaning of the word and not disown it

Controversy If scientifically sound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do cultures interpret health?

A

Each culture can define health differently

Treatment and definition of illness vary based on:

  • Etiology of Illness, how it came about (personal, natural, social, or supernatural)
  • Cures that are employed (therapeutic substances, physical forces, or magico-religious interventions)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the cultural worldview?

A

Cultural groups have unique outlooks on life

Vary based on ranking of values

Individuals may have their own spectrum of beliefs congruent or different from their culture’s beliefs

Westernized countries tend to have individualistic worldview

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In Western cultures, what does the society value?

A

Personal control over the environment

Human equality

Youth

Directness/openness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In other cultures, what does the society value?

A

Fate

Hierarch/rank/status

Elders

Indirectness/ritual ‘face’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do many cultures /religions belive is the root of illness?

A

Fate is the primary influence in health and illness
-“Will of God”
Interference not intended by God

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 2 main options for intervention when a culture/religion believe sit is fate or god for this illness?

A

Limited interventions for certain cultural groups

  • Belief in reincarnation, afterlife
  • Allow natural progression of death

Other cultures may belief in aggressive approach

  • DNR viewed as murder
  • Death is in God’s hands, therefore there is always hope
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is cultural imposition?

A

Tendency for health care practitioners to enforce personal beliefs, practices, and values upon clients

Ethnocentric viewpoint

Where biomed and CAM debate starts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the main goal of the biomed world view?

A

Mastery over nature
“Defeat” natural illnesses

Health by numbers
E.g., BMI, blood values, diagnostic tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What happens when there are symptoms that cannot be linked to diagnosis in the biomes world view?

A

Symptoms that cannot be linked to diagnosis tend to be dismissed as psychosomatic

Belief in biomedical cause for every condition
-Fate rarely considered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the 3 main aspects of the biomed world view?

A

State of being

  • Clients are expected to comply
  • Change in lifestyle
  • Biomedical emphasis of doing, not being

Role of the individual

  • Confidentiality is essential – even from family
  • Treatment rarely involves other members

Human Equality
-All patients deserve equal access to care
-Other societies may decide care based on rationality (i.e., chances of survival, age, SES)
Exception: Medical hierarchy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the biomed world view on aging?

A

Value of youthfulness

Goal to post-pone aging through natural and medical interventions (e.g., plastic surgery, Botox)

Other societies value honour and wisdom associated with aging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the biomed world view on time?

A

“What can be done today so the client will be better tomorrow”

Lateness is frowned upon – unless it’s from the healthcare professional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the biomed world view on formality/directness?

A

Limited small talk, to the point

Expectation of honestly, open communication to increase ability to diagnose and treat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the biomed world view on materialism?

A

Clinical significance dominates - social or emotional issues addressed by other professionals
-refer to different areas

Mind-body duality, rather than the whole (both separated vs connected)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is the WHO definition of health?
“A state of complete physical, mental, and social well-being, not merely an absence of disease or infirmity” Ignores natural, spiritual, and supernatural dimensions of health
26
How can ones health have an impact on others?
One’s health and its impact on others - Fear of burdening children - Pain is not masculine or for the weak May change based on SES -Low SES may “deal with it” in order to make ends meet
27
What are the characteristics associated with being healthy?
``` Weight maintenance Hair sheen Skin colour (i.e., pallor) Menstruation (pre-menopause) Regular BM Normotensive Motor skills Energized/Good sleep habits Infrequent colds/illness ```
28
How does health attributes vary form culture to culture?
In North American societies, “healthy” hair is clean, free of dandruff, and soft In other societies, oily hair and dandruff are normal and not an indication of poor health North American societies view pregnancy as a medical condition, warranting regular doctors appointments and exams Other societies have limited prenatal care
29
What is the thin ideal?
Westernized countries prefer thinness, although this is changing Other cultures believe thinness is an indication of sickness/disease Views may change based on geographical relocation
30
Is there a word for min-body unity in NA?
Physical and emotional/psychological health is so distant in North American culture that there is no word for mind-body unity -So we associate the 2 of them separately
31
What are generally accepted health habits?
Healthy diet, rest, and cleanliness defined as good health practices worldwide The definition of these practices vary
32
What are the health promoting food habits?
Usually defined as the most important way to maintain health Almost all cultures define certain foods as “health-promoting” (but vary depending on the food) Food May provide mind-body balance and benefits to both
33
In Canada what is used ass a guideline for good health?
Canadas food guide | -Heavily criticized for lack of cultural representation, influence from industry
34
What does the western "ideal" diet look like?
Diet high in V/F Protein-rich Limited sugar, fat, salt, alcohol Dietary supplements
35
What is the Yin and Yang diet based on?
Mainly practice in China and surrounding countries Balance of foods classified as Yin (raw, soothing, cooked at low temperatures, white/light green) and Yang (high kcal, high heat, spicy, red-orange-yellow in colour) Believe to avoid extremes Staple foods (e.g., rice) are believe to be neutral
36
What can be vied as a sign of good health?
eating large volumes of food
37
What is the sympathetic quality of food?
food that looks like a human organ or body part
38
What is an illness?
weakness, pain/discomfort, emotional distress, or physical debilitation that may prevent a person from fulfilling responsibilities to family or society Perceptions or and reaction to physical or psychological condition Caused by disease, malfunctioning body organs and systems
39
What is a sickness?
The entire disease-illness process; cultural consensus of definition may vary How the person became sick, whole process from tart to finish Symptoms experienced How it is cured
40
In some cultures how is the seriousness of an illness determined?
by elder (e.g., mother, grandmother, knowledgeable family member) Decision to seek help from medical professional -Based on the consultation with this fam member you go to the professional
41
What is the role of a sick person?
Social legitimization of sickness New role as the ‘sick person’ Sick person is usually excused from daily roles, social activities, and religious duties Temporary respite from physical and psychological burdens of life to allow for healing
42
What is the explanatory model?
Unexpected events warrant reason and explanation of origin/cause Sickness : Cause of disease, perception of symptoms, healing treatments, why others do not get sick
43
According to biomed, what are the 3 main causes of sickness?
Immediate causes (toxins, tumors, physical injury, bacterial/viral infection) Underlying causes (smoking, hypercholesterolemia, glucose intolerance, nutritional deficiencies)- more chronic Ultimate causes (genetic predisposition, obesity, environmental stresses)
44
What are the 4 aspects of the ethology of sickness (4 ways to get sick?
``` The patient The natural world The social world The supernatural world -these etiologies may not be embraced by every culture ```
45
What is meant by the sickness due to the patient?
Genetic or lifestyle-related Genetic Examples: BRCA1 > Breast cancer susceptibility Crohn’s disease > Ashkenazi Jews Lifestyle Examples: Overeating > Obesity Smoking > Lung cancer Not wearing a seatbelt > Injury from car accident Blame often placed on the patient, without appreciation of external causes (e.g., obesogenic environment)
46
What is meant by the sickness due to the natural world?
``` Involves environmental elements: Weather Allergens Pollution Smoke Toxins Viruses/bacteria Wind or bad air > through pores, orifices, wounds -all to cause illness ```
47
What is meant by the sickness due to the social world?
Sickness due to interpersonal conflict Blaming an enemy for pain The Evil Eye: - When a person stares at another person with envy, resulting in harm - Widely believed in Asia, Europe, Africa, Greece, Middle East - Children believed to be vulnerable (colic, crying, hiccups) - Adults experience headaches, malaise, impotency, birth complications, etc. Conjury -Ability to invoke supernatural forces E.g., voodoo, witchcraft
48
What is meant by the sickness due to the supernatural world?
Sickness caused by gods, spirits, or ghosts of ancestors Will of God -Judaism, Christians, Muslims Sickness may be considered a form of punishment Malevolent spirits may attack a person Spiritual possession - Evil spirit inhabits a body - Catholics believe in exorcisms - Which causes them pain or to act out in certain ways Loss of soul -Usually due to emotional distress or spirit possession
49
In the 4 ways of how to get sick, where does traditional med and biomed start to separate?
Sickness due to social world
50
What is a folk illness?
Culture-bound illnesses Susto/Espanto - Soul loss according to Latinos - Asians, Indigenous people, Pacific Islanders, South Asians commonly believe in loss of soul Sudden Unexpected Nocturnal Syndrome (SUNDS) -Death caused by evil spirits (Cambodia) Burning of soles of feet -Experience of severe stress (India) Empacho -Feeling of food stuck in stomach (Mexico) Anorexia Nervosa and Bulimia Nervosa -Some believe these conditions to be culture-based in Westernized societies due to drive for thinness, control over body, body image
51
What is heal thing?
“Addresses the illness, alleviating the infirmities of the sick patient even when the disease is not evident” Responds to personal, familial, and social issues Biomedicine: Focuses more on diagnosing and treating the disease
52
How do most people seek care?
Route of care may depend on patient’s perception of severity Home remedies are usually first step of care Once ineffective, further care may be sought out “Healing” dependent on several factors
53
What is healing dependent on?
``` Price Availability Accessibility Previous experiences Referrals by friends/family members How the patient perceives the problem Type of healing required -Type of illness would have to go to the appropriate illness s they believe they have. -Having musltiple healters is common ```
54
What are home remedies?
herbal teas, vitamins, meditation, relaxation, essential oils
55
What are popular therapies?
Chiropractic, homeopathy, hypnosis, massage, IV therapy | -not all backed by science
56
What are professional practices?
Requires extensive academic training in conventionally recognized medical systems, such as biomedicine, traditional Chinese medicine, and ayurvedic medicine -some May be approached and appreciated more tan others
57
Which 3 categories do all healing therapies fall under?
Administration of therapeutic substances Application of physical forces or devices Magico-religious intervention
58
What kinds of therapeutic substances can be administered?
Biomed medication and diet perscriptions Botanical med Homeopathy Naturopathic medicine
59
What are botanical meds?
Often used by health professionals outside of biomedicine Focus on whole plants, herbs, and parts of animals (e.g., organs, mineralized powders) Chinese medicine or ayurvedic medicine
60
What is homeopathy?
Belief that symptoms of an illness are evidence that the body is curing itself Exaggeration of symptoms speeds healing; “like cures like” Widely debated and criticized
61
What is naturopathic medicine?
Helping the body heal itself using non-invasive natural treatments and physical manipulations Nutritional therapy is the foundation of naturopathic health maintenance and healing Growing in popularity Taking over nutrition and claiming they are experts
62
What re kinds of applications of physical force/devices?
``` Chiropractic Osteopathic Asian Healing practices Physio Hydrotherapy ```
63
What is the theory behind chiropractic?
The misalignments of the spine interfere with the nervous system, interrupting the natural intelligence that regulates the body, resulting in disease and disorder”
64
What is osteopathic medicine?
Blood, lymph, and nerve function improve through manipulation of musculoskeletal system
65
What are Asian heathen practices?
used to release vital energy flow Massage therapy, acupuncture, pinching/scratching techniques, cupping – common among athletes
66
What is physiotherapy?
Use of electrotherapy for injury May be used by other professionals for alleviating GI upset, chronic pain, insomnia, etc.
67
What is hydrotherapy?
Use of bath, shower, saunas, hot tubs, steam rooms, etc. to relieve discomfort, asthma, hypertension, clear pores, etc.
68
What are the 2 categories of magic-religious interventions?
Action by the individual Action by the sacred healer
69
What are the differences in magic-religious interventions between western and eastern religions?
Western religions (Judaism, Christianity, Islam): God has control over life and death Life according to God’s will E.g., Catholics make appeals to saints for specific ailments (St. Joseph for terminal illness) Eastern religions (Buddhism, Hinduism) Correct conduct in this and past lives Religious offerings Healing occurs through restoration of balance
70
What are individual healing practices from magic-relisous interventions?
Meditation:Finding focus within the mind, deep breathing Yoga:Calms the mind, control of breathing and use ot systematic poses to promote mind and body being one Visualization/guided imagery:Induced relaxation and targeting away of health problems
71
What are sacred healing practices?
``` Prayers Blessings Chanting, singing Charms Conjuring Use of therapeutic substances Application of physical cures -done by a sacred healer ```
72
What is medical pluralism?
“Consecutive or concurrent use of multiple health care systems” Low SES and high SES have been found to rely on this -Increasingly popular among high SES
73
What are many patients doing in terms of their healing?
In many cases, patients are using more than one route of healing -Underreporting is a massive issue Health care practitioners must be open to alternative practices : - Avoid offending the client - Develop trusting relationship - Awareness of drug-nutrient/drug-drug/nutrient-nutrient interactions Issue with contradictory information -Patient may be left confused on which treatment is “right”
74
What are the 3 aspects of transcultural during theorys?
Cultural care preservation and/or maintenance Cultural care accommodation and/or negotiation Cultural care repatterning or restructuring